216 lbs - Crazy for wanting VSG?

Hello all!

I'm 5'6" and currently 216 lbs (started at 231). I've struggled with weight fluctuations since I was 11. Some years I was super heavy - others years I was really skinny. Now that I've had my first child (well..3.5 years ago) and have hypothyroidism - I find it nearly impossible to lose weight. I've only lost 16 pounds in the last 5 months. I log my calories and I usually exercise 5-6 times per week. I've quit soda and cut way back on bread, pasta, etc. My goal weight is about 135 lbs (which is a healthy BMI for my height).

Am I crazy for wanting the VSG when I only have 81 lbs to lose?!

I posted a topic similiar to this on the regular forum recently and got lots of negative feedback. People don't seem to like anyone considering surgery. Anyone who can provide information would be very much appreciated! Please be nice. =)
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Replies

  • If its what you think will help you reaach your goals then yes... you should do it. VSG can be a wonderful tool to help us, but please consider all the options out there. such as lapband. I know some Dr's require a certian amount to lose before they will consider you for the sleeve.

    good luck to you no matter what you choose
  • lee91356
    lee91356 Posts: 330 Member
    I am being 1000% Truly honest with you here, and PLEASE note this is the same thing I would tell ANYONE regarding WLS regardless of their goal weigh. So here goes....

    First off, I don't know if you would qualify for the sleeve, generally the BMI requirement is 40. I know they will do it for people who are under that if you have some 'comorbid' symptoms such as high blood pressure or diabetes. I don't know if hypertherodism (sp?) is one of those symptoms, but it generally has to be a health related illness that is directly due to being overweight.

    Also, just an FYI, even with VGS you may not get to your ideal weight as there are often people who dont, even if they were not morbidly obese to begin with as with the sleeve people tend to lose about 60-70% of their excess weight.. I know many people in my support group who had either VGS or RNY and lost 60 or 70 pounds, not everyone loses 100 or 200 pounds.

    That being said, I'm not a naysayer per say I just think, having gone through it myself IMO it really should be solution only for those who really need extreme medical intervention. I dont think this is for everyone and I tell that to people, I often wish that I could have dealt with my weight and health problems in a more traditional way before they got so bad that my BMI reached 60!!!!! and I had diabetes, high blood pressure and high cholesterol. I got to a point that the weight loss (over 150 pounds) became too overwhelming for me to be able to do on my own.

    I recommend that you do research and find out the pros and cons of this if this is something that you are really interested in. I really dont think this is a solution for everyone and I hate when people, especially those in the first two years of the "honeymoon" phase preach about it and tell every overweight person to get WLS. I believe that despite what I say or other on the forums this is your choice, as this a VERY personal decision. I just encourage anyone who is interested in considering WLS to get ALL the information and option before they make their decisions. :smile:

    AND PS a 16 pound lose in 5 month is pretty good, thats an average loss of over half a pound a week. :happy:
  • shirleygirl910
    shirleygirl910 Posts: 503 Member
    Having gone through a lap band that didn't work, I wouldn't recommend a lap band. I found I'm one of millions that had to have it converted to VSG. If I had it to do all over again, I don't know if I would do it. I like the fact that most of the weight is off. I went from 314 to a current 201 at 5'8" (size 28 to size 14).

    What I have to do now to maintain is the same as what I should have been doing before, eating healthy, eating less, and exercising. The big difference is that I lost a lot of muscle, and have the hanging skin, especially on the arms. Maybe I would have had that no matter what, and maybe I wouldn't have as much.

    I agree with lee91356. It really should only be done if there are medical problems, not the scale numbers are wrong. Think about it, this is surgery. Every time you go under the knife you take a chance of dying. If the result is the same in the end, you have to eat healthy, eat smaller portions, and exercise, do you really want to take the chance of surgery?
  • No, you are not crazy for considering WLS. I am your height and have spent my entire adult life struggling with my weight. I've lost weight several times, but gained it back sooner or later.

    When my weight got close to 300 pounds (286 was my highest weight), I made the decision to have surgery. I did not want to have surgery, but nothing else I have tried has been successful for me long term. I was literally going to eat myself to death. After choosing a surgeon, I had to complete a six month medically supervised weight loss program required by my insurance company. Next was lots of tests and lab work. It was not a quick or easy process.

