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Bariatric Surgery Anyone?

Old 10-19-15, 04:14 PM
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Bariatric Surgery Anyone?

Just wondering how many here have undergone a bariatric surgery and which one? If you care to share your story, please do. After much thought and discussion myself and my wife in the near future are concidering undergoing the VSG procedure.

I have always been told and understood that once your stomach has been stretched from being obese, it will simply shrink back to normal size when you lose the weight. Upon researching this quite a bit and speaking to my potential surgeon, I have now learned that the stomach does in fact not shrink back to normal size once the weight is gone and will in effect guarantee gaining the weight back. I have now come to accept this as fact due to my personal battle in which I have lost. I have gained and loss well over 100 lbs in the past, on more than one occasion, just to gain in all back and more. I am now just under 400lbs and getting older by the day. Its not as easy as it once was to buckle down and force myself to loose the weight again. I'm at the end of my road here, if I don't get some help I will not live to see 40 years old.

Some of you may remember my story and most recent struggles with obesity and all the effects it has on my life. I need some change and I truly believe this surgery will help out more than anyone can imagine. I have battled with the decision to even talk about having the surgery in fear that I'm taking the easy way out. At this point I feel like there is no easy way out, its my only option to get healthy and stay that way.

As some of you are aware this is not a cheap route to take. This will cost me out of pocket well over $14,000 as my "HEALTH INSURANCE" will not cover it. Nor will they cover any other type of obesity prevention. However they are willing to cover all aliments directly caused by obesity, i.e. Hypertension, Diabetes, Sleep Apnea, Depression, Low T, and Knee Surgeries just to name a few of my personal issues. I'm not taking this lightly, I want to loss this weight one more time and keep it off for good.
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Old 10-19-15, 04:34 PM
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I have a friend who has had the surgery, and who has ended up back in hospital for issues related to the surgery a couple of times. On the other hand, many of her other medical issues have gone away and she is happy she did it.
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Old 10-19-15, 04:55 PM
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I had a gastric sleeve done about 8 weeks ago, and I've gone from 330 down to 270 in that time. I plateau'd at 280 for a few weeks before continuing down.

The surgery went well, no complications. The hard parts been staying at 1200-1300 calories/day while maintaining 80-100 grams of protein a day. It's actually not hard to get by on those few calories, but keeping my protein intake up at the same time is difficult.

I still have a ways to go before I reach my goal (200 lbs.), but I already feel so much better, it's unbelievable.
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Old 10-19-15, 06:33 PM
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@bassjones had one of the procedures done, maybe he'll chime in.
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Old 10-19-15, 06:39 PM
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I had gastric banding, sometimes called "lap band", done in January 2010. It's a style of bariatric surgery that doesn't get done too often these days -- the adjustable band that goes around the stomach sometimes slips, or sometimes wears away -- but for me it's been good so far. From 255 lbs to 185 lbs in about 16 months. Since then, I tend to gain 10 pounds in the winter and lose it again once the warmer weather comes back.
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Old 10-19-15, 07:05 PM
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I had the Sleeve on 10/28/2014. I weighed 402 on the day of surgery. Current weight is 258. I have had ZERO bad side effects. It was a LOT of effort getting on bike nutrition dialed in on long rides due to our dietary restrictions and small amount of food we can eat. If you have a good center, they'll have both an exercise the****** and a nutritionist on staff. Work with them together. I ended up adding grains early and then adding extra grains the night before my long rides.

A year ago, I had to stop twice on a 5 mile ride. This summer/fall I've completed multiple metric centuries (plus) rides at 16-17MPH pace.

Follow the plan, follow the plan, follow the plan. The failures I've seen are because people didn't follow the plan.
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Old 10-20-15, 08:26 AM
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Originally Posted by bassjones View Post
I had the Sleeve on 10/28/2014. I weighed 402 on the day of surgery. Current weight is 258. I have had ZERO bad side effects. It was a LOT of effort getting on bike nutrition dialed in on long rides due to our dietary restrictions and small amount of food we can eat. If you have a good center, they'll have both an exercise the****** and a nutritionist on staff. Work with them together. I ended up adding grains early and then adding extra grains the night before my long rides.

A year ago, I had to stop twice on a 5 mile ride. This summer/fall I've completed multiple metric centuries (plus) rides at 16-17MPH pace.




