I was around 50/51 bmi. I had the GB almost 8 months ago. Went on Keto about the second month after. Started at 315, I am now 189 and still going strong. No complications. Best decision I ever made.

This guy is AMAZING. I want him to do my bypass

This is the best video I've seen explaining the differences. I'm scheduled for gastric bypass on 1/29/20. Acid reflux and the diabetes plus sleep apnea have been the major concerns. He really broke things down.

My BMI is 46. I have been approved for the surgery, I am leaning towards Gastric Bypass. Thank you so much for your informative videos. They have been of great help to me. I will continue to reference back to them.

1. Gastric bypass - I have diabetes so I think the bypass plan would definitely work for me. 2. Gastric sleeve - My very first option at the beginning was the gastric sleeve, but there is empirical evidence to suggests that the stomach can stretch back to its' larger-size' if you go over the number of calories. which seems like you have wasted your money and you are back to get square one again. 3. I heard that the gastric band is very effective however, there are risky complications, the band has fallen out and has become stuck in the body, or it may be to tight around the stomach causing eating and breathing problems, you may have to go back and forth for a check-up which may seem like a headache!! I would not reccomeded the band, it only works for a small period of time, please don't waste your money, time, and energy, in fact, the 'gastric band' should be annihilated.

thank you Dr, i was booked into get the sleeve but my surgeon never asked about my bad reflux, after watching this video i changed doctors and am going with the bypass in June. Thank you!

Thank you for such valuable information. made my decision very clear!

You explained this very easily :)

This video has helped me tremendously in deciding which procedure is best for me!!! Thank you, thank you, thank you!!!🙏🏾

Thank you for this breakdown!

The lapband is taking the same road as 8 track tapes did 30 plus years ago. It seems like a waste of time doing that. Go for the VSG Vertical Sleeve Gastrectomy or Gastric bypass. Best of luck to you all in your decision.

It's very simple - you don't lose enough weight. That being said, many surgeons frequently perform sleeves on patients with BMI>50.

I am also opposed to the lap band. I had the lapband surgery eight years ago. To start losing weight I needed multiples fills at a point that I was able to drink my meals only twice daily. I lost 60 pounds and kept off with the liquid diet. After 8 years the band slid and had to be removed. My stomach is 5 times bigger than a regular person. My doctor, after the surgery, said goodbye and good luck. He knew was going to gain a lot of weight back and refused to do a sleeve. Don't accept the band!

I absolutely like the explanation and BMI inclusion...

Hello Dr. Weiner, thank you for this video. Very informational. I came across it while searching for other videos. I am in the early stages of researching the best surgery for me. I was trying to play a DVD from Health Dialog on weight loss surgery but for some reason it would not play on my laptop?? (Luckily I have their book). I tried finding their information here on KZfaq but to no avail. I am 52 years old, 5'6 1/2, and I weigh close to 335lbs. I have high blood pressure, high cholesterol, moderate sleep apnea, edema, swollen feet, swollen ankles, swollen legs, and I am experiencing back discomfort, well, I am not able to stand that long when I cook, clean, or even just walking short distances. (and much more). I am considered "Morbid Obesity." At first I thought the band would be perfect because I don't like the other illustrations for the other procedures. As I watched, I'm thinking the GBP would be the suitable choice. I know that you can't diagnose online but it just feels like right choice at this time. I've been battling my weight mostly since I was in my 30's. I would loose like 75lbs, gain it back, and then some. I enrolled in college in late 2016, I lost a lot of weight prior but again a second time I gained it all back, and then some. I am the heaviest that I have ever been in my life. I told myself that surgery would be my last result. 75% of me wants to do this and the other 25% does not want to. I will say, I am kind of scared.

Thank you for these videos! My bmi is 38 and I have been researching gastric bypass since I was about 13 (I've been more serious as I've hit my 20s) and your videos have helped me the most. I am hoping to get a sleeve done soon. Do you think they consider my arthritis as an obesity related condition?

I need to choose the surgery this week.I am pre diabetic and love sweets.my bmi is over 40.I need to loose at least 120 pounds .Which one do you recommend sleeve or gastric bypass?by the way thank you doctor this video is very informative.The best I ever see on KZfaq!

