JohnnyCakes

uhhhh..... you posted this already. on July 7th. same thread. same page.

you're hot.

what???

no, i've just noticed that no matter what or who the particular thread is about, you almost always start talking about either yourself or your husband. let me ask you then - what about your husband's story has ANYTHING to do with Thomas here? specifically his awesome update?

yes, 5 days is still very early. just take everything slow, like your apartment stairs. put off walking around farmers markets for another week or two. and keep hydrating.

unless someone is willing to eat "keto" (i.e. 80% fat) the rest of their lives, going on keto for any amount of time is an incredibly stupid and self-defeating idea.

do opioids like percocet or vicodin slow weight loss?

what a great time and place to randomly launch into the details of your husband's ordeal. unasked, in the middle of Thomas's thread about his amazing success.

this is straight from another surgeon in Mexico who does MGB's: "Additional Risks with Mini Gastric Bypass Surgery Compared to RNY Gastric Bypass - Severe acid-reflux: Because the pouch is small and the remainder of the stomach is still connected to the intestines it is possible for gastric juices to travel down the intestines and into the new pouch. When deciding whether the complication and mortality risks are “worth it”, it’s a good idea to evaluate the potential risks associated with not having surgery." http://www.golightbariatrics.com/mini-gastric-bypass-surgery/ from the place you are getting your surgery, N0VA, it has this brief blurb: "It has a lower risk for GERD (gastroesophageal reflux disease) than sleeve gastrectomy." note that it says it's better than the sleeve. which is true. not better than the RNY. accept that. move forward with clear and truthful information. again, i'm not saying the MGB is a bad surgery or not worth the risk. but don't blind yourself to the risk either. the reason you can get it for so cheap in Mexico is because it's a simpler operation. not because it's a better one. from everything I can tell, in terms of GERD, it's RNY > MGB > VSG. in terms of weight loss, it's MGB > RNY > VSG. btw - say goodbye to coffee. not allowed after MGB due to higher risk of ulcer and reflux. totally fine after RNY though...

um...... okaaay...

what???

i'd be interested to know the difference if you find out. best of luck to you! i'm still very curious about the mini so please keep us updated. and while reflux can be a problem, the rate is low and getting lower, so it is still unlikely that you'll suffer from it. i didn't want to scare you. odds are you will have great success.

hmmm... no, they are interchangeable terms for the same procedure.

i'm curious, who told you that?

when i made the decision to get bariatric surgery, i knew i didn't want the VSG but i was unsure between the RNY or the mini-bypass. after all, the mini-bypass offers as good if not better weight loss results (about 5%) with a shorter operating time. there are two prominent surgeons who perform this procedure. one is Dr. Rutledge (Arizona i think) and Dr. Hargroder in Missouri. i went thru Hargroder's online seminars and stuff and was sure i was going to make the trip to Joplin, MO to do the surgery. but i wanted to meet with my local bariatric office (center of excellence) to hear his opinion on bariatric options and most importantly, why they don't offer the mini-bypass. my surgeon is the director of the medical group who has done over 3,000 bariatric surgeries. he said that the mini-bypass was the original bariatric surgery back in the 60's and 70's! however, the RNY was developed from the mini-bypass specifically to avoid the mini's biggest complication - reflux/GERD. it is a not-rare complication from the mini that develops because the anastomosis connects the small intestines (with digestive juices) straight to the bottom of the new stomach pouch. so that's why it's easy for bile and other digestive juices to go the wrong way - up the pouch and into your esophagus. the RNY technique avoids this by creating a "roux limb" so that the pouch is not connected straight to digestive juices. as soon as he said that, i realized RNY was the better procedure. he said so what if the mini gives you 5% more weight loss on average if you then suffer from major acid reflux? he said if i lose 150lbs, i'll be over the moon happy with no chance of acid reflux, and the last thing that will happen is me wishing i lost 157lbs. he also said he's had to reverse a good number of mini-bypasses because of the acid reflux problem. he said it can be truly horrific, that one time he did an endoscopy and one patient's esophagus looked like raw hamburger meat. he said if they ever "solve" that issue, they might look into it again, but the risk/reward just isn't worth it. that's also why it's not an approved surgery by the American Society of Metabolic and Bariatric Surgery. not to mention that my support team would be half-way across the country in Joplin, MO. i'm so much more comfortable with my team and hospital 30 minutes down the road. that's an important aspect.

that's.... not the boat the OP is in.

sounds on point to me.

if this doesn't work maybe you could do the duodenal switch.

even better than Boxed Water is Better is water from the tap.

my one month just passed... 24lbs.

i absolutely agree, which is why i said the ABSOLUTE statement you made was wrong. because it was. ghrelin is not totally removed in VSG, as there are measurable levels after surgery. further, just because the *main* (but not only) physical location of ghrelin release is left intact after RNY, that doesn't mean the body can't shut down production of ghrelin completely, or more than VSG as this study confirmed.

wrong. read: http://www.medpagetoday.com/endocrinology/obesity/43097

WTF!?!?! i'm about to have a meaty meltdown myself. why did my man ask a question and get answers from mostly WOMEN!?! i could have sworn the name of this forum is THE GUYS ROOM.

technically it's a "disorder".

that's odd. because according to the legions of pro-sleeve propagandists on this website, the sleeve works just as well as RNY, and won't kill you. oh well, they must be wrong or something. sounds like you need the malabsorptive component of RNY. that's where the magic happens. congrats on your choice to revise. i'm sure you will hit your goal weight afterwards, if not more. don't worry about dumping. chances are you won't experience it at all, and if you do, it's easily controlled. best of luck brother.