Went in for DS 2/23 and came out with sleeve
I'm sorry you were disappointed. I'm sure I would have been hysterical if I had gone in for a DS and not received the whole thing. In the short-term, you can do your best to be successful with your sleeve while working to get the switch if it's possibel with your issues.
Per the consensus statement on VSG, the sleeve works through three mechanisms which are responsible for weightloss:
1) Restriction (79%) -- smaller, tighter sleeve means more restriction
2) Hormone regulation (16%) - removal of fundus means reduction in serum ghrelin
3) Gastric Emptying (5%) - initiates early satiety possibly through the 'ileal brake,' partially hormonal as well
Most successful sleevers follow pretty much the same path: 1) eat protein first, 2) dont' drink with meals (I generally wait 45-60 minutes), 3) keep carbs low, 4) keep calories relatively low during weighloss phase, 5) get your fluid and protein in, and 6) take your vitamins. Dr. Cirangle's plan which is often repeated is 600-800 calories a day once you progress off mushies, less than 40g carb, 80-100g protein. My surgeon's was a little different but not that far off. Once you can, get in 80-100oz of water a day. Some people do great without exercising, but walking is not only good for avoiding DVT it's good for your weightloss, generally.
A few tips: 'hungry' may really be 'thirsty'. Focus on fluids, especially early on. Don't fear fat. Eggs, cheese, bacon are ok (and yummy). Keep in mind you can't eat a lot at one time. A one-egg omlette with 1 slice of cheese and a piece of bacon is very satisfying to me at 13 months post-op. I eat a lot of full-fat swiss cheese because it's a great source of calcium and protein, 1/2 & 1/2 in my coffee, etc., and my lipids are great.
Good luck! Wishing you the best, and an eventual switch if you can.
Per the consensus statement on VSG, the sleeve works through three mechanisms which are responsible for weightloss:
1) Restriction (79%) -- smaller, tighter sleeve means more restriction
2) Hormone regulation (16%) - removal of fundus means reduction in serum ghrelin
3) Gastric Emptying (5%) - initiates early satiety possibly through the 'ileal brake,' partially hormonal as well
Most successful sleevers follow pretty much the same path: 1) eat protein first, 2) dont' drink with meals (I generally wait 45-60 minutes), 3) keep carbs low, 4) keep calories relatively low during weighloss phase, 5) get your fluid and protein in, and 6) take your vitamins. Dr. Cirangle's plan which is often repeated is 600-800 calories a day once you progress off mushies, less than 40g carb, 80-100g protein. My surgeon's was a little different but not that far off. Once you can, get in 80-100oz of water a day. Some people do great without exercising, but walking is not only good for avoiding DVT it's good for your weightloss, generally.
A few tips: 'hungry' may really be 'thirsty'. Focus on fluids, especially early on. Don't fear fat. Eggs, cheese, bacon are ok (and yummy). Keep in mind you can't eat a lot at one time. A one-egg omlette with 1 slice of cheese and a piece of bacon is very satisfying to me at 13 months post-op. I eat a lot of full-fat swiss cheese because it's a great source of calcium and protein, 1/2 & 1/2 in my coffee, etc., and my lipids are great.
Good luck! Wishing you the best, and an eventual switch if you can.
Carolyn (32 lbs lost Pre-op) HW: 291, SW: 259, GW: 129.5, CW: 126.4
Age: 45, Height: 5'2 1/4" , Stretch Goal: 122 
Oh, I was pretty upset when they told me. And of course, now I worry about insurance as Medicare does not cover the sleeve - my surgeon says that should not be a problem as it was the only option and he did spend hourse trying to undo adhesions and scar tissue before starting the sleeve - not enough loose instestine to do the DS
Thanks for all the info. . .
Thanks for all the info. . .
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