WASaBubbleButt

No, actually I do not love hormones. You are just testy because we all called you on some very poor behaviors on your part yesterday and today. So I can assure you, it is not me that needs to chill. With limited knowledge you are trying to discuss something you really know very little about and with each post you make it more and more clear.

No, this isn't correct. When you eat food there is a chain or a cascade of hormonal changes that go into effect throughout the GI system. It is not as simple as you make it sound.

You have to admit, you do tend to lose quite a bit of credibility when you claim you are a nurse yet you make it more than obvious that you do not know the difference between bypass and sleeves. For example: If you knew anything at all about the sleeve you would realize this is quite impossible. This isn't an oversight on your part because you have written similar things in the past. The obvious issue here is that you did not do your research because you clearly have no clue what you are talking about in regard to a sleeve.

I would not get a band. Had one and revised to a sleeve. Bands are very hard, everything under the sun affects restriction, complications are very high, and in three years of posting on message boards I have never met anyone banded for 10 years or more. I don't think many keep them for 10 years. We hear about these people but I have yet to meet one even on message boards. Sleeves are easier, far easier than banding. Complications are low, weight loss is better and faster, people are happier with sleeves than they are bands. BTW, welcome to the forum!

Dr. Aceves has a promotional thing going right now. It's $8750 and that includes everything. Not your transportation but everything else. I think it ends in August but I'm not sure.

Yolanda. ;o)))) Isn't she great?

Welcome! We have a pretty great forum if I do say so myself! I think you'll find quite a few band to sleeve folks here, me for one. What exactly is going on with your band now? Are you having problems? Or is it head stuff? Do you have good restriction? Maybe we can help.

Welcome to the forum! It's great to have you here. The weight loss is better at first, that's normal. The closer you get to goal the slower it comes off. But you have done a fantastic job!

We need more information. Which type of bypass did you get? Distal? How much intestine was bypassed? Or did they just do the stomach stapling? DS is more extreme than bypass. Sometimes RNY can be revised to DS but not always. Each person is different. The OP is describing the old stomach stapling procedure but calling it bypass. I think a lot of folks with the 70s/80s version of the stomach stapling were told it was bypass, I've seen that written too many times for them to not be told they were bypassed. If it was the old stomach stapling revision options are better. If it was bypass revision options are limited.

I'm a huge fan! That's why I knew what your ID meant and what your Av is. ;o) Seasons 1-3 are available for free here: Hulu - Search A few weeks ago I needed to chill for a couple of days. Wayyy too much stuff going on around here and I needed time off. For two solid days I watched three seasons of StarGate. It did something to my brain. Each and everyday sound I heard sounded like the stargate, I could hear the Jaffa marching outside. I think I OD'd on StarGate.

We do! ;o) http://verticalsleevetalk.com/#other-weight-loss-surgeries But if there is something else you want to add, we can. Elisabeth is way better at adding sections than I am. I kinda have a history of deleting large existing, previously busy sections so I am a little gunshy about doing it. HA! (Not here, another forum)

You wouldn't, but theoretically you can. If someone fails bypass they aren't going to do much better with a sleeve but sometimes they can be revised to DS and of course, the sleeve is the first part of DS. They basically take down RNY and do DS from there. Nothing is removed in bypass, a lot of people think the bypassed intestine is removed and it isn't. It's bypassed. One of the problems/concerns seems to be the pyloris valve. In bypass it is bypassed or stapled off. It takes awhile for it to wake up again for lack of better terminology. Dr. Husted in Kentucky (I think) is one of the few surgeons that can take down bypass and revise to DS. That guy is a true true true revision surgeon. His name is being passed around a great deal because of a new technique he came up with. Kinda like a 5th WLS type but I haven't researched it so I know nothing about it. I really should learn more about it.

Only when I am right. ;o) Seriously, why do you want mods to run around closing threads? Why not just skip by them instead of opening it several times daily to get updates? Instead of wagging that finger why not answer the question?

You know, if you don't lay off this poor person I am going to start reporting your posts for harassment. You have done it extensively in another thread and you know what? I figured out why you have such a hang up about this poor girl. I was looking at your profile. You and Agnes are both 5'1" tall. Agnes weighs 166, her BMI is 31. Her goal is to be a normal weight of a BMI of 21-23. Your goal at the same height as Agnes is to be 175#, or a BMI of 33. You are the same height as Agnes but her starting weight is less than your goal weight. This is why you are having such a problem with her, isn't it? I'm not knocking your goal weight, we each choose where we want to be. But com'on, your goal is to be obese and Agnes goal is to be normal weight. She is NOT being unrealistic, you are by following her around telling her she is wrong, has mental problems, she's lying about her weight, and all the other horrors you wrote in the last few days to this poor girl in various threads. Please stop following her around telling her she should stay obese, she doesn't want to. You have a right to your weight goals and she has a right to hers and there isn't a thing in the world you can do about it.

