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Ok so I am 5' 5" 1/2 I weigh 312 and I was thinking I wanted the sleeve, now I'm thinking maybe the GB.

I'm so confused! I am on meds for HBP, and Prozac for anxiety plus Water pills to help with BP.

I am not pre diabetic I do like sweets though just not all the time. I think my thing is breads n pastas and not moving enough obviously.

Just needing some input from some that have had this done and if you was debating what did you choose and why. Also I will be getting my surgeon's advice just looking for others also. Thank you

☆Jeni☆

☆Jeni☆

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Did your surgeon make recommendations based on health history and eating habits? Maybe venture over to the bypass forum and see what are talking about regarding their decision on bypass.... I know for me I was lap band vs sleeve.... my health history of for a woman is open heart surgery at age 40 2.5 years ago, along with HTN, gout, OSA, depression w/ anxiety , I'm a meat/ potatoes kinda girl...I read gastric sleeve book off Amazon(awesomeness) help me reach my decision in stone... VSG 5/18.

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My sister is a surgeon and tells me that she almost always recommends the sleeve as it has less complications in her experience and less risk for symptoms like dumping. I had VSG surgery on 2/24 my aunt had bypass surgery about a year previous to mine and had many many more complications and also has a more strict diet.

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I actually researched for a year before deciding. I researched outcomes and complication rates for both and talked to people I know that have had either VSG or bypass. I decided on sleeve since it doesn't have the malabsorption issues and there are less associated complications and side effects. On my initial visit, the nurse practitioner that works for the program suggested I revisit bypass because I have PCOS and she said my weight loss would be better with bypass because of the malabsorption. (PCOS makes it harder to lose weight). However, I was set against bypass after all my research and when I met with the surgeon, he said I made the right decision especially considering some of the meds I take for asthma and with the fact that I sometimes have to take steroids for my asthma. He says with the malabsorption, my meds would not be as effective. So ultimately, I would say to do some research, decide what you can live with and then discuss it with your surgeon.

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@@FatDan&TiredOfIt, dumping and a more strict eating habits could be a good thing for me. I'm just so confused now. Thank you

☆Jeni☆

Yep I could understand that but like a previous post mentioned malabsorbtion may also be something to consider. My personal experience was that I had a serious sweet tooth and I am a carb loving Italian man. After following the diet strictly the last two months I have very little craving for sweets and carbs. I feel so much more control and hunger is basically not existent. Everyone is different though so unfortunately no one can tell you how to go. I will say one thing though if you get the sleeve you could get the bypass later. You can't do the other way around. Just one more point to consider. Your surgeon will be able to give you the best advice for you and sometimes maybe a second opinion wouldn't hurt. It's a major life change

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@@snokb04 thank you for your post, I also have asthma and have been concerned about RNY which I'm scheduled for and want to chang to the sleeve. The steroids I take for asthma 2 to 3 time a year in high doses made me nervous with the RNY malabsoprtion . I'll ask my surgeon about switching.

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@@betterme38 I did a lot of research and like other's have said I didn't want the extra risks that come with bypass.....the idea of having my intestines rerouted seemed too extreme for me......so before my initial visit with the surgeon I had pretty much decided on the sleeve.....But I was prepared to go with bypass if that was what he recommended based on his evaluation of my situation............During this visit he looked over all my information and then asked me which surgery I thought was best for me and I told him I was leaning towards the sleeve and he said that is exactly the surgery he thought would be my best choice............so bottom line I think is first do your own research but also listen to your surgeon and his advice.

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I went with the sleeve because I felt like it would give me a more "normal" life as opposed to gastric bypass. I had known a few people who had each surgery, and it seemed like those who had gastric bypass had so many more complications. Malnutrition, problems eating, getting sick and tired after eating very little. The people I knew with the sleeve had been able to eat much less than prior to surgery but still lived "normal" lives. They would eat a small amount and not feel sick/throw up after everything and looked amazing and had more energy. Those I spoke with after GB stated feeling tired after even a few bites of food. I figured since I am only 25 years old, that I would want something more normal. I have lost 85lbs and only have 41 more to go. I will reach my goal, and feel like I did not need the rerouting that comes with GB. Eating less is enough to get me where I need to be while still maintaining the quality of life I enjoy.

I think it is true that some people need the rerouting to help. Although it is important to remember that only helps for the first two years, and then your system starts functioning normally again ( according to my surgeon) - which I believe is why weight loss with sleeve vs bypass is the same at five years post op. People tend to regain after that two year period is over with GB. With either surgery, you will have to work at it. With my sleeve, high sugar foods do not make me dump BUT high fat foods, such as friend chicken and other fried foods, do cause me to dump.

Keep in mind, this is only one opinion and is only based on the personal experiences of those around me. What is right for one, may not be right for another :)

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I went with the sleeve because I felt like it would give me a more "normal" life as opposed to gastric bypass. I had known a few people who had each surgery, and it seemed like those who had gastric bypass had so many more complications. Malnutrition, problems eating, getting sick and tired after eating very little. The people I knew with the sleeve had been able to eat much less than prior to surgery but still lived "normal" lives. They would eat a small amount and not feel sick/throw up after everything and looked amazing and had more energy. Those I spoke with after GB stated feeling tired after even a few bites of food. I figured since I am only 25 years old, that I would want something more normal. I have lost 85lbs and only have 41 more to go. I will reach my goal, and feel like I did not need the rerouting that comes with GB. Eating less is enough to get me where I need to be while still maintaining the quality of life I enjoy.

I think it is true that some people need the rerouting to help. Although it is important to remember that only helps for the first two years, and then your system starts functioning normally again ( according to my surgeon) - which I believe is why weight loss with sleeve vs bypass is the same at five years post op. People tend to regain after that two year period is over with GB. With either surgery, you will have to work at it. With my sleeve, high sugar foods do not make me dump BUT high fat foods, such as friend chicken and other fried foods, do cause me to dump.

Keep in mind, this is only one opinion and is only based on the personal experiences of those around me. What is right for one, may not be right for another :)

I really appreciate the way you put that into perspective. It really is more important to think of results long term versus fastest weight loss.

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