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Why RNY and not the sleeve?



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I went in with an open mind. I knew the band was out for me due to rhuematoid arthritis, but between the sleeve and rny I really trusted my docs experience and knowledge. With rny he said there was more long term data to support long term success. I liked the malabsorption aspect because I am still on steroids daily and my concern was that I was still going to be hungry all the time. I figured if I am I can still lose weight because my body will not get all the calories.

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The deciding factor for me was that there aren't really any long term results recorded yet because its still so new.

I know some people had the surgery done over 10 years ago and still doing great it's all about the individual and they're motivation.

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I know some people had the surgery done over 10 years ago and still doing great it's all about the individual and they're motivation.

Lol sorry I didn't specify. There are years and years of recorded results on RNY, but the sleeve is too new, no long term recordings yet

Re-Birthday: 2/27/13

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Lol sorry I didn't specify. There are years and years of recorded results on RNY' date=' but the sleeve is too new, no long term recordings yet

Re-Birthday: 2/27/13[/quote']

Oh ok

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Reasons why I chose RNY and not the Sleeve.

1. Higher Weight loss with RNY, of course.

2. Failure rate of Sleeve is much higher, and also has a few more complications that end up being converted to RNY

3. And the final deciding factor was my acid reflux, My surgeon said that it would get much worse with the sleeve, but not with bypass.

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I originally wanted the sleeve but was told the RNY would be more suitable for me and the weight loss would be more consistent given my high blood pressure. With RNY I was off my meds next day. Also, from what I understand long term studies are not yet available to make a direct comparison to RNY yet,

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I had no choice when it came to which surgery as my surgery had to be RNY because I had gastroparesis and GERD. Had I had a choice, I still would have chosen RNY over sleeve or banding because the sucess rate was much greater and I like many other need the dumping syndrome to keep me in check!

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I am trying to decide between the two. What are your deciding factors? Pros and cons if either that helped you decide?

I have been researching the options for months. I noticed that there seem to be quite a few people who initially have the sleeve but later convert to the bypass.

My supervisor at work had the Lapband three years ago. He has lost 140 lbs, and looks great but he's always throwing up and generally not feeling well. He gets something he calls "slime hiccups" that make him uncomfortable all the time, too.

My friend's surgeon told her that women do better with the bypass that the sleeve but I don't know why or if it's true.

At the informational seminar they said that the results were better with the bypass.

But finally, my deciding factor was the port. The thought of having a port really was an unpleasant thought for me personaly.

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Sleeved to Rny here my sleeve never worked right :( 6 months only down 35lbs with eating and working out right. 25k lost on that :( so I will be getting a Rny soon :)

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I chose RNY for the same reason as others. My surgeon said with my issues, GERD included, that the sleeve wasn't for me. Also, as a previous smoker with a higher chance of stomach cancer, I liked that the rest of my stomach is there if needed. My surgeon is one of the only ones I talked to that said RNY was reversible and that he's comfortable doing it *but he doesn't recommend it and I'd not reverse later, duh*. :) The lack of long-term data results with the sleeve concerns me and the higher risk of failure. :( I've failed so often on diets, I just can't do that again.

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    • LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
      · 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!

    • 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. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.
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