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Confused whats better the sleeve or bypass



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I'm choosing the sleeve because it's less evasive, with no re-routing of the intestines. Also with the sleeve you can eventually eat anything, whereas the bypass limits you and there is possible "dumping".

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I think if you are able to follow a hi protein/low carb and sugar diet, then the sleeve will be perfect. Biut, if you tend to sabotage yourself with sugar then some malabsorption may be necessary.

It really depends on if you mainly eat too much, or you eat the wrong things. If you had a lapband and you were constantly eating things that slide past to get around the band, then that could be a danger sign for you.

My advice, just get a good tight sleeve and then if that isn't enough get a DS. Don't even bother with the GB. If you do a GB, you can still eat too much sugar if you don't mind dumping, and it can and will stretch out for most overeaters.

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I preferred not to alter my intestines if I didn't have to, because THAT is what leads to 99% of RNY complications.

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Yep, all the more reason to do well with the sleeve. You have a lot of motivation to not sabotage yourself. Otherwise, you may have to add the DS to get where you want to be in the end.

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The sleeve was a no-brainer choice for me, especially being self-pay...I've just read of SOOOOO many people with complications from RNY. I've seen a lot of RNY people say that if they had the choice now, they'd choose the sleeve instead--but I have never, ever seen a sleeve patient say they with they'd had RNY.

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These are the reasons I chose the sleeve vs. RNY for my revision from lapband.

1) No malabsorption (that ends up being all for nothing after 18-24 months because our bodies adjust, grow more intestinal villi, and the malabsorption NO longer happens)

2) No nutritional or Vitamin deficiencies

3) The freedom to truly eat any food, just in smaller portions

4) Having a "blind" stomach, that can still develop ulcers, and cancer, yet can never be scoped. That's a scary one for me.

5) The regain stats on the RNY are scary, and a lot of RNY patients seek revisions

6) I had a band, with a pouch, it sucked. I know stomas and pouches don't work for me.

7) My lifestyle pre-op of a volume eater led me to the sleeve because it's restrictive only.

8) Instant restriction with zero maintenance such as fills, unfills

9) Leading a normal life with food

10) I was never truly "full" with my band. I still had hunger. Removing the Ghrelin (hormone hunger) producing part of the stomach was a total win/win situation for me.

Those are the main reasons I chose the VSG over RNY.

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I chose the sleeve along with DH, we chose together. . .i had researched all the different wls and the sleeve seemed the most safest, economical and ideal. . . I really like the idea that once your healed you can literally eat whatever (within reason of course) and still lose weight. . . sorta like eat and go. . . with RNY (bypass) you have your plumbing rearranged and then have to watch everything going into your mouth or you pay the painful price of dumping syndrome. . . with the band, you spend money with fills/unfills, risk infections at the port site, and possibly end up in the hospital with slippages and so on. . . the sleeve to me is the way to go. . . the choice is yours and good luck with you decisions

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