Jump to content
×
Are you looking for the BariatricPal Store? Go now!
One Bariatricpal Multivitamin One Capsule a Day, All the Vitamins and Minerals You Need! Read more... ×

Finding the courage to get gastric sleeve done in Mexico with a BMI of 33



Recommended Posts

Hello everyone. I'm writing to ask for much needed help and advice. I'm a 41 year old female with 4 boys. I weigh about 202 pounds and I'm 5'5" which puts me at a BMI of just over 33. My story is sadly what most of you have been through--- dieted all my life, tried every type of diet--extreme diets, fad diets, you name it. I've been on phentermine for appetite control on the highest dose for more than 10 years, since a few months after I had my youngest son, it has no effect anymore but I'm terrified to stop taking it for fear of gaining even more weight. I've been to numerous weight loss doctors who have prescribed different prescription pills and not one of them was able to get me to a weight I could maintain for very long. I even went so far as to get a new procedure done called the endoscopic sleeve gastroplasty where they suture your stomach going in through the mouth without any incisions. It was an outpatient procedure, I was home the same day and I really thought this was the answer to my weight problem. It was the only procedure I qualified for because my BMI was too low for any invasive WLS and I don't have any comorbidities. Sadly, it has been three months now and I have only lost a mere 10 pounds total. I'm soooo depressed and angry with myself for spending so much $, ($10,000 to be exact-- self pay) for a procedure that only produced minimal weight loss. What is wrong with me? Why can't I lose this damn weight? I exercise 4-5 a week for over an hour each time, sometimes I do intense cardio and sometimes I take an intense gym class. Of course my eating habits could be better but I've gone through weeks of extreme dieting to only lose 5-10 pounds after killing myself. My attitude after another failed diet is always, why suffer when I never get results. My normal eating pattern is not horrible as I don't eat Pasta, bread, rice, or sugar (I limit myself to only 30 grams of carbs a day). I have a green smoothie for Breakfast everyday, a salad for lunch, and a sensible dinner without carbs. This wouldn't bother me so much if I didn't care about my appearance. I hate the way I look. I'm avoiding social outings because I believe I'm so hideous. I'm depressed and although I know my issues run deeper than my weight, I believe that a big part of my depression is my weight. I want a solution to this, once and for all which is what led me to this forum.

I have been researching getting a gastric sleeve done in Mexico and I think that I have finally decided on the right surgeon--- Dr. Ponce de Leon. He has agreed to perform it on me despite my previous endoscopic sleeve AND he believes he can do a single incision gastric sleeve as well which would be the best I could ask for. For those of you who are still kind enough to keep reading my long drawn out post, can you please help me to answer these questions:

1-- If you have used Dr. Ponce in Tijuana, Mexico please tell me about your experience with him. Is he as good as the reviews make him out to be? Is the fact that he doesn't speak English a big negative or does the translator suffice?

2- Is having gastric sleeve the answer to my weight problems? If there are any out there with a similar BMI and have had this WLS, what were your results?

3- Am I crazy to go to Mexico for this? I can't find a surgeon here who will touch me and I'm tired of false promises and wasting thousands without any meaningful weight loss. But is Mexico the way to go?

4- How do I convince my husband that this is the way to go? He thinks I don't need it and that Mexico is too risky and dangerous.

I would really like a candid and honest opinion from those who have had the experience. I'm scared of going and not achieving any meaningful weight loss yet again. This is my final hope as I think a bypass is too extreme and I'm not ready to reroute my organs, I am ready though to have a big chunk of one removed, lol. This may sound weird but I'm not afraid of the actual surgery and the pain and the "dangerous" Mexico scenario but I am terrified of failing once again.

Any help would be a godsend. Wishing those who have had the bravery and courage to do this, a continued successful journey!

Share this post


Link to post
Share on other sites

I'll let the other folks more familiar with Mexico weigh in on that aspect. The part of your story that really struck me was that you have already had an ESG performed. My understanding is that the outcomes from ESG and VSG are similar in that they effectively do the same thing in different ways. It's unclear has your ESG "sleeve" failed in some way? Otherwise I'm not sure what you are expecting to gain from having a VSG performed. It sounds like your eating habits have managed to at least partially impact the success of your ESG, though even finding a new equilibrium point lower than you were is a measure of success. I've had the VSG and it isn't magic, its a tool that only works if you are able to address your eating habits as well.

