Good Morning. Brainstorming.

I love to brainstorm tough problems with a small group and come up with ideas and potential solutions. We're going to be doing that today at work and thought it might be fun to do that ourownselves.

Problem: We need a WLS that is efficient, effective and doesn't prohibit uptake of micro-nutrients but does prohibit the uptake of macro-nutrients (carbs and fats). Perhaps it should also reset the metabolism. Currently we have restrictive only, restrictive with moderate malabsorption, and restriction with maximum malabsorption.

Pros and Cons of each surgery we know today?

If you could create a hybrid WLS, describe it.

I'll be back tonight since we're having a working lunch to brainstorm our problem statement.

--gina

This one shall take a little time to consider.......

I'll have to think about it!  I want a little malabsorption to get me to goal, but then I want it to stop.  But I want everything inside me exactly as it.  Now that's a challenge!

I just wanted to say.... Good Morning Gina!!!  :)

Lee, I love your new picture!

 Gina, I don't mind you making me laugh, cry, or be proud of myself, but NOW YOU WANT ME TO THINK, too?

I feel like I spent most 11 months prior to surgery researching, but am no closer to an answer.

If I could design the perfect WLS, it would be like Lee described, malabsorption to get the weight off quickly, then none to make keeping vitamin and protein levels easier. Then to complicate further, it would be reversible, if needed for health reasons. 

That said, reality. I think that the surgery needs to fit the person. I first wanted the DS, but knew in my heart I would rebel at the supplement regimen. I also knew I would not want to keep going back to the doctor for fills with the band. My next choice was RNY, but with personal health issues, it would be tough (need to take Advil for arthritis, lots of abdominal scarring, and an autoimmune liver condition). SOOO, that left me with the sleeve, which I knew nothing about, but it seems to suit me fine so far. 

My doctor said more than half of us would switch our choice of surgeries after the first seminar. He was right on that point. I am grateful that there were more choices available, and I bet in the future our imagined surgery will exist. I couldn't wait, though, or I would be starting at 300 or so and have serious diabetes problems.

Thanks for the thoughtful start to my day!

I'm thinking VSG, with some sort of coating of the part that they re-route with a DS that lets you customize the absorption :-)

I just need a brain operation so I don't want to eat bad carbs and sweets!! 
Linda