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I had my first consult appointment with my surgeon on Tuesday 3/24/15. I thought it went really well and I'm looking forward to starting the process. My insurance requires a 6 month physician supervise diet and I start that April 1st. Has anyone else had their surgeon tell them that for your age (20's) that they would choose sleeve? My surgeon said if he were my age he would choose sleeve, I however was leaning towards bypass because of the amount of weight I have to loose and from what I've researched. He said I can't pick a wrong surgery and he supports me with either one.

Also he said I have a heart murmur, which I've never had anyone say before. Anyone else my age have a heart murmur, what was the cause? He would like me to have an echocardiogram but that wont be for a few more months.

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I'm in my 20s (28 next week) and I'm having Gastric Bypass on 04/06. My doctor doesn't perform the VSG. She's not convinced by the current data, and in her professional opinion doesn't feel that there is enough long term data to measure. Her words, not mine. Personally, I wasn't interested in having the sleeve because I wasn't keen on having parts of my stomach removed. A lot of people on this forum have the sleeve and seem to really love it. Every body is different. I was considering lapband, but when I read about the potential complications (they all have complications) and lower success rate than the other surgeries, given the amount of weight I needed to lose and the fact that I want children in the next 5 years, my doctor and I decided gastric bypass would be best for me. I'm not sure what age would have to do with which surgery you choose...but I'm also not a doctor ;)

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Go for the sleeve! Less dumping, less issues with being nutrient deficient. I am 33 and my Bariatric surgeon (who is the on the board of Bariatric surgeons and assesses other facilities for being top notch) said sleeve is becoming more main stream. People are having just as much success as the bipass patients. And... Removal of ghrelin (the hunger hormone) curbs cravings. I, too, am going through the 6 month insurance wait. I have 1 more month left! Excited to get going! Good luck!

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Sleeve is definitely becoming more mainstream and a lot of people are going that route, but I was told they only have about 5 years of real results from it. I have seen a lot of folks gain their weight back afterwards (but of course, that can happen with any of the WLS). Biggest determining factor for me was reflux. It can get much worse after sleeve. My dr strongly recommended against that for me because I do have reflux. Having said that, from sleeve you can always have a conversion to bypass if needed later. Still not sure what age would necessarily have to do with it.

Good luck with whatever you decide! Agree that you can't make a bad decision here. Seems from the veterans the only bad decision is not doing anything. :)

Edited by Daisee68

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I'm 26 and just starting my journey. I have the option of both ad well but think I'm leaning more towards the bypass. I am in the process of doing the 6months required first appointment is this Saturday. I have my mental health evaluation on Tuesday and waiting to schdule my sleep study. So I'm excited and nervous and impatient

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Hey everyone I'm 25 and just starting my 6 month medically supervised diet as well. Feel free to keep in touch with me. I could totally use all the accountability and support.

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Thanks for all the thoughts and opinions everyone. I've thought more about it and I think I still want to do the bypass, just because I don't want to get surgery and say have the sleeve and then regret I didn't do the bypass. I know people can lose just as much weight with sleeve as bypass but at least by the statistic you will probably lose more with bypass... and I have alot to lose.

For those who have 6 month supervised diet, is your doctor recommending you lose a specific amount or let you know what you should/shouldn't eat? I had my first monthly appt on April 1st and we talked about nutrition, behaviors and exercise. Nutrition he told me to start paying attention to Protein and look into supplements, behaviors he said to slow down when I eat and exercise to have 3 days of 30 min exercise every week. So... how is your 6 mo supervised diet going?

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I had my consultation with my surgeon last Friday. I'm 21 and he actually recommended the bypass for me because of the amount of weight I need to lose. I'm weighed in at 309 the day of my consult. I also have a heart murmur that I've had since I was a child. I don't need to get any cardio testing done.

I'm personally going with the bypass. It has its cons, but I would rather deal with them and lose the weight that I want to lose. I'll have to take Vitamins for the rest of my life, may have issues with dumping and whatnot but it's worth it to me. Keep in touch and good luck!

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Good luck on your journey and your completely right about the pros out weighing the cons. I'm half way there in 2 weeks I'll be completing month 4 of supervised weight loss. I will say that getting all the requirements sleep study egg phscy evaluation done early will help so you don't have much to worry about. Last thing on my to do list is an endoscopy

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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!
      · 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!
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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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