Thanks for the response. You really did well losinn weight. I actually had never heard of the Sadi and I don't think my surgeon performs those but that will be something to keep in mind. I can tell you understand exactly what I was saying about being a lightweight but not wanting to deal with regain later. That is what I am most afraid of. I have the band now which is the reason for a second Surgey. I lost minimal weight with this procedure and wondering if I should do something other than just restrictive procedure again. Although I did not regain with the band I never got down past about a 30 lb lost so I am still well over my goal.

I really need something that is gonna give me the best shot at losing and keeping it off!

My primary care physician suggested the bypass but as I researched it, I thought it was too daunting and really questioned having wls. I continued down my path and with lots of additional reading and the help of this forum, when I talked to the surgeon, we decided together that VSG was my best option. I gained my weight in the last 16 years, slowly but steadily up to about 235 and over the last year have lost about 15 pounds. I believe with the tool of VSG I should get down to the 150-165 range, the weight I was for most of my adult life, I am going to be 59 soon. I did not commit to surgery right away, but met with my team and came to know and trust them and their belief in me really helped me come to my decision. My surgery is being paid for by my provincial health insurance, I consider myself fortunate to have this opportunity to get healthy again. Wls never crossed my mind until my pcp suggested it.

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. .

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?

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..