    I lost 14 pounds prior to surgery (sleeve), which was just about a month ago. Since then I've lost 17 more pounds and am down to 255. I'm not losing weight as fast as most others that have had the surgery, but it is more than I could have done without the surgery. Like you, I have hypothyroidism which can make weight loss very slow.

    If there were any other way for me to lose weight and have a chance to keep it off long term, I would have done it. There are no guarantees that this surgery will be a permanent solution. Many people that have WLS eventually gain part or even all of their weight back. Its not magic, just a tool.

    Lee91356 makes many very good points in their post. I am in the "honeymoon" phase of my surgery and would still caution anyone considering it to do their research. Read as much as you can about it. Check out the forums and see what life post-surgery is like. Ask lots of questions... there are many people here that are willing to help and support you.

    The decision is a very personal one. No matter what you decide, I wish you all the best. :smile:
  • operator646
    operator646 Posts: 155 Member
    I don't think it is crazy for wanting to get healthy. However, while I was going thru the medical supervised diet pre-op Vgs I was following a 1500 calorie on MFP and showed a continual loss and found it so much easier than ever before. I had wondered if I should still go thru with the surgery, but knowing me and my dieting history I knew I needed to do it.
  • spfldpam
    spfldpam Posts: 738 Member
    Pre op I was 270 on 2/1/12 and am 5'4". By surgery day on 6/11/12 I was down to 223. Yes I had lost 47 pounds on my own with the help of MFP but I knew if I didn't have the sleeve surgery I would fall off the wagon and never get to my goal as what has happened many times in my life. The surgeon goes by the weight you are on the first time they see you. Depending on your insurance and the surgeon you have to fall within a certain BMI to even had WLS. I was told by my surgeon three weeks before my surgery date I was one of the smaller paitents he had. I am still glad I had sleeve surgery. I am 145 today and want to get between 130-140 as my own personal goal weight. I would have never lost this much weight on my own without WLS. Yes I did good on my own loosing 47 pounds in about 4 months but that is the story of my life, loose it...get off track...gain some of it back.... and repeat.
    You have to do what is right for you. WLS isn't a magic wand. You have to still work to loose the weight and it ain't easy those first three months right after surgery. I don't regret my sleeve surgery at all.
    Good luck!
  • Fightin2GetFit
    Fightin2GetFit Posts: 69 Member
    Wow thanks so much everyone for sharing your advice & stories! It seems I have a lot to think about still...
  • pawoodhull
    pawoodhull Posts: 1,759 Member
    I agree with lee19356. And let me add that my surgeon's office has a non-surgical weight loss program. With just 81 pounds to lose, that kind of a program might be a better fit for you. If I had of gotten serious with the weight loss at 81 pounds over, I would have done the non-surgical method. Bottom line is, you and your doctor need to determine what's going to work best for you. Surgery or not, it's all tools. How successful we are at losing and keeping it off is ultimately up to us. No magic bulletts anywhere.
  • healthybabs
    healthybabs Posts: 600 Member
    If you are serious about this you may want to check to see if your hospital has a website you can browse. What are their requirements? BMI, co-morbiditys... Do they have an informational session you can attend to ask more questions? Mine has one each month and then the support groups monthly once you have decided to have and after you have your surgery. Yes it is a long process but I think some research up front may save you some time to figure out whether or not you are even a candidate.
  • escapepod
    escapepod Posts: 68 Member
    I don't think you'll have any trouble finding a surgeon willing to do it, but you're very likely to have to self-pay - I did. I'm 5'8", started at 245, so a little heavier than you for my height I'd say, but not a huge amound. I'd managed major weight loss 3 times in my life, but could never KEEP it off, which is why I decided on surgery.
    I went to seminars on bariatric surgery at several different hospitals in my area to get a sense of the options, the research, the risk, and the cost - they were all willing to give me hard numbers on costs for self-pay patients.
  • I don't think you are crazy at all!!!!! I have struggled with weight all of my life. I finally decided to undergo VSG and had my surger 1/23/13. I am 5'4", starting weight 226, surgery weight 214, current weight 209. I have told only a select few that I had this done because their are so many negative (uniformed) people out there when it comes to WLS. VSG is only a tool for me and I still have to do a TON of hard work. The first few days have been hard but yesterday was a great day. I am starting to love my sleeve. I think it is just the tool I need to finally get a hold of my weight.