My dr recommended me the gastric sleeve or the gastric bypass I did my research about the gastric sleeve and gastric bypass surgery for many years now ❤

Dear Doctor, Thank you so much for these informative videos. In my country sleeve gastrectomy is getting very common but the post surgery care is not that advance as it is in America or UK. I am Femala 31 , pre diabetic , hyper tensive with BMI of 33.... and considering VSG .......planned for 5 June,,,,, do you have a post opp diet guideline which i can refer to generally ... it will be great help

I had the gastric band put in 2014, a year later I was swollen, in pain and constantly vomiting with nausea. I went back to healthier weights and told them I want it out they told me to pay £5000 to take it out. I spent £7000 putting it in. Dr Aston told me to get the band instead of the balloon which is temporary. He didn’t give me the option of the bypass. 2020 I’m going next week to get the bypass and the band taken out privately. Thank god 5 years suffered and struggled with the pain, reflux, vomiting. 2m ago I was diagnosed with diabetes. With a 17m old son I have to look after myself so I can be a better mum to him.

I had the mini sleeve done back in December of 2017. At my heaviest I was 335lbs. I was told by my doctor that with this operation I should be able to reach a weight of around 225. I never did the lightest I got was 269 and I was going to the gym Monday through Friday doing cardio for one hour and another 30 to 45 minutes of weight lifting. And as time went by I was able to eat more and more and vomit less. My stomach had stretched and so here I am back to bn big again. I now weight about 288 or so ofcourse this year with covid didn't help but still doctors should be more honest and tell you this important thing that my stomach can stretch again had I known I wouldn't of have done it. I would want something more permanent. Or atleast for us the patients to know all the truth. So would I recommend it no I wouldn't.

Please don't get the gastric band (Lapband) unless you are super extremely disciplined, type A personality who loves to exercise and eat like a saint! I had the gastric lapband put in eight years ago and it has done absolutely NOTHING for me! My stomach was never "fooled" by the band and by eating a smaller amount... I was hungry all the time no matter how many fills I had and how tight the band was. In fact, lapband surgery can cause very poor eating habits as you try desperately to make it work and you think a magic "fill" will make a difference and make it work like you hoped it would - then the band is too tight and you cannot eat hardly anything solid, so you start eating chocolate and ice cream...anything soft that will go down to give you some calories! I think the band did more harm than good for me personally. You are always searching for this elusive "sweet spot" that is never there for the majority of us. Again there are a select few that it works for but of 3 people I know that it has worked for them they all workout 2-3 hours each day and religiously portion their food - they are food Nazi's and extremely disciplined people! If you are a person who is human and make mistakes then reconsider! I am now going to my doctor for revision surgery from the lapband to gastric sleeve. I hope this review helps someone with their decision.

Dr. Weiner, I came across your channel while researching my revision options after having the lap band removed in 2017 (it was placed in 2010) after developing GERD from the band, terrible eating habits and vitamin deficiencies secondary to the poor eating habits (could hardly tolerate healthy food only ice cream and sweets). I am 5'2'' and the heaviest I have been in my life at 199lbs. I have moderate sleep apnea and metabolic syndrome. My question is, do you have a video explaining the pros and cons of both the sleeve and the bypass after lap band removal? I do not have any scaring or esophageal issues (per a recent upper GI series). In your experience, what is the best surgery? My husband had the GBP in 2007 and he did great on it. Only issue is that during the first 6 months post-op he looked emaciated. I am leaning towards the GBP but fear that I will loose too much weight (bet you haven't heard that concern before). Is that a thing given my wt and height? Thanks so much!

I've gone to my first couple appointments and am needing to make my choice this coming week between VSG and bypass this video kind of helps me. My surgeon suggests that I get gastric bypass because of my current weight 325 and because I have history of GERD (not so much in the past year and half) but I've had 3 csections will that impact having the bypass? If not I'll probably get the bypass 1) because doctor suggested 2) because of history of GERD 3) evidence of long-term success And that 3rd reason is BIG for me I've done weight loss X3 in my life first time I lost 60lbs second time I lost 80ish lbs and 3rd time over 110 lbs but each time I eventually gain the weight back plus some and at this point its become harder for me to lose any weight and being active is getting really hard (painful) 😢 I have 3 young boys and I want to actually LIVE life with them not hold them back or just watch them from the side lines so I'm going to push myself and hopefully having this tool (whatever one I go with) will help me meet my goal and stay there. Lowest weight since I WAS 13YRS OLD- 168lbs Highest weight- 325 Good luck all!

