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they're both good surgeries, and people have had success with both. It may come down to your medical history. I had GERD, which made it a no-brainer - RNY. If you have no medical issues that would make one or the other more appropriate for you, then you really can't go wrong with either one.

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Ive seen two different surgeons. im currently trying to quit smoking, with success, im down to 1-2 smokes a day. anyways, one surgeon said the sleeve would be good for me if i continued smoking, and that i could keep smoking after surgery. they barely tried talking me into quitting, they were just going with the current circumstances. the other surgeon pushes RNY on patients and wont operate on anyone who is a smoker.

I've also heard the sleeve is more likely to cause bleeding. The RNY is a newer surgery and is basically a step up from the sleeve, and is more advanced. you lose more weight on the RNY. The sleeve has been around longer, and both types of surgeries are successful.

just a few things ive heard. dont take my word on it though, im sure there are way more knowedgable people on here who can give their input. I'd definitely google "sleeve vs roux-en-y" in your search bar and see what medical professionals or reviews have to say if youre curious.

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bypass is actually much older than the sleeve. My surgeon wouldn't operate on a smoker - sleeve OR bypass.

you lose weight more quickly with the bypass due to malabsorption, but at two years out, the results between the two surgeries are about the same.

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