- HEALTH TRACKER
Hair loss - some people think zinc or biotin help, most docs say they don't. Some people lose a little hair, some a lot, some none at all. Other than eating healthy, it isn't really subject to your control. The good news is that it WILL come back!
Skin - again, not really subject to your control - sorry! Depends on genetics, age, amount of weight you lose, location of excess fat lost, etc. It can get ugly, but even so, you will look better in clothing once you're thinner, and if the skin really bothers you, you could look into plastics down the line. But as someone else pointed out, the reason for all this is to be healthier.
I am also sending you a pm.
I don't know the answer to your question, but my suggestion would be to contact her insurer, get the names of some bariatric surgeons that are in-network, and give their offices a call. And I would ask if they would do either lap band or sleeve rather than RNY as that would avoid the issues with malabsorption. But ask about all the operations, what do you have to lose?
I agree that the issues raised by other posters are serious, but only a bariatric surgeon can answer this question definitively for you and your cousin.
Best of luck!
I don't know of any insurance that covers the so called mini gastric bypass, and can't think of any reason that they should. It is only done by a couple surgeons on the fringes of the bariatric surgery community and not accepted by the ASMBS, or any other reputable organisation in the area of bariatric surgery. It has a high incidence of bile reflux gastritis and bile reflux esophagitis.
Please do some more research into the accepted forms of WLS, all of which are represented by different forums on this website - DS (my choice), RNY, lap band. VSG is also being done more now, though it still is not accepted by the ASMBS due to lack of longterm data, and a lot of insurers don't cover it, though that may change in the future. But mini gastric bypass is not a well regarded or accepted operation.
Has your dad had any kind of work-up to see if there is anything technically wrong with his bypass? Back then they didn't usually separate the pouch from the blind stomach the way they usually do now, and the incidence of staple line breakdown, etc. is higher inthe older RNY's.
He might benefit from an upper GI x-ray study and upper endoscopy. Sorry I have no advice on the diet, I had the DS and not RNY.
It's great that you're asking questions and doing your research before surgery, not having regrets after.
I strongly recommend that you give the DS serious consideration. It has the best statistics for percent excess weight loss, maintaining that weight loss (so important!) and resolution of comorbidities. With you BMI where it is, and the added concern about the spinal cord disorder, you need an operation that will get a lot of weight off and keep it off. The DS is your best bet.
It's true that some people do well with lap band or RNY. It's also true that some regain large amounts of weight, or don't lose as much as they need to lose or would like to lose to begin with. To some extent it's about lifestyle changes, and to some extent it's about the nature of the different operations. You DO need to make lifestyle changes to be successful with any WLS, but it's much easier with the DS. The Malabsorption allows you to eat a more varied diet, which is both easier and healthier. No dumping. You can drink liquids with your meals. You can take NSAID's. No food getting stuck. Strictures are rare.
The DS does require a committment to emphasizing protein in your diet, and to taking vitamins and other supplements for life. This is true for RNY also, though the types and amounts are different. It also requires a committment to regular lab work to check your levels.
As others have said, this is a personal decision. It's vital to look beyond what you learn at a seminar, and to look beyond what your insurance company prefers for you. The insurance company won't be the one living with this decision. You will. It's up to you.
Come on over to the DS forum to learn more. Take as much time as you need to be certain of your decision. Best of luck with whatever you decide.
I'm glad you're going to check all your options. Dr. Dennis Smith in Marietta and Dr. Donald Maynard in Conyers both do the DS. I have no personal experience with either of these surgeons. There are not as many surgeons doing the DS so you might have to travel some if the DS is your decision. If you are interested in the DS, you could ask for the opinions of others about these surgeons on the DS forum.
But the most important thing is to learn about all your options before making such a big, life changing decision, and do what suits you best, not whatever the first surgeon you see likes to do.
I chose the DS because it has the best percentage of excess weight loss, best maintainence of that weight loss (very important!) and best resolution of comorbidities. It also has better eating lifestyle - no dumping, no food getting stuck, you can drink liquids with meals, you can take NSAID's if needed. I have lost 100% of my excess weight and I'm very happy with both my health and my quality of life.
With DS it is very important to eat plenty of protein and take vitamins and supplements faithfully, and get regular lab work (usually once a year once you get settled in) to make sure your blood count and vitamin levels and so on are ok. I haven't found any of this to be burdensome. It's very helpful not to have to worry about fat, as we absorb only 20% of the fat we consume. This allows for a great variety of food choices. We do have to be careful about carbs, esp simple carbs, as we absorb them very well. So, it isn't a free ride, but I had researched RNY thoroughly before learning about the DS and it's way easier to live with and succeed with than RNY. Yes, some people do great with RNY, but it's a lot harder, and the failure rate with RNY is much higher.
I hope that helps. If you want to learn more, come on over to the DS forum, where anything and everything pertaining to the DS is discussed. Best of luck with your decision!