Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Recommended Posts

Hi, I had my preop with my surgeon two days ago in prep for final insurance submission. In that meeting, my surgeon said that band to sleeve conversion patients tend to not lose as much as people who've never had any sort of weight loss surgery. This seemed odd to me that this was never brought up for vet the past 9 months that we've worked together. It kind of made my heart sink for him to tell me that I should probably expect a 60-70 weight loss in total out of the 160 that I'd like to lose.

I'm wondering if there are any patients who are band to sleeve conversion who have actually met or exceeded their goal weight? My surgeon said that most patients will lose 60 out of 100 pounds for band to sleeve conversions, but that seems odd to me as the friends of mine who are straight VSG patients have all met their goals.

Thanks in advance for any and all replies.

Amy

Share this post


Link to post
Share on other sites

Hi Amy... I am an overweight RN, and thought I was asking my Doc all the right questions when I had the VSG Aug. 1, 2013.

I was approaching 300 lbs when I had the VSG. I had just lost my beautiful husband of 33 years and was grieving pretty hard. After my surgery, I happily lost 135 lbs. When I'd eat too much, the pressure in my sleeve would let me know I'd better stop eating. Thennn I started acclimating to more and more to feel full. I was never told that my sleeve could stretch. I wasn't eating THAT much at one time, but I was "steadily eating" small amounts of cheese, rice cakes, restaurant left-overs, etc in the evenings. This binge eating led me to gain back 45 lbs, and I began to feel hopeless again. I was so ashamed that I refused to return to the surgeon, even though he had an excellent nutritionist on staff.

I saw something on Dr. Oz last week about Intermittent Fasting. I must have been living under a rock, because I had never heard this term before. I began watching YouTube videos (because I am a visual learner and need frequent reinforcement) and one of the coaches used the term "Bulletproof Coffee" I Googled this, and learned the creator was a bio-hacker from Silicon Valley. His "Brain Octane", (high end high-priced coconut oil also referred to as MCT Oil - Medium Chain Triglyceride) costs $28.99 for a 16 oz bottle at Whole Foods, but the less expensive brands of MCT Oil were @ $16.00. I deliberated at the register, and at the last minute I sprung for the Brain Octane. I am thrilled with this choice, for now, but I might try the cheaper MCT Oil when this 16 oz is depleted in several weeks.

The first video I caught on YouTube was a Tedx Talk:

Why fasting bolsters brain power: Mark Mattson at TEDx Talks -

Professor of Neuroscience at The Johns Hopkins University

https://www.youtube.com/watch?v=4UkZAwKoCP8

Fasting 12, 16, 18, 20 hours... mostly while you sleep, has INCREDIBLE benefits. I was taught that Breakfast was the most important meal of the day. Watch the professor's video. He encourages his listeners to stop eating after 7 pm, and not to eat again until 11 am the next day, in order to give the body a chance to burn off stored fat (it takes approx 10-12 hours to burn off a typical meal). If you will let your sleeve work FOR you, (most Intermittent Fasters would kill to have the sleeve advantage) I think you will be encouraged, and you'll get to your goal weight !! I have only been doing the Intermittent Fasting 8 days (eating only supper) and a few healthy Snacks for 2-3 hours afterwards, then nothing until the next day. My metabolism has jumped into geer, and i have been a fat-burning machine for just over a week. I lost 12 lbs in 8 days, and this almost-60 year old woman FINALLY has hope again. I have a college reunion to attend in mid Sept, then I plan to start eating lunch again, or alternating my 12-16 hour fasts with my 20 hour fasts. The first 4 days getting rid of carbs can make you hungry, but swallowing a tsp of MCT oil or adding it to one's coffee or shake is so helpful. Good luck with your surgery. You'll do fine !

  • Like 2

Share this post


Link to post
Share on other sites

I am 4.5 months out from my band to sleeve revision and my surgeon and nutritionist told me the exact same thing -- Band to sleevers don't lose as much weight as virgin sleevers. The reasoning is that we are not at our highest weights ever when we get revised AND our pouches are not as small as virgin sleevers because our "damaged" stomachs from the bands prevent the surgeons from making a smaller sleeve.

