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Iron deficiency & Surgeon suggesting Sleeve instead of RNY



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Hi everyone! Finished my 6 month weight management and got all my ducks in a row for my UHC insurance and finally spoke to surgeon last Monday. I did my research and since I have occasional heartburn, I heard it can get a lot worse with the sleeve so had my mind set on RNY. However my Iron levels have been low, 11.5, and the surgeon is suggesting Sleeve instead. Did anyone have this issue or had RNY with low iron levels?

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I am still in the beginning phase. My consultation is on Feb 24 but I have done lots of researching. More so on the gastric bypass and some sleeve research. I suffer from gastritis and have been scoped many times. My ENT tells me that in my case gastric bypass will be better for me because I currently suffer from gastritis and heartburn . I also run low in Iron but my primary doctor says it wasnt alarming enough for her to say when I do have surgery that I had to choose the sleeve or that the sleeve was the best choice. I also have a problem with maintaining my electrolytes. With the bypass I would have be on top of this along with the common deficiencies that may occur. So, far two of my doctors believe I will stay on top of it. Its very important to get your blood monitored. I have been on you tube viewing videos of people who decided on doing the bypass instead of the sleeve because they already were dealing with gastritis. I have viewed videos of those who have gastritis before the sleeve and had no problems after the surgery and or mediciation helped it so much that it wasnt a problem . So it seems like a wait and see. I read that some doctors have done revision on some sleeve patients when the gastritis got too bad that medication didnt help and it was so bad they could not eat so it had to be revised. It just depends. You may not have a problem and that could be the case. No one can predict if gastritis will be a big or small problem after a sleeve. I would just continue to do more research to prepare yourself and be informed of all of the possibilities. I am still researching on the bypass and when I come across information on the sleeve I read that too. I want the bypass but I still keep research open to what the sleeve offers too. So every surgery has its pro and cons. Either way get all the information you can get so you can feel confident in your choice. The research continues for me.

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Thank you so much! I really appreciate your advice and input.

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You're welcome. Anytime. Its a good feeling to pass on to others information that could help someone.

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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.
      · 1 reply
      1. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • 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.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.
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