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most surgeons will recommend bypass if you've had issues with GERD. It will get worse with the sleeve about 30% of the time - so whether or not it will for you is kind of a crap shoot. I had GERD and was warned - so I went with bypass. I did not want to risk it getting any worse. your surgeon will advise you on which way he/she thinks you should go based on your specific health conditions, but I don't think most would refuse to do surgery A or surgery B if you were insisting on it. But I would be careful with the GERD factor. I've been on this and other bariatric forums for several years and have seen a lot of people have to revise due to GERD. It may not happen to you - but there's no way to know that ahead of time. also, malabsorption typically isn't a problem if you stay on top of your supplements. You'll have to take supplements with the sleeve as well.
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I always wonder about the people writing about "brimming with energy" 3 weeks after WLS. Well, not this gal here... How much food the pouch can comfortably hold is depending on the patient (e. g. did they a pouch/sleeve-resizing or not, how much swelling is still around) and what you put into the pouch. I can eat way more than 0.5 cup. I'm 4 weeks out of revision from MGB to RNY. I'm always surprised how little other patients seem to be able to eat or drink. Totally normal. You're putting food weight into your system again. Revision weight loss is said to be much slower. You're also at a relatively low BMI of 32 - I wouldn't expect quicker weight loss.
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I think you're doing well! I also revised from sleeve to bypass a week before you did, and I've only lost 10 pounds in three weeks. But I'm not worried. I feel good (except for the constipation (!)), have a lot of energy, and can see the difference in my face, my collarbones (they've magically re-appeared!), and the way my clothes fit. Next week will time for my monthly measurements, so I'm sure I'll see a lot of progress there too. As for food, I can also eat about 1/2 cup of food, but unless it's a puree or liquid (like soup), I'm trying to make it less than that in one serving. I've been on soft foods for the past week, so I'm much more conscious of what I'm eating and how it will affect me. So far, so good - no issues with anything I've tried.
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Hello everyone. I’m a newbie but not completely new. I had a sleeve in 2013 and lost 118lbs. I regained 70 so I revised to bypass on 3/11. I’m 2 weeks out today and things seem to be going really well. I haven’t had any vomiting or discomfort really of any kind with my pouch. The worst part has been the pain from the procedure. I’m starting to feel more like myself now but I’m still really weak and tired. I’m able to eat about a half cup of food at this point. So I’m wondering, is that normal? How much should I be able to eat right now? I feel like 1/2 cup is a lot. Also, I’ve lost 13lbs and then regained 2 when I started purées. I do know that with a sleeve there is “the dreaded 3 week stall” and I assume it’s the same with the bypass so I’m ready for it. But just wondering, is 13lbs normal at this stage? With my sleeve I lost 21lbs in the first 2 weeks. I’m thinking that is a lot and 13 is good but just wanted to check. Thanks in advance for any feedback I get. It’s much appreciated!!
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I had my sleeve done in Feb 2017, but after the first year where I lost 100 pounds, I regained about 60. I tried doing pouch resets but they didn't last. I could eat a full plate of food, not as much as I once did (because let's be honest, I probably could eat 2 plates of food), but certainly a lot more than anyone who had had the sleeve should have been able to eat - the restriction was really not there for me. So just over 3 weeks ago I had a revision to RNY (long-limbed). My surgeon and I discussed the possibilities and this was his recommendation based on his experience as a surgeon: People who re-sleeved had the lowest amount of weight loss after a revision People who had a mini gastric bypass (which basically keeps the sleeve but adds a long-limbed bypass - usually about 100-150cm) do great in terms of weight loss, but at least 10% will suffer from GERD afterwards, which will require another surgery People who revised from sleeve to a standard RNY (which is a short-limbed bypass) didn't lose as much weight overall with that procedure People who revised from sleeve to a standard RNY but with a long-limbed bypass did the best with weight-loss and without the complications of developing GERD. So I went with this option (not only because of this, but because of other gastro-intestinal issues I have). In any event, I would talk to your surgeon about what you want to achieve and what is the best option for you, your sleeve, and what your own particular health needs are.
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How did you know that you were done losing?
