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My surgeon has been retired a lot of years now.
I had one surgeon, and he was the surgeon who literally wrote the book on feeding people with IV solutions. His book on "TPN " is still used as textbook and reference for training surgeons and Interns today. He taught gastric surgey thru University of Tn in Memphis. He did have an assistant and was at the Obesity Wellness Center in Memphis in 1996. He WAS a multi-disciplinary team.
Choosing someone able to do the "whole job" instead of" part of the job" will be a challenge with todays peice-meal health care solutions.
Getting both things addressed at one time could be the Key for you.. I had no problems for almost 3 years/ after.. then began light spotting..every .6 months in addditon...to normal flow. I had to have partial hysterectomy after 12 years of so... and again the gyn surgeon confirmed I had PCOS. I had told him i had it and he said i would not know unless had been tested... i told him it was confirmed visually and with lab reports by surgeon at time of bypass. He finally understood, and i broke the language barrier. very good Dr.
The good thing is if you are wanting to have a family it can give enough relief you can do that and pregnancy arrests the PCOS to some extent. So can get you healthy enough to have your family..if that is your goal. .
This is something you should be discussing with a surgeon who does the RNY..almost every surgeon has tweaks they can do to a surgery to modify its outcome...to increase likelihood of loss or to minimize. I lost 145 lbs initially so not a light weight. When one gets to goal. you continue to monitor diet and protein and add a few carbs til you find the number that allows you to maintain that weight.. should something happen and gain is more than you want- then increase protein for several weeks while drastically liiting carbs. The RNY put syou in control. It is the closest procedure done today to what i had done. I have no opinion on the sleeve.
on 6/4/18 1:14 pm
Hi Denise, thanks for your message. I will pm you as I am interested in your journey so we can discuss and need to clarify about the PcOS etc. Isn't that a gynaecologist that would need to sort that out? Did you have a multi disciplinary team?
MiaS,
I had a RNY + several other procedures, done many years ago, an open surgery. I was about 34. The surgeon found my PcOS and massive fibroids..at the time of surgery and My surgeon gave me relief from those for several years.. by removing as many of the cysts on both ovaries as possible...He removed my fibroids and bad gall bladder as well. I later told someone, laughingly, if he did not take it out he played with it.It was 10 surgical procedures in 4 hours..Before lap surgery was used commonly.
Do not despair over the PCOS, you too can get thru this in flying colors. I am not currently using protein shakes, I tolerate no soy, no milk, and no whey..( legumes and whey gives me gastritis) This is particular to the other extensive procedures done on intestines...I have a huge lack of all enzymes. All of these are managable with common enzymes available OTC, and avoidance when i do not use them. I use dessicated liver to keep my iron absorbtion up to normal,multi enzyme with probiotics, and lactase for small amounts of milk products.
I would ask the surgeon if he could address these issues as well. It has been done before.
You do know that if you have a daughter she may inherit your pcos. My daughter did. She had treatment with metformin for several years. It did help with her symptoms.
100Buttons,
I had a surgery that is no longer done now, a RNY+banding, intestinal resection and large section of colon was removed..+ other health problems were addressed...Gall bladder issues , cysts and fibroids. I have been to goal, and am about 15 lbs from there again.With much stress and forced inactivity between. i had regained close to 45 lbs and had a wake call when i got too close to 200 again. I had a really hard time breaking the 200 lb mark. It took me several weeks, to drop 3 lbs...then after 12 months,I began a job that was physically demanding and many hours.. .and dropped the remainder of what was my orig goal, by the 20 th.month.
..Orig. protein goal set by Dr was 90 grams, and carb 20-50gram.. was really hard to begin with, I began with a 45 cc pouch, until edema subsided- then I had capacity about 75 cc for several months. I am 23 years post op.
It was a drastic surgery that gave me the tools I needed. I had drastic weight loss, for 6 months, after that it slowed...as I inched back toward 500-600 calories. Most weight loss stopped for me between 18-20 months. I maintained for several years with little effort because my diet is very tight from lactose and other intolerances, My carb limits is 50 tops... any thing more than that starts intense cravings..I usually try to limit to 20-30grams day.... I combat with B complex sublingual in double doses for 3 days...
You may just be to the point of changing the rapidity of loss. If that is the issue you can get a clue by doing what others have posted., they have done with sucess.... decreasing the carbs and increasing two full servings of protein.
Any time I stall, I do this and increase my pure filtered water intake. I am off all sodas, all" diet" products- because of additives in them. The more protein you can get the morning will generally reduce hunger for the day and help with any craivings...
You know "you" better than anyone else. Maybe make a diet diary, and see if you can find the problem in something you are doing or not doing. Hang in there! you can do this and now have the tool for sucess..
I went from 350 to 149 in about 28 months, and so glad I stopped losing weight. I had actually got too thin and my face was drawn.
Hi there I am curious to know as a lightweight , what surgery did you opt for and why? I am looking for some guidance. I have had the Realize band and was 216 at my highest weight in 2011. Now I am 193 and have managed to keep the weight off but never got down lower than 178 lbs .
I am thinking of getting the sleeve but I am trying to keep an open mind to the RNY because I want to be successful and maintain weight loss. I guess I really have some bias against getting the RNY but I know it works.. I guess I am scared I will lose too much weight with that procedure. Any thoughts?
Liz
Thanks so much this is very encouraging. I believe we have been in the same place. I have a Realize gastric band which only assisted me in losing 20 lbs at best. I am grateful that I was able to keep it off but it has never given me full restriction. I am looking to get band removed and revise to VSG or RNY but I am a little scared to get RNY because I feel that it may be too drastic but looking at my overall experience I would like to be able to get down to my goal weight and keep it off which is about 120 lbs. Could you shed some light on my situation or provide any suggestions?
Hi there I am curious to know as a lightweight , what surgery did you opt for and why? I am looking for some guidance. I have had the Realize band and was 216 at my highest weight in 2011. Now I am 193 and have managed to keep the weight off but never got down lower than 178 lbs . I am thinking of getting the sleeve but I am trying to keep an open mind to the RNY because I want to be successful and maintain weight loss. I guess I really have some bias against getting the RNY but I know it works.. I guess I am scared I will lose too much weight with that procedure. Any thoughts?
