DS v. RNY and PA doctors?

Of course you can regain weight after any surgery.  The DS is more forgiving and does allow you to eat more of CERTAIN types of foods.  But eating simple carbs even with a DS will cause some weight gain.

What I am saying is that in addition to someone being able to "out eat" any surgery, it is also possible, and more common than you think, to gain weight after an RNY due to the mechanics of the surgery, and not because of choices.

It's explained in the link I posted above.

BUT my biggest reason for WLS is resolution of diabetes, sleep apnea and high cholesterol.

I was (repeat WAS) a type 2 insulin PUMP dependent diabetic also on metformin. My pre-op A1C was over 8 and rising. It is now a 5.4 on nothing more than diet and exercise...OFF ALL insulin and have been since 2 weeks after surgery. I lowered my metofrmin at that time and discontinued it 2 months later. However NOT everyone resolves their diabetes.

95-98% diabetes resolution for the DS

85-93% diabetes resolution for the RNY AND it can come back after a few years. http://www.obesityhelp.com/forums/amos/4588814/Weight-Loss-S urgery-Doesnt-CURE-Diabetes-Forever/

The stats for the VSG are coming about the same as the RNY but it's unknown about it returning later.

NSAIDS, if you have ever needed them or have a family history of needing them, do NOT get the RNY.

I was on 40 mgs of lipitor for the last 15 years prior to WLS...and was able to keep it under 200 but if I came off the lipitor, it climbed to over 240 and nothing I did got it lower. Now, I eat LOTS of fat and do NOT take any medications for cholesterol, my last one was 179. My dh, who does not have genetically high levels, he just had it because of weight, runs 139 NOW eating lots of fat.

Sleep apnea...depends on why you have it. Most come off the cpap but if you have any relatives who do not have weight issues and still need it or use one, that is not a 100% resolution either.

Nothing is guaranteed. But the stats for the DS are all stacked in the favor of the DS.

Think twice, cut once.

Liz

My insurance only covered DS for those with a BMI 50+.  So even though I qualified for WLS, I didn't qualify for DS.

THAT issue can be forced...esp since Medicare DOES cover the DS for ANY WLS patient. Just need to document why the RNY is not a viable option while still needing the malapsorbtion. (NSAID use is an excellent one).

That's an easily-overturnable denial. Anyone who qualifies for WLS qualifies for the DS. Screw 'em!

You can drink with your meals with DS.  Not with RNY.  Being able to have full fat butter, cream, mayo are all good choices!!!!

I revised from RNY to DS.  Here is a link to my one year post: http://www.obesityhelp.com/forums/DS/4593335/1-year-RNY-to-DS-surgiversary-Long/