    Good luck with your decision!
  • I started off with a BMI of 54 and with uncomtrolable high blood pressure. I couldnt even make it thru the grocery store without extreme pain in my back and becoming out of breath, along with a laundry list of other weight related issues.
    I cried and was soo upset with myself for getting this big - I had to mulitate my body because I couldnt control the food that I was constantly stuffing myself with.
    If I honeslty though that I could loose close to 200 pounds without the surgery I would have!
    I honestly feel that this is for extreme cases of Obesity or other serious health issues that are related to weight.
  • Missjulesdid
    Missjulesdid Posts: 1,444 Member
    Don't confuse the surgeons requirements to have VSG with INSURANCE requirements. Because VSG is not malabsorptive, many surgeons will do it even if you have a lower BMI.

    Of course, it's still SURGERY, and there are potential complications and you have to weigh the risks and benefits.
  • KimberlyinMN
    KimberlyinMN Posts: 302 Member
    I agree with what the others have said, make sure you find out your insurance company's requirements. If you don't qualify under their requirements, make sure to check around on how much you will have to pay out-of-pocket. Some folks have gone to Mexico and paid way less.
  • VSGme
    VSGme Posts: 36 Member
    Nope not crazy at all! I started at 219 and had mine on 1/29/13 with Dr Thomas Borland. He's located in Louisiana and I paid $9800 flat out of pocket. I'm 5 days post op and have lost 10 lbs already - Best decision I ever made.
  • Buzzyi
    Buzzyi Posts: 17 Member
    How perfectly sane of you. We all went through the agony of indecision about yes or no to surgery, use this energy to drive your research so that you are well informed about EVERYTHING both positive and negative before you make up your mind. I am not regretting having the sleeve one bit, however I agree with many other VSG-ers, it is not a magic bullet- you CAN eat your way out of the sleeve and it will never be a cure-all. I also see a food psychologist to deal with the head issues as these will always lurk in the background. A close friend recently had the sleeve even though she had a BMI under 40 - she has a bone condition which made her excess weight super-painful and dangerous and so it was an easy decision for her. Already after 10 weeks her pain is under control. However, that was HER and everyone's situation is different. Good luck with your journey, whatever you decide to do.
  • OneDimSim
    OneDimSim Posts: 188 Member
    Hello all!

    I'm 5'6" and currently 216 lbs (started at 231). I've struggled with weight fluctuations since I was 11. Some years I was super heavy - others years I was really skinny. Now that I've had my first child (well..3.5 years ago) and have hypothyroidism - I find it nearly impossible to lose weight. I've only lost 16 pounds in the last 5 months. I log my calories and I usually exercise 5-6 times per week. I've quit soda and cut way back on bread, pasta, etc. My goal weight is about 135 lbs (which is a healthy BMI for my height).

    Am I crazy for wanting the VSG when I only have 81 lbs to lose?!

    I posted a topic similiar to this on the regular forum recently and got lots of negative feedback. People don't seem to like anyone considering surgery. Anyone who can provide information would be very much appreciated! Please be nice. =)

    talk only to those that have had VSG - ask do any of us regret it? VERY VERY few I think, and i don't think i have met anyone...go check out Obesity Help's forums - much larger community of VSG'ers.

