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Fullness Hormone



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Hello all, I am very new. I have been reading a lot about bariatric surgery. I haven't gone to my first appt., it is tomorrow. I have read that a pro to the vertical sleeve is that it stops the hunger causing hormone. Does RNY do the same thing. It seems since it is left and reattached that the hormone would just run out into the intestine, but it would still be absorbed and cause hunger. This is one of the biggest questions I have on deciding which surgery.

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It seems like hunger is similar between bypass patients and those with sleeves. Early on, sleevers that don't have good acid control will feel hungry (acid makes you feel "hungry"), but that isn't necessarily a long term issue.

The decision between sleeve and bypass is usually made based on GERD, diabetes, and food addictions. If a patient has any of those in a significant way, the bypass is possibly a better choice.

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Ask your doctor who will have your records, health history and experience in both procedures. My understanding of my sleeve is different than the post above; which doesn't mean anyone is wrong, but that the information you got from your doctor will be specifically for you.

Good luck!

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I had RYN 6 months ago and have never felt hungry since. I may feel weak at times when I haven’t eaten in a while. I’ve lost 110 pounds in that short time. I’ve read that we have a lot less gherlin (sp) moving around so we don’t feel hungry. I wouldn’t use that as your factor for deciding which to have. I think for higher weight loss and longer term weight loss, in general, RNY is the way to go.



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So, Annie, what was different? Hunger level, criteria for choosing a surgery? Both?

The more I think about this post/question.. the more I realize that I haven't seen it addressed.

Who DOES experience more hunger? IS there a difference?

One of my surgery-buds (had procedure the same day) has a bypass and she says she is frequently hungry. I have a sleeve, and some days I'm hungry, others I'm not at all. We are 7 months postop.

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After reading lots of posts on lots of forums I would have to say it's an individual thing. Some people feel hungry some don't. I had the bypass and I don't feel hungry. Every now and then I feel a little nauseous and realise I haven't eaten and it's empty. The removal of the ghrelin hormone I think is the same. Some people and now and then I'm one feel head hunger. It's not real hunger it's just wanting to eat for the sake of eating. When I get like that it's usually boredom and I eat sugar free jelly. I am also 11 weeks and lost almost 100lbs

Sent from my CPH1607 using BariatricPal mobile app

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10 hours ago, Savagegirl said:

I had RYN 6 months ago and have never felt hungry since. I may feel weak at times when I haven’t eaten in a while. I’ve lost 110 pounds in that short time. I’ve read that we have a lot less gherlin (sp) moving around so we don’t feel hungry. I wouldn’t use that as your factor for deciding which to have. I think for higher weight loss and longer term weight loss, in general, RNY is the way to go.


Thank you! That is the hormone I kept reading about when it came to the sleeve. And I wasn't sure how or if it had any less effect with RNY. I am leaning more toward RNY. I have my first appointment today.

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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.
      · 0 replies
      1. This update has no replies.
    • 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.

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      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
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