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Why does lapband work for some and not for others?

Gin2bthin
on 11/29/10 2:23 pm - WV
VSG on 02/16/11 with
I noticed some people have lost over a hundred pounds in a year some just 30.I know everyone is different, but I even have seen where some people say they have followed the rules and still havent lost weight..I mean it seems like if you followed the rules of the band you would lose weight even if the band didnt help you.,So can the band prevent weight loss for some people for some reason..Im confused..Im just asking questions trying to decide on which surgery to get if sleeve isnt approved.I know the band is just a tool just like any other surgery.I have heard some people say they had the band and still feel like they have lost the weight on their own anyway....I know its still a struggle everyday even with surgery...
janice34
on 11/29/10 2:27 pm
Lap Band on 07/10/09 with
This is a very loaded question. I can't wait to see the responses you get. I can say that it has helped me. I am down 127 lbs. and like you said my friend only lost 30
Krisican2
on 11/29/10 2:35 pm
I think it has to do with a person's commitment to their band, the that they have support as well as their doctor. I have been banded for almost 2 years and did well up until a few months ago. I total went off track and gained some of the weight back. It is my own doing, lack of exercise, eating right, not going to see my doctor as well as lack of support. I had a lot happen in the past 6 months, but I KNEW what I was doing was wrong, so it is my own fault!

I too am curious to see other people's responses.

Kristy

Kristy K.
Obesity Help Support Group Leader
"On the lighter side"  Everyone and anyone welcome!

MARIA F.
on 11/29/10 2:42 pm - Athens, GA

Actually I tend to disagree with u on this one. It CAN have something to do with a persons commitment. There are a few that just are not willing to put the effort into working with the band. Let's face it...............we have seen ppl on here that get the band...........maybe get one or two fils.............and say it doesn't work. Well of course they  haven't given it a chance and done their part to work with the band.

However in most instances, I find that the bandsters ARE putting forth the effort! Unfortunatly...........the band is not doing what it is suppose to do.

 

   FormerlyFluffy.com

 

Krisican2
on 11/29/10 2:51 pm
I should rephrase my response, I know my success and set-backs have to do with my own personal commitment to my band. Everyone is different and will have different experiences, but as for me, I know why mine has not been as successful as I wi**** were.

Kristy K.
Obesity Help Support Group Leader
"On the lighter side"  Everyone and anyone welcome!

MARIA F.
on 11/29/10 2:37 pm - Athens, GA

I wish I knew! I have had mine just over a yr. I have had 14 fills and still not at that "sweet spot". Other than having no appetite the first 2 wks. after surgery b/c of the swelling, it has been pretty much useless for me. I did completely change my diet to work WITH the band, and I have lost over 60 lbs. However...........I did NOT pay $15,000 to lose weight ONLY by dieting! So choose your WLS very carefully!!!

The band is the least effective WLS! U might want to read this report by the ASMBS if u are considering the band:


www.medpagetoday.com/MeetingCoverage/ASMBS/20919

If you want a sleeve and it is not approved, u can always appeal. If u go to the VSG forum there are some there that could help u through that.

Good luck!

 

   FormerlyFluffy.com

 

wildabeast
on 11/30/10 4:25 am
 I am so glad you commented. I had the Band 7 months ago , have had 7 fills, 2 under Flouroscopy and an upper Gi Barium swallow, just to see if there's a leak , or if my pouch is swollen. eerything is fine. I have learned over the months, with 34 lbs lost , that it really is jut a tool. I still need to exercise(shich Iknow from the getgo would be difficult because I havae Fibrmyalgia flare-ups often, which prevents me wrom working out. I've now modified my plan to do water aerobics most every day, and just eat health , and smaller amounts, and continue to lose slowly. however, I have lost 35 inches and gone from a size 20 to a 14/16. what keeps me motivated? Only taking 1/2 a blood pressure med, off the sleep apnea machine, greatly improved sex life, can ow get down on the floor and play with my granddaughter, and best of al , the may , may many compliments and praiseses for my changed appearance. I'm 61, and know I won;t ever look 27 again, but my good health is returning, and my self esteem and that's worth it to me. I haven't had the typical great results that others have have but i am very pleased, and can lose weight with the band, where I couldn't with every kind of diet thereis out there. I am changing my attitude about food. I have also been reading a great book someone in the forum suggested,"100 days of Weight Loss" and journalling daily.
sflow67
on 11/29/10 2:41 pm
LOL, oh lord im gonna go look for cover now before the shiznat****s the fan. I cant speak for anyone else, but for ME it does seem to be working albeit not as fast as some of the other surgeries,but thats ok with me. I do know that for me writing down everything i eat has helped and working out everyday has helped as well. I wish you sucess in whichever surgery You choose.
peace
shireen
    
