Gastric Bypass vs Sleeve, update for 2021

[@Elizabeth-ti1jf]

I had my gastric bypass 22 years ago. I had one of the first lapriscop surgeries in my area. San Francisco CA. I went from 238 to 135. My PCOS went dormant and i was able to bring 2 pregnancys to full turm.

[@DoctorJP]

You have so much to be proud of!

[@j2i8h]

Did you keep the weight off after pregnancies??

[@Elizabeth-ti1jf]

@j2i8h Hi, yes, the pregnancy weight gain was not an issue. I had my daughter 2 years after gastric bypass. I gained 23 pounds with her pregnancy, and 2 days after delivering her, i had lost 20 pounds from the delivery. I only had 3 pounds remaining. With my son, he was born 6 years after my bypass, and i gained 25 pounds with his pregnancy and also dropped 20 a couple of days after birth. I regained 43 pounds of the 104 that I had lost 40%...13 years after gastric bypass when I turned 40 and had a car accident that left me with a brain injury. I was not able to exercise for 3 years. It affected my pituitary, and I also entered primerose, which makes it harder to take weight off.

[@AmandaFrederickson-w3u]

So awesome congratulations ❤

[@teresaosburn8840]

i had gastric bypass surgery 4 years ago started at 402 lbs currently at 156 lbs and keeping the weight off. best decision i have ever made!

[@DoctorJP]

Great work! Congratulations on your success!

[@UnauthorizedComedy]

Awesome!

[@poleeysstudios9294]

Great . How much was it?

[@Sandcrawler444]

I’m getting gastric sleeve. Because of conditions with my body

[@Amen0507]

Congratulations

[@soniahunt7913]

I had bypass 2 months ago because history of acid reflux and I have Barrett esophagus. I’m losing weight, sleep apnea is gone, no more high blood pressure, cholesterol is normal and I have not had any migraines in almost 2 months. Feeling great

[@DoctorJP]

Outstanding! So glad things are going well, and best of luck on the rest of your journey!

[@ashley47448]

@soniahunt7913 Hi there! I have been looking into gastric sleeve and a big worry I had is not being able to have nsaids as I get migraines and aspirin doesn't touch them. Have you had issues with migraines in the past and how has your journey affected them?

[@soniahunt7913]

@@ashley47448 honestly I used to get really bad migraines and the only thing that helped me was excedrin however now that I lost over 50 lbs I’ve had less migraines and my surgeon referred me to a migraine specialist and they gave me a different type is medication that I am able to take in case I get one. Hope that helps

[@AmandaFrederickson-w3u]

Keep it up!!

[@sharronchambers3587]

I had gastric bypass surgery on August 21st and I'm currently 190 lbs. Starting weight was 400 lbs. Best decision of my life.

[@DoctorJP]

Great work, and best of luck on your journey!

[@dannygarcia666]

You large😊

[@sharronchambers3587]

@@dannygarcia666 yes I was large but now I'm currently weighing 162 lbs.

[@kalynnestevenson7193]

I’m at 370 and I think I’m going to do it thank you for your feedback

[@zohacutievlogs2747]

My sister did the same surgery she also lost the wt she was 98 now she is 60 kg but her protien is very low nd blood level is very less i worried about her.what is ur experience kindly tell me

[@Blessed-nt8on]

I had the gastric bypass surgery 5/20/2021. I was dx with uncontrolled diabetes type 2, HTN, sleep apnea, neuropathy, asthma-my highest A1C was 16. My highest weight gain 302. I was sent home with no medication post-op. I am now 195lbs my A1C is 4.8. This was the best decision ever ❤️

[@DoctorJP]

Congratulations!

[@Blessed-nt8on]

@@DoctorJP Thanks so much

[@jenaccess4luv]

Congratulations to you! Did the neuropathy go away or gotten better since weight loss?

[@amyyy7416]

Congratulations! How has your asthma and breathing improved? I'm suffering from severe asthma and low oxygen levels, shortness of breath considering bypass surgery.

[@debratownsend5495]

Hello I now have everything that you had. Diagnosis.. And I'm scheduled to have my gastric bypass surgery next month. I am soo scared. I wow weigh about the same amount that you had. 😮 but I want to thank you soo much for all of your encouragement.. thank you.. ❤🎉😂😊

[@joanncoopertroupe3506]

I Had Vsg aka Sleeve Surgery May 21,,2015 i lost a 166 pounds..Kept it all Off. I was in my 50'S Today i am age 64. post Op 7 Years!! Best Thing I ever did for me and my Health!!

[@charlenechavis8636]

Thank you for sharing your experience.

[@tumelolee3376]

That's encouraging

[@luiscurtolo]

Did tou experience any reflux?

[@clucas5563]

Awesome. Did you have any loose skin?

[@JamesBurdon-gu5yu]

​@@clucas5563You will always have loose skin with significant weight loss.

[@vickiea.7194]

What I love about this is that you explain everything clearly. Pros and cons of both. Also I love that you actually take the time to respond to people's comments. You posted this video last year but you're still responding to people now. If I lived in the same area as you, I would have my surgery with you. If you care this much about strangers, I can only imagine how much you care about your patients. I am impressed. Keep doing what you do and shedding light on weight loss surgery. Your videos are invaluable. THANK YOU!

[@DoctorJP]

Thanks so much for your positive comments!

[@traven281]

Agreed! I am 43 and type 2 diabetic. I weigh around 213 and am 5’3”. I was diagnosed last year but it’s possible since my diagnosis of being gestation while pregnant in 2016 that I could have been pre diabetic. Be that as it may, my doctor who is helping manage with metformin never brought this procedure up and I have been mentally and emotionally drained. I have two kids and want to be around for them. For whatever reason, I had a tremendous amount of fluid on me while pregnant because I don’t over eat but I have slowly gained so much weight around my stomach and waste-line. I found out today that Kaiser insurance doesn’t pay for this surgery and I need to get this done because I most definitely want to reverse my diabetes. I have even looked into going out of the country to get it because I’m able to pay out of pocket and cost is more feasible. That’s a last resort though. Thank you again, I think the bypass is a better option. I just don’t want to look sick with my weight loss.

[@GeorgiaWhisper]

@@traven281 Are you my twin? Lol. I could literally mirror your comment. I had to scroll back up..... I was like I don't remember posting this. Anyhow, my situation s exactly the same. 43, 2 kids, 5'1, gestational diabetes/pre diabetic, hypertension and pretty much everything you said. I go see my doctor on the 6th. I prayed about and had a long conversation with God and my family. I want live my life and not be affected by my weight and the other issues that come along with it.

