To think Gastric Sleeve is the only real way now?

[teltic]

I don't really want a Gastric Sleeve, but I think it is the only realistic way of losing weight for me now. I think the hormone Grehlin that they remove during surgery is what ai need to lise weight.

•Tried Ozempic
•I have an under active thyroid
•Have mobility issue that prevents exercise or even walking. Exercise has always just made me starving anyway.
•I enjoy nutritious natural cook from scratch food, but I have a massive appetite and it ruins my slimming efforts. It is definitely physical hunger.
• I cannot sleep if I'm hungry
•I am very short
•PCOS
•PERIMENOPAUSAL
•I have a mood disorder and have to take anti depressants.
•Doctor has referred me for ADHD ASSESSMENT
•Probably not an exhaustive list of the unlikely hood of being able to shed 4-5 stone

AIBU to just bite the bullet and get a Gastric Sleeve?

YABU There are many other things you could try before something so drastic.

@JaffaCake24 Wow, I really appreciate you taking the time to post all that. It is definitely another thing to explore. I wonder if a specialist could help me with this.

lactobacillus cured my IBS, it was amazing. I haven't tried the other things though and would love to do that.

@Doggonames Ooh this gives me hope. Was it actual physical hunger too that caused the carb/sugar cravings?

This might sound mad - but are you sure the discomfort you’re feeling is actually hunger not silent reflux? If proteins and fats don’t shift the hunger feeling but milk and cereal do I wonder if maybe is a stomach acid thing? (Cereal and milk were better than gaviscon for my reflux when I was pregnant… but protein/fat always made it feel worse…)

@newmum0604 Yes, I think I have some options to try first.

I really don't want to go through a massive irreversible intervention and still be hungry I would be furious!

I have heard that insulin resistance is cured my the gastric sleeve. I tried all the natural ways to cure it and it didn't work for me.

@DianaTiana Looking at the best deals on Amazon now. It will be interesting to know how to combat this issue.

@Dandelionzebra Definitely not crazy at all, I have heard that reflux can feel like hunger.

I take Lanzoprazole for a hiatus hernia though, so in theory mine should be under control.

You’re welcome!

If you do the Zoe Program they will find gut bacteria that increase insulin resistance and give you food to try and reduce those gut bacteria. Try and starve them and crowd them out with better ones.

They have 15 good bugs and 15 bad ones they use as standard. Of course there are many more than that but they don’t want to overwhelm you so they focus on just those at the start.

Yes a specialist could help you.

Not particularly. Bit of both. Now it’s like my brain doesn’t feel food is so important. My appetite is much less.

Lanzoprazole will kill your stomach acid and prevent you from absorbing nutrients. Well documented.

It also allows for pathogenic bacteria to take hold.

Is there anyway to come off it?

you can get a free Libre flash glucose monitor if you know how to answer the questions correctly on their website.

My adhd kids would eat all day to the point we had to lock food away without their meds. So def worth exploring that option.

It gives me a lack of appetite and feel bit sickie at times, but adhd causes lots of issues with food, executive functioning problems, craving dopamine , something to do with hands, lack of impulse control to name few, I'm definitely finding I've not got internal monologue all the time now and I'm not thinking about food all the time, I'm choosing not to eat when not hungry! That never happened before taking the medication. I've been on it since last Monday less than 2 weeks I've lost half a stone (size 22) I would definitely get assessment

Hi OP, not exactly advice but I have just read Jenni Murray’s book ‘fat cow, fat chance’ about how she put on weight - a lot of weight - and then her weight loss surgery. It’s a bit cliched in parts but really fascinating about the results of the surgery, so might give you a bit of insight whilst you’re deciding. Good luck with whatever you choose, I can really relate to that ‘never full no matter how much I eat’ feeling!

@teltic it's been around 2 years . There is no way she will regain the weight .

She has completely changed her eating habits and can't eat the volume of food she did .

As I said it's been life changing for her .. she is size 8 from a 24 and doesn't even have that much loose skin despite being overweight all her adult life !

Also no exercise ! It's unreal!

You'll get a lot of people along on here telling you to count calories and have willpower and try various diets etc. It sounds like you already have, and it hasn't worked.

There's only so much you can do, OP.

Obviously, the best way to lose weight is through diet and exercise - you know that - and if there is any way whatsoever that you can do it that way, it will be much better for you and your health. A gastric sleeve isn't an easy way out, it's major surgery. My friend had one a few months ago and although she is doing well, it was a big deal. She had to be on a liquid diet for a long time.

