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An anyone tell me why they choose the surgery they choose. I cannot decided on which one to do. Not sure need some input please.

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I'm still preop but for me it was my bmi and the heart to heart talk with my surgeon . He was willing to the sleeve but he felt the rny was a better fit for me and after a ton of research I did the rny was my choice . Good luck with your choice

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If I were to oversimplify the choice, I think it comes down to what your biggest behavioral obstacles are.

I ruled out the lap band and sleeve because, as my surgeon said, I could still sip milkshakes and nibble on cheeseburgers until I'd gained another 100 pounds. If you want more freedom to still eat certain things (which is a completely valid reason to opt for one of these - it just depends on self-control) then the sleeve or the band might be for you. However, the percentage of excess weight loss is less for these two than for the RNY.

The sleeve is actually pretty darn close in terms of weight loss to the bypass. And the part of the stomach that distributes a hormone that causes hunger is removed, so that's a great perk. You will have to remind yourself to eat.

I might have chosen the sleeve if my insurance carrier covered it, but they don't. I chose the RNY because I wanted the dumping syndrome, which causes you to get sick if you eat anything too high in fat or sugar. Some people don't want that, but I felt like I needed it to help me change my relationship and behavior with those kinds of foods.

My surgeon has videos that go over each surgery and it's pros and cons on his website: http://poplawskibariatric.com/for-prospective-patients/

If you can, watch those videos because I couldn't have made my decision without them.

Good luck to you!

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I choose RNY because of the opportunity for maximum weight loss. Also believe it or not I like the fact that I'll be able to have the dumping syndrome. I know myself and I'm hardheaded and the ability to dump when I eat something stupid and my body is like "hey moron seriously?!" and to actually be able to be full. I like that idea.

Good luck in deciding! :)

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You Lose the most weight.

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I want the dumping syndrome as well. I want sweets to make me sick like bacon does now lol I gave up almost all pork I'm also hoping it helps with hunger. When I can control the hunger I can lose weight.

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I chose the RNY for a totally different reason. I have diabetes, hypertension, high cholesterol, low thyroid, arthritis of the back and hip, neuropathy, and retinopathy. In march I had lazer treatment in one of my eyes. My eye doctor told me that if I didn't get a grip on the diabetes, I would end up blind within 10 to 15 years and I am only 34! RNY gives me a better change of getting the diabetes under control so that was my major motivation for this surgery. I originally was going to have the lapband but there was no guarantee with that surgery for the diabetes to get better.

surgery date: 7/30/12

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My dr told me if I was a patient person the band would work, I am NOT patient so I went. RNY the band needs adjusted and etc.

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Im still pre op but I've chosen the RNY because I am at risk for diabetes, high blood pressure, heart disease you name it I'm at risk of having it. But do your research and find the one that is right for you and talk to your surgeon about your different options. Good luck with everything!!

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Im still pre op but I've chosen the RNY because I am at risk for diabetes' date=' high blood pressure, heart disease you name it I'm at risk of having it. But do your research and find the one that is right for you and talk to your surgeon about your different options. Good luck with everything!![/quote']

I left the hospital off all my insulin. Good luck with your journey

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I pretty much got the chance to contemplate and pursue all 3. I looked into lapband in 2006. I met with the surgeon and opted out because I didn't like having to go back and forth to the Dr. to get the fills, and at 20 years old, I just wasn't ready at that point.

I then looked into the vertical sleeve gastrectomy, because my sister was in the process of getting it done, and I had a lot of time to research it with her. I was so head strong and determined to get this surgery and did not want the RNY for fear of malabsorption issues and how invasive the surgery sounds. After finding out that my insurance only covers RNY, I then decided to choose RNY.

I'm now so happy and at peace with my decision. I've researched and I feel comfortable knowing that the procedure I'm getting is known as the "gold standard" in terms of weight loss surgery. RNY has been around since around the 1950's, so there's been plenty of years to perfect the procedure and plenty of long term data has been obtained to prove that it is successful long term and safe. While the VSG surgery is emerging in popularity because there isn't much risk of malabsorption, there really isn't enough long term data right now to prove how successful the surgery is, since it's about 15 years new at this point. I also like the fact that RNY provides patients with more weight loss, quicker, and more patients in the long run tend to keep the weight off.