Share this post


Link to post
Share on other sites
12 minutes ago, aNYCdb said:

I'll let the other folks more familiar with Mexico weigh in on that aspect. The part of your story that really struck me was that you have already had an ESG performed. My understanding is that the outcomes from ESG and VSG are similar in that they effectively do the same thing in different ways. It's unclear has your ESG "sleeve" failed in some way? Otherwise I'm not sure what you are expecting to gain from having a VSG performed. It sounds like your eating habits have managed to at least partially impact the success of your ESG, though even finding a new equilibrium point lower than you were is a measure of success. I've had the VSG and it isn't magic, its a tool that only works if you are able to address your eating habits as well.

Thank you for taking the time to read my entire post and respond. I felt it was important to mention that I had an ESG in order for some in this forum to see the whole picture of my struggle. Yes, according to the studies the ESG should produce similar results to the VSG. That did not happen for me. You may be right that it has to do with a failure within myself or the emotional eating issues I have. This is exactly why I posted. Perhaps some of you can see where I failed. The ESG did not produce the results I wanted at all. I followed the pre op, only two days of it btw, and the post op to the letter. I gave myself some extra time but I did not get any significant weight loss even if it were slow. I lost those ten pounds in first two weeks on liquids and then nothing. Is this where I failed do you think? I was on purée until 6 weeks post op. I quite honestly don’t feel any restriction which is key to weight loss. Keep in mind also that ESG does not take away the hunger hormone at all. I stuck with the plan even though I didn’t see even a slow weight loss for a good two and half months. At 3 months now post op I am frustrated and hopeless. Maybe you’re right and I have to deal with my head hunger before pursuing another procedure. Thanks for your input!!

Share this post


Link to post
Share on other sites

BTW I wasn't suggesting any sort of moral failing on your part (trust me we didn't all have our own food/weight issues we wouldn't be here). I would also point out that while Ghrelin production may be impacted by VSG that isn't necessarily going to result in a significant change in your hunger.

You describe your situation in such dire terms. You lost nearly 5% of your body weight (and kept it off) after you ESG, which while not what you wanted is not a failing by any means. The fact that you lost 10 pounds initially indicates that you are certainly capable of losing weight, the foundation of which (regardless of surgery) is by burning off more calories than you consume. To that end you kind of dance around it a little bit, but do you track how many calories you are consuming and do you know how many calories you are burning a day?

I don't have any great suggestions for your situation, but I would suggest giving your ESG a chance and build on what is a tool to see if you can make some other adjustments. I know you have said you have dieted before (who hasn't, right), but perhaps you would find some benefit in trying a structured program, whether commercial or with a dietitian to help you maximize the advantage that the ESG is giving you. I don't presume to know what the root of your habits is based in, but you might also benefit by considering therapy of some sort if you find yourself eating for reasons other than genuine hunger.

My concern for you in getting a VSG at this point is worry that you will put yourself through that and not have a markedly different result to show for it, which isn't to say that you shouldn't consider it.

Share this post


Link to post
Share on other sites

I had the sleeve done in Mexico with Dr Garcia at Tijuana Bariatrics in 2012... no problem and no issues other than why did I wait so long!! It took a bit to finding my new normal but with education and being prepared, I’m loving my life. I am however going back to Dr Garcia to revise my sleeve to bypass distal as I have plateaued for the past year and I’d like to loose more and my sleeve has got bigger, I’m noticing I am eating more again... this is my choice, I am learning that there are many people out there who have had the gastric sleeve and years later or going back to have it revised because it does stretch out we’re going to bypass, I wish I had just done the bypass to begin with it will cost me more money to go back and revise it but again my experience with the sleeve has been excellent and what is most important to know is that you are educated,prepared and you must have your head in the game.

Share this post


Link to post
Share on other sites
3 minutes ago, aNYCdb said:

BTW I wasn't suggesting any sort of moral failing on your part (trust me we didn't all have our own food/weight issues we wouldn't be here). I would also point out that while Ghrelin production may be impacted by VSG that isn't necessarily going to result in a significant change in your hunger.

