Does VSG just not work for some people?

some people , esp some men, are mind boggling selfish. They want what they want, doesn't matter if the woman is suffering.

I think anyone can pick the wrong surgery, any surgery.

Some people pick the VSG because they were afraid of the rny or the ds, when in fact those surgeries might have been just what they needed. At the same time people can pick those surgeries but can't keep up with the aftercare. So they fail at those surgeries.

Anyone can fail at any surgery. It could be medical complications, lack of knowledge, lousy aftercare, inability/unwillingness to change their lifestyle, reverting back to old habits, lack of therapy, they give up. The list can go on & on.

There are certainly people who expect VSG to work for them, not realizing that they're the ones needing to do the work and just expecting the surgery to do it for them.

You are right, it is so much more than surgery. I am so thankful for this tool, but my head is constantly at war. Thank God for therapy.

Some of the DS advocates here would say that some people can only be successful with that particular surgery. I'm inclined to disagree, but it's one perspective you'll see on the boards.

When I chose to go for surgery VSG was the only one I wanted. I didn't even look into DS or RNY. I'm not sure why I didn't research the others, vsg was just the one I wanted

The problem is that in some ways we don't get a chance to study super super obesity, which I do think benefits more from an RNY or DS down the road...though barely, likely. I was not overeating even by WLS standards, but I was overeating for my body's setpoint, which is apparently really freaking low. It's easy to blame surgery and metabolism, and much harder to blame habit.

It'd be interesting to see more controlled studies between more accurate data points. For example, 600 lb DS patients vs. 600 lb RNY patients who all have diabetes (or not).

Also, they do a crap job, IMO, of treating behavioral health issues pre-op across the board. Of course I am biased given my profession and own mental health issues! However, if I wasn't wrapping up grad school when I had surgery and being trained in it myself, frankly I'd never have lost any weight.

I have seen VSG peeps lose 400+ with just that surgery and DS peeps what have gained 75 pounds or more. The greatest organ that influences weight loss is the brain, and either because of stigma or limited financial resources or the structure medicine has built around WLS, we ignore it for the most part, sadly. Again, totes biased psychology person here >.>

You can eat around any surgery. I know someone who had RNY lost the weight, kept it off and then regained. Why? She discovered she could drink milkshakes.

To me no milk shake is worth the risk of sabotaging myself. I know how easy I am with some things and know what is and isn't a trigger. Milkshakes are a trigger. And those Dairy Queen blizzards no no no.

Of the people I have talked to that have had a similar experience it is almost always that they return to a normal way of eating, i.e. sandwiches (even if it is only a half of a sandwich) or they start drinking heavily. There are very easy ways even with the sleeve to consume 3000-4000 calories per day and if you are only burning 1200-2000 calories a day (i.e. you do not do anything) and you do not have the benefit of ketosis any longer, you will likely stop losing and eventually gain.

To this day I cannot eat very much but I have put back on 40 of the almost 200 lbs I lost. I started getting over confident and drinking and partying a lot thinking I could always easily take it back off. Its not that it didn't work, she likely stopped following her plan.

That being said there are certainly people whose metabolism is extremely slow and even ketosis doesn't start working. There also needs to be some sort of exercise involved. Its not a pick and chose program and requires almost obsessive dedication and focus.