That said -- I am 4.5 months post-revision and am down close to 91 pounds. I have 45lbs more to goal. My surgeon and nutritionist are both shocked at how much I've lost and are super supportive of me. I hope they rethink their position on band to sleevers not losing as much weight. I have, however, put in alot of hard work. I am exercising 4-5 days per week for an hour --- cardio plus weight lifting and then doing yoga and walking 2-3 miles on my "off" days. I am a vegan and religiously stick to my meal plan -- 800 calories/day; 60g of Protein and 100 ounces of Water - and I log everything I put into my mouth, even on days when I've not made the best choices. It's not easy, but I am fighting hard to get to goal.

Edited by kristenmh
  • Like 5

Share this post


Link to post
Share on other sites

Band to sleeve conversion in April~ down 60 of 100 pounds and love it- it might be a little slower than virgin sleepers but it's coming off and it wasn't before- my surgeon has no doubt will get to my goal. It's really different than the band though- full is a completely different feeling. I also log everything and eat 60-80 grams of Protein a day. Good Luck! So worth it!


  • Like 2

Share this post


Link to post
Share on other sites

Thank you so much for your words of encouragement, ladies. I know that we will get out of it what we put into it and I plan to put my all into this. Good luck to all of you!

  • Like 2

Share this post


Link to post
Share on other sites
Hi, I had my preop with my surgeon two days ago in prep for final insurance submission. In that meeting, my surgeon said that band to sleeve conversion patients tend to not lose as much as people who've never had any sort of weight loss surgery. This seemed odd to me that this was never brought up for vet the past 9 months that we've worked together. It kind of made my heart sink for him to tell me that I should probably expect a 60-70 weight loss in total out of the 160 that I'd like to lose.

I'm wondering if there are any patients who are band to sleeve conversion who have actually met or exceeded their goal weight? My surgeon said that most patients will lose 60 out of 100 pounds for band to sleeve conversions, but that seems odd to me as the friends of mine who are straight VSG patients have all met their goals.

Thanks in advance for any and all replies.

Amy

I've heard that also they came to that conclusion that we lose slower because our metabolism has already taken a hit and is a bit shot. Personally, I didn't loose much with the band, maybe 20 lbs., I was nowhere near goal. I immediately has issues with it post op. That being said my new surgeon who did my revision doesn't feel like it should be an issue getting to 170 and even 160 which is about a 120-130 loss. It may take longer but I didn't gain all this weight overnight either. I will admit stalls are frustrating as hell, there is no consistency in losing. Time of the month bloat and Water retention is evil and messes with your head. I began to workout 6 days a week at 4 weeks post-op, cardio and strength. I always eat my Protein first and if it's not a day where I can meet my protein requirements Premier is there aS a pinch hitter for me. Like the others I log all food that I put in my mouth, even the occasional bad stuff. Just take it one day at a time. Best of luck!!

Band to VSG revision:5/23/17

HW: 315

Pre-op: 294

SW: 283

CW: 246

GW: 175

  • Like 3

Share this post


Link to post
Share on other sites

You just made my entire week! Like I said to my surgeon, the statistics give are nationwide and not program wide. He agreed and said that if I want it, I will have it. My only unknown is the fact that I've had a total thyroidectomy two years ago and have Hashimoto's disease which is a huge part of my problem. I too lost very little with the band, 35 pounds in total, and had issues from 90 days post op and they continued for the 12.5 years that I had the band.

I know that this isn't for everyone, and I didn't go into this without serious thought. Having had the band for some years did teach me a bit about how to eat and I still maintain those practices today. I feel like I'm not the only in these shoes and know that I will do well.

Thanks so much for writing and helping me see that we can succeed! Congrats on your loss so far. You've done amazing!

Share this post


Link to post
Share on other sites
You just made my entire week! Like I said to my surgeon, the statistics give are nationwide and not program wide. He agreed and said that if I want it, I will have it. My only unknown is the fact that I've had a total thyroidectomy two years ago and have Hashimoto's disease which is a huge part of my problem. I too lost very little with the band, 35 pounds in total, and had issues from 90 days post op and they continued for the 12.5 years that I had the band.

I know that this isn't for everyone, and I didn't go into this without serious thought. Having had the band for some years did teach me a bit about how to eat and I still maintain those practices today. I feel like I'm not the only in these shoes and know that I will do well.

Thanks so much for writing and helping me see that we can succeed! Congrats on your loss so far. You've done amazing!



