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(deactivated member)
on 4/17/20 8:24 pm
Topic: RE: Revision from VSG to DS

You're still new to the procedure so you'll lose more weight. I lost about 50lbs more than my goal. Whatever weight gets you to around an 18 BMI or even a bit lower is possible, and not a health hazard, just not what you're hoping for.

I'm in my sixth year post WLS and have gained back about 25 to 30lbs. Still skinny as a rail and I eat a lot. It's ok to be thin, just like it was ok to be fat. As long as you do what you can to be healthy and keep a positive attitude you'll be fine.

My weight expectations similar to our current covid situation have altered my definition of normal. No complaints on the wls side though.

Janet P.
on 4/17/20 4:03 am
Topic: RE: Revision from VSG to DS
On April 16, 2020 at 1:17 PM Pacific Time, Toyin12 wrote:

Thank you for the response. I appreciate your suggestion, I will try adding carb slowly into my diet. Snacking and eating often is a challenge right now as I am not just that hungry.


How long have you had your DS?
Have you had any weight re-gain?
Did you ever go below your goal weight?
How do you manage loose stool? if you had this issue, did it ever go away?

I had my DS 17 years ago. My original goal was 150 and I got as low as 140. I was pretty sick at 140 from iron deficiency anemia. Once I got the anemia under control my weight bounced back. The anemia is something I will deal with for the rest of my life (I don't absorb oral iron so I have to periodically get infusions). My high weight was 165. When I hit 165 I reduced my simple carbs, upped my protein (I always get a minimum 125 grams), and water (I drink a minimum of 64 ounces), and honestly the weight just comes off (that's for me). My current weight is around 150. I manage my weight simply by added or eliminating carbs. It works for me.

For me personally the loose stool is part of life. It's the carbs so I can control it. That's the balance - I call it the DS dance - eating enough carbs to not lose weight but not too many that I'm miserable. One thing I've learned over the last 17 years is how my body reacts to certain foods so I try to listen to it when it tells me not to eat something. I know what will cause bad gas and bloating and what won't. I manage it the best I can. I take Devrom, which helps with the odor only.

Janet in Leesburg
DS 2/25/03
Hazem Elariny
-175

hollykim
on 4/16/20 9:18 am - Nashville, TN
Revision on 03/18/15
Topic: RE: Revision from VSG to DS
On April 16, 2020 at 1:17 PM Pacific Time, Toyin12 wrote:

Thank you for the response. I appreciate your suggestion, I will try adding carb slowly into my diet. Snacking and eating often is a challenge right now as I am not just that hungry.


How long have you had your DS?
Have you had any weight re-gain?
Did you ever go below your goal weight?
How do you manage loose stool? if you had this issue, did it ever go away?

part of the sleeve surgery is removing the part of the stomach that causes hunger. You may never be hungry again. I am never hungry and haven't been in the 10 years since I had surgery.

even though I'm not hungry , I eat 6 very small meals a day. If I waited to be hungry I would have starved to death a long time ago. You don't have to be hungry to eat, you just make a menu and prepare and eat what is on it. You don't have to like it or want it, you just do it. eating is not necessarily for pleasure anymore, it is now for survival.
hope this helps. You just have to eat and be sure you are getting your vitamins and supplements in or you will be in a world of trouble. Are you taking your vitamins and supplements?

 


          

 

Toyin12
on 4/16/20 6:17 am
Revision on 10/22/19
Topic: RE: Revision from VSG to DS

Thank you for the response. I appreciate your suggestion, I will try adding carb slowly into my diet. Snacking and eating often is a challenge right now as I am not just that hungry.


How long have you had your DS?
Have you had any weight re-gain?
Did you ever go below your goal weight?
How do you manage loose stool? if you had this issue, did it ever go away?

Janet P.
on 4/16/20 4:41 am
Topic: RE: Revision from VSG to DS

Congrats on a successful revision. I can only give you my perspective as a "virgin" DSer (not a revision). With the DS you have to start adding carbs, because carbs are absorbed 100% - both simple and complex. Unfortunately with additional carbs can come with more gas and bloating, etc. The challenge is finding the balance of maintaining your current weight and not feeling miserable. Listen to your body and how it reacts to certain foods. Eventually you'll learn what helps, what doesn't. Since you were resleeved, you have to make sure you're getting in all of your protein, water, etc. That can also be a challenge. You need to snack more.

