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Lower BMI- Need Advice on LapBand vs Gastric Bypass

This is a discussion on Lower BMI- Need Advice on LapBand vs Gastric Bypass within the Low BMI Bandsters forums.

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Old 03-16-2008, 10:33 PM   #1
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Lower BMI- Need Advice on LapBand vs Gastric Bypass

Hello All:
I am scheduled for Lap Band on 4/14/08; although I hav not been through all of my doctor consultations. (Those are scheduled for next week)

I have a BMI of 37 and I am self-paying; so I do not have to hassle with insurance approvals. Just trying to decide what's the best choice for me.

Both of my parents had Gastric bypass 5 years ago and were very successful. I am using the same doctors and surgen who I thoroughly trust.

My questions include:

1)- Does anyone know if Gastric Bypass is reasonable for a lower BMI person?

2)- Did anyone look into this other option? if so, why did you choose Lap Band?

Thanks!!
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Old 03-17-2008, 08:57 AM   #2
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My surgeon said that he would RATHER do RNY on a higher BMI, like 40+, but did not say anything regarding your question.

The RNY scares me because of all the plumbing being rearranged. My BMI is around 36, and I liked the fact that the band is not a permanent change to my insides, and the surgery is less complicated. Now if my BMI were higher and my surgeon reccommended RNY, I suppose I would consider it. Since I'm at my highest weight now, I don't know how I would feel with a lot higher BMI
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Old 03-17-2008, 10:28 AM   #3
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Blund - I Agree...

BLUND: Thanks for taking the time to offer your thoughts. I agree with you but wanted to run it by someone else as well.

I have been going to weekly support groups at the hospital awaiting my surgery and it definitely appears that the band requires a different kind of "will power" (for lack of a better term) than the gastric.

Because the Ghrylin (spelling??) hormones are altered with the gastric they do not typically have the hunger issues that the bandsters do. But I do feel better knowing that I am not permanently changing my system. Especially at a relatively younger age still.

Thanks again!! And good luck to you.
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Old 07-09-2008, 01:46 PM   #4
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Hi I was wondering with your low bmi did you have in commobities. How did you get approved. I to have a low bmi but was denied by aetna. need some help badly.
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Old 08-10-2008, 06:41 PM   #5
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Hi I was wondering with your low bmi did you have in commobities. How did you get approved. I to have a low bmi but was denied by aetna. need some help badly.

I am in the same situation. Did Aetna ever approve the lap band surgery for you?
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Old 08-10-2008, 06:45 PM   #6
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My BMI is 38.8 with no co-morbidities. I have Aetna POS II. I'm currently doing 6 month diet with my PCP, but I feel as if I'm wasting my time. I have extremely high triglycerides/cholesterol, but that's about it other than BEING OBESE. Does anyone have any thoughts or positive stories to share? My hips/knees have been aching and I blame it on the weight. I exercise every other day at the YMCS (documented). I've been fat all my life. I'm praying for a miracle that Aetna will approve me in 5 months.
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Old 08-10-2008, 09:49 PM   #7
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They dont really do gastric bypass here, its all band.

But at a BMI of 36 I wouldnt have ever considered a gastric bypass. Way way way too drastic and risky for a moderate obesity problem with no comorbidities.

I havent found hunger to be too much of an issue, I get hungry, sure, but then I eat something. Like normal people do. I dont get inappropriately hungry anymore.
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Old 08-11-2008, 05:43 AM   #8
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Hi Celticgirl, Wish I could be a breath of fresh air for you but I cant. Aetna turned down every appeal I made. I did not have any of the four co-morbidities. There pretty strict on that. I tried for my knee's also ive had surgery on one and shots in them both. Athritis is both and aetna still denied me. So on open enrollment I switched health insurances. Medical Mutual has a co-morbidities for joints. Im waiting on my answer as we speek. Hope Ive helped you. Just remeber aetna goes strictly by the book. You have to have one of the co-morbidities or have a bmi of 40. Yes its sucks but we have to play by there rules. Good luck.


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Originally Posted by celticgirl View Post
My BMI is 38.8 with no co-morbidities. I have Aetna POS II. I'm currently doing 6 month diet with my PCP, but I feel as if I'm wasting my time. I have extremely high triglycerides/cholesterol, but that's about it other than BEING OBESE. Does anyone have any thoughts or positive stories to share? My hips/knees have been aching and I blame it on the weight. I exercise every other day at the YMCS (documented). I've been fat all my life. I'm praying for a miracle that Aetna will approve me in 5 months.
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