WASaBubbleButt
on 11/29/10 3:16 pm - Mexico
Revision on 12/06/06 with
On November 29, 2010 at 2:41 PM Pacific Time, sflow67 wrote:
LOL, oh lord im gonna go look for cover now before the shiznat****s the fan. I cant speak for anyone else, but for ME it does seem to be working albeit not as fast as some of the other surgeries,but thats ok with me. I do know that for me writing down everything i eat has helped and working out everyday has helped as well. I wish you sucess in whichever surgery You choose.
peace
shireen
 
Ehhh... wouldn't YOU be one of the shiznats that hits the fan?  As i recall I believe you wrote this recently;

www.obesityhelp.com/forums/lapband/4279402/Guess-how-a-10-ye ar-RNY-vet-has-kept-her-weight-with-ease/#35230976

~~excuse me bubbleass, or whateva you want to call your self yes some of nana's post have inspired me obviously i have not read all of her posts but that doesnt mean that i have to discredit the ones that have had a positive message for me Let me say that again FOR MEEEEEEEE. Im sorry unlike some ppl on here i dont follow the crowd, so she has had some questionable post obviously those arent the ones that inspired me, also just for the record how do u know what i have done for research u just assume because i mention one person out of many ppl on this board that that is the only reseach i have done please dont even go there with me cuz u dont know jack about me. Im so tired of the few ppl that get on here and try to act like they know it all ,***** let me tell you u can keep on keeping on and just ignor my posts cuz i have no time for you triffling ass and if you dont find the humor in the irony of the original post then thats fine but dont tell me im backtracking im being straightforward with what i found funny your the one reading more into it than i am, so please spare me your holier than thou attidude and step the f*ck off.

peace out
shireen~~


Do you really think you are anyone to talk?  And also, aren't you the one that was laughing at someone because it took her more than one surgery to get to goal?

Bleh...


Previously Midwesterngirl

The band got me to goal, the sleeve will keep me there.

See  my blog for newbies: 
http://wasabubblebutt.blogspot.com/
Jo 1962
on 11/29/10 4:14 pm - NearHouston, TX
To be fair, Wasa~, she DID publicly apoligize for this post.  I think that took a lot of courage, don't you?   

   
5.0 cc in a 10cc lapband  (four  fills) 1 unfill of .5cc  on 5/24/2011.
.5 fill  March 2012. unfill of .25cc May 2012.  Unfill of .5cc June 2014.

Waiting insurance approval for revision to VSG. 

HW: 267lbs- size 22-24  LW:194lbs  CW:225lbs  Size 16-18

 


 

Thundergrrrl
on 11/29/10 2:46 pm
Lap Band on 03/17/10 with
There are probably as many reasons the band doesn't work as there are people it doesn't work for. Nothing works for everyone.

I can only draw off my personal experience... it's working pretty well for me and I follow what I know to be the "right" way of eating and exercising for myself about 90% of the time. I have a relative who has been banded 4 months longer than me and lost about 1/2 what I have and I think it's due to less motivation or time to spend exercising or desire to eat a certain way, etc.  It could also have to do with her specific metabolism or anything else outside her control. We are about the same age and genetically very close so you'd think we'd have similar results but they've been very different.


