First Steps
So...
This is my first time posting as I am new to the site. ( I've been reading for about 3 weeks)
I went to my consultation today with my surgeon and I was incredibly nervous and anxious. My BP and pulse were sky high! Well I went in pretty convinced that I wanted the sleeve but now that I've had all day to think about what he said in the meeting about losing 2/3 of your stomach FOREVER...I'm nervous.
So now I'm noticing that many Lightweights have had RNY. So I'm very unsure and I'm also thinking that my insurance will not pay in the end because of my BMI of 39.something.
I feel like I had a consultation on a surgery that I'm not sure I want now.
So I'm feeling super stressed about everything, I'm going to keep moving with the process and try to call the patient liason tomorrow.
Thanks for listening
This is my first time posting as I am new to the site. ( I've been reading for about 3 weeks)
I went to my consultation today with my surgeon and I was incredibly nervous and anxious. My BP and pulse were sky high! Well I went in pretty convinced that I wanted the sleeve but now that I've had all day to think about what he said in the meeting about losing 2/3 of your stomach FOREVER...I'm nervous.
So now I'm noticing that many Lightweights have had RNY. So I'm very unsure and I'm also thinking that my insurance will not pay in the end because of my BMI of 39.something.
I feel like I had a consultation on a surgery that I'm not sure I want now.
So I'm feeling super stressed about everything, I'm going to keep moving with the process and try to call the patient liason tomorrow.
Thanks for listening
This is a big decision. Honestly, I would suggest keep reading and researching. Gina will also post about why some surgeries may work better depending on your eating type. I think more
and more people are getting the sleeve and you may want to look at the VSG forum. THIS is agreat forum though as we do NOT get into the my surgery is better than yours and hopefully you can get a fair representation from folks who have had all of the major surgeries. I am content thus far with RNY.
Good luck and keep reading!! You will figure this out.
Blessings,
Jennifer
and more people are getting the sleeve and you may want to look at the VSG forum. THIS is agreat forum though as we do NOT get into the my surgery is better than yours and hopefully you can get a fair representation from folks who have had all of the major surgeries. I am content thus far with RNY.
Good luck and keep reading!! You will figure this out.
Blessings,
Jennifer
HW/232 CW/145.2 GW/???
Welcome to the group, research--research--research :)
Mandy
Mandy
HW-298 SW-251 Loss/Month post RNY(1)-23.5,(2)-23.3,(3)-9.9,(4)-10.6,(5)-8.9,(6)-7.7,(7)-4.2,(8)-7.5,(9)-1.7,(10)-10.8*first goal reached*,(11)-6,(12)-1.3,(13)-0.3,(14)+2.9-*changed scales that weigh 2lbs heavier*,(15)-0.3(16)-4.7(17),+5.8(18)-1.5,(19)+4.4,(20)-+4,(21)-1.2,(22)+3.5,(23)
70% of all WLS in the US are RnY so naturally a lot of lightweights have RnY. 
But all four WLS types have pulse and minuses when it comes to effectivenes and complication and lifestyle choices and those issues are what are going to make your choice work for you or not.
As for losing my stomach, I say good ridance! It was broken and only caused me grief. I don't miss it just like I don't miss my gallbladder or my dd doesn't miss her tonsils.
Yes, the stomach is removed permanently in the sleeve (and DS) but RnY is hardly ever reversed in practice. That's because taking down a RnY is a very risky procedure. So it's only done to people who are having complication after complication and their choice is a risky take-down or permanent, serious damage to their health.
Basically, you have to think of all WLS's as permanent, even the band. They all make permament changes to your anatomy and reversing them leads to weight regain.
But all four WLS types have pulse and minuses when it comes to effectivenes and complication and lifestyle choices and those issues are what are going to make your choice work for you or not.
As for losing my stomach, I say good ridance! It was broken and only caused me grief. I don't miss it just like I don't miss my gallbladder or my dd doesn't miss her tonsils.
Yes, the stomach is removed permanently in the sleeve (and DS) but RnY is hardly ever reversed in practice. That's because taking down a RnY is a very risky procedure. So it's only done to people who are having complication after complication and their choice is a risky take-down or permanent, serious damage to their health.
Basically, you have to think of all WLS's as permanent, even the band. They all make permament changes to your anatomy and reversing them leads to weight regain.
HW - 225 SW - 191 GW - 132 CW - 122
Visit my blog at Fatty Fights Back Become a Fan on Facebook!
Starting BMI 40-ish or less? Join the LightWeights
"losing 2/3 of your stomach FOREVER..."
It's not really like that. The stomach is a really stretchy material. I lost closer to 80% of mine. (VSG is part of the DS.) At first that meant only a tiny amount of food filled it up. Now at 3 plus years out, it's closer to a normal, but small stomach.
I WI**** had stayed as small as it was forever!
Good luck on your research. Definitely go hang out on the VSG forum if you're interested in people's experience with the sleeve. Check out all the forums so you know all your options.
It's not really like that. The stomach is a really stretchy material. I lost closer to 80% of mine. (VSG is part of the DS.) At first that meant only a tiny amount of food filled it up. Now at 3 plus years out, it's closer to a normal, but small stomach.
I WI**** had stayed as small as it was forever!
Good luck on your research. Definitely go hang out on the VSG forum if you're interested in people's experience with the sleeve. Check out all the forums so you know all your options.
Duodenal Switch 3/09
HW 255/GW 150/LW 119/122
Welcome! 