[@angelamoscato1135]

I had sleeve surgery in 2017, and lost all my weight. Unfortunately, today I suffer with severe gerd/acid reflux and a little weight gain. I was thinking about revision surgery. I was told that the mini bypass would just make my gerd worse. I am so so confused. My worry is that the full bypass will make me lose too much weight. Can you please help me with understanding it better?

[@Mkinmvs2]

This has been the most comprehensive review I’ve ever seen. You addressed my fears between the two surgeries. Thank you

[@DoctorJP]

Glad it was helpful!

[@MahamHaris]

​@@DoctorJPcan one be pregnant after surgery

[@MahamHaris]

​@@DoctorJPpls reply

[@Strawberri538]

@@MahamHarisif you’re asking if this surgery boosts fertility, yes. That’s why they recommend birth control after surgery because it gets easier and easier to get pregnant, even accidentally!👀

[@tamarawalther4524]

Before watching this video, I was convinced that I was going to have the sleeve, but after getting all this information, I will be having the bypass. Thank you do much!

[@DoctorJP]

I'm very glad this was helpful, and I wish you the best of luck on your journey!

[@Maryanne55]

Same

[@Maryanne55]

So do you cut the fat off that’s hanging before surgery?😊

[@alanadunton9871]

Very informative! I’m currently at 365lbs and will be having the Gastric Sleeve done in 3 weeks. Super nervous and can’t even imagine the liquid diet process but I’m ready to take on the journey to save my life. This video couldn’t have came at a better time. Thx for sharing this video and it really put me at ease and to know that I’m not in this alone makes it all the better! 3 weeks to go and can’t wait to embark on this new lifestyle change!

[@Highway2Heartbreak]

Why would you do a sleeve?? I am 325 lbs and am going for the bypass on Monday.. My doctor told me if you need to lose more than 100 lbs it's pointless to do the sleeve. The sleeve is for patients needing to lose up to 80 lbs 🤔

[@DoctorJP]

Glad it was helpful! Best of luck on your journey!

[@laurahdz6979]

@@Highway2Heartbreak not necessarily my mom and dad have lost over 120 lbs !

[@keshiamae1853]

Update ?

[@jeaquettajohnson913]

How is it going post surgery? I have two weeks until my day

[@luv4khyra]

I am 3 weeks post op and my husband has a lot of questions. I discovered your videos today and have watched two so far together. My husband now understands and you cleared some things for me in your post op video. Thank you for taking the time to explain to us.

[@DoctorJP]

So glad these are helpful for you both, and best of luck on your journey!

[@KandisBingham]

Best decision I ever made! I was obese but had the surgery to fix a big problem with my esophagus. The problem was fixed and I lost over 100lbs, which was fantastic. You were my life-saver…thank you Dr. Pilcher!

[@DoctorJP]

Thanks for watching, and so glad you are doing well!

[@jime19911]

I had the gastric sleeve done in November 2020 and lost 195 pounds in a year and a half and have stayed consistent since then. I went from 370 to 175 pounds and as a 6’ tall guy my weight is right where it should be for my height. I was 28 years old when I had it done so that might have helped some too. I chose the sleeve because it was less invasive compare to completely rerouting everything but I also didn’t want to deal with the dumping syndrome and other stuff that can come from the bypass. I’m happy with the outcome and would recommend bariatric surgery to people who are serious about following through with what comes after. If you’re not going to be serious about it because you think all your weight is going to magically disappear without doing anything then you won’t be successful with it and be part of the statistics of people who didn’t lose much weight. Good luck to everyone who’s thinking of or has had it done. The transformation can be amazing if you have the mindset to it.

[@DoctorJP]

Thanks for sharing your experience, and best of luck on your journey!

[@ChaniiStyles]

That makes me nervous because I’m worried about discipline and maintenance but I’m going for it. I’m a fighter and I really want this. I’m getting the sleeve this month. Still contemplating bypass…

[@eliziadossantos6901]

That’s the one I want to have in singing the consent tomorrow but I hear some people saying they threw up a lot or reflux and I’m wondering if is the surgery itself or just bc they probably eat wrong stuff than fell sick ? What do you think ?

[@Aalaofficial]

@@eliziadossantos69012 of my sisters had it done and one has the reflux issue and one didn’t so it’s just going to depend on you

[@avapilsen]

Thank you SO MUCH for posting this. I'm a 24 year old woman who's 5'1 and 225lbs. I have binge eating disorder. The surgery is currently in the works for me. I'm hoping to get it completed in September 2023, so I'm mentally, emotionally, and physically getting myself ready from now!

[@DoctorJP]

Thanks for watching, and best of luck on your journey!

[@Iamnatalierose]

Heyyy how did the surgery go for you, how’s your journey going?

[@meanahbrown3333]

How did it go

[@avapilsen]

@@Iamnatalierose I ended up getting a laparoscopic gastric sleeve completed in late November (3 weeks ago exactly). The surgery took less than an hour. I was in moderate pain unpon waking up soon after but was given pain killers and IV during my 24 hour hospital stay. I had zero pain after 24 hours, but I did feel weird in the stomach. For the first 2 and a half weeks, my abdomen was "bubbly" (for a lack of a better word) which I assume was just the healing process. Diet wise, I will transition into soft foods tomorrow, but I literally eat 1/8 of a teaspoon before feeling satiated. I've grown extremely sensitive to smells. I smell things others don't, and I'm a bit grossed out by food sometimes, though the grossness has faded lol. What surprised me is how difficult it is to drink water; even taking small sips has been difficult for me. Water feels VERY heavy from the moment I swallow it. For this reason, I was dehydrated a few days ago and thus needed IV 3 times in a span of a week-nothing serious tbh-just lots of fatigue because of the dehydration. Drinking as I walked helps tremendously. It is very important to follow the post-OP diet strictly to the T and that you walk a minimum of 30 minutes/day to ensure proper healing. I also strongly suggest learning how to eat intuitively and learn the "healthy" way of eating (i.e. nickel sized bites, putting your spoon down between bites, learning your bodily cues, etc.). I started taking a multivitamin, iron, and vitamin D immediately following the surgery to prevent any deficiencies. Finally, before the surgery, I was 227lbs. 20 days later, I weigh 198lbs. My family says they see the difference in my body already.

