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Basically it appears that they would prefer you to get a gastric bypass because it appears to indicate that a LAP-BAND® would be approved only if you are a poor candidate for a gastric bypass.
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That is essentially it, but there are more reasons than those listed that might make someone a poor candidate for bypass. Use your imagination and don't be afraid to bring in family history and mental state when talking about why RNY isn't for you. (By mental state, I mean that the difference in
speed of weight loss between the two surgeries might be a strong selling point for banding for some people. The two experiences are very different, and will have a different impact on the patient.)