Awww thank you! [emoji5] Your doctor is right if you want it and work for it you'll see results. It is day and night from the band. People talk about band restriction, what?!? I was only ever stuck, sick or hungry for 9,5 years. This is a whole new ball game. I had a TON of scar tissue, it was all over my spleen and liver and everywhere else inside. It took the doctor forever to operate, my husband thought something terrible had happened.

You'll see the difference is incredible. I'm not very familiar with Hashimoto's, just try to research as much as you can about your condition and VSG. Even though we had that band mindset and should know how to eat post-op for me it was a learning experience and still is. A few bites of a Protein and I'm done. The band was never like that for me.

Any questions feel free to PM me.




Band to VSG revision:5/23/17
HW: 315
Pre-op: 294
SW: 283
CW: 249
GW: 175
  • Like 3

Share this post


Link to post
Share on other sites

I'm considering revision banded 2008 lost 60 have regained 30. With the sleeve, do you feel full/satisfied with the small meals? Because with the band I'm always hungry,I just stop eating because of the pain/restrictions.

Share this post


Link to post
Share on other sites
On ‎8‎/‎5‎/‎2017 at 9:51 AM, amlpn said:

I'm considering revision banded 2008 lost 60 have regained 30. With the sleeve, do you feel full/satisfied with the small meals? Because with the band I'm always hungry,I just stop eating because of the pain/restrictions.

For a moment I thought I was reading a post that I had forgotten I had written ! I was banded in 2008 - lost 90 lbs but gained 60 back. I am doing this sleeve because I have tried so hard to lose the weight back - with only heartache and feeling of failure. My fear is still there - what if I fail - AGAIN? I know it isn't a good mindset to have - but it's temporary. I will be more positive - just need some encouragement and success stories. :)

  • Like 2

Share this post


Link to post
Share on other sites

I think it's normal to have these thoughts.

May I ask why you want a sleeve instead of a bypass?

Share this post


Link to post
Share on other sites
On 8/7/2017 at 1:12 PM, JanetNBama said:

For a moment I thought I was reading a post that I had forgotten I had written ! I was banded in 2008 - lost 90 lbs but gained 60 back. I am doing this sleeve because I have tried so hard to lose the weight back - with only heartache and feeling of failure. My fear is still there - what if I fail - AGAIN? I know it isn't a good mindset to have - but it's temporary. I will be more positive - just need some encouragement and success stories. :)

I think that having the fear of failure is natural, especially when comparing anything to the band. The amount of people who do this conversion seem to make up most of my doctors surgical cases. I am not afraid of failure, you can't not lose weight with the sleeve initially, but I my only concern is not making it to MY weight goal due to Hashimoto's, lack of a thyroid, and being a previous bander. I know that I will have to work harder to get there, but I wouldn't entertain this surgery if I wasn't 100% read to face this head on. I think that's what has kept me forward-moving, even when I had trepidations.

My surgery is 3 weeks from tomorrow, a week to the day after my 51st birthday, and I feel as though I'm giving myself the greatest gift that I could even give myself. Keep your chin up and keep moving forward. A positive attitude is worth more than its weight in gold!

Edited by themaestroswife
  • Like 5

Share this post


Link to post
Share on other sites
On 7/15/2017 at 1:07 AM, themaestroswife said:

Hi, I had my preop with my surgeon two days ago in prep for final insurance submission. In that meeting, my surgeon said that band to sleeve conversion patients tend to not lose as much as people who've never had any sort of weight loss surgery. This seemed odd to me that this was never brought up for vet the past 9 months that we've worked together. It kind of made my heart sink for him to tell me that I should probably expect a 60-70 weight loss in total out of the 160 that I'd like to lose.

I'm wondering if there are any patients who are band to sleeve conversion who have actually met or exceeded their goal weight? My surgeon said that most patients will lose 60 out of 100 pounds for band to sleeve conversions, but that seems odd to me as the friends of mine who are straight VSG patients have all met their goals.

Thanks in advance for any and all replies.

Amy

I am only 5 weeks out, and I have lost 34 pounds since surgery, 45 lbs total,.. and it's effortless!! I am losing way faster and way easier with the sleeve so I don't know why the surgeons think that is the true statistic.. I wonder if it's more common among those who have only had their bands a few years and their body is still in the shock mode of WLS in general? For me, I think I'll actually easily surpass my goal of 160 because I'm only 5 weeks out and 37 pounds away from that goal . Good luck to you!!

