From your profile:

"I do like my sweets and like to eat. I want a surgery that I will lose weight and KEEP IT OFF. I am tired of being OBESE. Please give me feedback pro/cons of your surgery."

Malabsorption is the key to keeping your weight off. Malabsorption does NOT equal malnutrition, but it does mean that you must commit yourself to taking supplements daily and having regular bloodwork.

The pros of my surgery, the DS, are many. I still have a fully-functional stomach, that does everything it did back when it was huge. I have no remanent stomach, like in the RNY, so I can still take NSAIDs---or any other medication, for that matter. I eat a high-protein, full-fat diet, and about 2500 calories a day. I only absorb about 20% of the fat I eat, so my cholesterol numbers are fantastic. I have never had any food tolerance issues, and I no longer have the insatiable appetite I did pre-op---I get hungry 3-4 times a day, and I eat and am satisfied with small-but-normal-sized portions of pretty much anything I want.

Cons---can't really think of any, unless you count the supplements and bloodwork. The supplements are a habit now---I take a multi-vitamin and iron at breakfast, and calcium at lunch, dinner, and bedtime. I get bloodwork once a year. I eat protein first.

thank you for your reply. I posted on this board, as I didn't think it fit on another board. I do not regularly take anything with the exception of thyriod medication. Her reasoning I have since found out is that there could be a higher risk of infections due to the IgA defiency. I know have another appointment to get a second opinion from another rheumatologist, but have to wait to get in.

I'm going to suggest you also research the DS (duodenal switch). It has the same stomach as the Sleeve, and allows you to still take NSAIDs. But it also has a malabsorption factor, which makes KEEPING your weight of much easier, and allows a much more liberal diet. (DSers eat a high-protein, high-FAT diet, without worrying about calories or cholesterol.)

I chose the DS five years ago, and I've never had one regret. I'm also at my all-time lowest adult weight, and I take NSAIDs nearly ever day. My arthritis has gottem MUCH better, but the damage isn't going to reverse itself. Just before I had my DS five years ago, my arthritis doc told me I needed both knees replaced. I still haven't had them done, and I won't as long as I'm having this little pain!

hi ALL, I had good success with my surgery. Now I am having a real challenge getting back to my medications whi*****lude SULFASALAZINE, PREDNISONE, IBUPROFEN, FOLIC ACID. My rheumi wants me to stay with what has worked (makes sense) my surgeon is thinking this is going to highly challenge my RNY and I am thinking how can I get all of this in. I am told to cru**** all now (yuck) and it amounts to quite a lot....challenge getting this all down and still have room for flluids and proteins...in addition I have to take ulcer meds to protect my innerds from the meds....it has been 2 days and I am so flustered. anyone have good luck with this and could their be liquid forms of any of these meds. HELP PLEASE my doctors are a bit at odds....thanks soo very much.....(of course I am having BM problems with all the meds too)

From what I have been told and have read is that one can no longer use anti-inflamatories and many other medications after RNY-DS because of the lack of surface area etc for absorption. Also the metabolism of the meds are different after RNY-DS. However I have been told that lap band and VSG do not have this issue because the intestines are left alone so absoprtion and metabolism are not affetced. So I am not sure what is safe for post RNY ......... Just because one doctor says it is okay doesn't make it safe so do your research first.