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Can't Decide About Surgery!



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I'm several months in on the presurgery visits. All the medical stuff has checked out. I'm not worried about the anesthesia because I just had general anesthesia twice in one day for emergency gall bladder removal and a follow up surgery for complications. I am struggling to get the 50 gram Protein in and keeping the carbs under 100, though I have managed to lose 30 pounds so far. I've always been a big volume eater more than a junk food eater, which is why I was originally thinking of the sleeve.

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Keep researching. Read all the threads here you can get through.

There are so many angles to this.

Remember -- there aren't many (any?) people here who opted to lose weight without WLS. Pretty much everyone here has been a WLS patient.

My own story is I had VSG surgery at age 68. I've lost 100 pounds and am maintaining astonishingly well (at 17 months post-op). Lost from 235 pounds to 135 pounds. No complications at all, and I feel great and look great.

I had GERD pre-op and took Ranitidine for it. For the 4 months post-op my surgeon had me on a PPI (Protonix). Then I went back to Ranitidine and have been doing well on it. Of course, I follow the usual GERD eating instructions -- don't eat for 2 hours before bedtime, minimize the GERD-causing foods at night (tomato sauces, especially), etc. But I can't predict for anyone else what their GERD reaction to VSG will be.

Good luck to you in your decision and your actions thereafter.

P.S. I guess you know that if you don't have WLS and lose weight "conventionally," your long-term odds of keeping off most of the weight you lose are only 2%. Those are some tough numbers. Ugh. But WLS's long-term success odds are much better than that -- about 50% long-term success odds. That's pretty much why most of us decided to go the WLS route.

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You gotta go for what you are comfortable .These are major operations.

Cut 85% of your stomach out or reroute your insides...these are extreme measures and you have to live with your decision .So be sure WLS is for you.

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I had mild GERD controlled with Nexium prior to surgery. I had the sleeve and hiatal hernia repair. I was on Nexium for the 3 months after surgery and have had zero issues with reflux or heartburn. Talk to your surgeon and get the upper GI. If you have a hernia that may be causing or contributing to the GERD. Being overweight was also contributing to the GERD. Get rid of both of those contributors and no more GERD.

I frequently eat late and right before bed. My only concession is that the head of my bed is still raised. I also drink virtually no caffeine now and before surgery I used to drink a large unsweetened McDonald's iced tea, plus 2 diet Dr Pepper bottles plus another 16-20 ounces of iced tea a day. At most I will have a watered down child's sized iced tea a couple of times a week when I go out.

Check with a surgeon and see what options they think are good for you. Another one that isn't as widely available is a duodenal switch (DS).

I am like many other posters here. I have lost 60 pounds here, 80 pounds there, 40 pounds and gained it all back. I have found after the sleeve I am not hungry all the time, I get full quickly and it is easier to stay on track.

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    • KeeWee

      It's been 10 long years! Here is my VSG weight loss surgiversary update..
      https://www.ae1bmerchme.com/post/10-year-surgiversary-update-for-2024 
      · 0 replies
      1. This update has no replies.
    • Aunty Mamo

      Iʻm roughly 6 weeks post-op this morning and have begun to feel like a normal human, with a normal human body again. I started introducing solid foods and pill forms of medications/supplements a couple of weeks ago and it's really amazing to eat meals with my family again, despite the fact that my portions are so much smaller than theirs. 
      I live on the island of Oʻahu and spend a lot of time in the water- for exercise, for play,  and for spiritual & mental health. The day I had my month out appointment with my surgeon, I packed all my gear in my truck, anticipating his permission to get back in the ocean. The minute I walked out of that hospital I drove straight to the shore and got in that water. Hallelujah! My appointment was at 10 am. I didn't get home until after 5 pm. 
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      My general disposition lately is hopeful and motivated. The only thing that bugs me on a daily basis still is the way those supplements make my house smell. So stink! But I just bought a smell proof bag online that other people use to put their pot in. My house doesn't stink anymore. 
       
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      Some days I feel like an infiltrator... I'm participating in society as a "thin" person. They have no idea that I haven't always been one of them! 🤣
      · 0 replies
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    • ChunkCat

      Thank you everyone for your well wishes! I totally forgot I wrote an update here... I'm one week post op today. I gained 15 lbs in water weight overnight because they had to give me tons of fluids to bring my BP up after surgery! I stayed one night in the hospital. Everything has been fine except I seem to have picked up a bug while I was there and I've been running a low grade fever, coughing, and a sore throat. So I've been hydrating well and sleeping a ton. So far the Covid tests are negative.
      I haven't been able to advance my diet past purees. Everything I eat other than tofu makes me choke and feels like trying to swallow rocks. They warned me it would get worse before it gets better, so lets hope this is all normal. I have my follow up on Monday so we'll see. Living on shakes and soup again is not fun. I had enough of them the first time!! LOL 
      · 0 replies
      1. This update has no replies.
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