Highest Pre-Band Weight: 273/Lowest Banded Weight180/
Post Tummy Tuck and lots of complications weight... 220. 
Check out my personal blog
      

jenipeach
on 11/29/10 2:59 pm
 I don't think there is any definitive reason why any particular works well for one person but not another.  In the end, it's just a matter of each individual being open and honest with himself and his (or her) surgeon and, together, weighing the odds of each possible surgery.  No one can predict how any particular surgery will turn out. Even if someone were to choose the lowest risk, highest weight loss success surgery, there is no guarantee that it will work or that nothing will go wrong.  You just have to weigh your own risks, options, etc and pick which seems the best for you.  It sure as heck would be nice if we could predict what would work and what wouldn't! Good Luck to you!
        
squash_34
on 11/29/10 3:04 pm
Haven't been banded long enough to give any useable advice ... I just know my band is working for me.  I was banded on October 5th and I am down 32 lbs.  The fact that I feel satisfied and not hungry gives me hope of not only losing the weight, but being able to keep it off. 
nuyou
on 11/30/10 6:28 am
way to go i was banded Oct.7 and have lost 29 pounds...I just keep praying that this will be a sucess.
    
WASaBubbleButt
on 11/29/10 3:11 pm - Mexico
Revision on 12/06/06 with
On November 29, 2010 at 2:23 PM Pacific Time, Gin2bthin wrote:
I noticed some people have lost over a hundred pounds in a year some just 30.I know everyone is different, but I even have seen where some people say they have followed the rules and still havent lost weight..I mean it seems like if you followed the rules of the band you would lose weight even if the band didnt help you.,So can the band prevent weight loss for some people for some reason..Im confused..Im just asking questions trying to decide on which surgery to get if sleeve isnt approved.I know the band is just a tool just like any other surgery.I have heard some people say they had the band and still feel like they have lost the weight on their own anyway....I know its still a struggle everyday even with surgery...
 
There are a lot of reasons it doesn't always work.  Actually, it usually doesn't work long term.

Many people have no sweet spot, I didn't.  One minute I could eat a huge meal and tons of dense protein and the very next minute I couldn't keep water down.  Everything affects restriction including weather, food temp, air temp, altitude, time of day, time of month, stress, everything.  Some people find their bands are more sensitive to those issues.  Stress was my big one, the least bit of stress or anxiety and my band would clamp shut and I was on IVs for fluids.

The band is not really a great procedure to begin with.  It can do all kinds of things such as slip and erode.  Scar tissue can grow under the band giving you more restriction than you want or can handle.  There are so many things that can go wrong with a band and the problem is that each time there is a problem you get an unfill, wait to heal, and then you regain some pounds while you wait to get a fill placed again.  If you dilate your esophagus it's an unfill for several weeks.  I could do a lot of damage in several weeks. ;o)  If you dilate your pouch, same thing.  If you slip, same thing. Each time there is a problem or issue it's an unfill and regain.  Check out the posts of people who got an unfill and they are terrified that they will gain.

And it takes time to find a sweet spot.  If you are at 3cc and it is your sweet spot and perhaps you get a major stuck episode with a lot of swelling and some of the fill needs to be removed, once you heal and the swelling goes down 3cc may not be your sweet spot anymore and you have to keep getting adjustments until you find it once again.

There are lots of reasons the band has the worst stats of all WLS types, these are just a few.

If you want a sleeve, fight for it.  Many ins co's are going to the 'one surgery per lifetime' rule and if you get a surgery type that doesn't work, you are self pay for a revision.


Previously Midwesterngirl

The band got me to goal, the sleeve will keep me there.

See  my blog for newbies: 
http://wasabubblebutt.blogspot.com/
kathkeb
on 11/29/10 3:13 pm
I think that there are alot of reasons.
These are completely my opinion ---- take that for whatever you think it is worth

1.  skill of the surgeon -- placement of the band -- physiologically, I think there is alot to be said for the surgeon getting the band in the BEST position --- and securing it properly

2.  readiness of the patient -- ready to change habits that could be life-long, ready to be 'uncomfortable' enough where you are to reach out and do things differently

3.  age, maturity, willingness

4.  strength of the 'team' behind the patient --- from 'fills' to office visits, to support groups, to family and friends ---- so much of our ability to be a 'ready' patient depends on the team
Yes, we do this ourselves, but we cannot do it alone!! 

5.  food choices --- if I chose the foods I used to eat (before my band), I would still be obese.  The band does stop the foods that got me to 284 pounds.  The band is my partner in choosing healthy, nourishing foods (most of the time) and allowing them to satisfy  my appetite.

I consider myself to be successful with the band.
I know that I could lose my band any day --- accident, emergency, etc --- but I do also know that I have learned alot about my eating over the past 18 months.

