Sleeve vs RNY with BMI at 67

I have lost over 250 pounds thanks to the sleeve. I had my surgery in Feb. of 2012 and have nothing but good things to say. I still have 60 or so pounds to go but I have full faith in my sleeve. I still have amazing restriction. I didn't exercise for the first few months because I was so heavy and it was painful, yet the weight still melted off. I only exercise randomly now due to my busy schedule-but I still lose 3-4 pounds per month. I joined a gym last week and plan on doing water aerobics at least 3 times a week from now on. Good luck to you on your journey!

Thank you. I am going for my first to appointments tomorrow with the nutritionist and the Nurse in charge. I should get more information from them. It is nerve racking to have to make such and important decision.

Like the others, I can't help you decide but I can tell you that my own personal experience is as follows:

Highest Weight Dec 1st, 2013:  369

Surgery Weight Dec 16th, 2013:  351

Today's Weight July 6, 2014: 218

I had RNY and it's been incredible.  I have to make good choices in food everyday, and work out, but I couldn't have done it without my pouch.  I feel so energetic and strong and happy.  I think you can succeed with RNY or VSG but you have to really be committed.  I stay 99% on plan 99% of the time.  My only deviation has been that occasionally I have 5 or 7 tortilla chips.  And I factor them into my day's calories.  I log every single bite into MyFitnessPal.

Good luck!  It's a wild but exciting ride you are embarking on!

My BMI at my highest weight was 70.  I chose the VSG for various reasons.   My surgeon told me that I would initially lose more weight with the RNY, but studies show that the weight loss is comparable over a two year period. 

The decision is ultimately yours and your surgeon's.  For me personally,  I just couldn't wrap my head around the idea of rerouting my intestines and the inability to ever take NSAIDS again.  I believe it was the correct choice for me, but everyone is different.   Good luck in whichever path you choose.

I'm not a high BMI person, but I love my sleeve. and it does have good results for folks like you. Also it can be converted to a DS later one if you need to. It would be less expesive to let the insurance pay for the VSG and see how it works and then go out of pocket to the DS , but only if needed.

good luck!

I am almost 5 weeks out and I love my sleeve! When I started y BMI was 63.1 (345 lbs)..I am now 301 lbs. Discuss with your surgeon which would be best for you..AND do your homework- make sure you understand the risks of each. Good luck! 

Hi James, I gained an additional 70 lbs. trying NOT to make the decision for the RNY. I didn't want to risk an intestinal re-direction and a change to the normal physiology that could cause complications and in some  cases, failure, not to mention MANY complication, non existent with the VSG. The VSG can be revised to the DS if not successful. However, many have reached their goals with the VSG alone, even at high BMIs. All the best to you, whatever decision you make.