VSG revision to gastric bypass vs Mounjaro

[J’Marie 1]

Good morning! I am so happy that I found this group! I have been lurking for a month or so. There is a lot of information to be gained here😁. I had VSG Nov 2014 and lost 80 lbs. I was down to 170 lbs. I am 5’9 so I was quite content there. As we all know life throws curveballs and my weight has steadily climbed. I am now 60 years old and weigh 225. My A1c is high and I have been diagnosed with type 2 dm. I have been nauseated for months and last month I had an upper GI that showed severe acid reflux and a moderate hiatal hernia. Omeprazole has not helped at all. I have an EGD scheduled this coming Friday. Revision to bypass has been brought up by the nurse practitioner at the bariatric surgeon’s office. I also just met with my new PCP who gave me a prescription for Mounjaro. Bariatric surgeon said not to start the Mounjaro until we resolve my reflux issues (due to the possible side effects of nausea).

I am unsure if I should go with the revision to bypass with hernia repair or just get the hernia repair and hope that fixes my reflux issue and use the Mounjaro to help with weight loss and lowering my A1c. I am not sure if just repairing the hernia will fix my relax issue. I will discuss all these options with my surgeon after the EGD. What are your thoughts/experiences?

[TwinkleToes87 15]

Hi there!! Thanks for sharing your experience! I will let you know that Mounjaro does make my reflux worse!! because it slows down my digestion. It also causes Constipation in some people. But if you don’t have these issues it’s good! I have not had it yet but I’m going to get vsg. However I do wish I could get the SADI but my insurance won’t cover that one. I have heard people do so well with the weight loss and reversing diabetes. It’s just expensive without insurance. But would if I had the financial freedom! Bypass is also very successful too! Check out some podcasts like “the skinny truth” or check out Dr. Roller’s instagram. I listen to “Core Bariatrics” and “The Bariatric Grind”! They’re good listens in the car and super informative. Of course following your trusted surgeon’s recs are #1!

[catwoman7 11,231]

bypass will usually cure reflux (or at minimum, greatly improve it), but I've read on here of people who had hernia repair which ended up improving (or curing) their reflux, too... Hopefully your surgeon can give you some idea on the best way to proceed with this. Reflux is awful! (been there - that's the main reason I went with bypass)

Edited March 3, 2024 by catwoman7

[Arabesque 7,517]

I recommend Dr Matthew Weiner (pound of cure) as an excellent source of all information bariatric. He has videos, podcasts, website, instagram & books. He’s been doing a few podcasts on GLP-1 meds lately you may find interesting. Dr John Pilcher is also a great source of straight forward factual information.

John Pilcher:

https://m.youtube.com/channel/UCA4do-4YA82-BMYBp-WRwVA

Matthew Weiner:

https://www.poundofcureweightloss.com/

(podcasts can be found via menu)

https://m.youtube.com/user/DrMatthewWeiner/videos