Having a gastric bypass this summer and have some questions. Thank you !

Thanks. I appreciate your research. I think my big takeaway in this mini debate is that malabsorption is a bit overrated in regards to weight loss. If I'm reading the study I posted correctly (it read like a Greek menu) it seems like it maxes out at around 60 calories a day.

i get get that the gut adapts. I don't think dissection and bypass would produce the same result but my opinion on that and 2$ will get you a cup of coffee.

Same here. I originally wanted the sleeve but after my endoscopy my surgeon said it was not for me because of my severe GERD problem. I have been on Prilosec for 15 years and he wants me off that as soon as possible because of the long term side effects and he said eventually it would stop working which appears to be happening recently.

I was actually somewhat disappointed that my endoscopy came back normal. Anyway better to get the RNY rather than have to get a 2nd operation because of some stupid heartburn.

Good luck on Tuesday!

Thanks Scott! I've almost made it! 2 more days to go! 25 lb gone this morning! Whoo! Hooo!

My surgeon called RNY a "Cure" for type 2 diabetes because of how they re-route how the food is digested. You By-Pass the part of your stomach that triggers the pancreases. As a result insulin isn't released until sugars are present in the blood stream which gives less highs and lows for those with diabetes. At least, that is how my surgeon described it to me. You wont get this by going with the sleeve as your digestion isn't re-routed. However, loosing the right amount of weight can still cure you of type 2 diabetes. So most WLS help with that. At the end of the day, when you make a decision to have surgery you want to make sure that you are 100% happy and committed to the type of WLS you are planning to have. Each has its own set of benefits and negative side effects.

RNY is certainly better than VSG for those with diabetes. But it is not a cure. Remission is a more accurate term.

Diabetes remission is not a function of the bypass at all, since a very high percentage of VSGers experience remission of diabetes.

For those with Type 2 diabetes for longer than around 7 years and were insulin dependent, chances become much smaller that diabetes will go away. And if it does, chances are greater that diabetes will rear its ugly head again down the line.

Good point: one of the men in my local support group lost 200 pounds after RNY to get to goal and kept it off for 8+ years. His diabetes was in remission for most of that time but it returned in the last year (no weight regain).

The simplest description I heard from my endocrinologist was that the pancreas is like a battery. It has enough power to last about 7 years. When you become diabetic, you start running off that battery. If you are highly insulin dependent, you are running on full power. Well controlled diabetes on oral meds is only using a little of the battery.

If you have RNY early after contracting diabetes, you go into remission and have saved most of the life in that battery. If you have RNY 7 years or more after diabete**** you may have drained most of that battery, and either won't go into remission, or diabetes can go into remission and come back.

That's an incredibly simplistic explanation for very complicated mechanisms, but I thought it was useful.

Losing weight does not cure Type 2 diabetes. About 50% go into remission with the sleeve and about 85% go into remission with RNY. With RNY the remission can start the day of surgery before any weight is lost.

I would like to add, what ever procedure you choose there is still a lot of mental work to be done. Changes made for success will be life long