Sleeve vs bypass

[PatientEleventyBillion 851]

3 hours ago, IveGotThePower said:

I have read that bypass is better for controlling diabetes. I also read about the acid reflux after vsg, but I had it daily before surgery and haven't had it after surgery at all (11 months out). Hopefully that will not change. Guessing that maybe mine was related to trigger foods that I don't eat now.

I'm thinking that might be the same with me regarding acid and trigger foods. Will find out soon.

But for T2 diabetes, I think it's better for people who have much more severe diabetes/comorbidities.. for most others with lower diabetic HBA1c it likely negligible in difference.

Edited March 12, 2017 by PatientEleventyBillion

[Navigating the Wilderness 824]

Just for anecdotal reference, I had a severe sugar addiction. I chose the sleeve and have not had a single craving for anything sweet since surgery. Having said that, I do crave carbs something aweful, which as we all know turn to sugar. Of course even though I have terrible cravings, I have not given in because I don't want to mess with what is working.

[volfan 78]

almost 8 months out and over 150lbs down. I had the sleeve done. I was diabetic type 2. I took 8 pills for it and 2 types of insulin usually about 8 injections a day. It was ridiculously expensive! I had considered surgery 6 yrs ago, but the surgeon was right at 400lbs and would only do ryn. I felt like he was a car salesman. He had done very few sleeves and seems forces all his patients into ryn. I questioned him for not having the surgery himself...he was truly bigger than me. I backed out. It was the best decision for me.

6 years later I decided I couldn't do this anymore and when I went to see a different doctor, thank God, he was totally fine with my decision and reasons for wanting the sleeve. I have personally seen too many people put the weight back on and be in poor health from the ryn. It is a tool not a cure, both surgeries are. However, for me, not having known anyone who had done the sleeve personally, and studying the procedures and what I really needed personally as a tool from the surgeries, the sleeve was the right choice for me. I was 51 when I had the surgery done. All the people I knew who had surgery to help them with weight were younger, and when we get older we really appreciate another chance at being healthy! I knew I could be successful where they had failed because I was doing this to stop killing myself! I won't go back to celebrating with food and drinks and the culture for my isn't as celebrating oriented.

Having said all that...it is a choice for each of you but please know I was right at 400lbs. I stopped taking all insulin and medication for diabetes a week presurgery. All my blood work is great, I am no longer diabetic at all...according to my doctor. my blood pressure is 97 over 62. a1c is 4.8 I am 235 as of this morning. I was beign eater. I would stuff myself once a day. The absence of hunger and craving was what I needed. I was terrified about malabsorbtion, and having massive parts of organs in my body that just don't function...intestines. I am scared of zombie take over and not finding Vitamins lol.

I averaged 15lbs a month pretty much every month so far. I am 10lbs away for doctors goal weight for me...225 and 6ft2. My goal was 250. I have some loose skin but it seems to tighten up when I am not looking and doctor thinks I will have very little. At 6 months I was passed 60% excess weight lose, which I they wanted me for a year out! I have made myself sick 3 times eating more than I could handle...never again that hurt and felt too terrible to ever do again, and honestly I enjoy eating just what body needs, I love not eating stuff that isn't good for me because it doesn't fuel me...no desire for foods lol

So, everybody should know as much about the surgery they choose as their brains will handle. For me the ryn was not something I think I could wrap my brain around and the sleeve d logical and not drastic. That is for me. Losing slowly is supposed to be better for shrinking skin, and muscle tone. Both surgeries work for diabetes. Anyway hope my story helps. I have only one regret that I didn't do it 10 years earlier, but you have to be ready, most that fail...fail for that reason

[MBird 298]

The sleeve weight loss is slower, to me that makes it healthier. But you lose the same amount of weight On the sleeve as you do the bypass.

There are fewer complications with the sleeve. I've heard of people with the bypass ending up hospitalized because they can't get enough food or nutrition.

Also with bypass, you will definitely be guaranteed saggy skin, the weight loss is so fast. Generally doctors suggest the bypass for people 400 and above.