[@avapilsen]

@@meanahbrown3333 I ended up getting a laparoscopic gastric sleeve completed in late November (3 weeks ago exactly). The surgery took less than an hour. I was in moderate pain unpon waking up soon after but was given pain killers and IV during my 24 hour hospital stay. I had zero pain after 24 hours, but I did feel weird in the stomach. For the first 2 and a half weeks, my abdomen was "bubbly" (for a lack of a better word) which I assume was just the healing process. Diet wise, I will transition into soft foods tomorrow, but I literally eat 1/8 of a teaspoon before feeling satiated. I've grown extremely sensitive to smells. I smell things others don't, and I'm a bit grossed out by food sometimes, though the grossness has faded lol. What surprised me is how difficult it is to drink water; even taking small sips has been difficult for me. Water feels VERY heavy from the moment I swallow it. For this reason, I was dehydrated a few days ago and thus needed IV 3 times in a span of a week-nothing serious tbh-just lots of fatigue because of the dehydration. Drinking as I walked helps tremendously. It is very important to follow the post-OP diet strictly to the T and that you walk a minimum of 30 minutes/day to ensure proper healing. I also strongly suggest learning how to eat intuitively and learn the "healthy" way of eating (i.e. nickel sized bites, putting your spoon down between bites, learning your bodily cues, etc.). I started taking a multivitamin, iron, and vitamin D immediately following the surgery to prevent any deficiencies. Finally, before the surgery, I was 227lbs. 20 days later, I weigh 198lbs. My family says they see the difference in my body already.

[@WatersandWilderness]

This was the best intro to Gastric Bypass and Sleeve surgery I've seen.

[@DoctorJP]

Thanks for watching, and best of luck on your journey!

[@erinthompson627]

I enjoy your videos because you explain things so well. I watched your first comparison video when I was deciding between these 2 surgeries. I chose bypass, and am 12 weeks post op. I’ve lost 44 pounds and feel amazing!

[@DoctorJP]

Fantastic work, and congratulations!

[@iso_traveldestination9077]

Congratulations!!! Can't wait for mine still doing research.

[@BLACKGIRLBROKEN]

Omg I’m so scared my surgery is on the 27th can you tell me your worse side affects

[@erinthompson627]

@@BLACKGIRLBROKEN I’ve had no major complications. Thrown up a few times but always my own fault when I eat too fast. Constipation and now I’m losing some hair but fortunately I had thick hair to start with. 5.5 months and down 75 lb.

[@Lilthis_n_that]

My goal is 40-50lbs max. You Iost it in 12 weeks. I'm wondering if I'm a good candidate for wls with only a 40-50 lb weight loss goal.

[@spware1]

Have been considering surgery for some time now. This is one of the best videos I've watched. The history and explanations really help with the decision making process.

[@DoctorJP]

Thanks for watching, glad this was helpful!

[@e.d.4911]

Apart from accessible delivery of the medical knowledge, which is invaluable to patients, Dr. Pilcher explains the commercially- rooted stigma surrounding the bypass surgery. All together a magnificent lecture. I've just concluded my decision to switch from sleeve to bypass. Thank you for being such a great doctor and a wonderful human.

[@DoctorJP]

You are so kind! Best of luck on your journey!

[@JandJ-cl7pz]

Love my surgeon Dr. Pitcher, I am a current patient. I had the gastric bypass surgery on 06/14 & just about 3 mos post op. to date & I've lost about 65lbs! His wonderful & his reassuring support before & after surgery is amazing. He takes his time & answers any questions or concerns you may have and his team is just as encouraging & supportive. It's not an easy surgery & I am still adjusting to my new life style & I have had to make a new relationship w/food but I have no regrets. This is by far the BEST decision I've ever made for myself. Thank you & God Bless you Dr. Pitcher for your passion & talents you share 😊w/ all of us!

[@DoctorJP]

Thanks so much, and thanks for watching!!

[@luiscurtolo]

Hi, how it was for you dealing with odors and smelly feces that bypass tends to bring?

[@lerehimmaculate6440]

​@@DoctorJPplease doctor where are you located (which country?)

[@lerehimmaculate6440]

​@@DoctorJPI appreciate the way you took your time to educate us on the surgery

[@kellyraunest8480]

I just signed my consent for surgery last week and now just wait for an surgery date. My surgeon did a great job of talking me though the 2 options, BUT WOW, I am so glad I found your video, this was SO informative, so well put together. I even got my Husband and Son to watch so they felt clear and comfortable on what I am embarking on. Well done!!

[@DoctorJP]

So glad this was helpful! Best of luck on your journey!

[@jennyoneill5098]

May i ask which option you chose, and why?

[@Highway2Heartbreak]

I am 325 lbs and am going for the bypass on Monday.. My doctor told me if you need to lose more than 100 lbs it's pointless to do the sleeve. The sleeve is for patients needing to lose up to 80 lbs 🤔 Anything over that, bypass is the way to go!

[@puddah711]

​@Yaaas Queen how did your surgery go? How do feel now

[@jdavis7110]

Had my RNY done 8 days ago, and already down 28lbs! This video helped me make my decision! I am prediabetic with GERD and I'm in my 30s!

[@scha897]

Congratulations! Do you mind if I ask what your starting weight was? I'm due to get my surgery soon as well. So excited!

[@jdavis7110]

@scha897 I started at 245. Good luck with your upcoming surgery! You'll lose in the pre surgery diet, too!

[@scha897]

@@jdavis7110 thx hope so.

[@DoctorJP]

Congrats on your success so far, and best of luck on the rest of your journey!

[@selfieeasteen5246]

I had mine in 2016 ( by pass ) my weight was 290 now it is 180 , muscular 14% of body fat , the secret is diet, exercising and keep vitamins on level . ❤

[@DoctorJP]

Great work!

[@Shezadiva4]

You’ve given us a true master class! Thank you so much for this video. Really amazing how well you’ve explained these procedures.

[@shahana_style]

I just want to thank you so much for putting this information out here in such a clear, concise, non-biased information. I have seen doctors push one over the other without giving nearly as much detail as you have here. I appreciate that you performed both surgeries based on the needs of your patient not based on your preferences as a surgeon so thank you

[@DoctorJP]

So glad this was helpful. Best of luck on your journey!

[@lishermcneill5235]

I’m 55 and I was shocked when my Bariatric surgeon said bypass. He said Since I’m a type 2 diabetic it would be better for me I have a host of other comorbidities I’m medium obese and I thought the bypass was for ppl that was severely obese but science is learning more and more with the studies of these surgeries new info is learned I think this is the best video comparison on the surgeries. I’ve subscribed to your page and I look forward to your videos when released. Thank you doctor!!

[@lanacastillo49]

Who is your doctor and what hospital?