But what you are not discussing here is that the hormones that you don't seem to understand is called Ghrelin. When the human body begins to burn fat more Ghrelin is produced. Obese people already produce 3x as much Ghrelin as people who do not have weight problems. Add even MORE Ghrelin to the mix due to burning fat and it is quite a significant difference and the is probably one of the reasons sleeved people lose more weight and faster, we got rid of the over production of Ghrelin. The "receptors" that you are referring to that tell people they are full is the vegus nerve and I have news for you, feeling "full" with a band is completely different for most people than pre-banding. What you experience now when you feel full will likely change after you are banded. There is a valve at the bottom of your stomach that controls how fast food leaves your stomach. With the band they are trying to do what that valve does naturally but higher up in the stomach. Restriction is restriction, you don't really need to work with the band differently "in regard to restriction" than you do any other procedure. Bands and bypass use a stoma, sleeves and DS use their natually made pyloris valve.

How many bypass has he done? BTW, you are right not to get another band. If you erode once you are very likely to erode again.

A liver shrinking diet isn't based on the number of pounds lost. A liver shrinking diet is when you cut out carbs. Glycogen is a type of carbohydrate and when you do Atkins Glycogen is burned. THAT is what makes the liver hard to manage during surgery. As for weight loss even 10# makes surgery easier for the surgeon. But a liver shrinking diet (burning glycogen) makes the liver easier for the surgeon.

Why? I think this thread points out the head stuff we go through during weight loss. The skewed thinking, the messed up way we do things. Our own personal prejudices. If you don't want to read, don't pop in several times a day, just click on by. That's the great thing about message boards. You read what you want and ignore the rest. If it doesn't serve your purposes, don't read it. But why stop others from posting?

Isn't the multi-posting option very very cool?!?! Ohhhh, do tell! How many people do you personally know that have a sleeve? Me thinks you have no clue what the difference is between a sleeve and bypass, you make it very clear in your thread. A sleeve is a restrictive only procedure, just like your lap band. I have an itty bitty stomach. Period, that's it. Bypass is where they staple out a 1oz pouch out of the stretchy part of your stomach and reroute intestine so you malabsorb. Please, instead of posting wrong information I would ask that you educate yourself on the various WLS types so you don't continue to embarrass yourself. With a band you are not doing something "small" in the least. Your long term risks and complications are 10x what mine are with a sleeve. I've had surgery, at goal, and I'm done. For life. Unlike the lap band I have no aftercare, no risks of slips, erosion, infection, esophageal damage/spasms/motility issues/dilation, no pouch dilation, stoma spasms, getting stuck, port flips, port pain, mechanical problems, etc. etc. etc. Less invasive does NOT mean safer long term. My surgery type is farrr safer than yours is long term. So what is the value in less cutting? I think you might not realize but the sleeve is merely where my stomach is smaller. I do not malabsorb. I believe you are confusing a sleeve with bypass. Two totally different procedures. If I ate anything I wished I'd be fat again. If anyone eats anything they wish they will be fat again, there is no surgery type that fixes white carbs. Gastric bypass... I would have failed at that surgery type. People do not realize that a bypass patient does not malabsorb forever. The "honeymoon" period is 6-18 months after surgery. THAT is when they malabsorb. If they have not changed their eating habits in that time frame then when they stop malabsorbing they regain. They can ONLY eat anything they wish during the first 6-18 months. I would have been one to eat anything I wanted and when I quit malabsorbing I would have been in a mad dash to change my eating behaviors. I would have failed. Think of it this way, I have the same restriction as you do. That's all. Just like you, if I eat too much I will throw up. If I eat an all chocolate diet I will gain weight. We both have restrictive only procedures with no malaborption. ANY of us can fall back into bad habits and old eating behaviors. It's a fine line sometimes when we are eating like a normal person and when we are falling back into old behaviors. Yes it is, you can get any procedure you want. The sleeve is actually a much safer option than the lap band long term. The weight loss is better, faster, and our stats beat out the lap band any day. That is not correct information AT ALL. If you are good to go with a band you are good to go with a sleeve. They are both restrictive procedures. The doctor most certainly does NOT decide which surgery type is right for you and if he tried to I'd be running out of that office so fast his head would spin. It is us that has to live with the surgery type for the rest of our lives, it is us that decides which surgery we want to live with. The only time a doctor disses a sleeve is when he doesn't DO sleeves. They are business people trying to earn a buck. They aren't going to push a procedure they do not do or do not know how to do. It is critical that you take control over your own health care, there is no excuse not to.

