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my doctor is recommending I do the RNY but I had my heart set on the sleeve..

what is the popular opinion among people?

I'm 5 foot my BMI is 41 and I weigh 211.. I thought the RNY was for people that are 350+

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Why is he recommending RNY? My doctor gave me specific reasons why he was recommending the sleeve for me instead of RNY.

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I wonder too why is he recommending the RNY. If you have heart set on sleeve, find another doc. Mine asked me what I wanted and I said sleeve and he was fine with it, I was 268lbs, had it 8/3 and down to 196lbs. Good luck

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Hi. I'm 5'1 and 197 bmi is 36 right now and my doctor asked me which I was looking into. If your not comfortable and want to make your own decisions maybe have a consult with another doctor to see how they are with you. It's your body and your choice. I wish you luck.

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my doctor is recommending I do the RNY but I had my heart set on the sleeve..

what is the popular opinion among people?

I'm 5 foot my BMI is 41 and I weigh 211.. I thought the RNY was for people that are 350+

Statistically - The RNY typically sheds ~70% *EXCESS* body weight. The sleeve typically sheds ~60% excess body weight. These are statistics. Many people have realized much more loss with both...and much less.

My Dr's clinic research and experience is showing them that the gap in typical excess weight lost is narrowing between the two procedures, Thus the sleeve becomes the obvious choice for a high percentage of Bariatric candidates due to the long term "normalcy."

- Less "dumping syndrome" impact.

- Less dietary restrictions.

- More normal diet.

- But NOT reversible for any reason.

The RNY is technically reversible, though I've never heard of anyone doing it. If I wanted reversible I'd go with lap band, which does the same thing and less invasive.

Most Drs and patients will tell you that your long term success and ultimate excess weight loss will be impacted way more by your decisions AFTER surgery, not the surgery itself. Everyone has equal opportunity to take the surgery and use it as one of many tools towards a healthier life, or totally negate its benefit with poor choices.

You really need to speak with your Dr about concerns over a lifetime of "dumping syndrome" and the dietary restrictions necessary to prevent it. I would think both of you would agree the sleeve is the right life-long choice.

Best of luck.

Edited by CzechPleez

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The only two good reasons I heard for gastric bypass over sleeve is acid reflux and the additional Weightloss that comes from intestinal malabsorption.

Not sure if you need these problems solved.

On the other hand, there are plenty of pluses for the sleeve. Not the least of which is that you still have a functioning stomach (albeit a very small one) and everything else is intact.

To me, the sleeve means that in 7 months, your physiology is intact, but you have a skinny girls stomach!

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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.
      · 0 replies
      1. This update has no replies.
    • 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.

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