[@lishermcneill5235]

Hi Lana Palmetto General is my hospital. I took out a medical loan for the surgery and DR. JL SOSA is the Bariatric surgeon who’ll performing the bypass. I’m scheduled for Monday October 10th 2022@6am doing my clear liquids now preparing my stomach for the surgery I have some anxiety but I am ready!! 💪🏾

[@lishermcneill5235]

Hi Lana Palmetto General in Miami Fl is my hospital. I took out a medical loan for the surgery and DR. JL SOSA is the Bariatric surgeon who’ll perform the bypass. I’m scheduled for Monday October 10th 2022@6am doing my clear liquids now preparing my stomach for the surgery I have some anxiety but I am ready!! 💪🏾

[@DoctorJP]

Hope surgery went well today!!

[@tiffanyflores7507]

​@@DoctorJP I am type 2 diabetic and I have acute pancreatitis and I get high triglycerides. I'm thinking about doing one of these surgeries I just don't know where to start or what one I do. Can you help me with information?

[@MKBinDC]

Thank you so much for putting these two options side-by-side and explaining the key differences in plain English. This is perhaps the best discussion about bariatric surgery that I've seen on the internet.

[@DoctorJP]

You are super kind. Thanks for watching, and best of luck on your journey!

[@anna-mariewilliams3754]

This is the best information I have ever been given for any op I have had. I'm leaving to have my sleeve 22.12.23 tomorrow and OP monday. I'm having the sleeve and I'm happy to go ahead with it. Now I just need to loose the weight that's better for pre diabetes and I'm always Hungry and this op is my future heath and am looking so forward to it. Thankyou. X

[@DoctorJP]

Thanks for watching, and best of luck!

[@Roxanne1957]

Thanks for your information. Considering getting one of these surgeries. A little nervous but realizing I am at a point that I need more help.

[@breking7669]

I just had my gastric bypass surgery last week and seeing my weight come down a little everyday..start at 323 day of surgery and dwn to 309.6..continuing my full liquid diet until I can advance. My surgeon Dr Carlin is amazing.

[@DoctorJP]

Great job, and best of luck on your journey!

[@emmalam9370]

Brilliant. I’m am having a bypass done here in the uk next month and this has confirmed my decision is correct for me. Thank you 🙏

[@astridsloan58]

Good luck!! Also from the UK :) Hope it goes well 🍀💗🇬🇧

[@Medep86]

How did it go in the UK.was considering turkey.

[@nadfowler4171]

Most informative comparison video I’ve found thus far. Appreciate the explanation on the impact that marketing had on the perceptions of gastric bypass. Your gentle spirit towards obesity patients comes through the video.

[@DoctorJP]

Very glad this was helpful. Best of luck with your journey!

[@zenmaiden1]

Gastric bypass is for me far superior. I had sleeve ten years ago and got the revision to RNY November 2021 . Never been happier , losing more and feel so much better. I had wanted the DS for revision, the surgeon did not recommend it for me , I believe due to my age, and I didn’t have a huge amount to lose , I suggest people listen to their surgeons advice, they do know what is best ! RNY rocks ! Thanks for your videos educating people.

[@DoctorJP]

So glad you are doing well, and best of luck with the rest of your journey!

[@user-vu7rv1xf1l]

Gastric Bypass is what I am leaning to as well, but I read you can't eat red meet afterwards, what, never ever? Is it no longer digestible? I don't eat it a lot now, but occasionally I really crave a steak, & I couldn't give that up for ever.

[@zenmaiden1]

@@user-vu7rv1xf1l Thats totally false about red meat. At the beginning its hard to digest, and not recommended as time goes on you can have a little, meaning all dense meats will fill you up. Chichen being very dry.. will be the hardest one in its plain form to swallow.. go for it and you can eat almost anything down the road. Just account for it in your plan

[@user-vu7rv1xf1l]

@@zenmaiden1 thank you thats good to know. I know I will have to cut down on portion sizes & have to be on a special diet during the healing stages, but ultimately I want to just be able to live a normal life long term, without too many restrictions, just small sizes.

[@amandawilson250]

I thoroughly enjoyed watching this video. I learned so much from it. I am hoping to have gastric bypass surgery in March of 2023. I weigh 365 pounds and I am striving for 200 pounds. I sure am glad there are doctors like this that are willing to discuss in detail how things are done.

[@DoctorJP]

Thanks for watching!

[@puddah711]

Good luck!! Let's us know how you are doing

[@whitneythomas4289]

Any updates?

[@1FastHorse]

My PCP just made the referral today to have the surgery done with you Dr. Pilcher. This video was amazing and has reassured me that I am making the right decision to get my health back on track. Hope to be seeing you soon!

[@DoctorJP]

Outstanding-I look forward to meeting you!

[@asblea8887]

This is absolutely the best video on gastric bypass and sleeve that I’ve seen to date you explain it fully. I just had my surgery six days ago and I feel really good for just having surgery and I’m very optimistic at my outcome. I did have a moment work. I asked myself did I do the right thing. Only because the family member seems to be against it. But this video has completely added important information needed for others if they did not understand the reasoning behind the surgery rather than just a copout or laziness. Thank you so much, Dr. Pilcher. I have subscribed to your videos and will continue to watch and learn.

[@DoctorJP]

So glad this was useful for you! Best of luck on your journey!

[@tanniaelsworth1471]

Dr. Pilcher. I had my Gastric Bypass 3 months ago and I have had a number of problems. Your video was very helpful to me in understanding some of them. Thank you for explaining everything in such detail. Excellent video!

[@DoctorJP]

Glad it was helpful! and best of luck on your journey!

[@estheradaaja2023]

What issue pls share

[@tanniaelsworth1471]

@@estheradaaja2023 Hi. After 4 months I am getting used to the new pouch so I am feeling better. Unfortunately my surgeon and his staff were not very thorough in explaining the food limitations and I was overeating and making bad food choices like fried foods. My surgeon also failed to tell me about post bariatric surgery Telogen Effluvium (hair loss). In a period of a month I have lost an enormous amount of hair. I believe everyone goes through that. Regrettably not all surgeons are as thorough as Dr. Pilcher, so be careful of your surgeon choice and ask many questions. The nature of my problems were excruciating pain after eating, dehydration (never thirsty) and severe constipation. I have learned a lot from Dr. Pilcher's videos and thanks to his explanations I am now aware of many things that I should have been told from the start.

[@Shawee421]

@@DoctorJP Good Afternoon😊 I have a large hiatal hernia and it's 8cm{I'm miserable} What would be the right surgery safely done ✔️I don't have sleep apnea only Gerd, anemia and constipation..I don't smoke or drink alcohol,I don't eat beef or pork. I just want the hernia repaired.

[@tammywines7343]

Dr I want to thank you for all you do for people. When I think of a Dr I think of human beings such as yourself. This video is way up past master class. Thank you for being so helpful and precise.

