New here!

danigirl62000
on 3/4/11 1:48 am
Hello to all,

I am new to the website and look forward to getting to know you all. I am currently waiting for approval from my insurance. I am really leaning my wls towards the RNY. I have done a lot of research and feel this would be the best for me. I am 27 and have a wonderful husband and a beautiful daughter. Both of which have the skinny genes, lol. I have been overweight and obese my entire life. I have tried to lose weight by dieting and exercise since I was 11 years old. No luck. I always lose about 30lbs in the first 2 months then it comes right back plus more. We all know how that goes.

I guess my main concerns of losing the weight are extra skin and losing hair. I know it will be better to be healthy and thin, but for some reason I am already worried about this happening. Even though I am a big girl my curves look descent. I am worried that my curves will go away and I fear that I will have more of a self conscious/body issue then I do now. I guess since I have been bigger all my life I carry my weight well.

Anyway, I have noticed more and more people making rude comments about me when I go out in public. It didn't used to bother me, but know I don't want to go anywhere that involves strangers. This is bad because I only have one child who is 7 and I need to be more active and enjoying life with her before she is all grown up and wants nothing to do with me. Any advice is well appreciated.
(deactivated member)
on 3/4/11 3:58 am
Welcome aboard. By saying you have researched, does this entail having researched the duodenal switch (DS) and vertical sleeve gastrectomy (VSG). Those are the two best procedures. After RNY you will no longer have a functioning pyloric valve, which is an essential part of human anatomy.

danigirl62000
on 3/4/11 4:46 am
I have researched both of those as well. The surgeon I am using as well as the one who I was referred to by a friend does not do either of those procedures. I was actually going with the DS at first, but thought if I wanted the best outcome I should have a pouch that will limit me to what kinds of food I should take in. I'm sure many people with the DS have more self discipline than me, but as for me as a person I know the RNY is going to be the best choice for me. GL with your next surgery and congrats on your weight loss so far.
(deactivated member)
on 3/4/11 7:27 am
i understand. I wish you all the best whatever procedure you have, but I want to make a few points.

First of all I don't think it matters what surgeries your current surgeon does. My best advice is to choose a procedure before a surgeon. Remember this is a surgery you will have to live with the rest of your life. Do not let a surgeon dictate what procedure to have. If you want a VSG or DS, you have the right to go to another surgeon who is skilled in doing these surgeries.

I also understand you wanting a pouch that will "force" you to make good food choices, but I want to expell the myth that this will lead to better weight loss (because it wont). You're chance of having dumping is 50/50, and it will not stop you from eating junkfood in the long run.There is absolutely no medical research that shows that patients who dump are more successful than those who don't. In fact the DS which doesn't lead to dumping has far better weight loss results.

RNY stats after 5 years: 65% excess welght loss, 70% of patients succeed, 20% patients require reoperation (revision)/

DS stats after 5 years: 80% excess weight loss, 92% of patients succeed, 2-5% patients require reoperation.

If you compare the surgeries you can see that the DS has much greater success, and it is for very good reasons.

The RNY is primarily a restrictive surgery with mild, temporary malabsorbtion. The malabsorbtion lasts for about two years after which you rely on the restriction of your pouch for portion control. The problem with this is that the stoma, which is the connection of your pouch and small bowel, can easily become dilated leading to enlarged portions and major regain. That is what happens very often. it is quite typical with The RNY.

Also by not having a functioning pyloric valve you are at risk of severe dumping syndrome, ulcers and dietery complications.

In contrast to the RNY, the DS is a primarily malabsorbtion procedure. The DS is a metabolic surgery. It corrects the metabolic conditions that have caused us to be fat our whole lives. After the DS you take on the metabolism of a lean person.  There is also the restriction of the sleeve.

Unlike the RNY, the malabsorbtion with the DS is permanent. This is why the surgery is so successful. Not only does the malabsorbtion help you lose the weight, but it helps you maintain as well.

