Can you loose more weight then they say you can?????

I had the RNY in 2004?

I lost 100% of my excess body weight. It's not your surgery, it's the compliance with your surgery that determines your success at weight loss. I've met people on here who lost 200-300 lbs. with the sleeve and have maintained over time.

You can lose as much weight as you are willing to work for in terms of compliance with a good dietary plan - regardless of surgery.

I would have been disappointed to lose any less than 100 per cent of what I needed to be a normal BMI.

How much weight do you want to lose?

My surgeon gave me a choice between the RNY and the VSG. He said that you will lose more weight initially with an RNY, but the difference at the two year point is statistically similar between the two procedures.

I still have more weight to lose. It becomes more difficult the further out you are because your determination can be difficult to maintain long term. Whichever surgery you choose, make the most of the time after surgery. You'll lose the most weight within the first six months if you're compliant with your program.

Yes you can lose more weight than the Drs say, as long as you stay compliant with the requirements for that the surgery. It can be more difficult the further out you are from surgery, but it still can be done. My Drs are happy with me losing 20 more pounds which seem much easier to deal with than the 170 pounds preceeding it, but will I stop there?, no because I know I can go further than that. You can go as far as you're willing to go.

Just remember losing & maintaining are 2 different things. No matter which surgery you choose just because you can get to a certain weight doesn't mean you'll maintain it, that's a whole challenge in itself. I haven't gotten there yet, but I do hope wherever my body decides it should be at that I'll be able to maintain it for the long term.

The amount of weight you lose is dependent on you, as other posters have said, not on what type of surgery you have.

As far as maintenance, what worked for me was not changing anything about what I ate. I didn't deliberately move into a "maintenance" phase; I considered my food plan, starting from Day 30 to today, to be permanent: protein first, veg next, no grains, sugar or carbs, a little fruit, some nuts & seeds (which didn't join the party for a few months), plenty of water. That meant that my weight fell quite a bit lower than I thought it would (lowest weight 132), but it's gradually leveled out due to increase in capacity. Current weight is 143. Especially DO NOT increase carbs in order to try to put on the brakes, it'll bite you in the butt. Let your body find its level. Disregard friends and family who say you're getting too thin. Put one foot in front of the other and let life & weight loss happen.

Good luck!

I can't comment on the RNY because I just don't know enough about it as my studies have been with the VSG.

I would believe your surgeon 100%. He is telling you that his/her VSG is just about average.

The VSG is not a standardized procedure. Sizing, technique and plans can vary greatly and the results seem be all over the place.

It is very true that commitment and compliances is key to the success of any WLS, what helps is a more powerful tool along with good education.

Whatever surgery you have, you should mention the blood clot issue to the surgeon. They may want to install a trap/filter.

Hope this helps !

frisco

He can't tell you the Sleeve won't get you where you need to be, nor can he tell you that the RNY/gastric bypass WILL get you there. Statistically, at two years post-op, both procedures have about the same success rate---but statistics reflect an average, and only predict what will happen to a large number of people. They CANNOT tell you what your individual results will be.

With any form of WLS, some people will lose 100% of their excess weight, or even more---and some will lose less than 50% of their excess weight. How much YOU will lose will depend in part on how hard you work at it, and in part on how your body responds to the surgery you choose. No one can guarantee you'll lose X% with Surgery A, but only -X% with Surgery B.

Have you researched a procedure called the Duodenal Switch? Statistically, the DS has the best average of maintained weight loss---78% at ten years post-op. If you have a LOT of weight to lose, or if you know/suspect you have a metabolic problem (diabetes, PCOS, insulin resistance, high cholesterol, etc.) you really need to consider the DS before you make your final decision. The DS is the only form of WLS that makes a dramatic, permanent change in your metabolism.

Thank you guys for your advice I am sure I will choose the right one for me just alittle confused about the two procedures But I think the RNY is the way im going,,,,,,,,BUT YES IM SCARED TO DEATH..........

Well, you really need to understand ALL THREE procedures---VSG/Sleeve, RNY/gastric bypass, and DS/duodenal switch---before you choose to have ANY WLS.

All three cause some restriction in how much you can physically eat at one sitting, but none of them keep you from eating often, or from eating 'bad' foods. All of them will require you to make good choices in WHAT you eat. You'll still have to stick to a diet, but it will be easier since you'll feel full and satisfied with less food.

The Sleeve relies solely on restriction---no malabsorption.

The RNY relies primarily on restriction, but for the first 18-24 months you'll also malabsorb a small per centage of the calories you eat. (Most peoples' bodies are about to overcome caloric malabsorption by growing more villi, the little things in the gut that do the actual absorbing.)

The DS relies somewhat on restriction, but unlike the other two, the DS causes you to malabsorb a significant per centage of the calories you eat, for the REST OF YOUR LIFE. This is why the DS has the very best long-term, maintained weight-loss stats. The DS also has the best stats for resolving or preventing co-morbs like diabetes, insulin resistance, PCOS, and high cholesterol.

You say you're sure you'll choose the right one for you, but you CAN'T as long as you're confused. Read everything you can get your hands on. This is a decision that will affect you for the rest of your life. Think twice, cut once. (*grin*) You might want to visit the specific boards for each surgery type, and the Revision board as well.