[@DoctorJP]

Thanks for watching, and I'm so glad this was helpful!

[@carolyndennis4201]

Thank you for the informative video. My son (46) is scheduled for bypass surgery in November and you have allayed my fears of complications.

[@DoctorJP]

Thanks for watching - best of luck for your son!

[@deardeer6139]

Being from an European country in which English is not the mother language I learned English in school for 5 years and had some practice talking it in Asia but on a very low level I"m very happy with the English dr. Pilcher uses. Searching for months for information to make my decission for gastric bypass OR gastric sleeve this video gave me the most clear and far going information I found in months reading, and looking video"s, and talking with people who had a gastric surgery. And, important for me, in a kind of English I understand. So now I know much more then I knew before, and even in English, which is my third language. I "m much more ready for the conversation planned with the bariatric surgeon planned in one month to make a final decission. So Dr. P(h)il-cher (joke) for me you are a hero. Thanx so much!

[@DoctorJP]

So glad this was useful! Best of luck on your journey!

[@vacuumbrand]

Thank you for taking the time to explain things very well to a nurse interested in making healthier choices. I sincerely appreciate all your insight and feel comfortable with my decision for bypass vs. a sleeve now (before I was more in favor of the sleeve). Your video answered all the questions I had and more. Thanks, Dr. Pitcher!

[@DoctorJP]

Thanks for the feedback, and best of luck on your journey!

[@funkeyp]

I must say even with my surgeons suggestion coming from a lap band that id be happier and more successful with the bypass I was still too scared of the Bypass. As soon as he said its the same to the body on a physilogical way- I said why take the chance of this reflux with the sleeve, when that is the precise reason why im removing the band!! Thank you DR for this video!

[@Enciphered_deciphered]

I can watch all day just to educate myself. Best and most honest content on KZbin

[@DoctorJP]

You are super kind. Very glad this was helful.

[@GayleTunny]

Thank you for explaining these procedures so well. You are clear and concise and very informative. What a great service you are doing for the public.

[@DoctorJP]

Very glad this was useful. Best of luck on your journey!

[@chrismerrill2083]

This is the most articulate explanation of both surgeries I’ve ever watched simple to understand with a great information to bring to my surgeon. I’m currently at 311 pounds hoping to get down to 220.

[@DoctorJP]

Thanks very much! Best of luck on your journey!

[@sarasohn]

Wow, this was a great video. Thank you for actually explaining these different mechanisms without an assumption that people wouldn’t understand these concepts.

[@DoctorJP]

Glad it was helpful!

[@zuzellogan5613]

I had the gastric bypass surgery in November 2019 at the age of 68, and so far so good: NO complications whatsoever; NO pain, NO diarrhea, NO blood clots ……NOTHING AT ALL! And, I don’t have diabetes or any other major health issues, i,e. anemia, blood disorders, heart disease , asthma, etc. etc. I am a “health nut” so eating healthy is priority number one for me, and I am a vegetarian per se; I have been pretty healthy all my life. This gastric bypass surgery has been the greatest decision that I have ever made. My acid reflux IS definitely gone for good; my bowel movements are normal, my back pain is gone, and incontinence is also gone…..and I am enjoying my life to the fullest AFTER losing 95 pounds, when I was 235 and I went down to 140. My ideal weight right now because of my age and height. What a relief that is, a huge relief. 😊 NEVER, EVER smoked nor did drugs; I NEVER, EVER drank alcohol NOT EVEN socially, and I still DO NOT now. I don’t care for it nor I like it and that it is perfectly fine with me. The only issue that I have is that I developed HYPOGLYCEMIA (Low blood sugar) after this surgery more or less after 2 years of the gastric bypass surgery done which is a side effect of the gastric bypass surgery according to my endocrinologist. Never before I had blood sugar problems/issues…..NEVER! As a matter of facts, I fainted inside a Mall when my blood sugar dropped as low as 50, losing consciousness and when I woke up, I was in a hospital and stayed there for 5 days. They were monitoring me and trying to find out what was wrong with me having done ALL kind of tests including a head to toes MRI, and all tests were negative. So, I took it upon myself to go to an endocrinologist who, not only sent me to a lab to check the blood sugar levels in my blood, but he sent me for an “in-depth” blood sugar testing done in a hospital, and it came back positive for HYPOGLYCEMIA. It is a nuisance having to check my blood sugar on a daily basis but it could have been worse, so I am not complaining. After a trial period dealing with low blood sugar only by diet, my endocrinologist decided to prescribed “ACARBOSE” to take this pills before any meals I eat, and I am more than okay. I feel terrific. I would rather have hypoglycemia than diabetes, that’s for sure. Hell No, I do not want diabetes at all. It doesn’t run in both of my parents’ families so I am very FORTUNATE not having blood sugar issues or I should say HYPERGLYCEMIA (High blood sugar or diabetes). PS: Dr. Pilche, if you respond to patients like me, can you explain the reasons why I developed hypoglycemia after the gastric bypass surgery??? It is really appreciated. Thank you in advance for my request.

[@DoctorJP]

Hi Zuselle, turns out I did a video about low blood sugar after bariatric surgery. You can catch it here: kzbin.info/www/bejne/fpbYXoh9ZciNl68

[@CynthiaJones-l2d]

I’m 64 and considering bypass. Thanks for your post as most posters are younger than me.

[@Anabellw0w]

This video was so helpful and also calming. I was leaning towards the sleeve because I'd heard horror stories about the bypass and heard that a sleeve is "less invasive". After watching this, I'm definitely going to get the bypass as I already get acid reflux. Although it is minor, I don't want to make it worse and like the fact that a bypass will actually help with it. Although I won't be able to use NAIDs, I don't see this as being a huge issue for me as I only use them during my period and I have other ways I could manage that pain instead. Thank you so much for this video!

[@DoctorJP]

So glad this was useful, and best of luck on your journey!

[@beamadd5515]

Lucky to have had Dr. Pilcher perform my surgery and after care. He is definitely well trained, informed, and highly skilled. Do your research -- not all surgeons in this space are reputable. I don't think you can find anyone better than John Pilcher to do your surgery. After that -- it's on you. Respect the gift, maintain the weight loss and improved health!

[@DoctorJP]

I'm blushing! Thanks so much!

[@ericp.marchand912]

This presentation was incredibly thorough and clear. Koodos to you Dr. Pilcher. You're a top-notch communicator!

[@DoctorJP]

Thanks for watching!

[@n.r.546]

Thanks much for all your knowledge. Also, thanks for all the positive comments.

[@DoctorJP]

Very glad this was useful!

