Research and questions

For a WLS surgeon to say it's not a weight loss surgery is nutz.  It is primarily a WLS surgery;  the resolution of health problems has been a wonderful side-effect.  

I'm ten years out;  it's the best thing I've ever done for myself.  Due to the problem with NSAIDS prohibition, I have sometimes wondered if the DS or VGB would not have been better, but these surgeries were not an option for my insurance.  Just don't do the lapband.

Your problem may well be Metabolic Syndrome;  Google it.  It's a real syndrome.

Do a surgery.

On the skin issue...someone once said and it soooo made me laugh. The skin doesn't attach tighter onto muscles, it just drapes prettier with more to fill them  :-) 

No, that I do know. And that's not what he said. He said that through weight lifting you can fill that skin with muscle to take some of the sag away. I do not anticipate this to work for me. I carry WAY too much in my hips, thighs, and butt, and the fat on my stomach is not visceral fat but hangs in a pocket and always has. My fat is unusually heavy too. The fat under my arms never did anything even when I got to my lowest 205. I have found that building muscle helps to burn the fat, which is the only thing that has worked for me, so I will continue to do that. I will just have to save my money and get my skin flaps removed after I get my chest reduced.  

My chest is honestly what started this. I have banged up my chest so badly from lifting (and ever try to run with triple D's? Or keep them in a swim suit when you do laps) that it was advised, medically that I have it reduced. And personally I want it gone. The insurance will not assist me on this until I lose X number of pounds, which has proven to be nearly impossible. The weight they would like me to get IS impossible, but if I get down to a lean body mass they should have no reason left to deny me, especially when the doctor tells them I am at a healthy fat percentage.  If they do, then, that's why I am saving money, to get it done myself if need be.

My chest size has caused me issues for years. From by back to injury from lifting. It doesn't seem that the extra weight would be that big a deal, but being where it is it pulls me off balance and has caused me to pull muscles when back squatting free weights over 250 lbs. They also just don't make swim suit tops for lap swimmers that will hold larger breasts and I have to wear a sports bra to swim in. Which is no big deal, except even sports bras that are made to keep your breasts from bouncing around, don't flatten them well and those that do, restrict your breathing. 

So I admit defeat when it comes to losing weight on my own. I've tried. I've worked for 4 years. I've put my body through the extreme and I know as I age I am going to injure myself more and more if I continue to try and push myself to the levels I started at. I can already feel my shoulder joints aching, my hips aching, and my knees (which have never given me an issue) when I am doing high weight. I use belts, bands, and wraps, but they can only do so much and if I can do 8 five times reps instead of having to do 20 reps five times to get the results I need I can keep from tearing my body up.

If you are counting on malabsorption from RNY, don't. It's not as significant as many believe, and disappears within the first two years. If you want permanent and significant malabsorption, look into the DS.

According to the Dr. the RnY will alter my metabolism because they partition off part of the stomach similar to the sleeve bypass.  If this is true then I'm not sure how it would only last 2 years. 

I am not familiar with the DS.  What is the major difference. I don't think this doctor performs that surgery. 

I have briefly looked at the DS. I am about to leave for the gym so I will have to get back to it. It seems to me this Dr. does his RnY differently than described when looking at the comparisons as he does not make a pouch of any sort.  I will continue to read and print out some stuff and ask him questions when I see him next week for my consult.

If it doesn't have a pouch, it's not an RNY. It could be a mini bypass, which isa single anastamosis bypass. If that's what is is, run far and fast. It's a horrible surgery.

Make absolutely sure what it is before they cut on you. There are people doing very questionable surgeries out there.

I am looking at their printed manual right now. It does not have a pouch and they call it an Roux en Y.  Their Roux en Y is basically a sleeve bypass but with the extra cut, thus making it a Roux en Y. The place I am going to have the surgery at is one of the top rated facilities in the country. I can't recall the medical association that has inspected them (along with several other hospitals) but they are in the top 10.

All of the surgeries have illustrations online, even experimental types. Can you link to this so I can see it?

If it is RNY, then there is a pouch and a bypass/intestinal change. A sleeve does not have a bypass, it's simply removing 70-85% of your stomach altogether.