    I will be honest...have i lost all my weight? NOOOO ....but that is on me .....do i want my stomach back? I don't miss it one bit :)
  • I stated at 212lbs, and I am 5'6", along with sleep apnea. My surgery was 1/9/2013, after struggling with my weight for years, had always been able to manage. At 49 post op hysterectomy 2005, just kept going up and up. I would do it again, not easy my love for food was such a big social part of my life. Here I am 27 lbs down and looking forward to being healthy. I eat now to live, instead of living to eat.
  • meganw5638
    meganw5638 Posts: 45 Member
    I'm another person who doesn't regret her VSG one bit. I'm also not quite to goal, but about 19 lbs away - I'm 18 months out from surgery and feel like I eat like a "normal" person now (appropriate portion sizes). The VSG was an awesome tool to help me drop the majority of my weight, but as I discovered during the holidays, you can absolutely eat (and drink) around the sleeve if you really want to. Like some of the others said, you might want to explore various options with your weight loss center (mine also had a non-surgical option), but at the same time if you have weighed all the pros and cons and think VSG is the best option for you, then go for it!! :)
  • MissPhy6
    MissPhy6 Posts: 4 Member
    I am 5'6" and I was 210lbs with sleep apnea. I got the VSG last March and insurance paid for it. I asked my surgeon if the procedure was really going to be worth it for me. Since I only had 60-65 lbs to lose and the statistic I saw was that patients lose 55% of their excess weight which for me was only about 30 lbs. He told me that I would lose all of the excess weight and I did. So, no regrets at all. I am glad I got the surgery and it was definitely worth it.
  • JuzDuIt
    JuzDuIt Posts: 222 Member
    Great thread and many great points. I had VSG 5 weeks ago today. I'm 52 and considered a "lightweight" in the WLS world at a starting weight of "only" 220 pounds. I can't stress enough that the decision to have or not have surgery is a very individual one. I struggled with this decsion and opted to have it for the following reasons:

    1. A 4 decade history of marginal (20-25#) weight loss with regaining it every time.
    2. Heavy ALWAYS - from childhood on. I should weigh 140 at the most and have no recollection of EVER weighing that! Probably for 5 minutes in Junior High!
    3. A family history of stroke and heart disease.
    Most importantly...
    4. Multiple health concerns aside from the numbers on the scale, including High BP for the past 30 years, borderline cholesteral and sleep apnea.

    At 5'3" I carried my 220 pounds evenly... I wore a size 14-16 and looked OK - my profile pic was about 215.... Vanity alone would have never driven me to this procedure. My metabolic issues did. Let me tell you, the result has been nothing short of miraculous! In ONE WEEK I was off 2/3 of my meds, and today I am off ALL meds!. I've only lost 29 pounds so far (10 before surgery, 19 since). I've lost this much before on my own and have NEVER seen the resulting changes to BP - even with meds and weight loss and working out it's always been 130 to 140's over 90's. I work out regularly and have for years - I've run (OK - not fast but I finish!) 5K's, do Bikram yoga, etc) with no change in BP. One week after surgery and it was in the 90's over 60's! Too low! My surgeon was not surprised and said he considers himself a metabolic specialist, not a weight loss specialist. In fact, the medical community is seeing great results with people of normal weight with certain diseases such as diabetes. See link below...

    http://asmbs.org/benefits-of-bariatric-surgery/

    Anyway, if I never lose another pound (and I'm sure I will!) I'm glad I went through with this for just the opportunity to control my BP! I had NO problems (the anesthesia was the worst part! My throat hurt more than anything!) and was back at the gym and work after 2 weeks.

    Friend me if you like - I'd be happy to be a sounding board for anyone struggling with this decision. I totally respect those who do it on their own, by the way. Wish I could have, but not sorry I made this choice at all! Minimal side effects with the sleeve, but it is a major decision. Good luck and I'm here if you ever need a sounding board!
  • MightyMie
    MightyMie Posts: 9 Member
    I lost 116 pounds , had the VSG and I would do it again. It was the best thing I have done for my health. They will teach you how to eat , and most important mindful eating ( get a book on it) very very helpful. Part of the VSG is physical hunger, and the mental hunger ( head hunger as some call it) is part of the other half and you know what , half the battle starts in your head. Add me as your friend if you would like to keep in touch. Best wishes on your surgery.
  • Hi -

    I'm writing because i'm startled by our similarities! I was 240 at my highest weight and never went below 200 prior to surgery. my dream would be to be near 120....but i don't think that'll ever happen.

    The day of my surgery i weighed 224 pounds. I have a 3.5 year old (june 3rd b-day) and i have never, ever been able to lose weight without medication.

    My surgeon did tell me that if i was any smaller i would not qualify - but I did....and i'm thankful every single day that I did. My only concern for you is your insurance. Mine required outstanding health issues (i HAD diabetes and horrible IBS). I had to have 6 months of nutritional counselling and have a psych. eval. I had to give 5 years of a weight history - via my medical doctor...