[@arianavega4268]

I’m going to talk to my primary doctor on the 27th of this month and see how it goes! I’m hoping to get the gastric bypass! Thank you so much for explain everything perfectly, this was a great presentation!

[@DoctorJP]

So glad this was helpful - best of luck on your journey!

[@DLJoLo]

You were incredibly thorough. Anytime a question popped up you covered it almost as soon as I thought of it. Great delivery of information, thank you.

[@DoctorJP]

Glad it was helpful!

[@maggyshiro4484]

I love how you put out information without fear of criticism,if you ever travel to Kenya and wish to present someone with gastric bypass surgery as a present, kindly pick me, it's just to expensive for me yet I need so much,thank you and God bless you.

[@DoctorJP]

lol you are on my list! next time I'm in Kenya!

[@ummansoor6445]

For someone with PCOS , anemia and reflux is gastric bypass a better option. My weight is 120 kg and 165 cm height. Thank you for explaining everything so clear. I've been struggling with the decision of having the surgery for a while and I think I'm convinced now.

[@vickytubbie997]

My healthcare team made me go to 10 weeks of orientation for my desicion, you should ask your healthcare if they offer that, it doenst comit you to the surgery, it makes it so you can make an informed choice.

[@babyJes444]

Pcos having 35 year old mom of 2 here to say that I'd go with the sleeve. My sister in law almost passed after her bypass surgery, it's more risky. 4 family members, 2 friends and now myself have had the sleeve and after 8 years of the person with the longest surgery I know the sleeve people have been amazing. From weight in the 400s to the 200s.

[@sevenbuttler6182]

My Dr told me he wouldn’t preform the bypass. Due to age. He also stated that I would Surpass others that had the surgery the same day. 3 years later He was RIGHT. He told me you put in the work despite your disadvantages. Because I didn’t have the same opportunities as the others. I didn’t have to go through all the hoops. But he stated that I needed to go on KZbin and gather all the information that I will need. And I did just that I worked out before and after surgery. I had already changed my outlook on food. I’m beyond thankful for him and his team!

[@kendavis9218]

Your post is kind of all over the place. You left out so much meaningful details.

[@DoctorJP]

Congrats!

[@sevenbuttler6182]

@@kendavis9218 lol. That’s unfortunate you feel that way……

[@BiggDaddy479]

I love how clear your presentation is between these two operations. Can you please do an updated video to include the modified duodenal switch? There's just not enough information out there on it, but I'm being told it's the procedure that's best for me. Thank you!

[@DoctorJP]

Thanks for your question. I would love to help with some duodenal switch information, but I don't plan a video until I have added that to my own toolbox. Still watching to see what medium-term results are going to be like with regards to nutrition and vitamin levels.

[@Dr.PrettyProfessor]

Wow, I'm SO grateful for the education you are providing through this channel; even though I know this video is two years old as the of the date I make this comment. I'm having gastric bypass in March or April (2024) and I'm learning ALLLLL that I can. GREAT information Dr. Pilcher!

[@DoctorJP]

So glad this is useful, and thanks for watching!

[@katoosh]

OH MY GOD! I'm so happy I watched this in its entirety, it has EVERYTHING I wanted to know answered. Initially I was looking into lap band, then wanted vsg (it's trendy now), now I'm leaving leaning towards byspass. I am 31, and importantly it's reversible if needed. I wanted lap band because I can lose it when I want but it doesn't work apparently and is high maintenance.

[@DoctorJP]

Thanks for watching, and best of luck on your journey!

[@edithgarza2581]

thank you for this unbiased educational video. I just went in for my consult today and found everything you shared very reassuring after having met with my future surgeon. Thank you for the thoughtful, well explained educational process of both procedures.

[@DoctorJP]

Glad it was helpful!

[@gambit5216]

Thank you for this video. You explain in such a nice and factual way. Researching the different surgeries on my own was stressful too bc of all the conflicting info out there. both operations seem less scary to me now and I'm def considering it.

[@DoctorJP]

Thanks for watching, and best of luck on your journey!

[@elali4855]

After going through so many videos I have to say this one has all the information I was looking for,very informative.thank you so much for taking the time,now the difficult part is to find a surgeon that’s qualified.

[@DoctorJP]

Glad it was helpful! Best of luck on your journey!

[@doristhecoder765]

I think this is an excellent and simplified explanation for a layperson. Thank you!

[@DoctorJP]

Thanks for watching!

[@Budgetfashionistacal]

I am thinking of having surgery for yrs but I am scared with complications. I am glad I found this video. It helps me a lot with understanding. I am 265lbs 56 yrs old with diabetes 2,sleep apnea, and allergy asthma. I am walking with my dogs nearly everyday as my exercise , I don’t want to go to the gym because of shame. I am not a big eater, no matter what diet I do I’m not losing any weight. I was told I’m gaining weight due to my asthma medications. I was also diagnosed with panic disorder. Im so sick of being sick. I used to be 120-145lbs until 2000. I gained pounds all these yrs and I’m lack of confidence. Thank you for your video it helps a lot.

[@DoctorJP]

So glad this was helpful, and I wish you the best of luck on your journey!

[@lynne7600]

That really sums up hundreds of hours of confusing contradictory information online! Very informative and helpful .. I have GERD yet I was adamant I wanted the " easier going " sleeve but now, I am going to give it more thought and possibly reconsider. Thank you!

[@DoctorJP]

Glad it was helpful! Best of luck on your journey!

[@suzannaturner299]

Dr. Pilcher, I came across your videos recently after considering GB and after talking to a friend who had the surgery as well as her Mother who have no regrets having it done. I really appreciate the information on this video to give me some idea of what it is about and things to consider. Today I am going to my primary doctor to see if they would give me a referral to see a surgeon in order to know if I am a good candidate for the surgery. I have many medical issues that the surgery maybe beneficial for me besides just want to be smaller and able to move better. Thank you for making it not seem as scary as people or the internet make it out be but certainly life changing if commited to the process. Your calm demeanor and kind spirit is very reassuring if I decide this is the right path for me. The liquid diet at first seems overwhelming but to know many people have been sucessful with the help of a GB seems worth it. I wish I lived in San Antonio so I could work with you put I am in Los Angeles. Thanks again

[@DoctorJP]

Best of luck on your journey!

[@XXxtheunlovedone]

I wish I had seen this before my surgery! I got gastric bypass in Mexico in April 2021 and I have lost 115lbs, hitting my weight loss goal already, But the doctor said that bypass had malabsorption for the rest of my life. He recommended it due to my thyroid being completely destroyed in malpractice. I'm glad I did it but this information would have made it so much easier for my anxiety!