You describe your situation in such dire terms. You lost nearly 5% of your body weight (and kept it off) after you ESG, which while not what you wanted is not a failing by any means. The fact that you lost 10 pounds initially indicates that you are certainly capable of losing weight, the foundation of which (regardless of surgery) is by burning off more calories than you consume. To that end you kind of dance around it a little bit, but do you track how many calories you are consuming and do you know how many calories you are burning a day?

I don't have any great suggestions for your situation, but I would suggest giving your ESG a chance and build on what is a tool to see if you can make some other adjustments. I know you have said you have dieted before (who hasn't, right), but perhaps you would find some benefit in trying a structured program, whether commercial or with a dietitian to help you maximize the advantage that the ESG is giving you. I don't presume to know what the root of your habits is based in, but you might also benefit by considering therapy of some sort if you find yourself eating for reasons other than genuine hunger.

My concern for you in getting a VSG at this point is worry that you will put yourself through that and not have a markedly different result to show for it, which isn't to say that you shouldn't consider it.

Thanks again. What you are saying is absolutely what I needed to hear. I started this forum thinking I would get the usual, “yes go do it”, and “gastric sleeve will change your life”. You are telling me the truth that I don’t want to hear. You are so right— at the very least I should give this ESG tool another try. You’ve basically told me what I didn’t want to hear but I always knew in the back of my mind—I have to address my issues with food before trying another procedure. No amount of surgery will fix this if I don’t fix my head first. You are most kind to tell me the honest truth I didn’t want to hear. All my best to you.

Share this post


Link to post
Share on other sites
9 minutes ago, missShotcaller said:

I had the sleeve done in Mexico with Dr Garcia at Tijuana Bariatrics in 2012... no problem and no issues other than why did I wait so long!! It took a bit to finding my new normal but with education and being prepared, I’m loving my life. I am however going back to Dr Garcia to revise my sleeve to bypass distal as I have plateaued for the past year and I’d like to loose more and my sleeve has got bigger, I’m noticing I am eating more again... this is my choice, I am learning that there are many people out there who have had the gastric sleeve and years later or going back to have it revised because it does stretch out we’re going to bypass, I wish I had just done the bypass to begin with it will cost me more money to go back and revise it but again my experience with the sleeve has been excellent and what is most important to know is that you are educated,prepared and you must have your head in the game.

Thank you. You are telling me what aNYCdb also expressed. I believe that you’re both right that I need to get my head in the game regardless of what procedure I have. All of us on this forum have struggled with these issues and we all had high hopes that the wls we choose would be the answer. I realize that this route is not the easy way out but I was hoping that when I got my ESG it would help me reach my goal without the never ending cycle of unsuccessful dieting. I guess what I’m hoping for is to put in the work but actually see results. I was thinking that the ESG was the wrong procedure and I should’ve gone for the gastric sleeve just like you now think the bypass was the way to go for you. Everyone is different and I just feel like sometimes I’m always fighting an uphill battle, even after the ESG. I was just thinking that the sleeve would help me fight at a more level battlefield.

Share this post


Link to post
Share on other sites
1 hour ago, newlifeat41 said:

Thanks again. What you are saying is absolutely what I needed to hear. I started this forum thinking I would get the usual, “yes go do it”, and “gastric sleeve will change your life”. You are telling me the truth that I don’t want to hear. You are so right— at the very least I should give this ESG tool another try. You’ve basically told me what I didn’t want to hear but I always knew in the back of my mind—I have to address my issues with food before trying another procedure. No amount of surgery will fix this if I don’t fix my head first. You are most kind to tell me the honest truth I didn’t want to hear. All my best to you.

Our pleasure, and by all means please stick around. There are certainly also some ESG folks here who can also give you specific advice on their experiences as well.

Share this post


Link to post
Share on other sites

Hi NEWLIFE!!! I am a Roux &Y peeps. But I just wanted to give you a high 5, You sound to me like you have your head straight it seems to me. Just your perserverance will go a long ways. You are trying to get help with a major situation. I just wanted to give you some KUDOS!! KEEP ON KEEPING ON!!

