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Gastric Bypass VS Sleeve



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@@losing-it I have a hiatal hernia too. Of I could do it all over I would have done RNY hands down. I did a two week liquid diet and post liquids none off that is easy. As is the decision to do a revision.... I wish you the best and I am glad that my story gives you some insight. Some people have done real well with the sleeve. Just not me.

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@ I can imagine that's not an easy decision. Is it a long process to go through to get the revision? And idea when you'll get it if you go ahead?

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I am not scheduled for endoscopy until May. The nutritionist is sending everything to the insurance, she thinks they will tell me I still have to do 3 month diet. I am not sure if I mentioned in previous post, I was pregnant and my sleeve stretched. He said I am not the first patient he has seen that in. Here's my thing there is not a whole lot of data yet about the sleeve. Everyone assumes if sleeve stretches it is because one over ate. I was so sick during pregnancy small meals was all I could eat. My capacity has grown since then. I have very little restriction...

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@ every gets stretchy when your pregnant, I wonder if that's what's impacted your sleeve? The main thing is you're healthy now and you need to give yourself time after your pregnancy. Besides losing 53 lbs is awesome!!!

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To bad I didn't keep the 53lbs off....

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I was speaking to a girl yesterday to had a band to Rny revision 6 weeks ago, her weights coming off aggressively now and she looks amazing and is finding the bypass great! No problems. Hope everything works out for you to get yours!

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May is right around the corner for you!!

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I've finally decided I'm going for the sleeve. I've heard lots or fors and againsts for both ops and I know I could have reflux issues but right now I'm not ready to go for the bypass. @ I know you're going to think I'm mad, but I really want to give this a try first.

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I've finally decided I'm going for the sleeve. I've heard lots or fors and againsts for both ops and I know I could have reflux issues but right now I'm not ready to go for the bypass. @ I know you're going to think I'm mad, but I really want to give this a try first.

Of course not!!! You have to do what is best for you. So many people have done fabulous with the sleeve. I am sure you will do great!

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@@losing-it, I am glad that my story is now able to help someone else! That is the ENTIRE reason why I didn't feel right about keeping my journey a secret! I do take extra Vitamins, as I was found to be deficient in Vitamins A and B1 when I had my three month labs drawn. I take one of each of those every day in addition to my multi, and I also eat chewable Biotin tablets because I have lost a lot of hair. The Vitamin A and B1, i was told, are deficient for me because I was unable to eat meat for so long after surgery. The nutritionist said that with time as I am able to tolerate more meats, or learn which meats I can eat, I may not need them at all as they are vitamins that are commonly found in meats. I do tolerate liver vert well, and strangely I do not mind how it tastes. It was on a list of recommended foods by my nutritionist because of my Vitamin issues, so I try to incorporate that into my diet at least twice a month. I don't mind taking the vitamins, but I also try to follow whatever suggestions that I get from my nutritionist.

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RNY for me, hands down. I was a serious diabetic, now not at all., further the plumbing change means that you can't ever really get the stomach stretch of the sleeve patients because you have a stoma and not a sphincter exiting your stomach/pouch. also approx. 3 meter in total of small intestine is no longer used to absorb food so the same person eating the same things would lose more weight with the by-pass than the sleeve. See what I have done below, had my surgery July 2014.

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I had my heart set on the sleeve but I already battle with acid reflux. I might have to re-think this. Praying I make the right decision. ????

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Your surgeon should be able to counsel you on what would be the best. I knew gastric bypass would be the best for me, with all my previous health problems. I have heard a lot of "horror" stories on here from both but people tend to share/over share the bad experiences that they have had. I would research them both online there are a lot of good medical articles for both types online.

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I went in requesting the sleeve, however. ..My dr explained it this way, the sleeve is more for those that over eat, RNY is for those with metabolic issues.

THIS was most helpful to hear. I went yesterday to my last class before surgery (June 3rd) and was a little frustrated. I was hoping to meet some other patients having surgery close to mine. What I got from the other patients was grief as to why I was having surgery in the first place (BMI is 40!), and why I chose bypass instead of sleeve. I kinda felt ganged up on as the other patients were having the sleeve. It was a little discouraging.

I originally wanted the sleeve but through my journey decided that I wanted bypass instead. It just seemed a better fit for me.

So thank you...

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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. 💜
      · 1 reply
      1. Phil Penn

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

    • 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!

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