[@DoctorJP]

Thanks for watching Sylvya. Just a cautionary note - in much of Latin America, a different version of the gastric bypass is done that DOES create some reduced absorption of nutrients and vitamins. Best of luck on your journey!

[@princesalupercio]

Who did you go for your surgery ?

[@Ninabnina711]

@@DoctorJP can you please explain how the Latin American version differs from the USA version?

[@vintagechristianintercesso2708]

Please which hospital and doctor in Mexico did you have yours done?

[@smilinglynn9584]

Excellent video that is FULL of good information for PRE-op patients. I am meeting with my FL surgeon in 3 days and have, thanks to Dr Pilcher's video, decided I want the Gastric Bypass. It will definitely be better for me. Thank you, Sir, for the great explanations! I feel greatly relieved and optimistic.

[@DoctorJP]

Thanks for watching, and best of luck on your journey!

[@Highway2Heartbreak]

Seeing Dr. Sosa for my surgery in Miami. He is very knowledgeable and confident, he doesn't sugar coat anything. Really happy I choose him. I will update this after 2 months post-op! Wish me luck 🍀

[@DoctorJP]

Best of luck on your journey!

[@Highway2Heartbreak]

It's been 9 weeks and I'm 60 lbs down 👏🏼 best decision I ever made with the bypass. Got another 90 lbs to go 💪🏼

[@Elizabeth-ti1jf]

What an incredible explanation🙌 my surgery happened 22 years ago and my hunger increased after 10 years and i gradually regained 40 of 103 pounds. The restriction of my pouch size has maintained 60% of my loss permanent.

[@DoctorJP]

Thanks for watching!

[@Pinnacledrivingacademy]

Did you have the sleeve or bypass?

[@ginaramirez2313]

wow, thank you for your video. It answered a lot of the questions I had with clarity and good humor. You explained everything without being patronizing, conceited, or assuming. I was leaning towards the sleeve, but I fall into the older female with health issues category. I didn't know that the sleeve showed better results in males. Curse my luck lol. Thank you again for the effort you put into creating this video.

[@DoctorJP]

Thanks for the positive feedback Gina, and best of luck on your journey!

[@lynneelkington5566]

Thank you you explained everything so clearly. I live in the UK. I had gastric bypass 2/dec/22 and I'm happy with that decision now.

[@connyhirne1648]

Hi…I am in UK as well. Can I ask how much you have lost and roughly what the cost was?

[@lynneelkington5566]

@Conny Hirne I've lost 23kg since I started the pre-diet, due to other health conditions that needed me to lose weight it was under the NHS.

[@DoctorJP]

So glad this was helpful. Best of luck on your journey!

[@babygurlsmith7091]

I love the way you explained this, it was very informative. Thank you 😊 I’m getting the sleeve march 25 2022.

[@DoctorJP]

I'm so glad it was helpful - best of luck on your journey!

[@TheAvos18]

How did it go ? 4 months results so far?

[@iulia.nedelcu97]

I'm from Romania so sorry for my English 😁 I came to this video because I couldn't decide which one to choose. finally, complete explanations that everyone can understand. many thanks!

[@DoctorJP]

So glad this was useful, and best of luck on your journey!

[@betht7414]

i had the gastric sleeve and whilst i lost 80lbs and have maintained for now 2 years, i think for someone for my original size (320) a bypass would of been a better idea. However, if i eat proteins mostly i still have very good restriction so i know if i get my head right i can get there :D but very good explanation

[@DoctorJP]

Sounds like you have an excellent attitude, and I wish you the best of luck on your journey!

[@noonesfool]

This is a great video, I work in the OR and scrub for these procedures on a regular basis. I can really tell that you care about your patients and them being educated about these procedures . Well done you seem like you would be a surgeon I would love to scrub with!

[@DoctorJP]

Thanks very much for your kind feedback! I agree, I hope that's how I show up in the operating room too.

[@taylorbennett5438]

Thank you so much for this video! I have my RNY scheduled for a month from now and am so happy to have found this video. It was so informative, I learned more in this video than any of my doctor's appointments lol

[@DoctorJP]

Glad it was helpful!

[@sarahdermody6665]

I am so grateful for this in depth description of both as I'm researching which is my best option. Many thanks

[@DoctorJP]

Glad it was helpful! Best of luck on your journey!

[@bookie2all]

Thank you so much for your detailed explanation of both of these procedures. I've had a lapband but I'm going for a revision next month. My surgeon did advise bypass but he was going to do an endoscopy first before deciding on the final surgery (sleeve vs bypass). Your video has helped tremendously in helping me make an informed decision. God bless you for all the work that you do.

[@imaeema3784]

Hi I’m glad I came across your comment. I’m having a revision next month from a sleeve to a gastric bypass this time around. Best of luck on your journey & yes this info. From the Dr. is helpful & appreciated. I haven’t found many people with gastric bypass Videos on here !

[@DoctorJP]

Thanks for watching, and best of luck on your Journey!

[@mdmitchell5825]

I am too having revision from the lap and and preparing for the sleeve or bypass. I had a discussion with my surgeon and I don’t have to decide yet, but doing my research to decide which one is right for me.

[@DoctorJP]

@@mdmitchell5825 Best of luck!

[@MsGlamazon]

Brilliant video I'm nearly 5 months posy RNY 4st 13 lbs off. Half the size I was delighted with life 1st to target best decision I ever made for my health. You explain things so well thanks doc

[@DoctorJP]

Glad this was helpful, and best of luck on your journey!

[@drbeautician]

I have a friend in Ministry who lost over 100 pounds with the sleeve. Is all about food maintenance and simple exercise such as walking. People are responding excellently with the sleeve.

[@DoctorJP]

Glad things are going well!

[@karenking3165]

This video was the most comprehensive and helpful of several I have watched. Thank you, Dr. !

[@DoctorJP]

Thanks for watching!

[@ForeverYoung-zm5em]

I am almost 2wks post op from sleeve surgery. I only want to lose 100pds max. No pre-existing conditions/meds. After surgery, I haven't had any cravings for sweets or soda which were both my biggest vices. I have already slowly started back to regular foods bcuz I despise shakes. So far no issues other than nasausea (which im ok with as long as I can enjoy a little food sometimes). I'm hoping that I do well long term with this procedure and see results.

[@jamietaylor4558]

I'm also addicted to sugar. I'm confused as to which one I should get. Has your sugar cravings been under control since the surgery??

[@BELLAYOSY]

Clear and accurate explanation Surgeon it takes too many time and research to make a difference or order… God Bless Americans and the whole world

[@DoctorJP]

I'm glad this was useful, and I wish you the best of luck on your journey!

