Endoscopic gastric sleeve

[Tillylace]

Hi, first time on here, but just looking for some advice I guess. I've been reading up about the endoscopic gastric sleeve procedure but need to gain 10lbs to qualify. Like most people I've struggled with my weight for past 20 years, I'm 44 now and fed up being so miserable and self conscious with my body. I struggle with low back pain and riddled with osteoarthritis especially in my knees which makes exercise difficult. Would people think I was mad gaining 10lbs to ultimately have this procedure? Not that I would tell anyone as would be so ashamed. Sorry for the rambling but don't really have anyone else I can ask. Any advice or opinions would be appreciated.

Hi op. Is this a private consultant? I'm sure you could find one that wouldn't insist on this.

Have you been up and down in weight?

I'm thinking your BMI can't be that high if you're being refused? What is it?

Obviously putting on weight would be madness and I can't believe a consultant would advise this...

I've had the sleeve but my BMI was 48, so very high.

From the research I have read bariatric surgery has better outcomes if you are in the downward path already. So gaining weight to get the procedure maybe setting yourself up for poor outcomes. Additional I've not heard good things about the procedure vs regular sleeve or bypass. It's benefit is less down time so faster return to exercise but I was walking within a few days of my regular sleeve.

Given the new medications available would you consider looking at those.

Hi Throthetowelin, my bmi is currently 28.9 and have read that they will do the procedure if you have bmi of 30 + and yes this would be a private procedure. I haven't contacted any clinic yet I'm still in the researching and having a good think stage to be honest.

I think 28 is low. Has it always been around that?
You must only need to lose a couple of stone?

It's a big op

I need to lose 4 stone but with my knees and back exercise is tough. I've tried every diet going which is miserable because then I just fixate more on food and binge after a couple of days. Losing the weight would be such a pressure off my knee joints which is why I'm thinking of surgery

That's only just outside normal weight range. Bariatric surgery impacts your digestive system for the rest of your life. They don't have good data yet on what happens to bariatric patients in old age but my team were clear that malabsorption of nutrients could be an issue as I age. Even now in my 40s if I miss my vitamins for a few days I start seeing signs of it.

If you are wanting to lose weight I would suggest reading and watch stuff from Dr Weiner who has a book called Pound of Cure. He does surgical and non surgical weightloss.
You could also see a private dietitian.

Thank you Dr Jump, I shall check out Dr Weiner

To add I've been discharged from my weight loss surgery clinic because my BMI is 30 and they consider me a success. I still have 13kilos to lose to get into healthy weight range.

It’s madness to consider bariatric surgery with a bmi of 28. From that, and the tone of your post, I think you’d be better off investing in therapy instead.

I can't believe that your BMI is causing your knee issues. It'll be something else. Sort your knees out so you can exercise