lob1999

You may find this interesting:

Hello all, I needed an outlet for this, so that was the main reason of the post. BUT maybe someone can offer some advice, too, that would be great. Lately I've really been struggling with the type of WLS procedure I should get. Or if I should get one at all, although that's a minor part of the struggle. I'm 99% sure I want WLS, but I'm really struggling with which one to get. What's worse is that I'm kind of freaking out over what's going to happen after I decide on something and get the surgery. I'm worried that I'll always be wondering if I made the right decision. It's crazy, I'm freaking out over something that hasn't even happened yet. Ugh...the worst part is that I recognize this mental trap that I'm stuck in, but I'm having a hard time getting myself out of it. Has anyone experienced something similar? Feel free to message me if you have something you don't want to post on the forum. Thank you. You guys are wonderful. May you all be happy and healthy.

Lissa, Thank you for the response (and all the others). I'm not considering the lap-band. I'm trying to decide between the VSG and the Duodenal Switch. And while I want to give seekinghealth the benefit of the doubt, something about that post just read as being very spammy. Maybe I'm paranoid though.

200+ pounds lost post surgery in less than a year is astonishing, even when starting at a high weight. What's your secret?!

Maybe you will only lose half the weight you want to lose. Not everyone reaches their goal weight. I think it's healthy to acknowledge that's a possibility. I just wouldn't beat yourself up over that possibility.

Can you get a second opinion? I realize you want to move forward, but since this a major decision you should jump into something you're not completely comfortable with.

Has anyone been rejected because of a psych eval? Or heard of anyone? What would they ding you for?

I'm trying to settle on a doctor and I found one that I like, but he only recently started offering VSG. He has done a ton of RNY surgeries, so he's not inexperienced when it comes to WLS. The place is a Center of Excellence and they have a very low complication rate, so there's a lot of things I like about the place. My initial impression is that the positives outweigh the negatives. What do you all think? To clarify, I'm only interested in the sleeve.

I agree with this and my reasoning for wanting the VSG (even though my BMI indicates I should look at DS). Eventually I think RNY will fall out of favor when more VSG long-term results are available. Then I think it will come down to DS or VSG for surgery options.

This sounds very similar to my situation. I'm leaning toward sticking with the doctor.

This is my plan (except the Mexico part). I don't have a surgery date, but I don't plan on telling anyone when I do. I'll have to get time off a work, but I should be able to say it's a vacation.

Did she have RNY? There seems to be a slight weight re-gain associated with that.

You're lucky if it wasn't that bad the first night. I hated my mask the first night. HATED IT! I had no idea how I was going to deal with having to wear it every night. After a few days it became tolerable and now it doesn't bother me at all.

I believe everyone should be comfortable with who they are. Fat, skinny, white, brown, tall, short - whatever. But being overweight is unhealthy and I think it's okay to acknowledge that. It doesn't mean you're a bad person and it doesn't mean you should think less of yourself or others that are fat. It just is.

That's awesome. Looks like you're still losing pretty fast. You probably won't plateau for a while. I'm another guy that needs to lose 200+, so this is encouraging.

Pretty amazing. Congrats! At what rate are you losing now?

If I were to speculate why some people regain after WLS, I suspect it's for the same reasons why regular dieters eventually regain weight: they're pushing their body past their new set point. WLS changes the weight your body wants to be at. But that new set point isn't necessarily 100% of EWL. So lets say you have WLS and your new set point is, say, 40 pounds above your target weight. You eventually reach this level and try to move past it the same way most people try to lose weight: semi-starvation diets and exercise. And it works, but as with normal dieters, it only works for a while. Eventually your hormones win out and you give back some of the weight you lost.

So I'm bringing this thread back from the dead for a question. I hope someone is still around reading this. (And hello! ) So if I understand these posts correctly, there have been changes to VSG in the last few years that may have better results than older methods. But as I understand it, even using the older statistics puts VSG pretty close to RNY in terms of weight loss. So does this mean that it's possible that VSG, under the new methodologies, could be MORE effective than RNY? Has RNY experienced similar improvements recently, such that the statistics for it may be on the low side?