A distal RNY ( like my ex husband has been very successful with for over a dozen years ) is also a great option... very similar in results to a DS but perhaps not as extreme .

I personally am not a huge fan of the sleeve or of a two part surgery... it's very hard to get insurance to pay for the second part of it and for most people the limited weight loss of the sleeve is just the beginning of what they need .

When I came on here researching surgery about a dozen years ago everyone was ALL about the DS ... which is a GREAT surgery if you like fat and meats and rich foods ... but it involves daily lifelong vitamin intake and limiting of carbs .

I was offered a proximal RNY with a larger pouch because I like to eat veggies and salads ( and I was a liteweight) .

Ten years post op I still ( luckily) have great malabsorption and pretty much what feels like a virgin ( first two years ) surgery. But I've never stretched my pouch or made fatty or sugary or slider food choices.... except very rarely.
((()))) good luck making your choice

What kind of surgery have you decided on ?

Can you handle the lifelong vitamin and exercise requirements of a DS or distal RNY ?

And are you most importantly healthy and young enough to recover from essentially being hit by a Mack truck ? ( so my business partner who kindly visited me in the hospital every day, took me home and took care of me for about a month called what I looked like )

Because honestly I really don?t think the sleeve ( which is relatively easy and safe for the docs ) results in usually more than 70 lbs weight loss ... of which at least twenty gets regained .

You?re probably better off in the long run if you can tolerate a virgin surgery scaled right to what you need to lose .... and there are relatively few docs that do that with patients your weight and have a great track record.

They also have to have heavyweight gurneys ... beds , scales ... just the proper equipment and around- the clock team and hopefully they?re located near you in case of post op emergency ( I had one- a bowel twist from dehydration about fifteen days post op - I was VERY lucky that my surgical team took me in the middle of the night and infused me IVs and I didn?t have to get cut open again) .

I?m NOT trying to scare you ... this surgery is the best thing you?re ever going to do for yourself... but you?re facing a challenge. Make great decisions please!

You have to look totally openly and unjudgmentally at your favored eating habits to choose your best option.

Do you prefer ( or tolerate) a lot of fried or fast foods , greasy meats, cheeses and nuts or sugary , fatty desserts or both ?

If it?s the former you can go either way I think ... the second ... the best choice might be the RNY because most people dump.

I haven?t tried a REAL dessert since my marriage in Vegas and dumping from a molten chocolate covered fountain ice cream experience.

I definitely THINK about eating sugar ( like when I see tempting fresh gelato) and then my body remembers writhing on the floor for half an hour wanting to die .

In the long run it might be keeping my teeth from rotting and diabetes at bay ... not bad things .((()) hugs

should i be concerned that my doctor told me i will be her biggest patient have a perform weight loss surgery on

For instance.... how stoopid dieting is . Especially for a larger or athletic person.

I was like a photogenic weight maybe five times in my life .... always involved hours ( and months ) of strenuous exercise every single morning... a ten mile run or crazy long rollerblade ... and I always did the stop and stare in the deli ... look there?s a cookie ... look there are pistachio nuts I?m not allowed to eat .... and maybe a sandwich...

you know am I NUTS ? Someone would have loved me at whatever size ... I didn?t like myself ... I simply couldn?t accept myself.

I NEVER want my girls to feel that way .... and I look at pictures and just say you were SO pretty.... but obviously miserable.

todays food - fat free milk . Salsa . A bit of potato stix ( still less than 1/4 down in the first container after a week of grazing) .... maybe a bite of cold pizza . Seems like such a waste of food and money to get a lunch special and then ignore it and eventually throw it out . Very frustrated.

the cold cuts already went down the garbage hatch ****ouched) as did a chicken and broccoli lunch special .

I simply can?t eat anymore.... and the laugh is I would have given ANYTHING not to feel hungry years ago .

To be slim and sexy and under a hundred lbs ( not that that?s true even now ) ... but even then I worried what would happen to say my heart if I starved myself.

I have a few dancer friends ( not strippers but ballerinas and male ballet dancers ) and a few years after they retire ( at like 25-35) they usually have serious heart problems from starvation.

The heart muscle dissolves and is only adequate to supply blood to a ninety pound body ... and if she?s one-thirty after retirement it gets enlarged and eventually results in heart monitors and heart failure. No joke . super scary . The boys are often anorexic too ( or bulimic ) quiet as it?s kept .

No ! I give her formula and cream of wheat .... and just recently chewed up fresh mozzarella cheese which she swallows like an eager baby bird ( also homemade spinach , beet , carrot , applesauce and banana baby food ) .

My bigger almost one year old grrl has self toilet trained ( to the point I'm looking for tiny underwear because she no longer needs or wants a diaper... when she needs to pee every few hours she just jumps or rubs her legs together... ) and she loves chewed up hot dogs ( no teeth yet .... you can feel them but they can?t bite and haven?t broken through the gums ) and the same chewed up fresh cheese and salad ...

they seem pretty happy .... we all wake up together and they smile at me and hug me and get sat upon the toilet ( the bigger one Katy) and the little one fills her diaper and everyone gets a butt bath, a fresh diaper and a walk about outside ( after a meal ) . We?re just a normal family.