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The amount of weight that you lose, your age and genes, and how you carry the weight in the first place are the major drivers of whether or not you are going to have excess skin. You can lose weight super slow, and still have tons of extra skin. You can lose it quickly, and have virtually no excess skin. I wouldn't let that be the determinant of which surgery I have. You should speak to your doctor about his/her preference based upon your bmi, health history, whether you already have gerd or acid reflux, etc. Congratulations, and good luck on your journey!

Hi all! I'm scheduled to have the sleeve on January 17. I'm very excited but also very nervous. I'm having it in Mexico, where I got my band, which I was VERY happy with. I needed to have it removed for reasons unrelated to the band itself. I'm very hopeful but worried -- I have to spend so much more time down there after the surgery -- four extra days! I know that's for my own good, with the barium swallow to check for leaks, et al. Any wise words of encouragement from those who have gone before? Should I bring an abdominal binder? That was so helpful after the band. Thank you! Blue (pics are before lap band surgery, August 2012. and me in September of this year -- before I put on an additional 15 pounds!)

I just started my pre-op diet 12/8 officially although I’ve been weening my way off of caffeine, sugary foods and I’m allowed one low calorie meal for dinner but I’m curious if you don’t lose the pre-op weight that the surgeon set will they deny you the surgery?

@Mhy12784 - if added muscle is your goal, then no. While it is true that you will need more protein & calories in order to build muscle, that protein will need to be digested first in order to make it available for synthesis. The majority of digestion takes place in the stomach. The intestines is where the digested food and nutrients is then transferred to the blood stream. If the food is washed out of the stomach before it is completely broken down, it will not be absorbed and will mostly pass through the intestines. This is more likely with bypass patients as it is textbook malabsorption. If you truly need more protein and calories in a fast absorbing form, look for a hydrolized protein. To the OP, it is exactly like you stated, a slippery slope. Eventually you can form the habit to drink while eating which will wash the food out of you stomach and you will get hungry sooner. I am almost 3 years out and the only modification I have made to the 30/30 rule originally given to me is that I will drink up until I start eating. After I start, I do not take another drink until 30 minutes after my last bite. I find that while I may at first be dying for a drink, after a few minutes, that desire fades. Only time that is it difficult is when I am eating something that is spicy (e.g. homemade habanero jelly).

Hi my name is Vanessa and I have made a YouTube channel about my gastric sleeve surgery go and follow me.. and tell me about your surgery [emoji16]... Thank you Sent from my SM-N950U using BariatricPal mobile app

The DS is rarely performed. I think statistically it accounts for 0.5% of weight loss surgeries, meaning it might not be the most appropriate option. Getting a re-sleeve less than 2 years after an original sleeve is absolutely ridiculous and I have no idea why any insurance would cover it or surgeon would perform it. Having a sleeve to a bypass is a reasonable option. Especially if you think reflux is a factor. I just noticed this post is almost 2 months old though, so im gonna stop here.

You will feel like like you are eating constantly for the first few weeks, it gets easier. My ability to drink more at a time increased quickly. But yeah, it’s a chore at first. I ate a lot of Greek yogurt, cottage cheese, refried beans or pea soup and usually 1 protein shake a day. I couldn’t do puréed meat so I depended a lot on dairy during that time. I bought a little insulated lunch bag w an ice pack so I could take food with me if I was going to be out of the house for more than an hr or 2. I also recommend Cooking eggs in the microwave as opposed to on the stove, they come out much softer and more moist than the stove top. Good luck!

I had sleeve done April 17th.. surgery weight 270.. I hit onederland today!! So excited!!! (don’t look at my toes lol I know I need pedicure lol)

Yup, I've made it to the four-month point. About 105 lbs down since the start, about 65 since surgery on August 4. I can confirm that it does get better each week! I feel like I hit a turning point in terms of getting closer to feeling "normal." I'm still cautiously introducing new foods and fine tuning my sense of fullness so I stop before I get uncomfortable (or sick.) I learned a good lesson this past week about why you must eat all your proteins first: I was having a meeting in a cafe and was hungry for lunch so I ordered a kale salad. It was my first time having raw kale, with regular dressing on the side, but I was thrilled when I was able to eat it, no problem. However, I remained incredibly full for the rest of the day, and unable to eat anything else. I guess it just took a looooooonnnnngggg time to digest. I also have healed other physical issues well enough to take a fitness class. When I was about 5 years old, I was kicked out of a ballet class because I was too fat (this was well before the days when everyone had a chance to participate!). So the first class I took now was a Barre Conditioning. It felt like a little redemption. I may be a ballerina yet!!

The best time is when you will do it. As noted, with all of the conflicting research of varying quality, it's hard to tell what time is better, if any at all, or if that view will change over time. Further, what research there is on exercise is rarely focused on us - the obese and recovering obese, so there is another variable that throws everything into question. Exercising at a sub-optimal time is better than not exercising at the optimal time. This is somewhat similar to my advice on protein drinks - while whey isolate is generally considered to be the most available and absorbable form, the one that you will drink is better than the best thing out there that you won't drink (with the possible exception of Genepro, which only seems to be good for making expensive urine.)