Follow the plan, follow the plan, follow the plan. The failures I've seen are because people didn't follow the plan.

Your start weigh is very close to where I am now. What kind of issues were you having before the surgery? If you don't mind sharing..
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Old 10-20-15, 08:36 AM
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High Blood Pressure - two medications, off both now; sleep apnea - I still use a CPAP, but am scheduling a new sleep study and may get off that too; pre-diabetic, which I'm not anymore; male sexual function issues, which are much better now; a lot of the typical problems morbidly obese people have, all of which are either gone or greatly lessened.
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Old 10-20-15, 08:41 AM
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Originally Posted by ajbeck21 View Post
Just wondering how many here have undergone a bariatric surgery and which one? If you care to share your story, please do. After much thought and discussion myself and my wife in the near future are concidering undergoing the VSG procedure.

I have always been told and understood that once your stomach has been stretched from being obese, it will simply shrink back to normal size when you lose the weight. Upon researching this quite a bit and speaking to my potential surgeon, I have now learned that the stomach does in fact not shrink back to normal size once the weight is gone and will in effect guarantee gaining the weight back. I have now come to accept this as fact due to my personal battle in which I have lost. I have gained and loss well over 100 lbs in the past, on more than one occasion, just to gain in all back and more. I am now just under 400lbs and getting older by the day. Its not as easy as it once was to buckle down and force myself to loose the weight again. I'm at the end of my road here, if I don't get some help I will not live to see 40 years old.

Some of you may remember my story and most recent struggles with obesity and all the effects it has on my life. I need some change and I truly believe this surgery will help out more than anyone can imagine. I have battled with the decision to even talk about having the surgery in fear that I'm taking the easy way out. At this point I feel like there is no easy way out, its my only option to get healthy and stay that way.

As some of you are aware this is not a cheap route to take. This will cost me out of pocket well over $14,000 as my "HEALTH INSURANCE" will not cover it. Nor will they cover any other type of obesity prevention. However they are willing to cover all aliments directly caused by obesity, i.e. Hypertension, Diabetes, Sleep Apnea, Depression, Low T, and Knee Surgeries just to name a few of my personal issues. I'm not taking this lightly, I want to loss this weight one more time and keep it off for good.
I was were you are at just over a year ago... I struggled with my weight for 25 years... I would do good for a month or two then slip back to my old ways... lose 20 pounds put 40 pounds back on... It got to the point where I was seriously considering WLS. I signed up for the seminars, started the paper work... I was convinced WLS was my last and only option... but I spent some time doing some soul searching and decided to give myself one last chance at making the permanent lifestyle change I needed to make.... so I postponed going the WLS route... it's been almost 14 months now and I've lost a lot of weight and feel great... For me it was realizing the WLS is not a cure, it is simply a tool. You still need to make a lifestyle change and it is still work. I know WLS is a excellent option and has worked amazingly well and helped a lot of folks... and if it's the right choice for you, that's great!
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Old 10-20-15, 10:25 AM
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One thing they may or may not have mentioned. The Gastric Sleeve, removes the portion of the stomach that releases the "I'm hungry" hormone, so on top of the physical limitations of the tiny stomach, the hormonal trigger to overeat is gone as well. I often have to remind myself to eat. I never really "feel" hungry.
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Old 10-20-15, 11:30 AM
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Originally Posted by bassjones View Post
I had the Sleeve on 10/28/2014. I weighed 402 on the day of surgery. Current weight is 258.
144 lbs in less than a year. That's really impressive, congrats.

What weight are you shooting for? How does your diet change at that point?
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Old 10-20-15, 01:01 PM
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Originally Posted by bassjones View Post
One thing they may or may not have mentioned. The Gastric Sleeve, removes the portion of the stomach that releases the "I'm hungry" hormone, so on top of the physical limitations of the tiny stomach, the hormonal trigger to overeat is gone as well. I often have to remind myself to eat. I never really "feel" hungry.

Yes, my surgeon did explain that as well. He was very through and confident in what he does. He is supposedly one of the best bariatric surgeons in the country. The only problem I ran into thus far was the psychiatric evaluation. They claim I scored high for depression, now I have to visit a shrink before they clear me for surgery... Wouldn't one expect, someone with all these issues to be depressed???