Hi, great video. I've had open surgery 3 years ago from public bone to belly button for a full hysterectomy. Am I able to have the bypass as I have auto immune disease in my spine and pelvis high cholesterol and recent TIA so need to lose weight quickly. Many thanks

Do you have any experience with someone with hypermobile Ehlers Danlos syndrome? I want a gastric bypass but am worried about possible complications related to EDS.

I have a BMI of 35, acid Reflux that disappears when I get leaner, also high collesterol. I was thinking of the Sleeve but my doctor is pointing me towards the Gastric Bypass, but i heard there are a lot of things that you can't do after gastric bypass since there's no longer a path through the stomach, such as medication that works in that organ and also I was told that alcohol and sugar are not advised at all after the procedure (even years after)

Dr. Weiner, I would like to do a gastric bypass. I had the sleeve Jan 2017 and am not having my best results. Not to mention I am feeling diaphoretic after every meal😢. Please sat you will acceot me as a patient. I am 60, in perfect health and weigh 185 at 5’5. I only take one pill a day other than my vitamin. Please help me.

is it true i read that if your a1c is over 9 a bariatric surgeon...9 they won't perform the bypass or sleeve on you?

How Long BEFOR I Can Have The SLEVE? Or Gastric Bypass.

Can someone being 49yrs old... 5'9"....female being 206 be eligible for bypass?...Is the bmi to low (in general )after cholesyesctomy.and roux en. Y hepaticijejunostomy and ventral hernia with mesh surgery)..iI can't budge weight..doing all the right things

i am curious doc about the gastric bypass i am a type 2 diabetic for 14 years i also suffer from gerd for many years.. i read that the gastric bypass cures or puts diabetes in remission for about 84% of diabetic patients i read since i have been a type 2 diabetic for so long and i am on pills insulin and trulicity diabetes may not go into remission but will get better.. in your practice have you had patients like me and what were there outcomes...

Which surgery is better if you still want to be able to not he limited to a super small helping of food I.e thanksgiving and occasional work Gatherings? I have a BMI of 40 with a mild case off sleep apnea and my doctor recommended the gastric bypass, but I am Leaning towards the sleeve after watching numerous videos. The other hiccup in this is my insurance just approved the gastric would I be able to change to the sleeve?

would you explain more why you said the sleeve is not good if ur bmi is over 50.my bmi is 50 and im seriously thinking the sleeve over gastric by pass.

I'm curious which method is best for people on lifelong psychological medications? I'm a really good fit for a gastric bypass but I'm concerned about medication absorption.

Hi doc. Thank you for the informative video. Im supposed to be getting my surgery next month im 32 yrs old starting this process i was at 280lbs and today i am at 254lbs i have pcos my nutritionist put me on a low carb diet and im doing well on it. My reason for getting this surgery is my rapid weight gain but i also want to be a mom . My surgeon feels that the sleeve is the surgery i should choose. But im leaning towards the rny. Ive had friends that have done the sleeve and a few years later they have gained the weight back. Any suggestions..

If a person starts their journey at above 50 BMI but loses enough weight before the surgery to be below a 50 BMI do you find that the surgery still has the same success rate or do you find the stats stay the same and the person still doesn’t lose enough weight after the surgery? I have the lap band currently (approximately 8-10yrs). I had to lose 30lbs to qualify for the surgery and lost about a total of 60lbs all together. I plateaued and maintained for a long time but now Im over 330lbs and Its extremely frustrating. Im looking at having revision surgery because I have alot of side effect of the banding and none of the benefits. Ive been thinking about getting the sleeve in conjunction with the revision surgery, Im terrified of removing the band and gaining even more weight! But at the same time I think the band is causing harm.

What if you have a lower BMI but have reflux and slow metabolism?