[@Pices3370]

Thank you! I’m in Florida and having a bypass 3/9/22 . You’ve explained much more in a manner that is conversational and real .

[@DoctorJP]

So glad this was useful. Best of luck on your journey!

[@shonkofi8609]

How did the surgery go

[@almaveronicaperez6522]

I love how you explain everything between both surgeries and I’m looking forward to to mine thank you very much Doctor John

[@DoctorJP]

Best of luck!

[@ljanderson3]

This has been the best video I’ve seen from a medical professional on the differences between the two surgeries. I see now that I’ve had misconceptions about gastric bypass. Do you have recommendations on how to select a surgeon? Thank you for sharing your knowledge with us. ♥️

[@DoctorJP]

Thanks for checking in! I agree that picking the right surgeon is one of the keys to success. I suggest you look for a few things: -already in practice for a few years -emphasizes long term care, long term follow up -has a team that includes a dietician on staff Best of luck on your journey!

[@heidirivera7267]

I got my consultation appointment Nov 7th. I'm scared and excited. You have answered all the questions I had for my doctor

[@DoctorJP]

So glad this was helpful, and best of luck on your journey!

[@evyoquendo8793]

I’m so happy I did this surgery & would do it again if I need to, thank you for explaining the difference between both surgery…. I had the gastric bypass done 3 yrs ago went from 224lbs to 135lbs but now I’m at 179lbs. A little worried about that but will see my surgeon & Dietitian soon…

[@DoctorJP]

Very glad you are staying connected with your bariatric team. Best of luck on your journey!

[@sirena0772]

Thank you doc for the clear and concise explanation…I’ve watched endless videos on this subject and by far you explain it perfectly, I must say thank you again🙏🏼

[@DoctorJP]

Very glad this was helpful, and best of luck on your journey!

[@thenewjackie3342]

Thank you for the info. I'm 68 years old and 6+ years out from Gastric Bypass due to acid reflux. No problems , yes some dumping usually due to what I did and still have my restriction,, 108 pounds lost and through the years 20 weight gain, but about 90 pounds seems to be my set point.

[@DoctorJP]

Congratulations!!

[@Hadiaa.a]

Thank you so much in adressing both surgeries, I had a lot of concern towards the gastric bypass, but as i heard you say all this, I think I am quite ready to take that step as I am a young person.

[@DoctorJP]

Glad it was helpful! Best of luck on your journey!

[@teresatuckey1423]

I had the sleeve 9 years out and I developed a substantial hiatal hernia. I am now scheduled to have RNY surgery in 12 days. I did have a 40 pound regain on my sleeve. I am hoping this surgery results in substantial weight loss and feeling much better with no more reflux or nausea. Your video helped put my fears to rest. Thank you.

[@DoctorJP]

Best of luck on your journey!

[@deanaldinger5018]

best and most comprehensive comparison of the two procedures I've seen yet. I'm considering the sleeve and your presentation really helped me better understand the pros and cons of each procedure and more importantly, the risks and rewards

[@DoctorJP]

Glad it was helpful! Best of luck on your journey!

[@aladyfirst9184]

Very informative! Thank you for explaining in detail. This helps me feel more comfortable with my decision to opt for the gastric bypass surgery.

[@DoctorJP]

Thanks for watching, and best of luck on your journey!

[@jojom6657]

Wow, this was the very BEST breakdown I have ever heard! What an amazing doctor!

[@DoctorJP]

Thanks for watching; so glad this was helpful!

[@DebbieHoltREMAXADVANTAGE]

Loved the explanation. Sadly, insurance does not cover either of the surgeries. My hubby did have the sleeve because of some extreme hernias that had to be taken care of and it was self pay. He’s lost 140 in 8 months, so tremendous results. Hard to do self pay for a second surgery.

[@jamesjones4200]

How much did it cost if you don't mind me asking

[@ChaniiStyles]

What state are you in? My surgery is 100% covered by my insurance. I’m in Texas. I wonder if you could travel out of state and get it covered or maybe consider changing your insurance because it’s definitely covered by insurance most places.

[@WatchTashi]

Most insurance covers it. Sounds like you need to maybe look into it and if yours won’t pay, then make changes at open enrollment time. Call the other insurances available to you and find out if they cover it.

[@melzwrg7348]

Please share which insurance you have that covers the surgery. Thanks

[@jmemixx]

What most people don’t tell you is that the sleeve cures a lot of things or has a high chance of curing things like diabetes, sleep apnea and other things related to obesity. My doctor took me off of insulin that day if the surgery. Of course you have to do the work though too. Meaning no more dumb snacks and sweets like junk food. My sugar levels have been great since surgery and I haven’t even went back to eating junk and I’m 3 years post op and haven’t messed up either

[@DoctorJP]

For sure. The sleeve does a lot of good!

[@nicolethomas187]

How much weight did you loose initially? Has your weight loss been consistent and ongoing or stagnant?.

[@beejay1632]

Thank you for such a comprehensive and easy to understand presentation. I've been researching for months, and you've helped me make up my mind.

[@DoctorJP]

So glad this was helpful, and best of luck on your journey!

[@badazziwannab5772]

Thank you for the great explanation. I’m scheduled for revision surgery with the bypass and feel much better

[@DoctorJP]

Thanks so much for watching, and best of luck on your journey!

[@srae7658]

I thought i was interested in the sleeve before watching this, but after watching this, i think id actually prefer bypass. I like how he explained this

[@DoctorJP]

thanks for watching, and best of luck on your journey!

[@CreamyJalapeno]

I’m one of the females for which the sleeve did not produce results. I felt hunger even in the few days right after surgery. It also gave me reflux. I’ve been self treating with Nexium daily which keeps it mostly at bay. I had not thought to have an endoscopy to check on things though. If I ever consider a revision to bypass, I would probably come to your practice as I live in the Austin area.

[@DoctorJP]

Thanks for checking in!

[@jmemixx]

Endoscopy is what your doctor should recommend after a sleeve. They should recommend that afterwards to see if the pouch has stretched since the surgery to see if that’s why you eating more

[@brandiehammond]

Friend of mine had the sleeve and hers as well never had good results. She ended up having infections and life threatening complications afterwards. She ended up had to get the bypass once she was stable enough and is much better health wise now.

[@shaymac23]

Anecdotal information. My gastric reflux was caused by coffee. Maybe you have an issue similar to that. Hoping you get a simple solution!

[@beesbulletsandrecyclingcan7802]

Happy my mother sent me this so eye can better overstand this process she has to go through...well done Doc 👏🏿👏🏿