Here's the run down my surgeon uses to help patients decide which surgery might help them address their eating demons the best. He describes our eating demons by categorizing eaters in 3 ways: 1) the bloater--eats one or two big meals a day, doesn't snack and is pretty active (busy) throughout the day. 2) the sweeter--is addicted to sweets/carbs/sugar and may need some help with volume eating. 3) the grazer--eats or nibbles pretty much constantly and may eat a meal for longer than a half hour.
The bloater may do well with a restrictive only surgery such as the band or the VSG. With the band patients can expect 50-60% weight loss. It's a failure for sweeters and grazers. With the VSG expect 70% weight loss. This surgery can be converted to DS easily. (Note: we have seen lightweights be 100% successful with both the band and VSG here on this board) My surgeon sees about 55% weight loss maintained after 5 years with the VSG but he makes his sleeve larger than most.
The sweeter may do well with the RNY using negative reinforcement of dumping on sugar and fat. There is a 20-25% chance of late regain after 2-3 years--a regain of 20-30% of the initial pounds lost. When successful, expect 60-65% weight loss. (I think these numbers are also more for heavy weights because we see much better success in the lightweights who stay hooked in here on the board)
The grazer may do well the DS and has a 80-90% success rate long term. Patients can expect 90% weight loss. It is also puts type II diabetes in remission for approximately 90% of patients long term. The DS works well for sweeters, grazers and bloaters but can be beat with excessive sweets, fats and grazing. (My surgeon calls the DS the bazooka of weight loss surgeries. Some surgeons won't do the DS on lightweights but some will reduce the amount of malabsorption and give lightweights the DS using a longer common channel. For more info on the DS, see www.dsfacts.com. There aren't that many surgeons skilled enough to do the DS. Don't jump into this one without doing a lot of research on your surgeon. Surgeons who don't do the DS will use scare tactics and lies to dissuade patients from pursuing the DS. We call them bait and don't switch surgeons, or outright greedy lying *******s.)
--gina
Here's the run down my surgeon uses to help patients decide which surgery might help them address their eating demons the best. He describes our eating demons by categorizing eaters in 3 ways: 1) the bloater--eats one or two big meals a day, doesn't snack and is pretty active (busy) throughout the day. 2) the sweeter--is addicted to sweets/carbs/sugar and may need some help with volume eating. 3) the grazer--eats or nibbles pretty much constantly and may eat a meal for longer than a half hour.
The bloater may do well with a restrictive only surgery such as the band or the VSG. With the band patients can expect 50-60% weight loss. It's a failure for sweeters and grazers. With the VSG expect 70% weight loss. This surgery can be converted to DS easily. (Note: we have seen lightweights be 100% successful with both the band and VSG here on this board) My surgeon sees about 55% weight loss maintained after 5 years with the VSG but he makes his sleeve larger than most.
The sweeter may do well with the RNY using negative reinforcement of dumping on sugar and fat. There is a 20-25% chance of late regain after 2-3 years--a regain of 20-30% of the initial pounds lost. When successful, expect 60-65% weight loss. (I think these numbers are also more for heavy weights because we see much better success in the lightweights who stay hooked in here on the board)
The grazer may do well the DS and has a 80-90% success rate long term. Patients can expect 90% weight loss. It is also puts type II diabetes in remission for approximately 90% of patients long term. The DS works well for sweeters, grazers and bloaters but can be beat with excessive sweets, fats and grazing. (My surgeon calls the DS the bazooka of weight loss surgeries. Some surgeons won't do the DS on lightweights but some will reduce the amount of malabsorption and give lightweights the DS using a longer common channel. For more info on the DS, see www.dsfacts.com. There aren't that many surgeons skilled enough to do the DS. Don't jump into this one without doing a lot of research on your surgeon. Surgeons who don't do the DS will use scare tactics and lies to dissuade patients from pursuing the DS. We call them bait and don't switch surgeons, or outright greedy lying *******s.)
--gina
5'1" -- HW 195/SW 187/GW 115 July 08/CW 121 Dec 2012
******GOAL*******
Starting BMI between 35 and 40ish?
Join us on the Lightweights Board!
DS on Aug 9, 2007 with Dr. Hazem Elariny
I think the sleeve is a great surgery and I actually like the idea of having that stomach gone. We RNY folks can get ulcers in the stomach that is not working but still there and that can cause problems because Drs can't get to it easily.
I wanted a sleeve but my insurance won't pay for one. I have been very happy with my RNY and have had no complications at all. Find a Center of Excellance and study all the options. Do you have co-morbidities? If so, your 39 BMI should be no problem. If you have a good Dr group, they will take care of all the insurance stuff for you and you don't need to worry with it. If you don't have co-morbidities, stuff your pockets, wear your heaviest clothes and drink gallons before you go to be weighed in. Then slump so you are shorter. 39 is too close to not be able to get this done.
I wanted a sleeve but my insurance won't pay for one. I have been very happy with my RNY and have had no complications at all. Find a Center of Excellance and study all the options. Do you have co-morbidities? If so, your 39 BMI should be no problem. If you have a good Dr group, they will take care of all the insurance stuff for you and you don't need to worry with it. If you don't have co-morbidities, stuff your pockets, wear your heaviest clothes and drink gallons before you go to be weighed in. Then slump so you are shorter. 39 is too close to not be able to get this done.
66 yrs young, 4'11" hw 220, goal 120 met at 12 months, cw 129 learning Maintainance
Between 35-40 BMI? join us on the Lightweight board. the Lightweight Board
Most Active
Recent Topics
