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Your surgeon is doing you a huge favor...
As bad as having some co-morbidities returning but still keeping a decent amount of weight off, the nutritional deficiencies that could happen with a revision, as well as other terrible side effects.
Don't get me wrong, like others on here, I know people who did great, where their only wls was a DS, long term.
You are way better off trying slowly lose weight on your own than converting.
I had no comorbidities going into a rny that I had in 2001, I had a brilliant surgeon, I had thought about DS then, but they weren't being done lap then.
And still managed with being pretty compliant to have gi bleeds, severe long term nutritional deficiencies and severe reactive hypoglycemia bad enough to require a reversal of my rny.
I didn't tell you that tidbit about my reversal, cause I'm anti rny or anti wls, I'm not. I have a sibling who's 17 1/2 years post rny who's never had a complication, can eat whatever she wants and just has to in the last 9 years workout intensely to keep her weight off.
I am saying most long term wls peeps do have to work harder with regain or to maintain, I get that it's hard to exercise with bad knees or backs, but you wouldn't necessarily be better off having a DS and then still finding you need back or knee surgery even after the weight loss.
It might help to find others who are similar to you who've lost regain without a revision, in similar physical cir****tances, which I'm sure there are some here and in other wls groups on the internet and on social media like Facebook.
I have irreversible cognitive damage in long and short term memory loss from the nutritionally deficiencies and I couldn't orally supplement enough, couldn't be supplemented enough intravenously with ferritin and banana bags for years and years.
I hope you realize the grace and wisdom of that surgeon and give yourself 6-12 months with having slower weight loss expectations, than to risk another bariatric surgery, given what you were told by him, as well as the others who gave you good advice on this board.
HW 372 SW 350 CW 185 GW 150 Lost 187 so far....
You'll really need to check with your insurance. Some ins companies will only allow 1 wls, even if you do meet the requirements. Something like complications from your first surgery might allow you to get another one. But the ole went off the rails for a bit, probably won't be enough, at least not thru insurance. 
No one surgery is better than the other, what works for one may not work for another.
T-Rebel
on 3/29/20 7:20 pm
The doctors don't decide, they just operate. Generally an insurance qualifying trigger which is usually a 40 bmi or higher, or a 35 bmi with comorbidities. I had Cigna insurance, a 40 bmi and had the SADi DS in 2014.
If I had the vsg, I would have gained all the weight back by now. Luckily I still malabsorb and have kept the excess weight off.
Hello, I had sleeve surgery in 2011 and was doing pretty good until some major upsets in my life occurred and I fell off the rails in many ways and my eating habits went back to their old ways. I know that this is no excuse, but it is what happened in my situation. Now I am in a good place in life and things are going well and I won't allow this to happen again. My question is what do the Dr.s require to get the DS surgery? Also the insurance company? I have Cigna.
maybe because the corona virus so they cannot produce as usual. Check on the Amazon and catch it as soon as you see, and I think you should to add more vitamin C to protect from covid-19
You sound like a kid who hasn't gotten their way. Calling doctor's quacks because they don't give right in to what you want is very childish.
Your "dysfunctional public health care" has already given you TWO WLS and you appeared to have failed both of them. You want what you want and it very well could cost you your life. As others have said there are not many surgeons who perform the take down of a RNY and then do the DS. It is a very long complicated surgery.
Maybe you should look at why the first two WLS failed, because if you think you will not gain weight with the DS then you are in for a very rude awakening.
Please go back and re-read her post. She has only had one WLS (an RNY in 2005).
She does, however, have to realize that there are reasons she can't find a doctor who will give her the DS. Revising from an RNY to DS is a VERY COMPLICATED SURGERY and not the same thing as a "virgin" DS. There are only a handful of surgeons worldwide who are capable of successfully performing this surgery and like we've been talking about on this conversation is there may not be anybody in Canada who does it (there used to be a doctor years ago in Montreal, but I think he moved to CA - sorry can't remember his name).
I don't know what she means by "it has failed since 2012". Don't know what that means. I wouldn't necessarily blame the surgery, but I don't know enough about her situation. Not sure why she has not come back to the thread she started.
she probably been back to the thread but doesn't like her responses.
You sound like a kid who hasn't gotten their way. Calling doctor's quacks because they don't give right in to what you want is very childish.
Your "dysfunctional public health care" has already given you TWO WLS and you appeared to have failed both of them. You want what you want and it very well could cost you your life. As others have said there are not many surgeons who perform the take down of a RNY and then do the DS. It is a very long complicated surgery.
Maybe you should look at why the first two WLS failed, because if you think you will not gain weight with the DS then you are in for a very rude awakening.
Please go back and re-read her post. She has only had one WLS (an RNY in 2005).
She does, however, have to realize that there are reasons she can't find a doctor who will give her the DS. Revising from an RNY to DS is a VERY COMPLICATED SURGERY and not the same thing as a "virgin" DS. There are only a handful of surgeons worldwide who are capable of successfully performing this surgery and like we've been talking about on this conversation is there may not be anybody in Canada who does it (there used to be a doctor years ago in Montreal, but I think he moved to CA - sorry can't remember his name).
I don't know what she means by "it has failed since 2012". Don't know what that means. I wouldn't necessarily blame the surgery, but I don't know enough about her situation. Not sure why she has not come back to the thread she started.
She posted this on the Ontario forum. There is more to her story then she is letting folks know.
Dr. Sanchez Lapband 9/12/2003
hw305/revision w280/cw197/gw150
Revision from Lap Band to Bypass on 2/4/2015 by Dr. Pohl
I was a member here when it happened and it was useful to me. I was one of the people who was considering reversing RNY to DS. I spoke with several surgeons who told me that there was no difference in the two procedures are far as controlling diabetes.
The person who had the surgery and then died was very vocal here about how we were all fools for not reversing to DS and I remember him telling me how sorry I would be with my RNY in a few years.
Around 2008, there was a very strong group on this board who ridiculed anyone who did not have DS.
Obesity Help finally banned them from this board.
Real life begins where your comfort zone ends
