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Hi there,

I am sure everyone of you that made this choice had a reason. Maybe your doctor choose, maybe you did.. I want to know why you chose the Gastric Bypass over the Sleeve procedure.

My doctor won't make the choice for me.. I have asked what his medical opinion is and he just shakes his head and states that it's up to me. He thinks I am bordering both procedures.

I need to make up my mind before it's submitted to insurance. They're waiting for me now.

Any input would be appreciated. Thank you!

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Our surgeons only do RNY. They say that for the morbidly obese it has the best rate of patients keeping their weight off. After all I have read, it does seem to be the case.

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I chose RNY for 3 reasons: 1) My insurance did not cover the sleeve. 2) I am diabetic. My doctor told me that 95% of diabetics come off their meds in the hospital before coming home with RNY. (and I did). 3) I had really bad acid reflux. My doctor told me that it would get much worse with the sleeve and with the RNY I would be off my Nexium 6 months post surgery. There were people in my class going from sleeve to RNY because the acid was eating their esophagus.

If you are choosing sleeve instead of RNY so you won't have dumping syndrome, you are not choosing this surgery for the right reasons. This is a LIFE CHANGE. I didn't fully realize that myself until after I had it done. Boy, what a rude awakening. This surgery forces you to make your diet choices that you don't have the strength to do yourself. I am 6 weeks post op and I still struggle daily. I can get my Protein in and my liquids, but my life is totally different. Be prepared to not only change your life, but the life of those who live with you. They sit and eat while after 5 bites, you are full.

Whichever you decide, good luck with your journey!!

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In the end, I wound up with the Gastric Bypass. I'm scheduled for 10/28. The reason for the GB was because my insurance, Medicare, will only pay for the GB or the LapBand (California rule). I was certain the band was not for me. Until I found this out, I was wavering between the GB and the Sleeve. I am now glad that I am having the bypass; mostly because of the diabetes question. The bigger question, though, is what BRING IT ON, said - that this surgery is not about what is easier, it is about, for me, which "TOOL" will be the best teacher. I want the situation that is going to help me change the most. I wish you well. Please let us know what you decide and how you are going.

Edited by wildGoose

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In the end, I wound up with the Gastric Bypass. I'm scheduled for 10/28. The reason for the GB was because my insurance, Medicare, will only pay for the GB or the LapBand (California rule). I was certain the band was not for me. Until I found this out, I was wavering between the GB and the Sleeve. I am now glad that I am having the bypass; mostly because of the diabetes question. The bigger question, though, is what BRING IT ON, said - that this surgery is not about what is easier, it is about, for me, which "TOOL" will be the best teacher. I want the situation that is going to help me change the most. I wish you well. Please let us know what you decide and how you are going.

Thank you WildGoose for your input. I too agree this is life changing. I only have one shot per my insurance so I need to choose wisely. Your "wording" made perfect sense to me. I appreciate you very much!

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The only reason why I picked the sleeve is because I have an illness unrelated to obesity and will need to take medication for the rest of my life.

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The only reason why I picked the sleeve is because I have an illness unrelated to obesity and will need to take medication for the rest of my life.

So do I. There are other medicines I can "try" but none have worked so far.

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Originally I wanted the band and my surgeon told me I doesn't do that procedure any more. So, if not the band I would go "all in". RNY has the highest percentage of weight loss. My high weight was #296. Also RNY can be reversed. Does not happen very often but can be done.

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My doctor helped me make the decision. He said I was a candidate for RNY or Sleeve. At first I was going to go with sleeve. During one of our appointments two things changed my mind. 1 the chance of weight gain is higher with sleeve. 2 he said the chance of leaks after 2 weeks are actually less with RNY. Besides taking care of the diabetes those two things changed my mind.

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There are so many reasons for choosing the surgery that we chose. Before we even start thinking about diabetes, and our other health issues, etc. there are more basic questions. How much weight do you want to lose? How old are you? After those two questions, consider our current health issues. Some times people are trying to prevent getting obesity related diseases, but there are others of us who already have Diabetes, sleep Apnea, Hypertension (high blood pressure), etc. There is no easy answer, and only one person and her or his surgeon can make a decision.

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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!
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    • 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!
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    • 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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