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Bypass or Sleeve. Times running out



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Hi

I'm scheduled for surgery July 22 , been at the process for a year now. I picked gastric a year ago at seminar now to find out about the sleeve was told gastric takes off more weight. But I like the idea of benefits of actually using my stomach. Can some help me. Is sleeve a good choice. I'm 280. Want to be 190. Nervous n confused waited to long and have no one to talk to. Thanks so much Dan

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I did the sleeve as I didn't want my intestines to be affected. What did your surgeons suggest?

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My choice he said. Have you lost your anticipated goal.

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Am only 5 days post op and pretty happy so far. Am down about 25 pounds from my high weight between pre op diet and the surgey

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I took the sleeve because I did not want to have a lap band port or have my intestines recongigulated. The sleeve has work well for me, and I am happy with that decision. Whatever you decide, I wish you good luck and good health

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Why cause malabsorption of Vitamins and minerals and the dumping syndrome if you don't have to... and be successful?

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You guys are AWSOME..I so grateful of your post. Kinda on my own in this….

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I choose the sleeve because I did not want to deal with malnutrition and dehydration issues, I think the success rate for sleeve is pretty high and most importantly my digestive system is intact! I started at 280 surgery was 2/20/14, today I weigh 211. I hope to get down to 155, I am 5'10". I just felt safer with the sleeve, best thing I have ever done for myself!!!

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Knowing several people that had RNY, they have all had malabsorption issues and dumping. With the sleeve I like the idea of having a functional stomach without rerouting my intestines! I would think that for males it would be advantageous too for eating appropriate Protein amounts and working out plus calorie consumption needs would be easier met with the sleeve.

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hmmm great point Skew,Like it… how long ago did you have it and how much have you lost if i can ask this Dan

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I chose the sleeve because it seemed less invasive to me. No malabsorption , no rerouting of intestines. I guess statistically you may lose slightly more, but at a certain point, both surgeries are just tools, and it's how hard YOU work with your tool -not which tool you chose- that will make you successful in the long run.

As for me, I started at 278.4 and 9 months later I am 148 & almost at goal (3 more pounds) with the sleeve.

Edited by livvsmum

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Both can be successful, just depends on what YOU do with them. Statistically RNY patients lose about 10% more, but I've already lost more than either statistic. I chose sleeve because I didn't want the malabsorption. I'm happy with my choice, but I'm having a hard time with the last few pounds and sometimes I wonder if I would have done better with the RNY. Also, I have to really make a conscious effort to eat the right things. I can tolerate absolutely everything, so there is no deterrent to eating ice cream, cake, etc. Also, I'm a grazer by nature, and RNY is a better choice for people like me. I knew that going in, but I chose the sleeve anyway. One other thing - you can never take NSAIDS with RNY, but you can with the sleeve. That was a big consideration for me. I don't want to get into old age and have limits on medications that I may need. Again, I'd make the same decision again, but I think those are things to consider.

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I'm scheduled for July 17th. I've been going to the area support group and talking with others. My surgeon is highly recommended in NC and even my OB/GYN who is 82 highly recommends him and is in support of the sleeve. I'm 5'4, 223. Of course everyone says I'm too small to weigh as much as I do , blah, blah, blah, but I'm 34, large boned and want to run with my almost 9 year old! The Dr. Said with the sleeve I won't get too skinny too fast which may help and give my skin time to catch up without being too droopy. If they move my date up I will let you know how it goes. I'm out all summer as I'm a teacher. Good luck. :)

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Both can be successful, just depends on what YOU do with them. Statistically RNY patients lose about 10% more, but I've already lost more than either statistic. I chose sleeve because I didn't want the malabsorption. I'm happy with my choice, but I'm having a hard time with the last few pounds and sometimes I wonder if I would have done better with the RNY. Also, I have to really make a conscious effort to eat the right things. I can tolerate absolutely everything, so there is no deterrent to eating ice cream, cake, etc. Also, I'm a grazer by nature, and RNY is a better choice for people like me. I knew that going in, but I chose the sleeve anyway. One other thing - you can never take NSAIDS with RNY, but you can with the sleeve. That was a big consideration for me. I don't want to get into old age and have limits on medications that I may need. Again, I'd make the same decision again, but I think those are things to consider.

I'm planning to do the sleeve because the rerouting of my intestines freaks me out and the sleeve is supposed to have a lot fewer complications than the bypass. I was told I wouldn't be able to take NSAIDS with the sleeve either. Because your stomach is so much smaller, there is less space to absorb and digest the NSAIDS and the smaller stomach kind of gets a concentrated dose. I already have acid reflux so I'm probably at higher risk for ulcers.

Maybe it depends on the person. I know the surgeons are supposed to give us all these warnings and make us take every precaution, but I like hearing this stuff from people that have already had the surgery. I highly doubt my surgeon had this surgery themselves so they can't actually give any first hand experience on some things. Thanks Michiganchic for letting me know there is hope. BTW, they did tell me I would be able to take Tylenol. That's the only one.

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I chose the sleeve because its less invasive and less complications. I was severely overweight and the RNY was suggested but I didnt feel comfortable with that. So now I sm down 200 pounds but still more to go. This is where the tool is the tool and I gotta make good choices. Also I could still get the RNY if I didnt like these results but so far Im glad I sleeved. Good luck!!!

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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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