Being 10 pounds below goal isn't a bad thing because you will probably have some bounce back once you start adding carbs.

Janet in Leesburg
DS 2/25/03
Hazem Elariny
-175

Toyin12
on 4/15/20 10:18 am
Revision on 10/22/19
Topic: Revision from VSG to DS

I had revision surgery on October 22, 2019, from a Sleeve to a DS with a revision starting weight of 229ibs. My ideal goal weight should be 175ibs. I am still losing weight, and I need it to stop because I am already over 10 lbs below my ideal weight.
I don't feel very hungry, but I try to eat as much as possible.
I can't eat a large portion - I also re-sleeved as part of the DS procedure.
I am looking for practical advice on how to stop the weightloss and possibly add 10ibs.

Toyin12
on 4/15/20 9:17 am
Revision on 10/22/19
Topic: RE: Sleeve revision to DS

I had my surgery with Dr. Unsong. Great doctor, excellent bed side manners. Although, I should have only asked for a re-sleeve or just a DS and not both. My personal regret.

Toyin12
on 4/15/20 9:12 am
Revision on 10/22/19
Topic: RE: Sleeve revision to DS

Hello,
My experience on the DS. I had a Sleeve done in 2008 with great result, and I went from 272ibs to 175ibs. I started regaining the weight back after about 5-6 years. I got to 229ibs when I decided to explore a revision (abroad). I had two consultations. The first surgeon suggested to do a re-sleeve (he advised to stay with what has worked for me in the past), the second advised for a re-sleeve but an uttermost result, for a DS.
I went for a DS and also re-sleeved on October 22, 2019, and I have lost 68ibs (current weight is 161ibs).
A few things you should consider before you make your final decision if you haven't already.
1- with the DS, your bowel movement changes a lot - I didn't think it was a big deal before the surgery, but it is life-altering for me. I need to consider what type of food to eat before I go out and I need to go out, would I be comfortable using the washroom if I have to - the odour is awful and the frequency could be a lot.
2- you need to know that your life will have to depend on taking multi-vitamins
3- I have lost enough weight (my ideal weight should be 175ibs), but I keep loosing, and I don't know how or when it will stop.
4- I have to seek medical attention to stop the weight loss
These are just a few of my concerns, I am not sure how my weight will stabilize or prevent, and I am looking for advice on this. My point is just to make sure you're prepared for life after DS. If I have to do it again, I would have just re-sleeved.
I wish you all the very best in your decision.

PeteA
on 4/7/20 11:39 am - Parma, OH
DS on 04/15/13
Topic: RE: Doc trying to talk me out of a DS

Look, Good for you for sticking to your guns and advocating for your choice. You are the only one that can look at your weight loss and gain history and decide if you need the DS. If you want to sound off in a place like this that is fine in my opinion.

While it is complicated, of course the revisions is possible, and I have seen multiple posts over the years
from people that have had this done.

It still depends on the skill and experience of the surgeon. The one I see in the US the most for such revisions is Dr. Keseshian in California but there are others.

I'm a traditional DS and while there are stresses, keeping up with my vitamins and labs is 2nd nature after 7 years so it doesn't have to be a "nutritional catastrophe".

Good luck,

Pete

HW 552 CW 198 SW 464 4/15/13 - Lap DS by Dr. Philip Schauer - Cleveland Clinic.

PeteA
on 4/7/20 11:30 am - Parma, OH
DS on 04/15/13
Topic: RE: Requirements for DS

Some Surgeons will advocate against the DS unless you have a relatively high BMI or co-morbidities that might be helped (Diabetes, CPAP use). A surgeon specializing in the DS will probably lean more into it but no gaurantees. You have to advocate for your choice if it is what you really want.

I'm not any help on insurance. I had to self pay, my insurance didn't cover the main surgery at all.

HW 552 CW 198 SW 464 4/15/13 - Lap DS by Dr. Philip Schauer - Cleveland Clinic.

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