    As i said - every single day - i wake up happy that i did it and i am firm that it was the best decision i ever made. I spoke with my doctor and several friends prior to doing it and they all agreed it was the way to go. I speak to you now, 45 pounds lighter, able to play with my daughter MUCH more, no longer a diabetic and no longer SUFFERING from IBS.

    Make the change...

    Please, feel free to write me with any questions you may have - i'm an open book!
  • I started started this process at 216! I am 5'2" but very curvy so no one ever believed my weight. I was frustrated and tired of failing, tired of the emotional rollercoaster and self-esteem issues I have always had. I remember the little butthead that called me a cow in 1st grade. I also saw impending health issues on the horizon. Years of yo-yo dieting and long hours working had my metabolizm paralized, my blood pressure was creeping up (even with medication, ) and recurring GERD and other GI issues would not give me a break.
    I had VSG on 2/19 and I have lost 27lbs to date. I am thrilled with the weight loss, but I am still reeling from the hormonal nightmare this has brought on. My teeth are ridiculously sensitive. My hair is dry as a broom. My skin is clear (yay) but the dryness makes it look "old" and I see lines & wrinkles that weren't there before (the fat is going away, so the underlying plumpness just isn't there).
    I am still deciding if I was better off fat and living in denial or losing weight but fighting every day. Once you decide on a surgical option you don't get to decide. The fight is on, every day, all day. Everyone says it gets easier, but prepare to take a beating. If you are one of the lucky ones that have few complications, little pain, and lots of support then it might be less traumatic but don't count on it. Educate yourself on everything VSG, weightloss, nutrition, fitness. Read the message boards. Watch YouTube videos.
    My insurance denied my procedure (bmi 39.5) because I just wasn't "sick enough" for their standards. Although I adore my surgeon and his office, it was $18k!
    You have to make the decision that is right for you. If you read enough I am sure you will see we all have different stories. And well, if you are crazy for wanting this surgery, then I am too :-)
  • I dont think your crazy at all! and I had the same thoughts..I kept thinking.. im really not THAT big.. do I really need it... I initially went in thinking lapband.. did lots of reseach and decided VSG was a better choice.. started going and doing all the necessary steps.. I started at 1st Dr appt at 252.. lost 10 lbs pre op.. they ask you to lose 10% of what you want to lose.. to show that you will put the effort into it.. Surgery day 3/14 242.. today 5 days out 232!!!! I feel great .. energized.. and like I finally have control.. my body tells me.. very clearly when im done.. no pigging out or eating just to eat...
  • Stronger_Diva
    Stronger_Diva Posts: 149 Member
    I am being 1000% Truly honest with you here, and PLEASE note this is the same thing I would tell ANYONE regarding WLS regardless of their goal weigh. So here goes....

    First off, I don't know if you would qualify for the sleeve, generally the BMI requirement is 40. I know they will do it for people who are under that if you have some 'comorbid' symptoms such as high blood pressure or diabetes. I don't know if hypertherodism (sp?) is one of those symptoms, but it generally has to be a health related illness that is directly due to being overweight.

    Also, just an FYI, even with VGS you may not get to your ideal weight as there are often people who dont, even if they were not morbidly obese to begin with as with the sleeve people tend to lose about 60-70% of their excess weight.. I know many people in my support group who had either VGS or RNY and lost 60 or 70 pounds, not everyone loses 100 or 200 pounds.

    That being said, I'm not a naysayer per say I just think, having gone through it myself IMO it really should be solution only for those who really need extreme medical intervention. I dont think this is for everyone and I tell that to people, I often wish that I could have dealt with my weight and health problems in a more traditional way before they got so bad that my BMI reached 60!!!!! and I had diabetes, high blood pressure and high cholesterol. I got to a point that the weight loss (over 150 pounds) became too overwhelming for me to be able to do on my own.

