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I am 5'8 and 498 pds and 50 years old. I was approved for lap band but changed my mind and surgeon. The new surgeon says sleeve is best for me because I have no health issues except apnea and aching joints. I am blessed that way. I like the sleeve because it has less side effects that rny but people are telling me it isn't as effective because it isn't as restrictive. I know this is just a tool and I am so ready to change this body and my life. What do you guys think?

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The data point I used to go with the sleeve was the Cleveland Clinic data on 4 year results. Nearly the same results without many of the side effects and difficulties with bypass. https://weightloss.clevelandclinic.org/sleevegastrectomy.aspx

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I originally thought that I wanted the band because I liked the idea of it not being permanent. However, after researching and speaking with my surgeon, I decided to do the sleeve. I couldn't be happier already with the sleeve (im 4 months out). Some of the things that were pointed out to me about the band were:

- While it can be more restrictive, it can also be less restrictive if you aren't getting it adjusted constantly

- One person I spoke with who had it said in the first year they had to have it adjusted 20-25 times. (imagine all those appts)

- The statistics of gaining weight back are larger (no pun intended)

I think that either surgery is a step in the right direction. It is what will work best for you. I am extremely happy with the sleeve. No complications and I feel GREAT!

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I had the band. Note I said had. It was fine for the first 2 years. Then we couldn't get it adjusted any longer so that I wasn't throwing up everything including liquids. I had a revision to the sleeve on June 1st and I do not miss that band at all.

I don't miss throwing up. I don't miss having that port in my body that would slide across a nerve and give me a major sharp stabbing pain. I don't miss those giant needles being stuck into my stomach. I don't miss having to go for adjustments to the fill all the time.

I don't have quite as much restriction with the sleeve, but I also don't have an appetite. I don't get hungry and don't think about eating all the time.

With the band after surgery I could not eat chicken. I don't care which part or how you cooked it, it would not stay down ever. Now I can eat chicken again. I haven't had problems with any foods so far.

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I am so glad you are NOT going with the lapband. Some tough talk here, you are pretty high BMI and the band is completely unsuited for that situation in my opinion based on my personal experience of being the not so proud owner of one of them for a decade....

I was a BMI of about 52 when I revised from the band to sleeve. The first surgeon thought I was too high of BMI/failed history for the sleeve and I should go with RNY.

I chose a different surgeon who did think I was a good candidate for the sleeve and i have done very well (I revised to sleeve in Dec 2011)

If I was higher BMI, I would seriously consider the RNY or the DS procedures. I don't know much about it, but there is a new DS technique that seems to have less side effects and for people with alot to lose, the DS is by far the most effective. It is also the procedure with the most "issues" including defieciencies so it is about tradeoffs...

Anyway, do your research because failing and revising to another procedure is really tough, physically, emotionally etc. Really learn about the options and chose the one that has good research to back it up being successful for your goals, amount of weight loss desired etc. Good luck!!!

I am 5'8 and 498 pds and 50 years old. I was approved for lap band but changed my mind and surgeon. The new surgeon says sleeve is best for me because I have no health issues except apnea and aching joints. I am blessed that way. I like the sleeve because it has less side effects that rny but people are telling me it isn't as effective because it isn't as restrictive. I know this is just a tool and I am so ready to change this body and my life. What do you guys think?

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@@OKCPirate that link did NOT lead to research showing comparable results.... in fact it looks like pretty dated info as they were essentially "testing" the sleeve.

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Remember, even with less restriction, the part of the stomach they remove produces the majority of the huger hormone gherlin. So you feel full faster and more satisfied.

I'm pre-op (11 days to surgery), but this was a major plus for me in making my decision.

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@@CowgirlJane - yep, I thought the link was on that page, here are some better numbers:

https://asmbs.org/resources/studies-weigh-in-on-safety-and-effectiveness-of-newer-bariatric-and-metabolic-surgery-procedure

I can't seem to find my original links today, hopefully others will be able to find the studies.

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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!
      · 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!

    • 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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