In terms of food choices: The DS requires a high protein diet, but due to the malabsorbtion it allows for a normal diet. You do need to watch your carb intake, but you will not require any extreme dieting like atkins that the other surgeries do.

With the DS 80% of fat calories are malabsorbed, 40% protein and complex carbs are malabsorbed, but all simple carbs are absorbed. So lets say you want a snickers bar. With RNy all of the calories are absorbed, but not with the DS

Here's the math on how much calories would be absorbed with the DS:

SNickers:  124 calories from fat, 16 calories from protein, 140 calories from simple carbs.

since 80% of fat calories are malabsorbed with the DS, you would only absorb 25 calories from fat, also 9 from protein and 140 from carbs. Add that up and you absorb: 25 +9 + 140= 174 calories. That's a lot better than absorbing all 280 calories.

That doesn't mean you can live off carbs, but you can incorporate some into your diet without it making you fat. With RNY you are more likely to find yourself in a deprive binge cycle, which is sadly very common.


http://www.dsfacts.com/Comparison-of-DS-and-RNY.html


danigirl62000
on 3/4/11 9:29 am
Thank you for sharing. I will check out the website. I was wondering why you need to have another type of surgery? What happened and do you feel like this will be your last one?
(deactivated member)
on 3/4/11 9:42 am
The link I put is from the best ds site www.dsfacts.com. I would go through everything on that site.

The main purpose for revision is to correct dumping syndrome. I have severe dumping everyday. I do not make bad food choices. Dumping syndrome can happen because we no longer have a pyloric valve after gastric bypass. That's why I had mentioned above how important the pyloric valve is. It is because of this aspect of gastric bypass that I believe it to be a horrible surgery that should not even be performed. All medical research shows that the DS has a far better outcome with the least number of reoperations.
kristine V.
on 3/4/11 4:15 am - FL
i had my rny a few weeks ago and i'm honestly very happy with it so far! everyone keeps complimenting me saying that i look so much thinner and i hear them at least once a week and i'm beginning to feel it in my clothes and i also have been dieting since i was very young. i think i might have started weigh****chers for the first time at 9 or 10 years old. i'm still not far enough in my journey to discuss loose skin but for me, it'll be worth it. i mean, you can cover it up and eventually get plastics. hell, there are even some insurances that will cover plastics if the loose skin is bad enough to cause rashes and such!

this might just be me but i felt better as soon as i got my surgery...well, after the first week of hell where i felt like i wa**** by a truck. i'm more happy-go-lucky. i find myself randomly dancing in the car to music or acting a little sillier...more myself, less withdrawn from the world. it was the best choice i made, honestly, and i don't care if i end up with loose skin. i'll still be more comfortable with myself then than i am now, that's for sure
  starting weight: 343 current weight: 273 goal weight: 143
danigirl62000
on 3/4/11 4:56 am

Thanks for the support. I know in my heart it is the best decision regardless of the skin issue. I am glad to hear you have been feeling so much better about yourself already. I can't wait to be there, although it is coming up soon, I can feel it. Anyway, thanks for the post and good luck on your journey.

kristine V.
on 3/4/11 7:38 am - FL
i was honestly surprised how quickly i felt better and i'm not going to lie, i still have lethargic moments and i think everyone at one point goes through buyer's remorse in the first couple of months but your relationship with food is going to change DRASTICALLY so it's expected. i hope your process goes quickly! mine took about seven months but it was well worth it.
  starting weight: 343 current weight: 273 goal weight: 143
Takerslove
on 3/4/11 10:44 am - Reading, PA
Welcome!

I am 4 weeks out and I didn't notice any hair loss more then normal. The Dr told me it is just a normal thing and that it will happen if i want it to or not, but not to worry that it will grow back.

As for sagging skin. you gotta tone. I am told if you tone through out the process that the skin will come back to life. I also hear of wearing spanks or something like that while you are losing to help you feel better when you are in clothing, but i did not try wearing them yet.

Believe in your self and your best friend in life. Remember everyone will have and opinion.

Hugs!
Gastric Bypass Jan 31,2011
Hystrectomy October 2006
 
            
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