I am not foolish enough to think that I could lose my band -- and maintain my weightloss without a tremendous amount of work and diligence, but having my band and using it wisely for 18 months has taught me enough to know how little food I can survive on -- and how choosing appropriate foods makes me feel satisfied better than junk food does.
Kath

  
Sarah R.
on 11/29/10 3:20 pm - Victorville, CA
VSG on 11/23/12
There is more than one answer here, but I think one of the primary reasons is the misunderstanding of how it works. Unlike other procedures out there, you do not wake up from surgery with the abilty to lose weight. It takes commitment to getting fills and restriction. It can take many months to actually get decent restriction. I hear so many time lap banders who either never got a fill or only made it to getting one or two and then simply stopped. They never lost much weight if any because they never hit restriction.

Another reason is that even after you have great restriction, it can fade. Or you can stretch your pouch. Or worse you start consuming massive calories through sliders (soft foods and liquid calories). I am there right now. I need to see my doctor again and pursue getting back on track, otherwise I am no better off then preop. I will regain, and it will have all been for nothing.

Lastly for some the band is a foreign object that the body wants to reject. Though these cases are rare they end up with severe sympotoms and lose weight mostly because they are suffering from major side effects.

Good Luck!

Sleeve Revision from Lap-band November 23, 2012

     Starting Weight: 236 Lowest Weight w/ Lap-Band: 160 Current Weight: 190

                                         Goal Weight: 150...40lbs to go

Jo 1962
on 11/29/10 3:44 pm - NearHouston, TX
Thats a very good question with a variety of answers,depending on which camp you're in...pro-band or anti-band.  Mechanical porblems aside,  it depends on the skill of your surgeon and if you can commit to the aftercare needed to make it successful. To me, its just a tool I work WITH to get me to being "normal" sized.  Without it, I've already proved I havent been successful.

I have been banded for three months and have not had any problems with the lapband. My doctor told me he expected me to have 2 or three fills before I was at good restriction and he was right.  I have been steadily losing since my third fill.   I can eat anything as long as I chew and don't eat too fast.  All my pills go down okay and as of today, I have lost 32 pounds.     From the beginning, I've regarded the band as a tool to HELP me lose weight but not do it for me.    I have lost and gained the same 50 pounds for too many years to count and it is so wonderful to see the scale going DOWN and STAYING down.   I've gone from a size 22-24 down to an 18.  (A size 16!!!! dress fit me today!)  and I haven't snored for over two weeks, therefore I'm hoping to put my cpap machine away for good.

Our bodies are individually designed and one WLS doesnt fit everyone.  I'm very happy with the choice I made  and would do it again.  I count myself very fortunate that I don't have any issues with the band and hope it stays that way.  Thanks to the so called "negative" posts, I know what to watch out for and for that, I am thankful.


   
5.0 cc in a 10cc lapband  (four  fills) 1 unfill of .5cc  on 5/24/2011.
.5 fill  March 2012. unfill of .25cc May 2012.  Unfill of .5cc June 2014.

Waiting insurance approval for revision to VSG. 

HW: 267lbs- size 22-24  LW:194lbs  CW:225lbs  Size 16-18

 


 

britta6963
on 11/29/10 5:14 pm, edited 11/29/10 5:39 pm - OR
Lap Band on 08/27/08 with
everyone has pretty much covered varying answers to your question but there is another that the person really has no control over..... My bestfriend had RNY just over a year ago and wasn't losing the weight as fast as RNY patients typically do so she went to the bariatric endocrinologist that my WLS clinic has on staff and found that she had virtually "0" metabolism. So he put her on medication and it worked, she started losing, then got weened offthe meds and continued losing and now is working on NOT losing anymore so she doesn't get too thin. So sometimes it is a challenge within your own body. I know you asked about lapband but this can happen no matter what WLS.
 
Highest 350 /surgery 315 /Current 194/Main Goal 199/Bonus 175
nkara
on 11/29/10 5:29 pm
 It's all how YOU use your tool. I have lost 37 lbs in a year. I knew I would loose slowly because that is just how my body works. But I haven't been giving it 100%.  I have to get my head back in the game.  

But to answer your question make sure you are willing to change your life.  This is a new way of life and you need to go into this with your eyes wide open.  


 Realize Band 11/2009 ... revision to RNY 12/27/11.