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I met with my chosen surgeon with the idea of the bypass. We talked thru both and he assured me I could lose to goal with sleeve and less aftereffects. And, if for whatever reason I didn't have success with the sleeve, I could then do bypass. I love my sleeve. Hardly any pain, no nausea, aND haven't found a food my sleeve doesn't agree with.

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I decided to go with the Bypass. I don't have a good reason for going with the Bypass over the sleeve....except that I know a few people who got sleeved and weren't successful. It has to do with following the program that your surgeon has laid out for you. And...I don't want to have to go through another surgery again.

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I am fortunate enough to have access to paid medical research journals. The data for long-term outcomes (5+ years) of both the sleeve gastrectomy and the bypass are about the same. People lost more weight faster with the bypass, but in the end they were nearly identical.

The VSG freaked me out because I'd lose my stomach forever.

The bypass, to me, was a more extreme procedure and also seemed to require a more intensive, life-long monitoring because of the risks of malnutrition.

Everyone i know with the sleeve has regained some if not all the weight they lost

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This bummed me out for about 3 seconds. But, as with any tool, if one doesn't use it correctly, it will not work. It's not a magic solution.

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A woman that was in the doctors office with me had already had her surgery date and she wanted the bypass and my surgeon said that he wouldn't recommend it for so many reasons. She told him that she really wanted it and that if he didn't do it then she would find another surgeon. He told her to do her homework and bring him some info of all the reasons why she felt that it was the right one for her and he would do it. She did just that and he did the surgery and I saw her again for my post op visit and she said that it was the worst thing she could have ever done. I just think it's a more invasive surgery which has more risk of complications.

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I was not interested in Malabsorption. I wanted to be able to take meds and supplements and not worrying about the dosing for the rest of my life.

I also wanted to be as normal as possible, which was easily achieved with the sleeve

I don't know anyone who as even had the bypass and got to a normal weight. They are all still obese. Gold standard my ^%$.

Edited by OutsideMatchInside

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      Well recovering from gallbladder removal was a lot like recovering from the modified duodenal switch surgery, twice in 4 months yay 🥳😭. I'm having to battle cravings for everything i shouldn't have, on top of trying to figure out what happens after i eat something. Sigh, let me fast forward a couple of months when everyday isn't a constant battle and i can function like a normal person again! 😞
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