BayougirlMrsS replied to Fazzini Bee's topic in Gastric Sleeve Surgery Forums
I know when i got the band my body stopped losing at 143. I am 5'2" and my SW was 232#. There i stayed for 7+ years. Until i had to get her out 3 years ago in 2017. Over the last few years, i put back 30#. I decided to do a revision and got sleeved 8/28/19. SW 173.5, today 129. My weight loss is slowing and currently only losing about a pound a month. Your body will definitely decide on where it wants to be. But, you have to be doing everything you can to make sure you are doing your part. Continue to portion out your food and exercise. You will benefit greatly from logging in and weighting/portioning what you eat. Exercising in a different way will help also. If you simply cut back your cal to 1000 per day and up your exercise... you will start to lose again. -
Corona delaying weight loss surgery dates? Anyone?
summerset replied to MaybeMeow's topic in PRE-Operation Weight Loss Surgery Q&A
I absolutely understand the disappointment und frustration all of you must feel. I also think it's important to talk about this and no, maybe coming across "a bit selfish" doesn't matter. Come across as "selfish" as you like. Whenever the disappointment and frustration hits and you're all like "F*ck this damn virus!!", maybe you could remember some things: - your surgery is postponed, not cancelled. - you wouldn't want to be in a hospital now or in a few weeks down the road if you can help it. - ICU capacity is limited and every surgery has the potential to bring on the need for being on the ICU. You don't want to need a bed on the ICU during the next weeks because there might be none available the moment you need it. - you don't want to be in immediate recovery from abdominal surgery as long as COVID-19 runs rampant. My revision is 4 weeks ago now, the fixing of a hernia only a week and I'm asking myself if my immune system is already as competent as it usually is - not a fun thing to ask yourself these days. When feeling all of this completely understandable frustration and disappointment maybe try to remember that WLS is always abdominal surgery including general anesthesia with lots of complications being possible and not a quick and unproblematic surgery so many patient's recovery is really easy from. I'm absolutely sure that all people on this thread are completely aware of the things I wrote above. However, it can be hard to remember when disappointment and frustration hits. Hang in there! Your surgery is postponed, not cancelled. -
Thank you for the helpful response; I hope to find out if revisions due to lack of weight loss efficacy are performed and/or covered. Am stumped as to why I am doing everything right on my end, but getting nowhere...I’m terrified Sent from my iPhone using Tapatalk Pro
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Often revisions are covered when they're because of complications. With the sleeve, quite a few patients develop severe GERD.
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I would love to know if insurance covers revisions and what circumstances, if any, this is the case...I have searched my heart out and can’t find any answers in forums-feel I may need an evaluation to consider revision or *something* to address my October 13th ‘19 sleeve with current weight loss(3/24) of only 15lbs post surgery...I am devastated
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4 months out and stuck
biginjapan replied to Sandigirl's topic in POST-Operation Weight Loss Surgery Q&A
Of course - any calorie deficit will most likely result in weight loss. I think what the surgeons are referring to is the honeymoon period after surgery, where weight loss will happen the most rapidly, and the most easily. Eventually it does slow down, and for many people, hunger returns. But I've known people on this site, and other places online, who lost 80-90% of their weight in the first year (often faster), but took 2-3 years to get to their goal weight. It's not impossible. But I think it also sets up people to feel like a failure if they DON'T reach their goal, and that's not true either. Many people make it to the overweight BMI and can't go further into the healthy range (or can, but find it harder to maintain). But even then they've lost 80% or more of their excess weight. That's something to be proud of. Even for myself, I'm trying to manage expectations - I'd like to get to a healthy BMI, but I know that weight loss is usually not as dramatic with revision surgery, and that it will probably take me longer to get there (if ever). -
Disappointed...
ge0rgette2 replied to ge0rgette2's topic in Revision Weight Loss Surgery Forums (NEW!)
I made it under the wire by 3 days and they cancelled on 3/15 for 3/18 the first time. I understand the safety aspect. glad you’re doing well. mine is just a revision so I’ll be okay. -
Disappointed...
ge0rgette2 replied to ge0rgette2's topic in Revision Weight Loss Surgery Forums (NEW!)
