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Hello,
My experience on the DS. I had a Sleeve done in 2008 with great result, and I went from 272ibs to 175ibs. I started regaining the weight back after about 5-6 years. I got to 229ibs when I decided to explore a revision (abroad). I had two consultations. The first surgeon suggested to do a re-sleeve (he advised to stay with what has worked for me in the past), the second advised for a re-sleeve but an uttermost result, for a DS.
I went for a DS and also re-sleeved on October 22, 2019, and I have lost 68ibs (current weight is 161ibs).
A few things you should consider before you make your final decision if you haven't already.
1- with the DS, your bowel movement changes a lot - I didn't think it was a big deal before the surgery, but it is life-altering for me. I need to consider what type of food to eat before I go out and I need to go out, would I be comfortable using the washroom if I have to - the odour is awful and the frequency could be a lot.
2- you need to know that your life will have to depend on taking multi-vitamins
3- I have lost enough weight (my ideal weight should be 175ibs), but I keep loosing, and I don't know how or when it will stop.
4- I have to seek medical attention to stop the weight loss
These are just a few of my concerns, I am not sure how my weight will stabilize or prevent, and I am looking for advice on this. My point is just to make sure you're prepared for life after DS. If I have to do it again, I would have just re-sleeved.
I wish you all the very best in your decision.
Look, Good for you for sticking to your guns and advocating for your choice. You are the only one that can look at your weight loss and gain history and decide if you need the DS. If you want to sound off in a place like this that is fine in my opinion.
While it is complicated, of course the revisions is possible, and I have seen multiple posts over the years
from people that have had this done.
It still depends on the skill and experience of the surgeon. The one I see in the US the most for such revisions is Dr. Keseshian in California but there are others.
I'm a traditional DS and while there are stresses, keeping up with my vitamins and labs is 2nd nature after 7 years so it doesn't have to be a "nutritional catastrophe".
Good luck,
Pete
Some Surgeons will advocate against the DS unless you have a relatively high BMI or co-morbidities that might be helped (Diabetes, CPAP use). A surgeon specializing in the DS will probably lean more into it but no gaurantees. You have to advocate for your choice if it is what you really want.
I'm not any help on insurance. I had to self pay, my insurance didn't cover the main surgery at all.
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


