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US vs Mexico sleeve size ?



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I was told recently that surgeons in the US tend to be a little more conservative while surgeons in Mexico tend to sleeve very tight to allow for stretching over time. Anyone have thoughts on this ? Does it seem those sleeved in Mexico have more restriction at one year or more post op ? Could this be why some feel surgery "expired" at one year ?

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I heard the Mexican sleeves crave more Taco Bell. Haha, just kidding!

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There is little evidence that bougie size makes any difference in long term weight loss or stomach stretching. Here's a great article about it:

http://tinyurl.com/qxchkcv

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Interesting article though it is 2 years old and somewhat questionable I would say as it makes it sound like it's almost impossible to stretch your stomach (which was believed to be the case early on ) and we now know that's not true at all.

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Interesting article though it is 2 years old and somewhat questionable I would say as it makes it sound like it's almost impossible to stretch your stomach (which was believed to be the case early on ) and we now know that's not true at all.

But I think one thing it makes pretty clear is that the differences in bougie size are pretty minuscule. The difference between a 32 and a 40 is so small that it's unlikely to make much of a difference in the long run. It does seem that there is greater risk of stricture with the smaller sizes, so that's one thing to consider as well.

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I heard the Mexican sleeves crave more Taco Bell. Haha, just kidding!

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Good one @@*Lexie*

no difference.

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It is thought that smaller sleeves might increase certain risks. I dunno... mine was a 38 ...I lost a lot kf weight and been keeping it off 2 years now. I think that overtime your efforts become very important regardless of your bougie size.

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I had my sleeve in Mexico. The three abdominal radiology studies I have had in the States have all elicited comments from physicians about how small my sleeve is. I am not sure whether that was due to my particular surgeon, or my "very elastic" gastric tissue (my surgeon's commentary postop).

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I have a 38, and glad, as smaller may lead to more problems. Like Cowgirl said, effort becomes more important as time goes by.

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I was sleeved in Mexico. At almost two years post op, I often feel very little restriction and have struggled with 20 pounds of regain.

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That is me. I'm three years out and was pretty solid until last year where I've now gained and feel very little Restriction. I'm considering a revision

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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.
      · 0 replies
      1. This update has no replies.
    • 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💪
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    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
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      https://alluniqueguide.com/java-burn-coffee-reviews/
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