So now once again my Surgery, revision, has been CANCELLED. was postponed for 3/18 to 4/25 now cancelled all together. ;-( -
So now once again my Surgery, revision, has been CANCELLED. was postponed for 3/18 to 4/25 now cancelled all together. ;-(
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4 months out and stuck
summerset replied to Sandigirl's topic in POST-Operation Weight Loss Surgery Q&A
I can't help myself, I find this statement more and more irritating the longer I'm out of WLS, especially that one about "the window of weight loss closing". It puts patients into an unnecessary state of anxiety and builds up equally unnecessary pressure. I wonder if surgeons and dietitians sometimes are being misinterpreted here or - if they're interpreted correctly - if they're aware of the consequences they provoke. My first surgery was 2001. The MGB was almost 4 years ago. After my latest revision 4 weeks ago my weight went down again during the liquid phase (i. e. eating less calories than my body is used to) and I'm in the middle of a normal BMI range. My findings are: if I'm in a calorie deficit (screw the macros) I'm losing weight. I doubt I'm the big exception. However, creating this calorie deficit is definitely harder for some people! (Think age, height, gender etc.). -
Converting Sleeve to GB RNY
biginjapan replied to Christina.Rose's topic in Gastric Bypass Surgery Forums
I had my revision to bypass three weeks ago but did not have to do any bowel prep. In fact, I was told to eat a carb rich meal for dinner the night before surgery (which I did). Surgery went well and other than gas pain on the first day post-op, haven’t had any problems since. (Ahhh...that’s not true. Now that I’m soft foods constipation has become an issue, but that’s another topic...) -
Converting Sleeve to GB RNY
Jeep_girl1313 replied to Christina.Rose's topic in Gastric Bypass Surgery Forums
I’m having this same revision done, it was scheduled for 4/1/20, but has been postponed. Have u lost more weight after getting the bypass compared to the sleeve? -
VSG to RNY revision for GERD--Hunger question
losingit2013 replied to Foxbins's topic in Revision Weight Loss Surgery Forums (NEW!)
I am scheduled to have a sleeve to RNY revision on 4/6/20. Have you had the revision yet? I'm curious on what to expect post surgery. -
October Surgery Roll Call
mememomma replied to Panda333's topic in PRE-Operation Weight Loss Surgery Q&A
I wish I had better news. I had sleeve surgery October 6. Shortly thereafter I developed a severe case of meraglia paresthetica, and they put me on all kinds steroids and nerve pain medicine. It completely STOPPED my weight loss for months, and brought on hunger with a vengeance. I have only lost 53 pounds, which has been disheartening. However, it is still 53 pounds gone. Have another 50 to go. ( I am also a revision patient so that can also account for a slower loss. ) My restriction is still there, but like most of us, I have to be careful and resist the urge to "graze". I take one day at a time and hope for the best. My nerve condition will be lifelong but fortunately not nearly as severe and I decided to stop the meds and manage it naturally. . It is wonderful to read how everyone is doing. Congrats to all on your successes. -
Ok. Please just try this out! I have the same insurance through my husbands job. They kept telling me 6 month diet requirement. But one day I actually pulled up their policy for it and saw that they had revised their policy at the end of the year 2019 and removed the 6 month requirement. I called them back and spoke to several representatives who said no that’s not true, we require 6 months. Well I had my first consultation with my surgeon dec 23. The nurse told me that sometimes policy gets updated but the representatives on the front end are not always aware of the changes. She suggested sending in the prior authorization at the beginning of the year and just see what they came back with. She sent the prior auth on Jan 2. On Jan 6, they let me know that I was approved. I had no diet followed by a physician. They hadn’t even received my medical records from my primary doctor yet. All they had was my first consultation with the surgeon and my psych eval(which is not bad at all). I had surgery feb 19 (I could’ve had it sooner but my schedule hindered it) So please see if your doctors office would do the same thing. They have changed things under that plan but unfortunately they are still giving out the old information.
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Gosh! Such burden! ((hugs)) I can't waive a magic wand and keep you from feeling the things you are feeling, but if I could, I would. You are a strong productive person and you've done things you never thought you could do before and have succeeded SO WELL! You've been an inspiration to many here! I BELIEVE. Choose to believe. Even if you don't feel it in your heart. Choose to believe that this WILL end and that we will all rebuild! Escape if that helps you for now. But also plan or schedule time to do things that are constructive. For instance, I love the idea of being a "super cleaner." Maybe research what it takes to be a plague cleaner?! I know my niece has passed a cold around her house and asked the other day if there were any cleaners who would come in and deep clean...like DEEP clean. Clean toys. Sanitize. Etc. So research it! Charge a premium for it cuz you will become a front liner. You would be able to hire people. People are desperate for work. And you would be able to pay well. It would be pre-pay or pay on completion so no waiting for invoices to be paid. Also, there will be tax extensions, and tax forgiveness. This is being planned. There will be bailouts. I just believe that this is the beginning of a forced change for us all. And you WILL get to revise and conquer. Remember to deep breath. And start thinking creatively how to repackage your business to adjust to this changing need. People will still need to have cleaning!!! Businesses too.
