Weight Loss Surgery - Gastric Sleeve/Bypass Surgeon Recommendations?

• 

  esosite on 14/10/2017 - 14:38

  Hey mubd I don't have any specific suggestions for surgeons in NSW sorry and good luck on your journey. With the steroids for this autoimmune disease it can sure make you put weight on to an extreme.
  - on googling around it looks like there are dedicated centres in Sydney for weightloss that have surgeons, dieticians, life coachers, etc etc. They all seem to do free initial consultations and have follow up services

  http://www.sydneyobesity.com.au/
  http://obesitycentre.com.au/

  Just be aware that it is often advised to lose as much weight as possible in the lead up to the surgery, perhaps with the surgery as your end-goal game you will be able to find some more motivation with your weight loss in the interim. Which support the procedure for long-term weight loss 10 years down the track and reducing comorbidities associated with it.

  Good luck with it all

  Here is a little excerpt from the australasian college surgeons on it:
  Surgical options to address obesity include gastric bypass surgery, laparoscopic adjustable gastric
  band surgery or sleeve gastrectomy. RACS does not endorse any particular procedure.
  There is strong evidence to suggest that surgery is an effective intervention for weight loss in the
  morbidly obese (BMI > 40) where non-surgical interventions have been ineffective, and that this may
  reduce the long-term costs and health impacts of obesity.32 Randomized controlled trials have shown
  that surgical treatment was statistically significantly more effective than nonsurgical therapy in
  reducing weight over 24 months,33 and that this weight loss remained present after 10 years.34 For
  obese patients with Type 2 diabetes, surgery can rapidly improve control of blood sugar and
  cardiovascular risk factors.
  35 36
  There are similar benefits for patients with a BMI > 35. Generally non-operative treatment is advised
  for class I obesity (BMI 30–35), however where there are comorbidities there may still be a role for
  bariatric surgery.37

• 

  Azrael169 on 14/10/2017 - 16:28

  Go for bypass over sleeve. Sleeve works by taking ~80% of your stomach away. Sounds like discipline isn't your forte, with a sleeve if you continue to overeat (or push the limits) you'll be back at square one 2-3 years post op due to re-stretching the size of your stomach (if not pre surgery weight, i'd imagine close to).

  Good luck

• 

  tsunamisurfer on 14/10/2017 - 16:38

  -1

  Your superannuation is not for elective surgery. It's for extreme hardship. Self inflicted obesity is not extreme hardship.

  As suggested above, this treatment is not the total solution. Lap band sans self control is soon to fail.

  Learn self control, plan meals, you can even snack like everyone else just in moderation.

  Exercise is critical, lap band sans an active regime is doomed to fail.

  All the best.

  • 

    supnigs super skids on 14/10/2017 - 17:21

    I saw on news some people get fat faster than others. Some can't control because ofinherited genes too though

    • 

      mubd1234 on 14/10/2017 - 17:34

      +1

      Nah, I wouldn't blame my situation on genetics. I think my situation is all down to nurture, not nature. As a kid I never really understood what an actual normal sized meal was like.

      My dad fed me all kinds of bad foods and told me not to worry about what teachers said when they said that I was getting too fat and needed to change - even though I now realise that I was clearly eating too much food. I really wish they had disciplined me as a kid to get me to eat normal sized portions of food.

      I've read that long term obesity causes your stomach to be stretched and damages the nerves inside, which means that the obese person never actually feels full. I'm pretty sure that's true - I can eat massive amounts of food before beginning to actually feel that I've had enough. My friends have often been amazed by how much I can eat.

      That's why I think this surgery would greatly help - by reducing my stomach capacity, I think I'll have a much better chance at sticking to a healthy diet.

  • 

    mubd1234 on 14/10/2017 - 17:55

    I am eligible for early withdrawal of my superannuation to cover this treatment because of my high BMI counting as being 'life threatening', and because the surgery is not readily available under the public health system.

    I did lose a massive amount of weight (I went from 190kg to 105kg) two years ago by counting calories and self control. I used MyFitnessPal to log my meals and plan stuff, so I think I've got it in me to choose the right food - it's just that I've never felt full.

    Even when I was at my lightest, I never really felt full from eating these protein-rich meals like chicken breast. You know those challenge burger things you can get at these places like Killa Burger Grill? I went to a similar restaurant on a special occasion (when I weighed closer to 105-110kg) and finished their challenge within half the allotted time. The people there were shocked at how fast I guzzled that food down. I suspect I've stretched my stomach out so much in my younger years that I just never feel full with a normal portion of food.

    When I was down to 105-110kg, I was getting on a bike (electric assisted, admittedly) and riding around. Was really fun. I'd like to do that again in the long run.

    • 

      dcep on 14/10/2017 - 22:33

      -1

      you're too rich

      get yourself into debt till you left a penny a day to spend for food

• 

  fantombloo on 14/10/2017 - 21:15

  bulky yet low calorie meals such as chicken breast

  In addition to any immediate remedial approach maybe also consider a new approach to (and research in) nutrition. In the larger scheme of things I don't know how chicken's breast could be considered low calorie / bulk. Compare to most veggies - and not just low calorie but so often also laden with micronutrients, as well as fibre which is even more calorie free bulk and necessary for good digestive health.

  • 

    mubd1234 on 14/10/2017 - 22:17

    The high protein content of those chicken breasts definitely made me feel fuller than anything else I ate, and after I looked at the calorie count it seemed quite low for the volume that I was consuming. It wasn't a high protein/low carb diet - I still ate the equivalent of two slices of bread with every meal

    I also regularly (a bit less than once a day) went to Subway before work and always got oven roasted chicken with double meat and all the veggies @ 2289kJ which was really filling.

