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Where and through what agency are you certified as a nutritionist?
I was scheduled for RNY however ended up with VSG due to excessive scarring from previous abdominal surgeries. I'm only 5 months out and have no issues thank goodness. I'm not sure that I would have a revision option anyway.
Good luck!
I had GERD prior to my VSG. I was on a PPI for 10 years. Dr's found a large sliding hiatal hernia on CT scan prior to surgery. I knew it was a risk to have the VSG but I wanted to avoid the malabsorption component of RNY if possible, due to medication that i must take forever. Had VSG, surgeon fixed the hernia during the surgery. Knock on wood finger crossed. No GERD so far, has been 2 years. Off PPIs for 18 months now.
It's pretty much a crapshoot as to who'll have complications, etc from VSG. If you have Gerd & you don't know where it comes from, I'd look at the RNY.
For me, I had the lightest version of Gerd b4 surgery & it came from a hiatal hernia that was repaired at surgery. VSG was & still is the best choice for me. I'm 5 years out, no regrets 
No one surgery is better than the other, what works for one may not work for another.
T-Rebel
There is no entity that keeps track of revisions, so there is only anecdotal evidence. But it happens pretty often. I've seen too many. The biggest issue would be if you have acid issues before surgery. If you do, you shouldn't even consider the sleeve.
Keep in mind that a lot of surgeons prefer VSG. They get reimbursed the same as RNY, and they can do twice as many in a day. Good for them, maybe not for you.
OH site search for VSG to RNY:
https://www.obesityhelp.com/search/?q=VSG%20to%20rny
And sleeve to bypass:
https://www.obesityhelp.com/search/?q=Sleeve%20to%20bypass
6'3" tall, male.
Highest weight was 475. RNY on 08/21/12. Current weight: 198.
M1 -24; M2 -21; M3 -19; M4 -21; M5 -13; M6 -21; M7 -10; M8 -16; M9 -10; M10 -8; M11 -6; M12 -5.
I was sleeved a few months ago and so far I think it's pretty good. I think the biggest decision is finding a doctor/team that you can trust. I didn't choose the first surgeon I went to. For me, I thought the sleeve was a little safer and closer to my normal routine than the bypass as there is nothing new added to the body. I don't believe there is any malabsorption with the sleeve, nor the dumping syndrome. There is plenty of info on here as well as across the internet about the pros and cons of both surgeries. Hope you find what you're looking for.
And I've recently been getting the little squirt mixes for on the go. There are a good variety of sugar free ones out there.
I've been drinking a calorie and sugar free drink for 4 years now. It's a grape flavored powder mix usually sold near tge crystal lite section but it's not tea. Cutting out sodas and other sugar drinks helped me to lose a good amount of weight in the past.
on 8/23/19 6:18 pm
I'm also just out of a 4 year narcissistic relationship girl. I know that pain too
