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Sleeve to bypass weight loss concern



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On 01/03/2020 at 14:55, GotItDoneInHarlem said:



Were you at your goal weight or did you have some to lose? I'm pretty much at my goal weight which is 180. I'm 6 feet tall. If I lose 30 pounds I'm going to look sickly. I know that I'm going to lose a lot in the first month and I'm really worried. Going to a nutritionist to see if I should pack on some weight so I have weight to lose.


I was at my goal weight. Losing the 25lbs hasn’t been too bad. My concern is if I lose an additional 30lbs. However, I will say with careful monitoring you can increase your weight to where you want to be in your maintenance phase. I did that after I had my sleeve. The other option would be to increase your muscles to give a more toned look. Not sure what your physique is like now just a suggestion.

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I wanted the sleeve but my doctor said the heartburn after a sleeve was horrible and he would only do the bypass. I was thinking the other day I wish I had fought him this until I’m reading your stories of the pain you’re dealing with. I’m so sorry you all are having such pain.

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I was sleeved in 2012 and revised to GBP on 12/16/19 (3 weeks ago) at a 28 BMI. I was at close to my pre-sleeve goal weight but not my post-op maintenance weight, but still relatively fit. I have surprisingly lost 17# in 3 weeks which is a faster # and % of BMI than my sleeve -- and I was 320# then! So yeah you are going to lose weight. I don't know when it will stop since I'm 3 weeks out. I don't want to lose more than 10-15#, and I'd be fine stopping here since I'm almost under 25 BMI already. I get it, I hate how drawn I looked after rapid weight loss. I read somewhere on here that Peanut Butter was how one woman maintained post-op with a restricted capacity. I had a larger pouch and less bypassed than typical but that doesn't really help much the first few months when everything is inflammed. I am making a homemade egg drop Soup most nights to get my calories over 1200 and it's good.

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Oh yeah, I had just progressed into Barrett's but they think it's early stage and reversible. So insurance approval was rapid. I was rejected for LINX because they don't approve it for that if you have Barrett's, they want something more permanent and less experimental. Revision to GBP is such a different experience. I get full on 2 TB of dense Protein but something like Soup or pureed ground turkey with taco seasoning I can already have like 6 ounces. It really just depends on what's going to camp out in the pouch and what's going to slide through, so it's a bit easier to "trick" than a sleeve that would get full with liquids or anything else. They really aren't prepared to deal with people under 30 BMI getting GBP so I went to all the classes (and got asked who I was there supporting). After VSG and Abdominoplasty (excess skin), the scar tissue made my incision pain much higher (I also had a hernia repair and I'm guessing you will need that too). And since they don't alter or VSG except for making the pouch, you will be hungry. It gets better each day but revision is for sure harder, especially when, in my case, I was fine with my existing weight but was miserable with GERD (which I never had pre-sleeve) and it's like I just want the GERD fixed I don't want to go through a whole transformational process again.

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On 1/3/2020 at 8:44 PM, bikerchick519 said:

is your insurance paying for the bypass? mine (bcbs of ks) just denied mine. they are saying the reflux is a complication of the prior weight loss surgery, which is not necessarily true.

Yes. Insurance is paying for it.

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