Some centres follow the ohip criteria more closely than others. They are actually reasons for the sleeve according to Ohip. Some centres give you a choice and some do not. They really are supposed to follow Ohip criteria

The esophagitis is very minor and the result of severe gastritis that resolved just before the scope. The RNY is too invasive for me, I have to lose 65 pounds for orthopaedic reasons so the sleeve is very good fit. I'm so frustrated with the Bariatric program in Ontario, Doctors are good but the administration of the program is a bit of a nightmare, at least in Toronto.

Hi All,

Wondering if anyone here is with the program at Toronto Western? I'm scheduled for surgery on April 19 after many reschedules because of Covid, but a routine endoscopy found mild esophagitis and a small hernia and now I'm being pressured into a RNY. Wondering if anyone else has had a similar experience?

Started PPI and the opti-fast diet on Monday and the combination makes me very nauseous. Not getting any info from the program and Doctors change so often don't even know who to speak with.

Because the Duodenal Switch Surgery is primarily a malabsorption procedure you need to eat more. The surgery reroutes the digestive system so that we don't absorb all the food/nutrients we eat. That means we need to be able to eat more to get in the daily calories we need because not all of it will be absorbed like the gastric bypass. We need to take in at least 120mg of Protein because we only absorb 40% of what we take in. Fats I believe we absorb only 20% of what we take in. Simple carbohydrates/sugars we will absorb 100% of it. Which is what we need to be aware of when eating. Complex carbohydrates are better for us, but too much carbs can make you have diarrhea. All meals/snacks need to be Protein rich always. Also because we are not absorbing all the foods we lack the nutrients/vitamins we normally get from them. So we need to take Vitamins higher in amounts and frequency. With the first step don't be alarmed if you find yourself more hungry and able to eat more, because you can. They told me that the first step is not where the majority of the weight loss occurs, which I am finding true. It is a more gradual weight loss, at least that was what was told to me. And I would not lose the same amount of weight as the gastric bypass. Not gonna lie, right now I'm struggling with the bowel issues and I feel exhausted all the time. I make sure I get the protein in with the Premier Protein shakes. Still figuring out what I can eat and what I can't. Its a learning process and I think everyone will have a different experience. I don't regret making the decision.

Hi:

Yeah, I noticed right away the difference in my stomach. I definitely could eat more once I was healed than with the gastric bypass. I only lost about 10-15 pounds with the gastric sleeve. They calculated for me that with the conversion I would only lose 30-40 pounds more. Because I had lost most of my weight with the gastric bypass(130 pounds). I had my Gastric Sleeve creation in July 2020, and just had the Duodenal Switch part in February. I am having a lot of bowel issues (loose) right now. But I also have IBS which may be contributing to my issues. I am still on soft foods. I have lost another 20 pounds since February. You will have to do Optifast before each procedure. Step 1 and step 2 have to be at least 6 months apart, for you to heal and get used to eating more. The vitamin schedule is different. I ordered the high ADEK vitamins that is needed from Bariatric Advantage.