I am getting closer to a surgery date with Dr. English at MGH in Marquette, Michigan. This Wednesday is my physical with the doctor. I just found out that they use a size 46 bougie. I think they use this size so that they can perform a second operation to a DS or RNY if needed.
I want to ask the doctor why they don't use a smaller size. I would be happy with a 36 or a low 40 size bougie. I am just afraid about maintaining weight loss with a size 46. My plan is to do well enough with the Sleeve so that I don't have to have the second part of the operation done.
I am 6*3 tall, 430 pounds with a BMI of 55.
What do you all think?

