The Roux-en-Y bariatric surgery just seemed too risky and too permanent so I exited the program and made one final push to lose the excess weight on my own. I had been particularly interested in the Roux-en-Y because it is more likely to eliminate type 2 diabetes and eliminate it quickly. Of course each case is different, but there are numerous anecdotes of patients having type 2 diabetes for as long as 25 years, getting the surgery, and immediately being free of the diabetic disease.
The other two forms of bariatric surgery include the sleeve and the band. With the band the patient has to return often to get the band adjusted. It simply makes the stomach smaller so less food can be consumed. With the sleeve technique the stomach is simply made smaller, but the drawback here is that with heavy eating it expands over time and eventually the patient is back where they started.
The Roux-en-Y involves a more complicated, but much more effective solution. The small intestine is cut and reattached in two places. The upper portion of the stomach is stapled to make it very small and part of the intestine is stapled to that smaller stomach and then stapled back into the intestine. The larger portion of the stomach is connected back into the intestine as well. The larger portion still sends the signals to begin digesting food and here is where the pancreas is signaled to monitor glucose. One drawback is that even though calories are not absorbed in the stomach, also vitamins and minerals are likewise not absorbed so the patient must continue to take vitamin supplements throughout his life. Additionally, problems can occur with leakage around the staples and that can lead to possible infection. Patients have been known to die from the surgery.
Consequently, I felt I owed it to myself to attempt the weight loss without the surgery one last time. I continued to play the hypnosis CDs and I tried to follow the programs advice and recommendations. I doubled down on exercising and eating the right foods. For instance, I used more ground flax, blueberries, oats, quinoa, cranberries, grapes, avocado, and pineapple in my diet. I began using resistance loop band exercises daily and at least partially reducing starches from my diet.
These measures helped to a certain extent but were, for the most part, only somewhat helpful. Then I had a major setback. I took a bad fall and torn my shoulder muscles as I tried to brace myself. That led to two surgeries and months of physical therapy. By the time that was over, I had gained back any weight loss and even added additional pounds. As my A1C glucose levels rose from 7.0 to 9.3, BP systolic went to 178, and cholesterol numbers went off the chart, I concluded that the Roux-en-Y was the only answer for me.