    I would try and do the same thing at home with putting veggies on my sandwich, but it ended up being too much of an inconvenience to actually prepare the veggies and keeping track of them (how many days ago I bought them etc.), so I always ended up just cooking the chicken breast and leaving the veggies out.

    • 

      dcep on 14/10/2017 - 22:35

      have you tried chick peas, red beans, egg white,

      or your taste bud is too demanding for those tasteless food ?

    • 

      fantombloo on 14/10/2017 - 23:09

      -3

      too much of an inconvenience to actually prepare the veggies and keeping track of them (how many days ago I bought them etc.),

      Dealing with conceptions like this is part of the new approach I'm talking about. Veggies need take no longer to cook than flesh. They can be cooked in a variety of ways, with as little or as much oil and seasonings you want, or even had raw. They can sit around longer than flesh, cooked or raw. If they do start going off you can wash or cut off the bad bits and salvage the rest without risking your life.

      (I have a vegan kitchen. Not that I'm recommending it to anyone but I often leave food out all day and night without half the worries that those who eat animals' corpses or their secretions do. No multiple and segregated sponges, chopping boards, knives, etc. No inconvenience at all. Seriously, if you can't handle veggies then there might be bigger issues at play.)

      • 

        try2bhelpful on 16/10/2017 - 09:21

        +1

        Most of our meals are vegetables, rice etc with small amounts of meat because we like it that way. Your post is so sanctimonious I feel like going out and getting a big rare steak just to piss you off. You really want to engage people to your way of thinking then stop being a dick.

      • 

        fantombloo on 16/10/2017 - 09:34

        -1

        @try2bhelpful:

        You really want to engage people to your way of thinking…

        Huh? If you read again my post actually says:

        Not that I'm recommending it to anyone…

        I don't really give a toss what anyone eats - that's their business. This dude asked, I spoke. You might be confusing this with what you've seen as my stance on animal rights. They're two completely different things. I don't care what anyone eats, I sometimes just start speaking up if people eat someone who doesn't want to be eaten.

        Your post is so sanctimonious I feel like going out and getting a big rare steak just to piss you off

        Wow! You'd pay to have an animal killed just to piss me off? I think you might have bigger issues at play yourself.

      • 

        try2bhelpful on 16/10/2017 - 09:56

        +1

        @thevofa: didn’t say I would kill an animal, just that I feel like doing it. Your post does a lot of damage to the argument for the welfare of animals by putting offside people who might, otherwise, be receptive to considering their diet. The issue of animal husbandry is about humane treatment of the animal. If an animal is raised humanely and treated well then the fact we eat eggs or drink milk should not be an issue. The issue of killing an animal for meat is mainly an issue if the animal is not humanely slaughtered, and that is an issue that definitely needs to be addressed.
        However, I’m sure you are more concerned about your feelings of superiority than animal welfare anyway.

      • 

        fantombloo on 16/10/2017 - 10:18

        -1

        @try2bhelpful:

        The issue of animal husbandry is about humane treatment of the animal.

        Let's see…

        You think it ok for 50% (the male) of all egg laying chickens to be killed within a day they hatch?

        You think it ok for egg laying hens to be killed at about 2 years old out of a 15-20 year possible life when their egg production wanes?

        You think it ok for the children of dairy cows to get a bullet in their head so you can take their mum's milk?

        You think it ok for dairy cows to be repeatedly impregnated every year till they're killed when they're about 5 years old out of a 20 year possible life?

        You think it ok that dairy cows are restrained while people molest their udders till they're essentially broken and turned into servile milk machines?

        You think it ok that sheep and cattle have their testicles and horns ripped off?

        You think it ok that pigs have their teeth pulled out and tails cut off?

        You think it ok that 10000 "cage free" chickens are stuck in a shed with no sunlight?

        You think slaughter can be "humane" yet I'm pretty sure you'd never want to be "humanely slaughtered" yourself.

        I think it's clear when it comes to superiority it's about the superiority of your preferences - you know, "because we like it that way" - over the very lives and grave sufferings of nonhuman animals.

        https://68.media.tumblr.com/3a596214fef84bf70049ee3954189ba4…

      • 

        smashed on 16/10/2017 - 10:26

        +1

        @thevofa:

        I don't believe that anybody can argue with this. Unfortunately most people just like meat too much and it is all hidden behind the scenes. Overpopulation doesn't help.

        That said, this is a bit off topic from the OP's request.

      • 

        fantombloo on 16/10/2017 - 10:33

        +1

        @smashed:

        The last few replies are off topic. Those replies before try2bhelpful's are on topic.

        Consuming vegetables is a necessary consideration for all human diets and IMO particularly worth discussing in the context of the OP.

• 

  smashed on 16/10/2017 - 10:08

  I am a bit naive on this , so apologies.

  You have stated that you managed to lose a lot of weight by counting calories (e.g. eating less).
  Fitting a band / sleeve etc is effectively just a way of forcing you to eat less, is that correct?

  e.g. You would prefer to take the risk of surgery instead of making a choice to eat less? I assume (calorific maths) that you must have to eat a huge amount to keep that weight on.

  Have you tried to identify the cause of overeating and looked at how you can address that balance?

  Good luck, not trolling.

  • 

    mubd1234 on 16/10/2017 - 14:34

    The idea is that the sleeve makes you feel full after only consuming a small amount of food. My problem is that I know what foods to eat - it's just that I kept losing control because I never really felt satisfied after a meal.

    My weight is at the point where I'm willing to take the risk - I think success is far more likely if I go down the surgical route. Thanks for the question!

• 

  lazydaisy on 23/10/2018 - 15:33

  Good luck on your journey mubd1234, its a decision you wont regret, ignore the ignorant. Get onto some good FB help pages, get info from people who have had same challenges