Am allergic to nut, wheat, corn and a lot of fruits. So would I still be able to. I mainly eat meat and fish and veggies

I'd love to hear your thoughts about the newer, unconventional mini-bypass.

Are there any other options available? The reason I ask I am looking for the option that has the least malabsorption competent to it. I have to go back into surgery to fix a slipped wrap and since I have to have surgery again I would like to have bypass surgery done at the same time. I am a hard case but from the research I have done not impossible, when I had my GERD surgery done in 2015 it was found I have liver cirrhosis, I am compensated, I also have type 2 diabetes which I take no meds for but am noticing my numbers rising lately which is not good with the liver disease. Since I have CVID I am not keen on having anything placed inside me. I have struggled all my life with weight I can lose it but I always end up gaining it back, I have found I am very carb intolerant but I am also finding now that the higher fat intake from doing LCHF is working for me anymore I just can't handle it but to increase my carbs rises my blood sugar. I really do believe that at this point to keep my blood sugars under control and to keep my liver compensated for as long as possible I am going to need weight loss surgery, my liver is so fatty right now. Which option do you feel would be the best option for me?

Thank u doctor now I can tell my case manager it isn't cosmetic

Hi Dr. Weiner!, I am close to the date of my surgery and I have decided to get the Gastric Bypass, mainly because the long term data and the better results in weight loss, but now I am having doubts.. my surgeon recommends me the sleeve but he said that at the end its my decision, which surgery would you recommend me? I am 27 years old, my BIM is 38 and I have Polycystic Ovary Syndrome, thank you so much! and regards from Venezuela.

HI Dr. Matthew I am getting ready for bariatric surgeon but I'm a kidney transplant plus had a hernia repair plus a fracture hip I have Gerd which is control with meds and I'm seeing Dr. wood next months I was in a car crash 11 years ago so what you think would be the best bariatric surgeon in my case im 44 and weight 310

Huh. This video has me second guessing all the research I have done. I thought vsg was the best option for me because of its minimally invasive method (“keyhole” surgery) because as a cancer survivor I have massive nerve and tissue damage, and most of my right abdominal wall is now made up of mesh. BUT, this damage also leaves me with chronic pain because of the nerve damage. So I have a significant mobility issue. I used to have a very labour intensive job and obviously ate less because I was busy working, but I’ve put on at least 50 kgs (over 100 pounds) since I got sick. I don’t have diabetes but I do have limited mobility. I was fairly certain that vsg was the best option for me but now I’m wondering about it. I will be presenting my “case” to my surgeon at our next regular check up in hopes that he will agree to sign off on weight loss surgery but he’s very reluctant to operate on me unless it a necessity as I had near 40 surgeries while I was sick because of massive complications. I need to have my facts straight and present a good case to my surgeon so he will agree to surgery. so, the fact that I have an extremely complex surgical history suggests VSG is the best option, but my limited mobility and obviously slow metabolism (no matter how well I eat I can’t seem to get any weight off) suggests the gastric bypass is more appropriate. I realise that it is not appropriate for you to give specific medical advice and I will absolutely be discussing this with my own surgeon but I need to present a good case to him from the get go so I am wondering, what would you recommend for a patient with no diabetes or signs of diabetes developing, slow metabolism, limited mobility and complex surgical history? I ask purely so I can present my own findings to my surgeon so he knows I’m absolutely serious and have put serious thought into the effects it will have on my life. I have bmi of over 50. 5 ft tall and about 140 kgs (around 300 lbs I believe). I’m only 23 years old but have had two children (if that makes a difference) sorry for the rambling message, and again I’m not asking for specific recommendations from you but more a general approach on what you believe would be the best option for a patient like myself. Thanks for your time in making this video.

