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It depends on how much u have to lose. If under 100 pounds I'd do the sleeve if over I'd go with bypass. I had bypass and it's been very helpful in reaching my goals. If you're child bearing age and plan to have a child I'd do a sleeve. I find sleeve you lose quickly but it's much easier to gain back as it doesn't appear to change your blood sugar levels like RNY gastric bypass. If you're diabetic do the RNY. There are many variables. Best to discuss with your surgeon. I initially wanted the sleeve but my surgeon said you're very big so better to do the bypass. I've reached a healthy bmi and feel amazing but I take my Vitamins and have my Protein daily.

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Agree with blondie66. I originally wanted the sleeve but ended up getting the bypass. My surgeon recommended Bypass due to the amount I had to lose, but left it up to me. After reading hundreds of peoples experiences with both, I decided the Bypass was the best option after all. I wanted 1 operation, I didn't want to have to worry about developing GERD, I wanted the restriction on sugar and fat, and I didn't mind having to take Vitamins and supplements for the rest of my life. My pre-diabetes and blood pressure are now normal (Blood sugar almost immediately).

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Do you currently have issues with heartburn? Do you take NSAIDs (ibuprophen, aleve, diclofenac etc)?

If you suffer from any kind of heart burn now, there's a greater chance that sleeve will make it worse.

I you take NSAIDs on a regular basis, the sleeve is for you because you are not dealing with such a small pouch as you do with bypass and is safer with sleeve.

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I took 2400g of Ibuprofen daily and the the largest does of Meloxicam for my knees prior to the Bypass. My surgeon said that once the weight was off, if I still had issues they would prescribe a non-NSAID. I have lost 120 pounds and I haven't had to take anything but Extra Strength Tylenol for my knees. Just losing the weight helped my back and knees immensely.

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    • Bashbee91

      Hey guys new to the process looking forward to this new life. 
      · 0 replies
      1. This update has no replies.
    • Bugg

      Hi everyone! I’m brand new here. I just went through all my pre-op requirements per my insurance company and now everything has been submitted and I’m just waiting for final approval and my surgery date. I’ve been doing research, watching YouTube videos, TikTok’s, ect.. trying to prepare my mind and what to expect so I’ll be ready for the surgery. I was so sure and so set and so ready and excited. However, now that I’ve done everything & it’s almost here, I am sooooooo scared! I know why I want it bc I’ve tried everything and I just don’t feel like I can lose weight by myself. I’m tired of being overweight my entire life. I’m miserable, but I keep psyching myself out afraid of GERD bc I know how that can be and I don’t want to have to get a bypass after already gaining the courage to even get VSG. I’m scared of complications like I’mgoing to regret doing it and be depressed that I didn’t just be more disciplined and try again to lose the weight on my own even sitting here typing this knowing in my mind i just can’t and don’t possess the discipline. I’m also afraid I won’t be able to handle the restrictions of the sleeve. What do I eat? I don’t know how to eat healthy really and don’t enjoy healthy food. I don’t know how to do this! I feel so defeated!Someone tell me they felt anything similar to this or am I not ready? I thought I was. I am so tired of being sick and tired and so tired of myself and so tired of being stuck and stuck in this body and somebody different on the outside from what I feel inside. I just want to ball up and cry.
      · 0 replies
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    • buildabetteranna

      over 20 lbs down since4 the pre surgery diet and surgery on the 14th
      · 1 reply
      1. Selina333

        Yay!! Congrats. I know how good that feels. 🤩

    • Jenopolis

      Had a sleeve in 2017, lost over 100 pounds. Had a DS surgery this year (2025) for more sustainable weight loss. 🤞
      · 0 replies
      1. This update has no replies.
    • buildabetteranna

      The 14th was my day. I am home and recovery is going pretty smooth. They even let me walk out of the hospital. Picture of me in recovery curtesy of my boyfriend lol. 

      · 3 replies
      1. DaisyChainOz

        Glad it went well!! Wishing you a speedy recovery and wonderful success!! 🤗

      2. buildabetteranna

        Thank you ❤️

      3. Selina333

        Neat you have a pic of this day! I was sooo happy to get my surgery. It was well worth it! And I'm not even near my goal. I had surgery Dec. 2!

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