Share this post


Link to post
Share on other sites
2 hours ago, newlifeat41 said:

I have to address my issues with food before trying another procedure. No amount of surgery will fix this if I don’t fix my head first.

Bingo.

Share this post


Link to post
Share on other sites
1 hour ago, shedo82773 said:

Hi NEWLIFE!!! I am a Roux &Y peeps. But I just wanted to give you a high 5, You sound to me like you have your head straight it seems to me. Just your perserverance will go a long ways. You are trying to get help with a major situation. I just wanted to give you some KUDOS!! KEEP ON KEEPING ON!!

Thanks but I think you are giving me more credit than I deserve. I’m trying to get my head straight. How did you do it? How did you get to the right place to make sure you’re wls was a success. What was your motivation? Do tell please.

Share this post


Link to post
Share on other sites

Well, I know you need work but...looks like to me that you have the ability to go forward. Like I said your mind is thinking straight because you came to get help and not just jumping into it. Like myself I was always what I cal B***S to the wall or nothing. This has been a part of me forever. Like so many on hear I had TRIED everything I was very successful losing the weight but no way could maintain it for long. Up untl I decided that I WAS DONE!! The 1st Dr I seen treated me like I was stupid and lied about my not smoking for 8 yrars, he then told me that he would do a nicotine test and because I had Psoriases he would only do a Lap Band. My hubby had his for 13 yars and lost 100#'s then it malfunctioned thats another story. LOL So when I went to an Bariatric surgeon for his band removal. They told me that they could do the RNY. Which I felt that had one chance left!! I took it. I figured that I needed to go big or go home. I had my surgery and lost 134#'s but went really lower than even my team wanted. I did develope an ADVERSION to food due to having strictures and having 5 endoscopes wtih 4 dialations, starting 3 months after my surgery and went until Jan 2015. Al is great now. Besides my stress making me want to eat more than I should. But I have been very lucky that my mind has changed along with my weight loss. It is NOT the cure all for sure and it takes hard work with commitment to do it. I think due to my hard time begining after surgery has been my saving grace plus exercise. For the entire time since my WLS up to the last couple months I exercised at first 6 days a week until I became physically sick if I missed one day. But now I am having a hard time getting back at it. I KNOW I have it in me to continue my journey. I hope this helps and I want to say that support is almost a have to in this. Sorry I wrote a book. LOL Take care and KEEP ON KEEPING ON!!!

Share this post


Link to post
Share on other sites
Hello everyone. I'm writing to ask for much needed help and advice. I'm a 41 year old female with 4 boys. I weigh about 202 pounds and I'm 5'5" which puts me at a BMI of just over 33. My story is sadly what most of you have been through--- dieted all my life, tried every type of diet--extreme diets, fad diets, you name it. I've been on phentermine for appetite control on the highest dose for more than 10 years, since a few months after I had my youngest son, it has no effect anymore but I'm terrified to stop taking it for fear of gaining even more weight. I've been to numerous weight loss doctors who have prescribed different prescription pills and not one of them was able to get me to a weight I could maintain for very long. I even went so far as to get a new procedure done called the endoscopic sleeve gastroplasty where they suture your stomach going in through the mouth without any incisions. It was an outpatient procedure, I was home the same day and I really thought this was the answer to my weight problem. It was the only procedure I qualified for because my BMI was too low for any invasive WLS and I don't have any comorbidities. Sadly, it has been three months now and I have only lost a mere 10 pounds total. I'm soooo depressed and angry with myself for spending so much $, ($10,000 to be exact-- self pay) for a procedure that only produced minimal weight loss. What is wrong with me? Why can't I lose this damn weight? I exercise 4-5 a week for over an hour each time, sometimes I do intense cardio and sometimes I take an intense gym class. Of course my eating habits could be better but I've gone through weeks of extreme dieting to only lose 5-10 pounds after killing myself. My attitude after another failed diet is always, why suffer when I never get results. My normal eating pattern is not horrible as I don't eat Pasta, bread, rice, or sugar (I limit myself to only 30 grams of carbs a day). I have a green smoothie for Breakfast everyday, a salad for lunch, and a sensible dinner without carbs. This wouldn't bother me so much if I didn't care about my appearance. I hate the way I look. I'm avoiding social outings because I believe I'm so hideous. I'm depressed and although I know my issues run deeper than my weight, I believe that a big part of my depression is my weight. I want a solution to this, once and for all which is what led me to this forum. I have been researching getting a gastric sleeve done in Mexico and I think that I have finally decided on the right surgeon--- Dr. Ponce de Leon. He has agreed to perform it on me despite my previous endoscopic sleeve AND he believes he can do a single incision gastric sleeve as well which would be the best I could ask for. For those of you who are still kind enough to keep reading my long drawn out post, can you please help me to answer these questions:

