Bougie Size...
This is a huge deal for some people. Personally, I have no idea what size my surgeon used and I couldn't care less. But to some, it's a deal breaker in even considering a surgeon.
VSG 7/1/13 with Dr. Jack Rutledge 28 y/o female - 5'10" - HW: 298 - GW: 174 - SW: 290 (-8) - M1: 262 (-28) - M2: 247 (-15) - M3: 235 (-12) - M4: 228 (-7 ~First Stall: almost 2 wks~) - M5: 218 (-10) - M6: 209 (-9) - M7: 199 (-10) Onederland on 1/31 - M8: 196 (-3) 100 lb total loss on 2/2 - M9: 192.6 (-3.4) - M10: 188.6 (-4) - M11: 182 (-6.6) - M12: 175.6 (-6.4) - M13: 173.8 (-1.8) CW (7/8/15): 167 - GOAL reached in 1 Year and 25 Days! - TOTAL WL - 131 lbs
I think the size your surgeon uses depends on what his/her preference is. I know my surgeon uses anywhere from a 32f to a 36f, and he determines which one he uses on you based on your anatomy and how much you have to lose. That's what he told me, anyway. That being said, he used a 32 on me and I have great restriction.
people argue all the time about size , but there are plenty of early people from 1015 yeas ago that lost the weight and keep it off
with 50f+ boogie
and plenty with 32f that have problems losing
I have a loose 34f almost a tight 36f and it looks like a string bean , the difference between the sizes are very little
and the surgeons technique means more than the boogie size also the most important thing is sticking to a good plan
some surgeons don't like the 32f size they say there is more of a chance to leak, and people have more problems getting in fluids and food at first
a 34f-36f holds about 4 oz at 1 month after the swelling goes down and about 8 oz after 1 1/2 years if you follow a good plan and fill it with mostly protein and some veggies and a little fruit , you will be eating around 600 cal and you will have to lose weight
if you don't trust your surgeons judgment do yourself a favor now and find a different one that you trust
I am sure it does matter. Just like penis size matters. I mean there really IS a difference, otherwise they (bougies...and maybe penises) would all be the same. Wouldn't you think so? The big question is how does it matter and here the answer is the same for both ...tools...it's what you do with them that makes a difference. It may be easier with a larger penis or a smaller bougie but you can be equally skinny happy and ....satisfied....with a larger bougie or a smaller penis. Sorry for the absurdity of this comparison and I am certainly not making light of it but there are advantages and maybe disadvantages to both. And it just boggles the mind ...at least my mind...that either one would be a deal breaker in the choice of surgeons or partners (in the case of a penis).
I was gonna refrain from bougie talk, but you baited me in.......
I like my women and my bougies small and I like a tight sleeve and a tight va-jay-jay......(let the flames be thrown..... she stared it !)
Of course sleeve size matters..... bougie size may not be the true indicator now days because surgeons are all over the place in experience and execution.
Capacity is more the key.......
The sleeve should be made for long term....... WL can be had with just about any size sleeve......
If sleeve size is not important and the differences are deemed "miniscule"......
Why do people end up with a capacity that ranges from 3oz. to 16oz. ?????? That's not "miniscule"
MickeyMantle up there is at 4oz. very early out and is looking for 8oz. at one year. I can tell you for sure, that would not work for me to lose 100+%EW and maintain long term.... sorry
An 8oz. capacity at 1 year "can" mean even more at 2 years and even more at 3 years.......
Now figure 100cals (2oz. of most proteins or 1tbsp. of peanut butter) a day over your balance point is approximately a 10lbs. gain in a year.......
I've seen just about every patient in my surgeons practice make 100% EWL and if they didn't make 100% thay are in the 90 percentile range.
The sleeve should be made for the 5 years to life range and not for just the first year.......
Sure..... it's what you do with it...... that's so correct...... which way is better????
That's your choice !!!!
frisco
SW 338lbs. GW 175lbs. Goal in 11 months. CW 148lbs. WL 190lbs.
" To eat is a necessity, but to eat intelligently is an art "
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Dr. Paul Cirangle
Touché touché Frisco!!!! I asked for that indeed!!! And yeah what you said is spot on. Its the capacity (staying power?...!!!) that matters. But that is not determined by the bougie size. (surgical) technique makes all the difference. And again...what you do with it. Your technique...undereating your capacity, following the rules of the pyloric valve functionning etc etc etc...not the size of the bougie that determines that part.







