Highest 290, Banded - 248 Lowest 139 (too thin!). Comfort zone 155-165.
Happily banded since May 2006. Regain of 28lbs 2013-14. ALL GONE!
But some has returned! Up to 175, argh! Off we go again,
Obesity Help Support Group Leader
"On the lighter side" Everyone and anyone welcome!
Hi there. 200 pounds is a lot to lose. Restriction-only surgeries, like the band, tend to be less successful the more weight you have to lose. Have you researched the duodenal switch? Many people have surgery without knowing the DS exists as another option.
Like RnY, DS combines restriction, which allows you to lose the weight, and malabsorption to keep the weight off. Instead of disconnecting the stomach and creating a pouch, DS simply reduces the size of the stomach to create restriction. You end up with a fully functional, but smaller stomach. The second part of the DS is an intestinal bypass which creates malabsorption, and keeps the weight off. Of all the weight loss surgeries, it has the best statistics for the greatest amount of weight lost and kept off long term. You may have seen from the boards that weight regain is a huge issue with gastric bypass AND lap band - not so with DS, because we only absorb 20% of the fat we eat, and about 60% of the protein and complex carbs we eat. We can eat larger meals than lap band and RNY - what amounts to a normal, but smaller, meal. Finally, for me, it had the most attractive postop way of life with NO dieting, NO counting fat or calories, NO dumping, NO vomiting, NO foamies, NO stuff getting "stuck" and NO chewing food into mush. DS has the best resolution of comorbidities like diabetes, sleep apnea, etc., An added bonus is that the portion of the stomach that is removed is the portion which produces most of the hunger hormone, ghrelin, so you are less hungry postop.
The keys to DS are these few, very critically important rules:
1. You must eat at least 90 grams of protein every day;
2. You must take your vitamins and supplements every day;
3. You must drink at least 64 ounces of water every day; and
4. You must get regular lab work to make sure you are taking enough vitamins.
Most of us watch our carbs during the weight loss phase because we absorb 100% of simple carbs like sugar and it can slow the weight loss. Most of us also can't go hog wild on carbs after we reach goal, but no food is off limits in moderation, as long as we have no individual intolerance to it. Many of us get stinky gas when we eat certain carbs, like those with white flour such as bread and pasta. However, gas is certainly an issue with RnY also. And our poop smells pretty bad, but whose doesn't? That's pretty much it. Sound too good to be true? That's what I thought too, but the DS is the best decision I ever made!
I should caution you that if your surgeon does not perform the DS, as most don't, he/she is likely to give you incorrect information and repeat some myths about the DS to scare you away from it to retain a paying customer. We've heard story after story after story about the lies perpetuated by the medical community due to their ignorance about DS, or their efforts to keep you from walking out the door. Check out www.dsfacts.com and www.duodenalswitch.com for more information, and hang out on the DS forum here on OH to ask any questions you have. Also be sure to check out the Revisions forum here on OH. You'll see there lots of folks revising to DS from other surgeries. There are NO folks revising FROM DS to anything else. I think that speaks volumes.