My patient advocate says they just want to be sure that I'm not turning to food for depression and to be sure I'm ready for the changes to come after surgery.
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Old 10-20-15, 01:06 PM
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That's normal. They want to make sure you're not suicidal.
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Old 10-20-15, 01:08 PM
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Originally Posted by Jarrett2 View Post
144 lbs in less than a year. That's really impressive, congrats.

What weight are you shooting for? How does your diet change at that point?
In the 220s is my maintenance goal. If I lose more than that, I'm fine. The main thing that'll change is introducing more grains into the diet. More balanced I guess. I'll probably continue as is for another 6 months or so.
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Old 10-20-15, 01:35 PM
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I like bassjones have had the gastric sleeve procedure. My medical issues and weight loss pretty much mirror bassjones. I started out at 413 lbs. when I began my weight loss journey. My procedure was January of this year. Since beginning my program (which started last November with a 6 week preop diet) I have lost 148 lbs. I like you have also lost 100's of pounds in previous diet programs. But as time passed I slowly reverted back to my old eating habits. The thing with the sleeve is and as you mentioned in your op is that it is a tool. A tool that as long as you follow the protein first rule you just cannot over eat. And you will never stretch you stomach out like you are able to do now because the procedure removes the stretchy part of the stomach. So I am hoping that this tool is what I needed to have a lifetime successful weight loss.
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Old 10-20-15, 02:36 PM
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Originally Posted by ajbeck21 View Post
Wouldn't one expect, someone with all these issues to be depressed???
Clinical Depression isn't quite the same as being down or sad or whatever - that's just a potential symptom of it.

If the weight caused is caused by depression you'd treat the depression, instead, to see if one can get their weight controlled without surgery. Another symptom of depression can be massive carb cravings, for example, which gets in the way of trying to lose weight, and I imagine a bad bout of it would not do wonders for any surgical solution.

It's a good thing they screen for it; they really haven't been paying attention it for long in the grand scheme of things.
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Old 10-20-15, 02:58 PM
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My wife had a sleeve one year ago; she's currently riding 60+ miles/week-up from zero- and is working on figuring out the nutrition side of things. The nutritionist at the center really has no clue and that's become an issue; she's got one song and it seems to be all that she can sing. Tina has actually dropped below her target weight at a year and is continuing to lose fat; however without some nutrition help she's unsure how to put weight back that she wants-as muscle, without endangering her success so far.

Weve found an expert outside the system and that's looking good so far, but it's been a challenge. She was bonking on rides and hating it until we got some help and approval for in -ride nutrition.

No significant side effects, other than a constant need to shop for stuff that fits; going from a size (ahem) lets just say 20+, to a 6-7 is a BIG change.

Find someone or six nearby who've been through it. Lots of folks who've had bariatric surgery hide it; Tina's been open about it since day one and spends lots of time working with others who are interested.

SA
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Old 10-20-15, 04:43 PM
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One of my friends just got the sleeve with duodenal switch surgery done. It will be interesting to see how his new journey unfolds.
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Old 10-20-15, 05:27 PM
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I had the band put in on 10/1/2010 and have had 0 issues. I've gone from 375 to 175 and from what my surgeon has said, these are not typical results. I was not like normal patients in that I went very slow having my band filled. I generally waited until I sat at a given weight for 2 or 3 months and no matter what I did exercise or diet wise, was not losing weight. Once I have a fill, I would slowly lose weight and then would follow the same pattern until I had my next fill. Some times I would lose 40 lbs pretty quick, other times it may be 10 months to lose 25 lbs. However, I continually lost weight over the last 5 years. My original goal was 225, but just kept going and seem to have bottomed out at 175.

I had an accident in May, and it has limited my ability to exercise, and I am currently sitting at 190, but recently started physical therapy and started getting back on the bike and have lost about 5 lbs over the last 2 weeks. My motivation for the band was not being able to break 290 no matter what I did. I had a hard time with portion control and when I was riding 125-150 miles a week, I was always hungry. So while I was burning calories, I was not burning enough. Using the band as another tool in my arsenal, I was able to limit my intake and finally lose the weight. I had no medical issues other than being fat. While I have pretty severe apnea, my doctor told me that I have will always have it based on how my tongue sits in my throat. Blood Sugar, blood pressure, you name it, was all completely normal. I was truly lucky and finally decided to ensure it did not change to the bad.

