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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

      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. 💜
      · 2 replies
      1. Phil Penn

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

      2. Selina333

        I'm in Houston so kind of near you and had the sleeve in Dec. Down 61 lbs. Feeling better. Was definitely worth it. I hope the everything is going well for you. Update us when you can!

    • 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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