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2 bands, now a revision to RNY or VSG
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Hello, all! I feel like I've been through the ringer. This has been 8 years of misery. This is a long post, so I apologize in advance!
I was originally banded in 2007, and had a great success with the band, losing all my excess weight. Unfortunately, I did it by having severe restriction, causing major acid reflux. My surgeon at the time was apparently clueless, since she just prescriped protonix instead of encouraging me to have some fill removed. I eventually got so sick of the reflux that I got a huge unfill. Four years later, and living on the opposite side of the country, I started seeing another surgeon because I regained 40 pounds. Turns out, I'd had a severe slip for several years and didn't know about it. I wanted to revise to VSG at that point, but insurance basically said, "Sorry, you're fat again, but not fat enough! Sucks to be you!" It would only cover a removal/rebanding procedure or just removal, and that wasn't an option (as much as I dislike the band, it's still my security blanket), so band #2 was the only option.
Of course, I've not been able to get to the "sweet spot" with #2. I stopped getting fills because I was at the point where I was often too restricted in the morning and not restricted at all in the evening. I feel like the band has just given me an eating disorder. I'm so scared to eat in groups in public, because the band seems to have a mind of its own. Sometimes, I can eat some foods easily, sometimes I can't. Last week, I had a severe sliming/PB episode when I ate a carrot. Of course, I've continues gaining, since the stuff that I can actually eat easily is usually stuff that's not great for me. (If I had awesome self control and was able to control my eating and lose weight with just diet and exercise, I wouldn't have needed WLS in the first place!)
So now, I've changed insurance companies, and this one covers revisions (and I've gained enough weight that I'm a candidate). I'm ready to get this damned thing out of me, finally! I just don't know which procedure to go with. One surgeon I've consulted with suggested a VSG, since I'm still considered a relative light-weight, but I'm hesitant to have it. I mean, even though the projected long-term results are supposed to be basically comparable to RNY, there aren't any real long-term results available for it. I fell into that mistake once already. When I got the band, it was supposed to replace the RNY, and the projected long-term results were supposed to be comparable, with lower major side effects. Well, we all know how that turned out! Plus, the band has really screwed up my metabolism, especially combined with my PCOS. I'm worried that if I get the VSG, I'm going to be disappointed in the results, since the band has given me a lot of bad habits when it comes to foods.
On the other hand, the RNY scares me a little. I'm not sure about having a surgery where I'd no longer be able to take NSAIDS like advil and aleve, since tylenol really does very little for me. I'm not sure about having mandatory supplements. But, the prospective dumping and the metabolic "kick in the pants" would help keep me honest.
Ugh, I don't know what to do. Of course, this is all in theory, since I still have to choose a surgeon and try to have insurance approve a revision. I'm just so sick of this band. I'm about at the point where I just want it gone, even if I'm not able to get a revision.