Why? Why should the thread be closed? Because people do not agree? We have proven our case now we are waiting for those that want a 26y/o girl with a history of a heart attack, obesity, and high blood pressure to prove theirs. Threads like this teach people about themselves. Maybe people do not realize that they are sad and miserable and want others to stay sad and miserable too. Threads like this are eye openers for anyone going through a weight loss journey. Surgery is the easy part, the head stuff that goes along with weight loss is the part that needs work. Quite frankly I want someone to explain how a BMI of 21-23 suddenly became anorexic. Or if it is so easy to lose 50# why didn't the nay sayers do it when they were 50# overweight? Or how only the US is correct when ALLLLLL the other countries out there will operate on a 30BMI person. Or why a person such as the OP should have another heart attack, higher blood pressure, and more comorbidities before she is "entitled" to self pay for a lap band. To be very honest I think this thread is great. I don't like all the misinformation, attacking the poor OP for wanting to prevent ANOTHER heart attack or the assorted wrong information and diagnosing, but the thread points out the head stuff we go through during weight loss about as clear as I have ever seen.

You did not respond to me because I called you on your stuff. You posted medical advice, wrong information, insults, and a host of other not-nice things. YOU told a young, obese, woman with a history of a heart attack and high blood pressure that YOU do not think she needs to get a band. YOU told her that at a 23BMI she would be anorexic. Instead of owning up to it and admitting a human error you redirect and try to make your errors the fault of another. Who do YOU think has the credibility here? I'll give you a hint, it's not you. I read some folks posts and see "jealousy" written all over them. This young lady is taking control before she is a BMI of 50 or greater and some just can't deal with it. They realize they are a BMI that is much higher than they ever wanted. People really do want others to feel like them. If they are sad and obese they want others to be as miserable as they are. If they are at goal they are thrilled and they want everyone else to experience the same. Which group do you fall into? *I* defend my own comments, maybe someday you will be able to do the same. (cough cough)

This brings up a good point, the cost for 4 weeks in the hospital was $10,500 yet that complication fund pays him (according to his own stats) $50K per each complication. That's a big profit. Is he a doctor or an insurance company? I agree completely, I never blamed him for the leaks or liver laceration. I made it really clear that all doctors are going to have leaks and complications eventually. It's not the leak, it's the costs involved. That wasn't my issue. My issue is when she originally wrote THIS: Since when is bypass safer than a sleeve? Since when is a bypass leak safer than a sleeve leak? That's just untrue information. This is where we will have to agree to disagree. It is as I wrote earlier, what matters to me is different from what matters to you. That's how life works, we all HAVE to find a doctor that meets our individual requirements. We did that and that is all that matters.

I heart HeadHunter!

AGAIN, please see post #86. Just because the US does something does not make it right. There is much effort being put into changing things so that ins will cover WLS for BMIs 30 and above. No, that is NOT all you wrote. Here is more: I addressed this and you failed to respond. I asked you for proof and you did not respond. Medical professionals do not agree with you so I would like to see your proof. I asked you why you did not just D/E at your 50# point and you did not respond. Who asked you? And who are you to suggest she go against her doctor's advice? What is out of context? I posted it word for word. *I* did not paraphrase. I asked you to defend your statements and you refused. You had no problem handing out medical advice, handing out incorrect information, but if someone dares to call you on it then I am ripping you to shreds. All I did was ask you to defend your comments because you are mistaken in several areas. *I* am not the one belittling someone for wanting to better her health. Want another example? Here you go (this is my personal favorite): Let's look at some numbers here, shall we? Today she is 5' 1" 166# and a BMI of 31.4. That is considered obese, btw. She wants to lose 50-55#. But YOU claim she will be anorexic with a weight loss of 30-40# and with a weight loss of 40# she will have a BMI of 23.8. Keeping in mind that 18.5-24.9 is a HEALTHY weight range, how do you figure that is anorexic? That is a healthy weight range. The OP actually wants to lose 50-55#. Let's say she loses 55#, that puts her BMI at 21. I am a smaller BMI than her goal, I am at 20. That IS a healthy weight range. That is what we should be aiming for, a healthy BMI. What in the world is wrong with that? Where the heck do you get anorexic from that? It's a healthy weight. You guys have belittled her, given her wrong information, assumed she has emotional problems for wanting to be healthy, suggested she do what we couldn't do (D/E) and be happy with that. You dodge questions, refuse to defend your outlandish claims, and then try to redirect this to me being the mean one. Bah! Start giving support instead of anger for someone wanting control before she is the size that we were.