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New here, low-BMI patient thinking about getting sleeved in Mexico.



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That's okay none of us are perfect I just hope everything goes well for you. Remember we're all in this together and I wish you all the luck and happiness in the world have a good night bye bye.

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Just know at 23, if you don't get a handle on your weight now, it will only get worse. I was about your size in my 20's after a couple of kids. Joined WW's, lost 50 pounds, gained it back and then some, rinse and repeat until at 47, I had dieted my way to 235 pounds (39 BMI). I was pre diabetic and was on meds for HBP.

Almost 2 years later, perfect blood pressure, perfect labs, size 6, running and looking like I'm 39 instead of 49. I do have some GERD, I did lose some hair (has grown back full as ever now), I have completely changed the way I eat to make sure I maintain my 90+ pound loss. Is it a constant struggle to stay on the straight and narrow and make sure I'm exercising and eating right 90% of the time because I know I can eat around the sleeve and gain? Sure. But it's completely worth it. And if you feel you're ready for the commitment, you'll see it's worth it too.

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I hope I wasn't the one you thought was condescending to you. I was sharing my experience.

What I didn't go into was what I've seen happen with people who don't address their emotional eating before WLS. I had two friends who got LapBand (this was before the sleeve was available) and the bands were barely installed before these two were deliberately seeking out what they could eat to fill their emotional void without restriction. They drank sugared sodas, ate ice cream, and ate cream based Soups (and much more). They became bulimic, purging so they could eat more. I lost track of them several years ago, but saw the guy on FB a few months ago, and he's larger than he was pre-band. From his posts, they both have developed even worse health issues, and he's no longer even mobile.

Another friend had sleeve surgery without really addressing her emotional issues, and she had nothing but problems after the sleeve. She would go to OA but their very strict approach to eating would wear on her and then she'd binge. She never lost more than about 30 lbs but the ongoing medical problems, some may have been related to the surgery but we'll never know. She died last year.

None of these people were low BMI, I haven't known anyone low BMI to get WLS. But they are why I'm determined to address my emotional eating issues so that the tool that is the VSG has a chance to work.

The research and experiences of everyone on this board is clear. The sleeve can and will be eaten around if you don't get your emotional stuff under control. Then you will have had an irreversible surgery and possibly some long-term issues (most don't, but it's possible) for something that in the end doesn't help you.

You'll hear it over and over on this board, and it's worth listening to: The surgery is a TOOL, nothing more. The restriction eases over time. That is not to say you stretch the sleeve, but rather than your tolerance for different foods in larger amounts grows. If you don't take the "honeymoon period" to change your diet and activity levels, then you'll gain the weight back, and then some.

I have a number of co-morbidities and a high BMI. With my emotional eating issues, if I was a low BMI without the serious co-morbidities, I would not have the surgery until after I had addressed the emotional eating. And I believe I would likely find the surgery not needed. As it is, I'm probably having the surgery a little early in the therapy process, but there are medical reasons for rushing it, and I'm committed to the therapy so I can get the emotional stuff worked out before I'm out of the honeymoon period.

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When I was 23 I weighed 188. Never went below that again. At 50 I was touching 300 lbs..so many diets...was a member of Weight Watchers 12 tmes over the years and can't recall all the names of other diets I tried. So I went to Mexico and had my sleeve done....best decision I ever made. I am bipolar...diagnosed two yrs ago. I got off track and some meds made me gain some weight...but I am back on track now and losing again. I wished the sleeve would have been available when I was 23. I have not regrets and really do understand you. My doctor in Mexico was Dr. Almanza. I have heard good and bad about them all...do your research and follow your heart.

Sent from my SM-G920V using the BariatricPal App

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Im scheduled for the sleeve with Dr. Alvarez for 8/19. Ill keep you posted!

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I would be scared of a surgeon willing to do surgery on you when if you lost 30 pounds you would be in a normal bmi. normally surgery is for people with close to 100 to loose. I'm sure you know that though, but maybe consider another method I would hate for you to undergo a major surgery to loose 30 pounds

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it is a very high percentage of people who regain all the weight loss from weight loss surgery within 5 years, yes the first 18 months you cannot eat a ton but give it a few years and you will be able to eat like before. it is really a mind thing!

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    • BabySpoons

      Sometimes reading the posts here make me wonder if some people just weren't mentally ready for WLS and needed more time with the bariatric team psychiatrist. Complaining about the limited drink/food choices early on... blah..blah...blah. The living to eat mentality really needs to go and be replaced with eating to live. JS
      · 2 replies
      1. Bypass2Freedom

        We have to remember that everyone moves at their own pace. For some it may be harder to adjust, people may have other factors at play that feed into the unhealthy relationship with food e.g. eating disorders, trauma. I'd hope those who you are referring to address this outside of this forum, with a professional.


        This is a place to feel safe to vent, seek advice, hopefully without judgement.


        Compassion goes a long way :)

      2. BabySpoons

        Seems it would be more compassionate not to perform a WLS on someone until they are mentally ready for it. Unless of course they are on death's door...

    • Theweightisover2024🙌💪

      Question for anyone, how did you get your mind right before surgery? Like as far as eating better foods and just doing better in general? I'm having a really hard time with this. Any help is appreciated 🙏❤️
      · 2 replies
      1. NickelChip

        I had about 6 months between deciding to do surgery and getting scheduled. I came across the book The Pound of Cure by Dr. Matthew Weiner, a bariatric surgeon in Arizona, and started to implement some of the changes he recommended (and lost 13 lbs in the process without ever feeling deprived). The book is very simple, and the focus is on whole, plant based foods, but within reason. It's not an all or nothing approach, or going vegan or something, but focuses on improvement and aiming for getting it right 80-90% of the time. His suggestions are divided into 12 sections that you can tackle over time, perhaps one per month for a year if a person is just trying to improve nutrition and build good habits. They range from things like cutting out artificial sweetener or eating more beans to eating a pound of vegetables per day. I found it really effective pre-surgery and it's an eating style I will be working to get back to as I am further out from surgery and have more capacity. Small changes you can sustain will do the most for building good habits for life.

      2. Theweightisover2024🙌💪

        That sounds awesome. I'll have to check that out thanks!

    • BeanitoDiego

      I've hit a stall 9 months out. I'm not worried, though. My fitness levels continue to improve and I have nearly accomplished my pre-surgery goal of learning to scuba dive! One dive left to complete to get my PADI card 🐠
      I was able to go for a 10K/6mile hike in the mountains two days ago just for the fun of it. In the before days, I might have attempted this, but it would have taken me 7 or 8 hours to complete and I would have been exhausted and in pain for the next two days. Taking my time with breaks for snacks and water, I was finished with my wee jaunt in only 4 hours 😎 and really got to enjoy photographing some insects, fungi, and turtles.
      Just for fun last week, I ran two 5Ks in two days, something I would have never done in the past! Next goal is a 10K before the end of this month.
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