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I feel your pain! I had the sleeve done three years ago, lost over 100 pounds in about 10 months, then gained about 60 back through bad food choices and/or just plain overeating (even healthy foods). I'd go on reset diets which would work for a while, but then I would plateau for a long time and start to gain weight again. Part of the problem was trying to deal with my food addictions that came back once I fell off the bariatric diet wagon. After a while it was just too hard to get back on again. Eventually I decided to have a revision to bypass, which I had done 2.5 weeks ago. Hopefully that's not something you'll have to do - if you have support groups around you and people that you can work with, it should be possible to lose the weight you regained.
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I'm just a little confused as to why you had to have revision surgery. It seems your original surgery was done correctly. ??
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I went through the same experience as you as I recovered from the sleeve - I was way ahead of the curve in terms of what, and how much, I could eat. Here's the thing - it takes a long time for your stomach to heal completely - not days, but weeks, even months (it is a major amputation if you think about it). So it may not be sending you the signals you need to stop eating. As someone who's sleeve failed, partly because after 6 months, and especially after a year, I could a proper dinner plate of food again (at least 2 cups), I would say follow your dietary guidelines. If it says half a cup, eat half a cup. How many calories (and other macros) are you allowed in a day? Are you staying within them? Just because you CAN eat more, doesn't mean you SHOULD. The guidelines are there to help us get into the habit of portion control, because the honeymoon period of easy weight loss/no hunger only happens for 6-18 months (depending on the person). After that, if you overeat, you may regain, even with healthy foods, as it may encourage you into the same bad habits you had before surgery. Also, how long is it taking you to eat? If it's more than 30 minutes, then you are definitely overeating. When are you drinking liquids? If it's too soon from eating it could make the food slide faster through your stomach making it easier to eat more. I'd also be worried about the asparagus - it seems too early to be eating such a fibrous and low protein vegetable. They are really hard to digest and can form clumps in your stomach, especially early on. In any event, I'm not trying to make you feel bad about this - as I said at the beginning, I went through exactly the same thing after my sleeve, and I had the belief that the surgeon made it too big which is why I could eat so much. However, on my recent revision surgery, my (new) surgeon said that the sleeve was perfect and small, so I know that my weight regain had less to do with my stomach, and more to do with me. Some of us can eat more, and don't feel pain (others are the complete opposite). In that case, you have to be vigilant about what, and how much, you are putting into your body.
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Do you want to spend the rest of your life getting bigger? Wait until you are 50 BMI (with probably more co-morbidities) to qualify? I think most people will say the earlier you do it, the better. You are young so don't wait for 20 years letting things pass you by that you couldn't do because of your weight. Get the surgery. Compared to all other weight loss methods, cutting out part of your stomach will "reset" your body - metabolism gets boosted, most people with diabetes no longer have it within weeks (sometimes days) of having the surgery, and for many women, the PCOS issue also gets resolved. There are a lot of medical journal articles about this, easily found on the internet - and I imagine, since you are at nursing school, you probably have even more resources to access that support these claims. Another benefit to your youth is that your skin is still pretty elastic and will probably bounce back a lot better than those of us who are older and are already dealing with sagging skin, not just because of the weight. If you haven't already seen her videos, Clusie L has a ton of great videos explaining her process of getting through gastric sleeve surgery, food, plastic surgery, etc. I know she has multiple videos explaining why she got it and her struggles trying to get her family on board while she was still a teenager, but I can't find it at the moment. However, this video is a good substitute, geared towards teens, but maybe it will help you in making a decision. Edit: my first surgery (sleeve) was done at 42, I just had a revision (45). I wish I had done this 10 years ago when my weight really started ballooning up beyond Obese (class 1) into 2, then 3, then beyond.
