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Terri and Cherri’s Story: Thin Twins Discover Less Is More

 

Terri and Cherri are the first to admit that they were good at losing weight. The only problem was that they were better at putting it back on.

For years the sisters supported one another as they dove into diets that drastically transformed their figures, sometimes by as much as 100 pounds each. However, not long after their victory weigh-in, they would go off the strict regimen and slowly watch the pounds come back on.

“Every time I lost weight I would end up gaining back more than what I started with,” said Cherri Riffell of Greenville. “I would just gradually go back to my old habits.”

After years of riding the roller coaster together, Cherri finally decided to look into bariatric surgery. It was something that she had lightly considered when she found herself between diets, but she never did anything more than read the occasional ad about the procedure.

Finally, Cherri decided if her insurance covered the surgery, she would go for it.

Her conviction only strengthened after going to an information seminar offered by Premier Metabolic and Bariatric Associates. However, as she saw it, she had one more hurdle to overcome, her twin sister.

“She tried to get me to do it because we had always lost weight together,” Terri Ginter of Springboro said. “But I told her no because my husband didn’t approve, and our insurance didn’t cover it. I told her I would be fine.”

But, in truth, Terri wasn’t fine. Finally she got her husband to attend an information seminar on the surgery where John Maguire, MD, director of Miami Valley Hospital Weight Loss Surgery Center and clinical associate professor at Wright State University Boonshoft School of Medicine, talked to him one-on-one about his concerns.

“The meeting was an important step in the process,” Terri said. “My husband did a complete turnaround and said we should go for it.”

With her husband’s blessing, Terri was onboard, and the two sisters were headed toward the same goal. This time, however, they would walk down two different paths to reach the finish line.

Same Goal, Different Road

Maguire HS
John Maguire,
MD
Siddiqui HS
Mujeeb Siddiqui,
DO
Teel HS
Donovan Teel II,
MD

Weight loss surgery comes in several different forms. Some procedures—like the laparoscopic adjustable gastric band —are less invasive, but carry a greater likelihood that the patient will gain weight back. Likewise, other surgeries may be more extensive, but provide a better chance the weight will stay off for good.

With that in mind, Terri and her husband chose an open-abdomen approach called the duodenal switch procedure. The surgery shrinks the stomach by 75 percent and reroutes the food so it bypasses much of the small intestines. As a result, the patient cannot eat as much and absorbs only a portion of the food that is eaten.

Patients who undergo a duodenal switch absorb only 30 to 50 percent of proteins and carbohydrates, and only 20 percent of the fat they eat. Simple carbs like sugar and alcohol are still completely absorbed. This type of surgery is desirable because it delivers weight loss that sticks and has the highest rate of resolution for those with type 2 diabetes, explains Dr. Maguire, who performed Terri’s surgery.

On the flip side, the operation can require higher maintenance than other bariatric surgeries because of nutrition loss. Patients most commonly have problems with Vitamin A and D deficiencies as well as calcium. That is why surgeons, like Dr. Maguire, say it is so important for patients to stick to their daily routine of vitamins and never miss their yearly check-ups with their physicians.

Meanwhile, Cherri decided to have a laparoscopic procedure called gastric bypass. The procedure, which takes place through tiny incisions in the abdomen, works by making the patient’s stomach smaller and redirecting the food past the first and second segments of the small intestines. Her surgeon was Mujeeb Siddiqui, DO, a colleague of Dr. Maguire’s, and a clinical assistant professor at Wright State University Boonshoft School of Medicine.

Since her procedure was laparoscopic, Cherri’s recovery was much quicker than her sister’s. She went home two days afterward and experienced a relatively smooth transition back to feeling normal. Terri, on the other hand, took two months to get used to her new life. Over time, she learned what was acceptable to eat and what portions her smaller stomach would handle.

Evaluating Risks

Often, the risks associated with bariatric surgery keep individuals with obesity from considering it as an option. 

“Surgery is surgery, and it always comes with its own risks,” explains Dr. Siddiqui. “Aside from malnutrition, bariatric surgery comes with the risk for infection and possible leaks in new connections made in the digestive track.”

Those who choose the surgeons at Premier Metabolic and Bariatric Associates have the assurance that its physicians have a lower leak rate than the national average, Dr. Siddiqui said.

The benefits of the surgery drastically outweigh its risks. Moreover, it is not just personal experiences like those of the twins that prove it. Dr. Maguire often cites a 2007 study in the New England Journal of Medicine to show the health benefits to patients after weight loss surgery.

The study followed a group of 1,000 individuals who underwent surgery; the study found that they had 40 percent fewer deaths, 60 percent fewer cases of cancer, 56 percent fewer incidences of coronary artery disease and 92 percent fewer complications from diabetes compared to those who remained obese.

“Those are huge advantages to having bariatric surgery,” Dr. Maguire said.

Perhaps Cherri’s husband had more insight than he realized when he addressed his wife’s fears of surgery by telling her she was nearly killing herself already by staying obese.

Cherri was aware of the damage she was doing to her body too. Being overweight was not the only danger she saw. All the dieting was creating stress on organs, like her heart, that constantly had to adjust to new weights. But all that yo-yoing changed the moment she and her sister underwent bariatric surgery.

Weight Loss Twins daughter
The twins have lived life “through
thick and thin.” Both agree that thin
is better.

Family members, including Cherri’s daughter Ciara (middle), are thrilled the sisters are happier—and healthier.

The Final Weight Loss Plan

Within months of having their procedures, the sisters saw drastic changes. It was almost as if weight was falling off before their eyes, sometimes as much as 10 to 12 pounds in one month. They recall actually skipping whole sizes of clothes.

And, the change was not just external. Two months after having her procedure, Cherri had dropped 54 pounds and felt like a new woman inside. So much so, she went snowmobiling with a friend—something she would never had dreamed of doing before.

Both women were taken off high blood pressure medications after the surgery, and they started to enjoy lives free of the aches and pains that come with obesity. Now, they are ready to face 50 with a completely new perspective.
 


Cherri, who went from 284 pounds pre-surgery to 145 pounds today, does not have much time to sit idle as she cares for one adopted child and five foster children, ranging in age from 4 months to 9 years old. “I have tons of energy now,” Cherri said, “and I’m a lot happier.”

Terri, who went from 281 pounds pre-surgery to 175 pounds today, is spending more time with her young grandson. “When you are around a baby, you’re constantly on the floor or lugging around that heavy car seat,” she said. “Now, I’m able to do all that. I can’t wait to get outside and go non-stop. Before the surgery, I would have just stayed in the house and been unhappy.”

The sisters share their experience as often as possible. They meet frequently with others who have gone through the surgery. It is that support, as well as their disciplined approach to vitamins and follow-up visits, which have helped them keep the weight off for nearly four years.

To register for a Weight Loss Surgery Information seminar, call CareFinders toll free at (866) 608-FIND (3463) or sign up online

These Miami Valley Hospital locations offer Weight Loss Surgery Services.
Weight Loss Surgery at Miami Valley Hospital
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