1-- If you have used Dr. Ponce in Tijuana, Mexico please tell me about your experience with him. Is he as good as the reviews make him out to be? Is the fact that he doesn't speak English a big negative or does the translator suffice?

2- Is having gastric sleeve the answer to my weight problems? If there are any out there with a similar BMI and have had this WLS, what were your results?

3- Am I crazy to go to Mexico for this? I can't find a surgeon here who will touch me and I'm tired of false promises and wasting thousands without any meaningful weight loss. But is Mexico the way to go?

4- How do I convince my husband that this is the way to go? He thinks I don't need it and that Mexico is too risky and dangerous.

I would really like a candid and honest opinion from those who have had the experience. I'm scared of going and not achieving any meaningful weight loss yet again. This is my final hope as I think a bypass is too extreme and I'm not ready to reroute my organs, I am ready though to have a big chunk of one removed, lol. This may sound weird but I'm not afraid of the actual surgery and the pain and the "dangerous" Mexico scenario but I am terrified of failing once again.

Any help would be a godsend. Wishing those who have had the bravery and courage to do this, a continued successful journey!

We have exactly the same stats!! I get sleeved in Mexico on 4/27!!

Also, I will add that I have the lap band and feel it didn’t give me the results I expected. I’ve had the band about 5 years and will be sleeved in like 9 days!! Yay!! I can keep you posted on weight loss!

Share this post


Link to post
Share on other sites

So Shedo82773, you are saying that the WLS is what kind of forced you into good eating habits and consistent exercise? And don’t apologize for the long post, I really enjoyed reading it. Besides my initial post was way longer, lol. You did have the RNY which is the gold standard in WLS. It also quite a bit step which I think was very brave on your part. From what I’m reading here you made up your mind to do this and your determination to make it work was what carried you through. Congrats on a very impressive weight loss. You should be proud of this as well as taking that bold move to change your life. I’m so mentally worn out right now that I was looking for how to move forward. I can’t stay this way. I feel so uncomfortable in my own body but as others have pointed out, I can’t move forward without making a solid decision to change my eating habits for good or I will faced with another failed procedure. Thanks for the motivation!!

Share this post


Link to post
Share on other sites
7 minutes ago, teacherlady095 said:

We have exactly the same stats!! I get sleeved in Mexico on 4/27!!

Also, I will add that I have the lap band and feel it didn’t give me the results I expected. I’ve had the band about 5 years and will be sleeved in like 9 days!! Yay!! I can keep you posted on weight loss!

That would be wonderful! Who is your surgeon in Mexico if you don’t mind me asking? Why did you feel your lap band wasn’t giving you good results? Was it because of poor restriction or minimal weight loss? I’ll be very interested in knowing how you do. I wish you success and an uneventful procedure. I hope to hear more about your procedure. Best of luck and keep us updated please.

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

      I'm struggling a little. My younger sister wants to go out to a buffet for Thanksgiving so no one has to cook and stress. While I appreciate her sentiment, I also don't want to pay $65 a head (4 ppl in my family) especially since I can't eat much AND buffets are so difficult to deal with overeating. I told my sister after thinking about it that buffets aren't okay for me. She seemed to understand, but was disappointed. Am I being selfish by not going along with the plan? I purchased a turkey to cook and I can make sides that are bariatric friendly. Sigh, this one is bothering me. I might be emotionally low right now because my dog passed away recently and that is contributing to my thinking.
      · 4 replies
      1. FluffyChix

        Sorry about your pup. That's a real grief you need to allow yourself to express.