Go with what feels right for you. Do the research and you'll be able to come up with a decision. Weigh the pros and cons of each one :)

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Thanks for all the advice. I did what was suggested and I read everything I could get my hands on. I have decided that the bypass is best for me. . Thanks again everyone.

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    • LeighaTR

      Four days post surgery. I am sipping as fast as I can and getting NO WHERE near the goal of 60 - 80 grams of protein or the 64 oz of liquids. I just feel FULL. I don't know if it can still be the gas build up (I would think by now that would be gone) but it is a struggle to drink. And so far I have not had the nausea or spasms and don't want to wander into that territory by pushing too hard with liquids. I about passed out today as it was my most "strenuous" day. Went from second story to basement for shower and I was sure I was going to pass out. Looking back on my last few days I have had a total of less than 1000 calories. Am I just not getting enough nourishment in me? Once again a friday where I can't get ahold of the doc until Monday rolls back around so I am hoping maybe someone here has some experience on how to keep energy going. I do have fibromyalgia too and that may be where some added fatigue comes into play. How did you all fair with the goals the week after surgery?
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      2 days until I fly out to San Diego to have my Bypass Surg. in Tiajuana Mexico. Not gonna lie, the nerves are starting to surface. I don't fear the surgery itself, or the fact that I'm traveling alone, but its the aftermath that I'm stressing about the most, after this 8 week wait. I'm excited to finally be here, but I am really dreading the post surgical chapter. I know its going to be tough, real tough and I think I'm just in my head to much now that the day i here. Wish me luck, Hopefully I'm one of the lucky ones, and everything goes smoothly. Cant wait to give an exciting update,. If there is anyone else have a June bypass or even a recent one, Id love to have someone to compare war stories with. Also, anyone near San Antonio Tx? See ya soon with the future me. 💜
      · 3 replies
      1. Phil Penn

        Good Luck this procedure is well worth it I am down to 249.6 lb please continue with the process..

      2. Selina333

        I'm in Houston so kind of near you and had the sleeve in Dec. Down 61 lbs. Feeling better. Was definitely worth it. I hope the everything is going well for you. Update us when you can!

      3. Doughgurl

        I am back home after my bypass surgery in Tiajuana. I'm post op day 4. Everything went great! I guess I'm one of the lucky ones who have not encountered much pain at all, no nausea thus far and I'm having no problem keeping down broths and water. Thank you for your well wishes. I cant wait to keep up this journey and have a chance at better health and simply better quality of life. I know there will be bumps in the road ahead, and everything won't be peaches and cream, but at least I have a great start so far. 😍

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      · 0 replies
      1. This update has no replies.
    • Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 2 replies
      1. Selina333

        I'm so happy for you! You are about to change your life. I was so glad to get the sleeve done in Dec. I didn't have feelings of regret overall. And I'm down almost 60 lbs. I do feel a little sad at restaurants. I can barely eat half a kid's meal. I get adults meals often because kid ones don't have the same offerings at times. Then I feel obligated to eat on that until it's gone and that can be days. So the restaurant thing isn't great for me. All the rest is fine by me! I love feeling full with very little. I do wish I could drink when eating. And will sip at the end. Just a strong habit to stop. But I'm working on it! You will do fine! Just keep focused on your desire to be different. Not better or worse. But different. I am happy both ways but my low back doesn't like me that heavy. So I listened (also my feet!). LOL! Update us on your journey! I'm not far from you. I'm in Houston. Good luck and I hope it all goes smoothly! Would love to see pics of the town you go to for this. I've never been there. Neat you will be traveling for this! Enjoy the journey. Take it one day at a time. Sometimes a few hours at a time. Follow all recommendations as best you can. 💗

      2. Doughgurl

        Thank you so much for your well wishes. I am hoping that everything goes easy for me as well. We don't eat out much as it is, so it wont be too bad in that department. Thankfully. Also, I hear you regarding your back and feet!! I'd like to add knees to the list. Killing me as we speak! I'm only 5' so the weight has to go. Too short to carry all this weight. Menopause really did a doosey on me. (😶lol) My daughter also lives in Houston. with her Husband and my 5 grand-littles. I grew up in Beaumont, so I know Houston well, I will be sure to keep in touch and update you on my journey. I may need some advice in the future, or just motivation. Thank You so much for reaching out, I was hoping to connect with someone in the community. I really appreciate it. 💜

    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

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