Dr I am considering having this done been approved but it all seems a tad crazy to me. The problem isn’t my stomach but my brain. And the surgery isn’t a lobotomy.. I heard in the group sessions a patient was sent home after surgery and blended a hamburger. His stomach exploded and needed emergency surgery to fix it. Also the sleeve is absolutely insane when in fact they remove 85/90% of their stomach because it’s almost a full stomach amputation. What about the Ghrelin? They call it the hunger hormone in the group sessions but I’ve found out that it also contains human growth hormone that body builders call the fountain of youth. Is that why when people break something it sometimes takes them 3 years to heal instead of weeks/months. Wounds heal slower and so on. Isnt the part of what they remove called the Fundus where Ghrelin is produced, they say you will produce some of it again but it will never be the same amount as it was. I’m doubting this all. I weigh 147 kg ( I’m from the Netherlands so it’s kg) and came from 161 I lost a few kg on ozempic. Isn’t it better to lose the weight naturally? They say with bypass you don’t take up nutrients as good and vitamines. They warned us to take it serious because someone who was operated didn’t take his vitamines and his spine completely collapsed😢 How about the nourishment when people get older? And boneloss? Also what if a patient gets cancer and can’t digest the medicine properly? Does he/she get ulcers because they need to take heavy medication 💊? I’m asking All this not to criticize your work but I’m generally considering surgery but want to weight out the pros against the cons. I find some people may loss the weight but end up aging immensely is that because the lack of Human growth hormone? And how is it possible so many lose their teeth due to boneloss ?when they first hade good teeth I saw this woman on KZfaq and found many more on Facebook. There are all kinds of groups on Facebook talking about the complications after weightloss surgery. Im in need of a good advice and honest opinion on this topic from someone who is experienced. Is it possible for me at 147 kg and 41 height is 1.72 cm and a female to weigh 72 kg and lose the weight naturally? Or is weightloss surgery my safest bett? Thank you greetings from The Netherlands

I am 5’10 200lbs I want to get the sleeve I got approved for surgery in Mexico by a great doctor I’m getting my surgery in November

I'm 49.99 maybe bigger but I'm leaning towards gastic bipass so I loose more sooner and cure my diabetes and start to see results for my back and foot pain

I am 33 and 375 at 6 foot 2. All of a sudden in my early 20's I started gaining weight. Still no answers why. I went from a size 14 to 24 in 6 months. I was walking 12 miles a day plus working 8-16 as a nurse. I should not of gained that much weight that fast. Also around that time I started experiencing extreme fatigue, heat and cold intolerance, concentration issues. Now I have a diagnosis of lupus. I've been trying for 3 years to lose weight due to allergies I have very limited diet I mainly eat fish and chicken and vegetables. I still have a healthy workout regimen I ride an exercise bike I on bad days put in 10,000 steps a day on good days I can hit 20 or 30 thousand steps. There's no reason why I shouldn't be able to lose weight it's very frustrating and my doctor wants me to after I get my gallbladder removed which will be in 11 days go and see people at the bariatric Clinic because he said that without my gallbladder is going to add more stress and strain to my body and most likely I am going to end up gaining more weight after losing my gallbladder. I'm scared I'm worried about excess skin I have a lot of Scar Tissue on my skin due to accidents and abuse my skin doesn't rebound like it used to I have a history of skin infections lesions and MRSA. I don't want to lose a ton of weight too fast and then I'm not going to be able to afford to get rid of the skin Tom. I'd like to do is slow and steady that way so my skin has a chance to regain some elasticity so it can go back to some form of normalcy

duodenal switch has a 99% cure rate of diabetes while the bypass is only 84% still good but not as good as the duodenal switch..

Will it be hard to build muscle after bypass?

I've had 2 cesarean sections. Would I be able to get the Bypass?

where is the duodenal switch? which is the best weight loss surgery..and will cure diabetes....

My surgeon said the sleeve would be best but I don’t agree I have had bad reflux since i was a teenager and I have heartburn every day

I want to know is this cosmetic surgery Or what is this really called

I'm getting the Gastric Bypass, I'm just buggn out about the loose skin.

The Sleve Is The One I Want

My Bmi is 40 I have ostogenis imperfecta and is since birth and walking with crutches. Which surgery is best for me. ???

Im 5.11and 310 will i qualify

My Goal Is 350 LBS So They Know How Much I Need It.

If you have a BMI of 19 can you get the surgery? If you are 5 “6” 120 pounds

My mother died from Gastric Bypass, I don't recommend it at all! She was 86lbs before she completely died from hospitalization. I had to see her going from healthy to a total skeletal woman, gave me trauma for the rest of my life. Please don't get Gastric Bypass!