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Feeling soooo confused - surgeon suggesting Duodenal Switch....



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He said with my BMI of 56 (weight 325 at 5' 4") I might only lose 70 lbs and would still be very obese. I don't like the idea of my insides being messed with - I need encouragement and support that I can stick with the Lap Band surgery and lose more than that.

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I have a BMI of 63 and I am getting Lap-band. I've read about lots of LARGE people losing 100+ lbs and even a few over 200+. I think the lap-band is what you make it. It's a tool and there is no reason you can't lose all the weight you want with it. Don't let him discourage you...if you are motivated to stick to the band rules there is no limit to you're success.

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They tried to tell me the same thing. I started out weighing 377 (I'm 5'3) before surgery. The day of my lapband surgery I weighed 345. I'm not even 3 months out of surgery and I'm down 86 pounds (119 total). Now my surgeon says I'm the poster child for the lapband. lol.

Don't get me wrong, it's really hard work, but change is always difficult... at first :ohmy:

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My friend was 391 after her pre-op diet. After two years, she has lost 168 pounds and counting. She lost the first 130 the first year!

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If that is the ONLY reason for recommending the DS instead of banding, I'd take the doc to task. ANY surgery works only as well as you work the surgery. You can regain the weight lost with any surgery, stall out and not lose what you need to lose.

The AVERAGE statistic for lap band is to lose 50-60% of the weight you need to lose. That means there are many who lose well more than half and plenty who fail their band and don't lose much at all or regain their weight. Most of us would tell you that it's up to you how successful you will be.

But analyze your eating; your diet successes and failures. And talk about that with the surgeon. Are you a snacker by habit? Then something other than the band might be better for you. Or are you one of those people (like me) who can be very successful at losing weight, but absolutely terrible at keeping it off. The band is good for us because we are very good at working with our bands ... and our bands help hold our feet to the fire when the temptation/desire to give up comes knocking.

Bottom line....DO YOUR RESEARCH.

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I say if ou are focused & dedicated to your goal of losing weight- you will be fine. I was 318 and 5'3 1/2 when I had surgery on 3/30/09. I'm down to 219.2 as of a couple of days ago. I hit the gym & watch calories & try to make healthy choices.

I chose lap-band b/c I didn't like the complication risks w/ the others. Even though, my surgeon's partner said "dont chose a weightloss surgery based on complications, choose the best one for you." My surgeon never questioned lap-band for me, he was supportive. Maybe you should look into a new surgeon if you can't get this one to come around? Good luck to you! :thumbup:

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I agree that a new choice of surgeon may be appropriate if the one you are considering is insistent on something specific. Get a second opinion for sure.

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    • Aunty Mamo

      Iʻm roughly 6 weeks post-op this morning and have begun to feel like a normal human, with a normal human body again. I started introducing solid foods and pill forms of medications/supplements a couple of weeks ago and it's really amazing to eat meals with my family again, despite the fact that my portions are so much smaller than theirs. 
      I live on the island of Oʻahu and spend a lot of time in the water- for exercise, for play,  and for spiritual & mental health. The day I had my month out appointment with my surgeon, I packed all my gear in my truck, anticipating his permission to get back in the ocean. The minute I walked out of that hospital I drove straight to the shore and got in that water. Hallelujah! My appointment was at 10 am. I didn't get home until after 5 pm. 
      I'm down 31 pounds since the day of surgery and 47 since my pre-op diet began, with that typical week long stall occurring at three weeks. I'm really starting to see some changes lately- some of my clothing is too big, some fits again. The most drastic changes I notice however are in my face. I've also noticed my endurance and flexibility increasing. I was really starting to be held up physically, and I'm so grateful that I'm seeing that turn around in such short order. 
      My general disposition lately is hopeful and motivated. The only thing that bugs me on a daily basis still is the way those supplements make my house smell. So stink! But I just bought a smell proof bag online that other people use to put their pot in. My house doesn't stink anymore. 
       
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    • BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
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    • BeanitoDiego

      Some days I feel like an infiltrator... I'm participating in society as a "thin" person. They have no idea that I haven't always been one of them! 🤣
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    • ChunkCat

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      I haven't been able to advance my diet past purees. Everything I eat other than tofu makes me choke and feels like trying to swallow rocks. They warned me it would get worse before it gets better, so lets hope this is all normal. I have my follow up on Monday so we'll see. Living on shakes and soup again is not fun. I had enough of them the first time!! LOL 
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    • BeanitoDiego

      Still purging all of the larger clothing. This morning, a shirt that I ADORED wearing ended up on top. Hard to let it go, but it was also hard to let go of those habits that also no longer serve my highest good. Onward and upward!
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