        So $65 for each person is hefty. We couldn't afford that for TG for 4. But buffets don't freak me. I wouldn't even pay--just sneak a bite or two off a plate here or there. No biggie. But doing a restaurant or keeping food simple is also what works for most.

        Sorry you're having a tough time about the upcoming holiday. Remember, our joy will mostly be with being with those we love.

      2. Orchids&Dragons

        So sorry about the dog. It is so hard when they pass.

        Yes, that $65 is super steep. You'd really be paying $260 for 3 people to eat and you to watch. Yikes! And I'm sure they wouldn't let you in without paying. Maybe just beg your sis to put it off until next year when you might be able to enjoy it too? I mean, honestly, you've already got the darn turkey. You're still a work in progress and you sure don't want to throw up in the restaurant. Maybe thinking about it that way will help your sister understand. By next Thanksgiving, you'll be far more sure of what you can handle and what you can't.

        Good luck.

      3. CrankyMagpie

        Losing a pet is terrible, and it's OK to be sad. ❤️

        Taking care of yourself is also OK--better than OK!--and if you're offering to cook, that means your sister doesn't have to cook or stress, which is kind of what she was after, anyway? So you don't need to feel bad about this.

        I can definitely imagine going to a buffet again, even though I don't eat much, but we're talking, like $10 Indian lunch buffet, not $65 (holy crap) Thanksgiving buffet! And I'll probably always favor non-buffets, since not eating part of my meal immediately just means I get to enjoy it later on (or my spouse does). It feels like less pressure, or something.

        Anyway, I'm babbling. I think you're doing the right thing, here. I hope your sister is cool about it.

      4. Swanton_Bomb

        I am slowly, s-l-o-w-l-y, learning in my old age that you don't always have to do everything for everyone else and that it is ok to take care of your own needs first. $260 is a lot to spend for a family of 4 to eat without any leftovers, especially when one person can barely eat anything. Maybe next year you can do the buffet, or maybe your sister and her family can go out to a buffet, and you and your kids can have dinner, and then everyone meets up later for board games and football or something. Focus on some fun post-meal activities. I'm skipping Thanksgiving this year because I am on liquids, which means my mom won't attend either (her choice, she doesn't want to go without me). She is ok with that, but I feel guilty about ruining her holiday. I made my peace with it because I realized that skipping this one Thanksgiving to have surgery earlier this month means that I will hopefully be healthier, live longer and have more Thanksgivings in my future.

    • danieocean

      Stuck in a stall, been 237 for a few days. Sucks! But good news, I no longer fit in a 2XL leggings or shirts. Back to XL in shirts and leggings!!!  WOO!
      · 1 reply
      1. Orchids&Dragons

        Feels great, doesn't it? Congrats! And track those measurements! I'd rather see inches disappear than pounds any day!

    • GreenTealael

      Snow.
      · 3 replies
      1. Kay07

        yup I have snow incoming too... followed by freezing rain. Oh joy!

      2. AggiG

        Yep same thing here. Where are you at?

      3. GreenTealael

        NYC

    • Kay07

      Oh my goodness... I am no longer obese. Holy freaking cow. I feel like this needs a celebration this weekend
      · 5 replies
      1. FluffyChix

        Yay!!!!! So happy for you!!

      2. GreenTealael

        🎉 Congrats 🎉

      3. Orchids&Dragons

        Isn't that just the best feeling ever!!! Congrats!

      4. KimTriesRNY

        That’s awesome! 💥

      5. Kay07

        Thank you all! It's a FANTASTIC feeling. I've still a long way to go, but I am truly loving every second of this journey!

    • Jazzy1125

      One Week Post Op today! I feel great and almost walking back to normal. I have learned in this short week to not drink your dinner protein shake at a constant sipping. I spent 30 min the last two nights trying to release the pressure in my chest. Lesson Learned! I am back down to Surgery Date Weight as of this morning, actually half a pound less. Now to look forward to actual losses LOL. I guess i had a lot of gas and liquids that are taking time to leave my body. Its all good, it will be gone eventually! I have no regrets, and take each day as it comes and look forward to the next stage next Thursday, and getting my stitches out on Tuesday.
      · 0 replies
      1. This update has no replies.
  • Trending Topics

  • Magazine Articles

  • Together, we have lost...
      lbs
    ×