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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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    • Aunty Mamo

      Iʻm roughly 6 weeks post-op this morning and have begun to feel like a normal human, with a normal human body again. I started introducing solid foods and pill forms of medications/supplements a couple of weeks ago and it's really amazing to eat meals with my family again, despite the fact that my portions are so much smaller than theirs. 
      I live on the island of Oʻahu and spend a lot of time in the water- for exercise, for play,  and for spiritual & mental health. The day I had my month out appointment with my surgeon, I packed all my gear in my truck, anticipating his permission to get back in the ocean. The minute I walked out of that hospital I drove straight to the shore and got in that water. Hallelujah! My appointment was at 10 am. I didn't get home until after 5 pm. 
      I'm down 31 pounds since the day of surgery and 47 since my pre-op diet began, with that typical week long stall occurring at three weeks. I'm really starting to see some changes lately- some of my clothing is too big, some fits again. The most drastic changes I notice however are in my face. I've also noticed my endurance and flexibility increasing. I was really starting to be held up physically, and I'm so grateful that I'm seeing that turn around in such short order. 
      My general disposition lately is hopeful and motivated. The only thing that bugs me on a daily basis still is the way those supplements make my house smell. So stink! But I just bought a smell proof bag online that other people use to put their pot in. My house doesn't stink anymore. 
       
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    • BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
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    • BeanitoDiego

      Some days I feel like an infiltrator... I'm participating in society as a "thin" person. They have no idea that I haven't always been one of them! 🤣
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    • ChunkCat

      Thank you everyone for your well wishes! I totally forgot I wrote an update here... I'm one week post op today. I gained 15 lbs in water weight overnight because they had to give me tons of fluids to bring my BP up after surgery! I stayed one night in the hospital. Everything has been fine except I seem to have picked up a bug while I was there and I've been running a low grade fever, coughing, and a sore throat. So I've been hydrating well and sleeping a ton. So far the Covid tests are negative.
      I haven't been able to advance my diet past purees. Everything I eat other than tofu makes me choke and feels like trying to swallow rocks. They warned me it would get worse before it gets better, so lets hope this is all normal. I have my follow up on Monday so we'll see. Living on shakes and soup again is not fun. I had enough of them the first time!! LOL 
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    • BeanitoDiego

      Still purging all of the larger clothing. This morning, a shirt that I ADORED wearing ended up on top. Hard to let it go, but it was also hard to let go of those habits that also no longer serve my highest good. Onward and upward!
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