  • Like 3

Share this post


Link to post
Share on other sites

Thanks for the encouragement. I know that having a 13 year surgery gap may make some difference in the end, so I'll keep the positive and push the negative as everyone is different.

  • Like 2

Share this post


Link to post
Share on other sites
6 minutes ago, themaestroswife said:

Thanks for the encouragement. I know that having a 13 year surgery gap may make some difference in the end, so I'll keep the positive and push the negative as everyone is different.

I am hoping that my body reset itself or something. I didn't lose more than 15 pounds with the lapband. I never had that wls shock that caused weight loss, so I am really hoping it will happen this time!

  • Like 1

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Featured Surgeons

    1. Masoud Rezvani

      Woodbridge, Virginia 22191

    2. Lisa Medvetz

      Downingtown, Pennsylvania 19335
      800-282-0066

  • Recent Topics

  • Recent Status Updates

    • SleeveinIL

      Saw the surgeon yesterday. He is very pleased with my loss thus far. I am averaging about 10 lbs a month. Turns out my nutritionist and my surgeon have vastly differing ideas on how many calories I should be eating right now. Nut put me on 1K a day. Surgeon said nope, they are wrong, go to 800/day. Too bad I have been following what the Nut advised. I could have lost more weight already. Oh well, I will do it now! I am also going to add another day of working out to help break this stall I have been in since 8/28. I am very happy as this week I was able to get into a size XL shirt and I am wavering on pants sizes, but I am wearing a lot of size 18 that are too big or are getting too big. The inches are still dropping off nicely. I saw my parents for the first time after a long time this past weekend (they live out of state) and my Dad who never says anything gave me some super nice compliments. My sister also did...her words as we were trekking through the airport on a long upward ramp were along the lines of "Before the mind was willing but the body wasn't. Now your mind and body are in sync. Before we would have had to have stopped at least once and now you aren't even phased by this." What a great thing to have someone recognize. 
      · 1 reply
      1. AshAsh1

        I was there yesterday too! My appointment was at 1:30pm. And its crazy that they told you 800 calories per day, when they told me 1k yesterday, but I've got my own agenda lol.

    • CrankyMagpie

      Had my final pre-op appointment today. Next Wednesday my liquid diet starts. It's getting real.
      · 2 replies
      1. Orchids&Dragons

        You'll do great! I've got faith in you!

      2. SleeveinIL

        It got real for me about day 4 of the liquid pre-op diet! LOL You will do great. You've got this.

    • Shannon lee

      Has anyone reading this lied about your weight just to get the surgery done?
      · 4 replies
      1. skinnylife

        The surgeons office will weigh you pre authorization for surgery. How do you lie?

      2. MargoCL

        How can you lie, like @skinnylife stated they weigh you at the surgeon's office and throughout each of your pre-op steps. There is no lying in this, everything is documented, double checked, etc.

      3. Coachthex32

        I had to gain 20 lbs. Makes no sense. High Blood Pressure, almost diabetic, and sleep issues (stop breathing in the night).

      4. Leia

        I dont think I could have if I wanted to, they'd been weighing me regularly for 6+ months before the surgery, and then again the day of.

    • Lucy81

       I don't know what to do for my birthday being that I just had weight loss surgery I know that I have a lot to be grateful for
      · 1 reply
      1. iattcom

        What would you normally do?

        Instead of planning a meal, what about an activity that you enjoy.

        If the weather is nice, plan a picnic and explain that you are not eating and will not be providing a cake instead if you wanted you could have birdseed bags that people could use to feed the birds or the ducks in a pond at the park where the picnic would be held. Everyone could bring their own lunch if they wanted to attend and you would only have to make little birdseed bags.

        If nature walks are more your style, do something along those lines and just let everyone know that for your birthday you are planning an activity and not a party. There will be no cake and ice cream if that is what they are looking for, they can just stay home.

        You could ask your friends to join you in a day of caring and you could all volunteer together somewhere either serving at a soup kitchen, helping at a shelter or a children's center or even a senior center.

    • GreenTealael

      I managed to finally break my old school manual Italian espresso maker... Is this a sign? 
      · 2 replies
      1. abefroman329

        Of what?

      2. GreenTealael

        Of what indeed. I thought at first I should give up coffee, nonsense.h Then I thought I should go out for coffee with friends more. Then I thought I should go to Italy for coffee with friends and get a new maker...

  • Trending Topics

  • Magazine Articles

  • Together, we have lost...
      lbs
    ×