I need help! Advice Please!!

on 1/25/18 1:07 pm

Hi All,

I am new to the group. This is my first post. I'm about 80% certain I will be going through with VSG this summer. But i won't do it unless i'm 100% in. I need your thoughts.

I'm a 40 yo man, 6'1, 293lbs at my highest. I am a formerly thin college athlete who never felt comfortable in his newfound fatness but also i've never been able to shed pounds without picking up twice as many as i lost.

Alas I am at forty and I have major health concerns such as HBP, prediabetes, sleep apnea, depression, high holesterol, tendonitis, etc etc etc. I know from my dad who is 59 that if i follow him and cant shake the weight, these conditions will end up taking away my health. He's a shell of the man he used to be.

I have to nip this in the bud now and i've proven countless times before that i cannot do it myself. after months of research I went in for my first consult in December and spent the last month seeing all types of specialists. In this time, I've alrady lost 5 pounds. If it continues i'll be on track for a 30 pound loss by surgery date this summer. If i lose 30 before surgery i'll only have another 80 to lose. Right now my BMI is about 38.

I'm starting to think i'm too light to make such a permanent and drastic move. Did anyone here face this decision? Is VSG worth it to lose 80 pounds?

I'm afraid to not do it and end up not able to lose on my own AGAIN. but i'm afraid i will lose too much if i do.

Any thoughts?

on 1/25/18 7:58 pm

Wow, I think I'm you in an older version, 54 yrs at surgery, 57 now. Same height and weight to start with a 39 BMI which I stretched to 40 to qualify for WLS. After a number of months researching, I opted for a SADi DS which is a VSG with some intestinal bypass (better than RNY, no dumping) but not as much as a normal DS patient. With a standard VSG, you should lose all the weight but risk gaining back after a couple of years. There is also a regain risk with all WLS but the SADi DS and original DS minimize the regain, especially for men.

I lost more weight than expected but now hover around 160lbs as a 6'1 male. I also work out a number of days each week for good physical conditioning, but I don't need to for weight management purposes.

My goal was originally 185 lbs but after several years I've grown comfortable being the thin guy in the room, and having a procedure that bails me out whenever I overeat. I can also eat any food I want as the stomach size is larger than a standard VSG patient. My normal calorie intake is about 3k per day, but it will be much lower the first 12 to 18 months.

Good luck with your decision.

on 1/26/18 3:51 am, edited 1/25/18 7:51 pm - Eastlake, OH

I was in the same boat as you were 7 years ago. My type 2 diabetes was getting worse, as were my other markers for metabolic syndrome. Didnt want to end up like my mom and brother on insulin and many other health issues.

It is a life long commitment, for our surgeries are a tool, not a cure. Do your research, learn everything you can to make your best decision.

7 years later post rny, type 2 still in remission! No regrets here


SW 230 Preop 205 GW 130 LW 131 CW 135 Ht 5'1"

Roz !!!!
on 1/26/18 9:15 am, edited 1/26/18 1:17 am - Butler, PA

Welcome to our LW Board!!!! We have had some successful women posters who have had the VSG. All of our men posters seem to loose faster than the women and they keep it off longer.

I was 55 when I had my RNY and not active at all. I sat on the sidelines for everything. I've never had a single regret (well maybe the first week) after my RNY. I'm 9+ years out now and still a normal BMI and under my original goal weight. I'm a tiny thing (described by others) at only 4'11". Before WLS it didn't matter how little I ate I couldn't keep the weight off.

Being over 6' tall I would think this would be a good choice for you if you can't keep it off on your own. At the age of 40 you will be far more active and you are way to young not to be happy with your body.

Only you can make this decision for yourself. Good Luck and keep us updated!


God is walking with me every step of the way. Because of HIM this is possible!!

RNY 10/15/2008 9+ Years!!!
Height: 4' 11" HW: 203 SW: 197 CW: 119
on Maintenance

Roz !!!!
on 1/26/18 11:17 am - Butler, PA
on 1/26/18 12:07 pm - Canada
RNY on 06/02/17

My personal experience was not that I couldn't take it off, I couldn't KEEP it off.

I think this tool really helps with that. I am more and more grateful each day that I had WLS (RNY) and highly recommend it.

Surgery Jun.2/17 at TWH ----- HW 215 - SW 197.2 - GW 125 CW 124.6

Pre-Op=8.8lbs --- Optifast= 8.4 (was on it for 9 days due to cancellation)

M1 - 20.6... M2 -10.2... M3 -8.0... M4 -5.8... M5 -9.0... M6 -5.2... M7 -7.0... M8 -2.2... M9 -0.9... M10 -2.6... M11-0.6


Liz WantsHealthForAll
on 1/28/18 10:17 am - Cape Cod, MA
VSG on 03/28/16

See my signature for my pre-op and post-op losses. I was on a diet approximately every 3 years from 17 to 61. Several times I got to goal, but I always regained with more weight added. I finally decided that I needed more help (another "tool"). I have been maintaining at my current weight for 14 months now (previously I never maintained for more than a few months at most - usually only for a few days).

Having a VSG is the best thing I ever did, and essentially no one loses "too much", unless there is something else going on other than just WLS.

Liz 5'3" HW: 219 (BMI 38.8) SW: 185 GW: 125 CW: 115-118 (BMI 20.4-20.9) - TT and facelift 1/11/2017 - Brow and eyelid PS 12/11/2017.

WL: Pre-op: -34 M1: -17 M2: -12 M3: -11 M4: -7 M5: -7 M6: -5.5 M7: -3.3 M8: -3.3 M9: -2.5 UNDER GOAL since 10/12/2016 - in current range since 12/10/2016. Average maintenance calories 1350

on 1/28/18 5:10 pm

FYI - I lost too much. It does happen but eventually my body reached a better equilibrium.

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