Why my results are not the norm, who is to say what is the norm? If you don't use the surgery as a end solution, but use it as a tool to help you get there. I have known many people that are like; well, I have had the surgery; ok weight, fall off, but do nothing to ensure it comes off and stays off. Those are the ones that generally fail and then are negative to toward others who are looking at having it. I will say each person is different, your results may vary, etc, etc,....but research your options, ensure it is for you, determine if you will help yourself to lose weight, are you really serious or just tired of being over weight and want a miracle. You need to have your mind right before you opt for this.

Good luck with your decision.

Brian
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you should learn to embrace change, and mock it's failings every step of the way.

Last edited by jaxgtr; 10-20-15 at 05:30 PM.
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Old 10-20-15, 05:33 PM
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Oh and one other thing....because of the band and the amount of the fluid I have in it now, I don't eat any food on my rides, but get my calories through my fluid. I use Hammer Perpetum and Hammer Gels and have no issues maintaining 20-22 avg over 75 miles. You just have to see what works for you and what you need to do to stay hydrated and fueled.
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you should learn to embrace change, and mock it's failings every step of the way.
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Old 10-20-15, 07:03 PM
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Had my 1 year checkup tonight. 153 total weight loss, 67" total lost, all of my numbers looked good in the blood work up - no deficiencies at all and no bad stuff. BMI is reduced 23 points (still "obese", but not "morbidly obese"), and I'm still losing. Talked to the exercise the****** about working together on a couch to Century program. I'm going to present at our monthly meeting in January or February. The head nurse said, "Oh my, this is wonderful; just wonderful."
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Old 10-20-15, 07:24 PM
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Thanks for all of you sharing. I'm looking forward to the process and feeling better. At this point I'm just trying to figure out how to pay for it.
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Old 10-20-15, 11:12 PM
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Personally, from what I've seen, all of the bariatric surgery procedures have an extremely high (>50%) complication rate. It truly is the thermonuclear option.
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Old 10-21-15, 02:05 AM
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Originally Posted by OneLessFixie View Post
Personally, from what I've seen, all of the bariatric surgery procedures have an extremely high (>50%) complication rate. It truly is the thermonuclear option.
Where did you get this information. Please post the sources. I do not believe this to be true. From my research complication rates are less than 5%. But I am at work so unable to post sources.

Anyone considering a bariatric surgery please do your research and discuss the complications with your surgeon. Do not believe everything you read on the interwebz.
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Old 10-21-15, 04:44 AM
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Originally Posted by Alleycatdad View Post
My wife had a sleeve one year ago; she's currently riding 60+ miles/week-up from zero- and is working on figuring out the nutrition side of things. The nutritionist at the center really has no clue and that's become an issue; she's got one song and it seems to be all that she can sing. Tina has actually dropped below her target weight at a year and is continuing to lose fat; however without some nutrition help she's unsure how to put weight back that she wants-as muscle, without endangering her success so far.

Weve found an expert outside the system and that's looking good so far, but it's been a challenge. She was bonking on rides and hating it until we got some help and approval for in -ride nutrition.

No significant side effects, other than a constant need to shop for stuff that fits; going from a size (ahem) lets just say 20+, to a 6-7 is a BIG change.

Find someone or six nearby who've been through it. Lots of folks who've had bariatric surgery hide it; Tina's been open about it since day one and spends lots of time working with others who are interested.

SA
UGH! I had buying clothes! Buying transitional clothes was the WORST!!! The very worst part is I had to give up my favorite brand of jeans! They only go as small as 38s. (I've gone from 48s to 34s Shirts have gone from XXXL to Medium). I can now however shop at regular stores for my clothes though...

Originally Posted by OneLessFixie View Post
Personally, from what I've seen, all of the bariatric surgery procedures have an extremely high (>50%) complication rate. It truly is the thermonuclear option.
I have no idea what the actual complication rate is... However I did come to view it as a truly very last ditch, extremely drastic option... and while I opted not to go ahead with the WLS, I did and still do use it as a hammer over my head... "If I don't make this lifestyle change permanent, then I'm going to get the WLS... and you don't really want that" ;0
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