Hey, everyone!

I went to the PI seminar on, June 15th, had my Psych test and met with the Dietician on, July 15th, then had my first appointment with the Dr. on, July 29th. I have been looking into the Sleeve. I have always been kind of afraid, if you will, of the Bypass because of Nutrient Deficiencies, rerouting the intestines....etc. When I met with Dr. Nguyen, he said, given that I have irregular periods, PCOS, and infertility he believes I also probably have a Metabolic issue. Which would be why I can eat clean, and kill it in the gym with minimal results. He recommended that I consider the Bypass, instead of the Sleeve. He said he doesn't want me to sell myself short, by getting something that may not give me maximum weight loss results. Has anyone else had their Doctor tell them this? If so, which surgery did you go with? How did you do with it?

Thanks,

Becca

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 August 13, 201510 yr by ASUgrad

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 August 13, 201510 yr by BarrySue

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.

@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.

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