    I recommend that you do research and find out the pros and cons of this if this is something that you are really interested in. I really dont think this is a solution for everyone and I hate when people, especially those in the first two years of the "honeymoon" phase preach about it and tell every overweight person to get WLS. I believe that despite what I say or other on the forums this is your choice, as this a VERY personal decision. I just encourage anyone who is interested in considering WLS to get ALL the information and option before they make their decisions. :smile:

    AND PS a 16 pound lose in 5 month is pretty good, thats an average loss of over half a pound a week. :happy:

    ^^This
  • Ainsworth1
    Ainsworth1 Posts: 5 Member
    hi i am 2 weeks post op. 5ft 2" and weighed 186lb.. bmi 33. I went to mexico for VSG and i am so pleased i did! I have a very large family history of heart disease, high blood pressure and diabetes (and whilst I had none of these at 40 years) i knew it was only a matter of time, as my weight was all abdominal. obviosly my insurance would not cover this so i self paid, this is a very personal decison and i was suffering mainly with low self esteem and depression directly related to my weight, I am not wanting to be or expect to be a super model! but if i can feel better about myself and avoid the obesity related conditions then its so worth it. I am a huge advocate that just because you are a 'lightweight" doesnt mean we shouldnt consider this surgery, i did not want to get to a BMI of 40 so decided to deal with it before i got there! i was typically gaining 10-15lbs a year so knew it wouldnt be long before i was there.. my advice go for it! rachel.
  • klj748
    klj748 Posts: 10 Member
    I'm 10 days post op from VSG also dealt with the drama of complications with a lapband that slipped. Weight loss surgery is not easy in the beginning for many people. I think there are more things to consider besides being a lower BMI. For example, have you been overweight most of your life. Are you able to lose weight and keep it off without a tool like VSG? VSG does help you lose weight (and more quickly) but where it shines compared to weight watchers or atkins is being able to keep off the weight in the long term (pending you also change your eating habits and lifestyle ie. commit to working out). It gives you a chance to reprogram the way you eat with the help of a nutritionist as well as being a tool to eat less. I think even 86 pounds is a lot to lose without a tool like VSG. Losing the weight will improve your quality of life, help prevent chronic diseases later in life, and increase your life expectancy. However you lose the weight you have a lot to gain from weight loss. Only you can decide if this is something you need to add to the many things you will need to lose the weight and keep it off. Only you can decide if the sacrifice and hardship is worth it for you. There's a great book that helps you think through the best approach to losing weight and helps with some of the mental emotional issues that come with it. http://www.amazon.com/Cognitive-Behavioral-Workbook-Weight-Management/dp/1572246251 I used it to help me think through whether surgery was the right decision for me.
  • As most have said this is a very personal decision. I am 47 and my starting BMI hovered around 40. My insurance did not cover WLS so it did not matter whether I met the criteria - but I did because I also have high blood pressure and intermittent hypothyroidism.

    I have 25 years of struggling. About four years ago my husband asked me if I wanted WLS and I was certain the answer was no.

    When I did the research on VSG it was like the storm had cleared and the answer was there. Not the answer to all my problems, but the understanding that this could be a valuable tool along with other tools I have picked up along the way. I had broken my ankle a year ago and somehow lost whatever it was that kept me on my road bike. But even when biking and doing triathlons by BMI was still 35 and I was taking high blood pressure meds.

    I am just post-op Day 5, but I feel good about my decision and I will not waster a moment wondering why I didn't do it sooner - I did it when the storm cleared and the answer was clearer. Best of luck to you during your decision making phase.
  • shrinking_sarah
    shrinking_sarah Posts: 9 Member
    I would talk to a surgeon and see what he or she says. VSG is only a restrictive procedure, which means it just helps you eat less. While I am very happy with it, I do not know how hypothyroidism impacts your ability to lose weight on a restricted calorie diet. What I mean is this: if you eat 1200 calories/day, do you lose weight? If the answer is no, then you may require a surgery that has both restriction AND malabsorption. If you can achieve weight loss without malabsorption, though, then it is certainly better to do so.

    I had a VSG on December 28, 2012. I was 253 on the day of my surgery and today I am 182. I work out nearly every day and eat around 700 calories a day, 100g of protein, 20g of carbs. It is WORK, but it is worth it. As long as you understand that surgery isn't magic, then I think it's an option IF your surgeon agrees.