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Super Obese...What surgery is best for me??



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Hey all-

I am super new to BP, and am waiting for my first surgical consult. I know that BP/DS and gastric bypass have a good track record with those who have more than 100lbs to lose, but I'm looking for your feedback. If you were super obese, what procedures have you all had success with? Other than sleep apnea and borderline high blood pressure, I'm in fairly good health. 34 years old, 437lbs and a BMI of 65.

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Although I lost more than 100 pounds with my gastric sleeve, the gastric bypass is the gold standard procedure for the super morbidly obese.

Since you have no obstinate metabolic conditions such as diabetes or PCOS, the duodenal switch might not be worth the risk. The BP/DS works well in those with established metabolic disease.

Good luck to you. :)

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I was SMO and had the gastric bypass. There are sleevers who've lost a ton of weight as well, though.

Of all the surgeries, DS has the best stats for weight loss and maintenance. I would have considered that, too, if my insurance covered it (it doesn't - just sleeve and bypass)

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I started at 470 pounds and a BMI of 63. I had the sleeve and am down to 187 and a 25 BMI. Once I get this skin removed, it will be even lower.

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Hi there, I'm at 365lbs, 33 years old. 5 ft 3. So I have about 200 lbs to lose.
I'm getting sleeved September 20th.
I chose the sleeve over the bypass ONLY because of how many more complications the bypass can have.
There's only about a 10% difference in excess weight loss between the two, and the sleeve has minimal complications associated with it.
So for me, I'd rather have the extra 20 lbs that I can work off myself, than a lifetime of possible complications.

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I started at a 53 BMI. I never considered the bypass as I felt that was far too invasive. I feel like the sleeve was the right move for me as it allowed me a chance to diet and exercise that I never had without the restriction. Time will tell if it was the right choice. I may never lose "all" my weight, but I wanted to lose enough of it to have a chance to live a little bit longer and healthier.

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I weigh about 395. I am in great health except for my knees. My doctor recommended a modified DS SIPS procedure. He said he would do a sleeve on me, but believed it was unlikely that I could lose enough weight for knee replacement with a sleeve alone. So that is the operation I will be having next month.


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    • LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
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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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