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Lap Band to Bypass Decision ?


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With battling weight most of my life 10 years ago I got a lap band put in. I am now 57 years old Male. 15 years ago I was diagnosed with type 2 diabetes At the time my Lap Band was put in my weight was 230 pounds. That might not sound like a lot of weight but for a Male 5’8 it was a lot for me. In addition to having type 2 diabetes I have also had two neck surgeries and three back surgeries over the years. The Lap Band gave me significant weight loss. I got down from 230 to 160-165. I also lowered my Metformin from 1000 mg to 500 mg. I lost approximately 70 pounds of weight and maintained this weight for about nine years. To say that it was an easy road for me would be lying, I was constantly having the band loosened tightened loose and tightened like being on a roller coaster. I had problems with the Lap Band being so tight that I was having major acid reflux problems. In addition to that I had some small ulcers around my esophagus next to my Lap Band. Last year I decided I had enough of this and had a lot of Fluid taken out of my band. The major acid reflex went away immediately however, I still have some ongoing minor constant heartburn and a small cough because the Lap Band is still in place but a lot of the fluid has been taken out. Because of that removal of fluid I have gained back for the first time in 10 years 35 pounds. Now I am back up to taking the same amount of diabetic medicine Metformin 1000 mg because of the 35 pound weight gain. The bariatric center in Los Angeles is recommending that I conceivably switch to a Bypass Surgery and not a Sleeve. This decision is not completely final yet, and the decision towards leaning towards a Bypass Surgery rather than a Sleeve because of the acid reflex problems I’ve had for so many years which only really developed soon after getting the Lap Band 10 years ago. My next surgery would be involved removing the Lap Band and switching to a Bypass Surgery all at the same time in one surgery. As in all surgeries there are risk concerns for changing the body anatomy, however regarding the Bypass Surgery my new understanding is the body does not absorb as many Vitamins and nutrients as it would from a Sleeve Surgery and there is a potential for Hair loss and dumping and other potential complications? Any advice or opinions from anyone that has been down this same kind of road would be much appreciated. Thank you for your time and concern. Hopefully one day I can help someone else.

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My wife had a band to bypass revision earlier this year and has had great success.  We follow the plan, take the vitamins and lose the weight.  No bariatric procedure is without risk or side effects; but neither is obesity.  I recommend you speak with your surgeon, understand the benefits and risks and do what is right for you.  Life it short, no sense in waiting around :)  Best wishes to you!

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Yes.  for about 10 years.  Lost about 50 pounds, but could never stand to have the band filled to where it had any effect.  Bypass is the way to go from our perspective, but you need to make that decision with your surgeon and for yourself. 

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I have not had revision surgery.  But I was diabetic for 18 years (took 6 pills a day for it; glipizide, metformin and actos). I was told RNY or gastric bypass would help but maybe not all the way in reversing my diabetes.  I was crushed when my blood sugar levels didn’t drop fast enough while in the hospital and I was sent home on insulin; something I had fought for years!!  I was sent home on a Friday night, I dtruggled to keep my blood sugar up all weekend.  Went in on That Monday and they took me off the insulin immediately; so 5 days after RNY surgery I was in remission.  RNY for some reason often reacts that way before weight is even lost..

ive got thick hair and always wore it short.  I did not notice any hair loss.  And if you do it isn’t normally but a few months before it starts growing back in.  It’s a side affect of surgery trauma..biotin is often recommended.  I have read protein helps as well.  I got my protein in from the start..

I have not issue with vitamin levels.  I take the vitamins I was told to.  Vitamins are not optionally.  They are for life.  

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