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Discussion in 'Say hello!' started by MACBEAR, Mar 9, 2018.
I am a 66 yr old, and at 6' I weight 380 lbs, my Doctor has recommended a sleeve surgery
Well, we tend to like the DS here, you might research it as oppose to the sleeve. Ask questions, we will help. Welcome
Some do well with the sleeve but you would do well to remember, the sleeve is just another diet with a smaller stomach. How have diets worked for you in the past? And now you have the answer. Think twice, cut once!
thank you what is the D.S. and why is it better ?
I have NEVER dieted was always able to eat anything that I wanted but because of Disabilities
I have gotten very sedentary for the last year and half been setting in front of TV & computer
just feeding my FAT face
what if I go on a
High protein, low sugar, low carbs diet and lose enough weight will I still need the surgery ?
Hi and welcome!
Your surgeon is recommending an operation that he knows how to do, and which is quicker and easier than either gastric bypass or DS. Great for him, not necessarily the best choice for you. If you haven't even heard of the DS, that is a failure on the surgeon's part to provide informed consent, part of which is informing you of all your standard of care options.
With your bmi of 50, the DS may well be your best choice. There is a ton of good info about it on this website, so I would recommend reading everything you can about ALL your options and then making the best informed choice for yourself. The DS has the best statistics of any bariatric surgery not just for percentage excess weight loss, but also for maintenance of that weight loss. Weight regain is a major problem with both gastric bypass and sleeve. The DS also allows for the most varied post-op diet, because we can eat all forms of protein, not just lean protein.
OTOH, with the DS we do need to take more vitamins and minerals, and emphasize protein very strongly. It's crucial, but not difficult once you get into the swing of it. To me, this is a small price to pay for having a much easier time of maintenance. But you must make your own decision. One thing you might consider, though, is that we see more and more people revising from sleeve, lap band, and even gastric bypass to the DS a few years down the line, and I believe (can't prove) that there would be even more of them if they knew it was possible and if their insurance would pay for it.
If you could be successful with a diet, you wouldn't be here. You have a metabolic disease exacerbated by your disabilities because you can't exercise much. You might be able to starve off a few pounds but they will eventually come back and bring some friends. But honestly, don't you know that already?
The DS will give you weight loss and a metabolic reset. The sleeve is just another diet. Read and learn!
Never ever dieted before, worried about after effects of any surgery, will start traveling for business
all around so. Texas this year
A gastric sleeve will restrict how many calories you can take in. A gastric sleeve is the "top half" of a duodenal switch, the "bottom half" is a rerouting of the small intestine so that your body absorbs fewer of the calories you take in (I'm simplifying). A DS is going to have more and more durable weight loss than a gastric sleeve alone. If you have diabetes or prediabetes a DS is very likely (as in 90%+ odds) to bring an improvement. The other side of that (Nothing in life is free) is it has more side effects and maintenance. It's not a "set it and forget it" operation.
What's right for you comes down to what you want out of the surgery. A Sleeve will typically have a big drop in weight over a couple years and then slowly regain with an endpoint of about a 50% excess weight loss after about 10 years. A DS will have a bigger drop over a couple years and then a little bit of regain with a 10 year endpoint of about 75-85% EWL. If you're happy with being about 50-100 pounds lighter and have no comorbidities to resolve a Gastric sleeve could be the right choice for you.
Hi and welcome MACBEAR !
The DS was the best decision I ever made. Make sure to carefully research the sleeve vs. the DS. I eat something sweet everyday and Dr Rabkin (one of the best WLS surgeons) said to me, you can get away with that becasue you have the DS and not the sleeve. I would have not been sucessful with the sleeve if that is the case.
Drs sell the surgery they do, not what you might actually need. Be your own advocate.
You are a fast study DonRobbie!
Hello and welcome, Macbear!
you could do this, in theory - same with me. but I had tried that many, many times. if you have really never dieted before (that's unusual!) you might find you could do it once...but I can tell you that after that it gets harder. everyone thinks they won't gain it back, but people tend to.
I wasn't sure from a previous post: did you get your knee/s replaced yet? or are you still waiting.
do you think you have an eating disorder? any problem with depression?
MACBEAR LISTEN to JackieOnLine as she IS a sleever.