So if there is anything you can think of that you haven't tried, try that first. Have you had a personal trainer? That is what worked for me. (The friendly supportive type who has experience with overweight people with injuries etc - not the shouty type!)

Sometimes you need external motivation - a life coach, a nutritionist, a trainer, a counsellor. It seems expensive but you will spend a lot of money on a gastric sleeve, so it's worth looking into thse sources of support if you haven't tried them. You need someone who understands your situation including the mental health side and potential ADHD.

I really, really would encourage you to do all of this before going for the gastric sleeve.

But if you have done all of that, given it a year or two (it takes time), and still haven't shifted any weight, then I would definitely recommend to start thinking about it. My friend is doing well, her life is completely changed of course, she can't eat anywhere near as much as she used to, but the weight is coming off albeit very slowly. She is very obese but is still only losing half a pound a week, it's still very slow.

Good luck, whatever you decide.

Take a look at Dr Eris Westman and his KetoAdapt diet.

I have just seen the post where someone has mentioned whether the NHS should fund bariatric surgery.
When I had mine I weighed 27 stone and the doctor predicted I had around 5 years to live and most of that could be in a wheelchair. I didn't have diabetes, my cholesterol level was fine but I did have PCOS and Crohn's disease. It was hurting just walking home. I had the therapy leading up to the operation and I'm glad I did. My consultant told me I was the healthiest morbidly obese person he knew. I was going to the gym three days a week and had cut my calories down to 1200 to lose the weight I did before the operation.

Yes the operation cost the NHS money but since then I have very rarely used their services. I do now have sciatica. I am still obese. I have loose skin which I deal with myself because I would have to pay to have it removed as it is cosmetic. I am still alive ten years on and looking after myself. Hopefully I am actually costing less than I would have if I had not had the operation.

Anyone who thinks I could have achieved this without the op then try living on 1200 calories a day! If I went up to 1500 then I plateaued. More than 1500 and the weight creeps back on.

Anyone who thinks I could have achieved this without the op then try living on 1200 calories a day! If I went up to 1500 then I plateaued. More than 1500 and the weight creeps back on

I think this is the case for lots of women, especially short women. I need around 1400 to maintain, I lose weight I’d I eat under 1200 and gain quickly if I go over 1500. So for example if I go out and have steak and chips (approximately 1050 calories where I go) then I have to either eat hardly anything else that day, perhaps an egg, slice of ham and mushrooms/tomatoes for lunch or eat very lightly the next day.

I’ve never succeeded with calorie controlled diets. I’ve always plateaued really fast.

Only keto for me and when I add in IF it really helps. I love IF because if I want a break I just stick to only eating for 8-6 hours and it doesn’t affect my loss - I won’t lose but won’t gain back.

I know two people who have had bariatric surgery - both are still really overweight - like look barely any different.

Both had complications during surgery and were in hospital for a long time.

Ive refused it because I think I’d not be able to stop eating and I’d do myself damage. I have an eating disorder and I don’t think cutting out my stomach will help me but some people obviously do amazingly so it’s a good option if it’s suitable for you.

I'm 25, had the surgery 2 years ago. I have gone from 23st to 13.5 and am so so happy. However, please be aware that the hunger hormone isn't removed for everyone. It depends on which part of the stomach it is residing in.

@ideallyno that’s a great loss. Well done. What was the hardest part? I’m 19 days away from my op. Starting LRD on New Years Eve.

Thank you so much! The hardest part is the pre op diet for sure. I was so used to eating whatever I wanted to with no real consideration for what I was putting inside my body. Going from that to very very small calories for 2 weeks was extremely hard, but worth it in the end! X

I had gastric sleeve surgery 2 years ago. i lost 100lbs. I'm a new person and I'm so grateful that I did it.
My advice would be to go for it.

Four and a half years ago. Best ten grand I ever spent. Had it booked within weeks. You won't regret it

You are right. It's definitely better to listen to medical experts in obesity than the average mumsnetter giving diet advice. Some experts backing up what you say in this article
https://www.bbc.co.uk/news/uk-57419041

I had a gastric sleeve about 5 years ago now and have mixed feelings about it .I wasn't that fat to start with to be honest; about 4 stone overweight. Size 18-20. I lost 3 stone really easily afterwards and am still 2 stone down but its creeping up. I'm a 16-18 ,now. I can still eat a tube of pringles at a sitting etc when the mood takes me
I would love to see long term statistics on gastric sleeves and see how people are 5-10 years after surgery. It really is just a tool and doesn't address why we overeat in the first place x