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Interested in the Sleeve, Dr. recommended Bypass



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The hormone Gherlin comes back in Sleeve patients after several years.Is that true.Is it the same for bypass .It is that hormone that once removed makes it a bit easier.

What are the long ter results of the sleeve?

I want to make the right decision with no regrets.

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The hormone Gherlin comes back in Sleeve patients after several years.Is that true.Is it the same for bypass .It is that hormone that once removed makes it a bit easier.

What are the long ter results of the sleeve?

I want to make the right decision with no regrets.

Yes, ghrelin is the hunger hormone that is removed during sleeve surgery and makes you no longer have feelings of hunger. My doctor has not told me that it will come back in a few years and that's the first time I'm hearing that. It seems like once it's removed, it's removed for good. However, I think that's a conversation to have with your doctor as answers on here should not determine which surgery is right for you. No one on here can better answer a question than your doctor.

Edited by ASUgrad

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My doctor ALWAYS recommends the most expensive option first. He's pushing the 40k duodenal switch, then tries to negotiate bypass at 30k, then grudgingly agrees to do the sleeve (he does not perform lap-band). He does this with everyone starting at the information session regardless of BMI, co-morbidities, age, or any other factors. The cynic in me says it's a money thing, but he always shows the numbers where the more extreme the procedure, the greater the weight loss is (although sometimes not by much).

Just try to remember that doctors see statistics, not necessarily individuals. *You* know yourself, and you have to do the research and figure out what is best for you. I personally did not want the nutritional deficiencies, and since I'm young, have no problems with mobility, and don't have any co-morbidities, I went with the sleeve anyhow. And I'm VERY happy with that decision.

Edited by BarrySue

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The hormone Gherlin comes back in Sleeve patients after several years.Is that true.Is it the same for bypass .It is that hormone that once removed makes it a bit easier.

What are the long ter results of the sleeve?

I want to make the right decision with no regrets.

Gherlin is the hunger hormone, but also not the primary reason we overeat to the point that our BMIs are insanely high. They can remove the hormone producing parts of your stomach, but they cannot cure "head hunger," the compulsive, nagging, twitchy part of you that has you walking to the fridge constantly and opening it, or craving something sweet/salty to distract you. The psychological aspects cannot be healed by any surgery.

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@ASUgrad My surgeon told me that when the stomach is removed, the primary gland that produces ghrelin is removed as well, dropping levels of this hormone to virtually 0. He also told me that the human body finds a way and ghrelin levels start to rise again are at levels near pre-surgery at 18 months.

This is one of the reasons my surgeon pushes for weight loss at the beginning as losing later becomes more difficult. His plan for me is to get to my goal weight (which is looking pretty darn easy) by 18 months and then maintaining that weight for the rest of my life.

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Yes..18 months I can do It.I can lose 110 pounds and keep it off.

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