Hello Dave,

Thank you so much for posting such helpful information. My name is toni. I am from America and have been living in Japan for over 4 years. If all goes well I hope to continue living here for the long term.

Recently, I have been exploring the ideal of having the 'Vertical Sleeve Weight loss' surgery.  In an effort to begin researching the topic, I stumbled across this site and thus your posts.

If I'm not mistaken, it appears as though it has been quite some time since your last post at this site. Therefore I do hope that you are still in Japan and/or will somehow see this message. If possible, I would like to know if you might be willing to respond to a number of questions that I have about the surgery here in Japan and other specific questions about the process.    

I apologize for contacting you 'out-of-the-blue-this way' and for the shortness of this note. I just thought that I might take a chance to see if I could make contact with you. Again, I do hope that you are still in Japan. If not, than I hope that you see my message and may be willing to respond. At that time, I hope that I can share a little more information about myself with you and that I can ask a few questions about your experience of having the LAP RNY. 

Thank you in advance for your assistance and I look forward to hearing from you.

sincerely,
toni
 

Test

test

pls might be having lap band surgery with dr kasama,but i want to know how many lapband surgery he has perform,and how many problems he got ,and how long has he been specialize in these kind of surgery,am so nervouse,i was to go and get my surgery in mexico,but i saw his mane in yu page and decided to give a try,is he realy good,pls help me,am so nervouse that i cant even talk.thanks

Hi Marsha, It doesn't matter if you have the band or RNY, exercise is key. If you get your regular fills (which I know can be a pain if you live far away from the only Dr.), do about an hour a day of vigorous exercise and limit your flour products, sweets and alcohol, you should lose weight. Right now, looks like you've got to pretend that you never got the band and just diet and exercise as you would have before. That's what I did when I first got my RNY. Right now I'm about 15 months out and average about 1.5 to 2 hours per day of anaerobic exercise. Weights and HIIT. I can eat 4-5000 calories a day and never gain body fat. My weight is creeping up very slowly, but I'm sure that is muscle mass. I'm almost certain there are other English-speaking banders here in Japan. The RNY is somewhat different, because it actually curbs some of the hunger and because of the bypass, if RNYers exercise regularly, even with slips, they are unlikely to absorb enough calories to gain weight. So it will be good if you can find the banders here who "have a few tricks" to losing weight up their sleeves for support. I generally post on the Men's board in support of the handful of us exercise maniacs who are doing stuff that is pretty close to pro level. With that in mind, the single most beneficial exercise would be running sprints or doing them on a stationary bike (much less likely to cause pulled muscles). Best Wishes, Dave