I was reading another forum last night and a woman just got back from a seminar with her bariatric doctors they told the people that the sleeve is great, but also said that after about the five year mark the restriction goes away and hunger is back all the way and most need to be re-sleeved!! Thoughts?

So I've been thinking about it all day, and have done some poking about a bit and some reading..

http://www.medpagetoday.com/Endocrinology/Obesity/40490

And I found this an interesting statement coming from a doctor at a bariatric conference...

“Doctors are constantly concerned with durability. The gastric sleeve gained instant popularity because it is quick and easy to master, and is a less difficult operation than a bypass,” said Dr. Coon. However, he stressed the need for surgeons to learn all of the facts, perform extensive prep work, and communicate effectively with each patient before deciding whether the sleeve gastrectomy is appropriate.

“With new surgeries, outcome is always hard to predict,” he said. “If five years from now it still seems to be a good operation, then it probably will continue — and then again it might fail. Regardless, people will continue to promote it or disagree with it.”

You know I was going to say just now you lucky dog! I can eat ANYTHING and I feel fine....

But sometimes I think I'm not as "in tune" with my body as I should be....

I feel crappy today, I felt like I was going to puke whilst mountain biking. My sleeve feels like poop even though its a fast day and I've not eaten yet..

What's wrong? What's changed? I'm wearing padded compression shorts, could that be it? Them pressing on my stomach?

Or could it be that after that terrifying doctors appointment yesterday that my food intake was less than stellar? Yes after the stress was done I ate bites of things I don't normally have anymore

(Mashed potato bites, a few potato chips, etc)

Ummm... Can these things have a delayed reaction of making me feel crappy and bloated.

I look at all these people here that can't tolerate this or can't tolerate that and I think "must be nice" but I'm thinking now that they might have little less of a pain tolerance than me???

Do I just power past those signals??

A binge eater= high tolerance for discomfort= possibilities of stuffing even with the sleeve=

A potentially less than stellar long term outcome.

For me, I usually pay the price the following day. Ranging from bloated, gas, tummy ache, feeling tired, or even depressed (think its a blood sugar thing). So maybe you are ignoring the crappy feelings the following day? The only thing I've found that makes me really sorry sooner now that I'm further out is super greasy, super acidic, or spaghetti sauce.

Lynda

For me' date=' I usually pay the price the following day. Ranging from bloated, gas, tummy ache, feeling tired, or even depressed (think its a blood sugar thing). So maybe you are ignoring the crappy feelings the following day? The only thing I've found that makes me really sorry sooner now that I'm further out is super greasy, super acidic, or spaghetti sauce.

Lynda[/quote']

Yes that's what I'm thinking today.. My tolerance is high for discomfort. And even though my sleeve feels bad today I don't often slow down enough to think about it or why it might be that way. I'm potentially missing/ignoring signals!

Georgia my new BFF!!

Uh...hey.

Uh...hey.

Oh ****! You didn't see that my little schnitzel!

You know your my besty!!

Oh ****! You didn't see that my little schnitzel!

You know your my besty!!

Now, now, we will Share, BTB!!!

Look at your skinny body! Fantastic!

Some really great reading! I too love dr. Sharma's work and have quite a collection of links to his articles - here is another recent one that I found pretty interesting - (sorry for the OH link Alex).

http://www.obesityhelp.com/articles/why-bariatric-surgery-can-fail-part-2/

sorry for the underline - vsg talk hates my browser lol.

Some really great reading! I too love dr. Sharma's work and have quite a collection of links to his articles - here is another recent one that I found pretty interesting - (sorry for the OH link Alex).

http://www.obesityhelp.com/articles/why-bariatric-surgery-can-fail-part-2/

Thanks for putting that link up!

Some really great reading! I too love dr. Sharma's work and have quite a collection of links to his articles - here is another recent one that I found pretty interesting - (sorry for the OH link Alex).

http://www.obesityhe...an-fail-part-2/

OMG, Chimera. THANK YOU FOR THAT ARTICLE!!

Wow it should be required reading FOR everyone who is even considering WLS. I find myself totally identifying with many key points in this article. Everything from not "reaching" goal, to the regain, to the word "failure" being bandied about in my own head. What an excellent viewpoint about the realistic outcome of surgical intervention. I'm happy to say that I do not currently consider myself a failure (but I have felt that before) and while I'm not happy about the regain (-10 of the +20 are gone!) so even though I refuse to accept the regain and will continue to battle it, I will NOT have a "normal" BMI but I'm okay with that.

Thank you again for sharing this with us...

_{I know right? That article really resonated for me too - all of this great reading over the last few weeks has really helped me to recalibrate my oftentimes emotional response to not being at goal already - heck I was at 80% EWL at 1 year post op and am about to ramp up my workouts and put myself back into a ketogenic state to get the rest of it off. Its been easy for me to let the carbs climb a bit - mainly through dairy and an occasional Starbucks treat - I have not been gaining, but I have not been losing much anymore either - guess I am seeing first hand how to maintain in the 172-174 lbs. range.}

Really good article. And some other great articles on that site too. Thank you for the link.

http://www.obesityhelp.com/articles/why-bariatric-surgery-can-fail-part-2/

Another good article - sobering but important. Should be one part of some compulsory pre-reading for all bariatric patients.

Great article. My Doc said he would not give me a goal weight, because He did not want me to feel disappointed if I reached a different weight in the end. His Dr. Assistant asked me if I could be happy losing 50 pounds (20% of my weight) and I said yes, but 90 would be better. I can see the context of their comments better now.

I almost never read these forums anymore. They are tedious and repetitive and full of misinformation. I am a few weeks from a year out and will post some pics at that point. I totally agree with my surgeon that most if what is posted is hearsay. I drink beer, I drink wine, I eat anything I want. I don't always exercise. I taste desserts, dips, donuts, etc. I'm down about 85 lbs and continue to lose weight, though it has slowed. I have no fears of regain. My overall habits are very healthy now. I wear a size 6-8 and don't feel the need to be a size 0 or 2. Skin is an issue enough now.

Chill out.

Edited September 1, 201312 yr by Alex Brecher
Odd use of a four letter word