Clarify Please,D/S vs RNY what can you eat/not eat?Still trying to figure this out,bur getting...

Lori,

Your new avitar looks great!

 I'm not years out with the DS yet but so far there's a big difference in what and how I can eat now with my DS compared to the what and how I had to eat with the bypass/RNY.

Dumping: With the bypass I couldn't drink milk, eat ice cream or eat anything else that was sweet or rich without dumping. I can eat any of those foods or anything else I've tried now and they have no ill effect as far as dumping is concerned, I don't dump.

Bathroom/ BM: The stool issues are the same pre DS as they are now, no difference other than they're a little softer, still well formed, just softer.

What you eat: The diet for bypass/RNY is soft foods or ground beef type foods and you have to make sure you chew thoroughly so you don't plug your stoma. Rice would always plug me up no matter how much I chewed, steak, chicken any meat would if I didn't chew really well. For the DS, there are no such restrictions or rules, if I don't chew my food completely, it does sit in my stomach longer, but my pylorus masticates it so it goes down. Also with the DS you must eat much more than with RNY; since we malabsorb 80% of the fat and 40% of the protein we eat, we need to eat lots of fats and protein.

Vitamins: Both RNY and DS require lifetime vitamin supplements, the requirements are different; for example RNY requires B12, DS does not. You will need to consult with your surgeon to get a list of what he thinks you will need, then follow that up with blood draws and lab tests to see what you need to do.

To give you an idea what we eat, here's what I've been eating the past few days:

	Date January 26, 2009
Quantity	Item	Calories	Fat Calories	DS Calories	Grams Protein	Grams Carbs
1	Diet Coke & 1/2 Fresh Lime	5	0	5	0	0
2	Scrambled Eggs w/sausage & cheese	200	150	80	12	1
1	Wal-Mart Chocolate Protein Shake	270	35	242	52	6
3	Zesty Chicken Wings	90	30	66	15	0
1	Wal-Mart Chocolate Protein Shake	270	35	242	52	6
0.5	Blackened Chicken Salad	212	39	180.8	24	15
1	Fried Pork Skins	80	45	44	7	0
33	Café Rio Pork Salad / No Tortilla	264	74	204.8	10	8
1	Frigo Cheese Head Swirl	80	50	40	6	0
2	Slices Summer sausage & Cheese	280	233	93.6	15	0
Totals		1751	691	1198.2	193	36
	Date January 27, 2009
Quantity	Item	Calories	Fat Calories	DS Calories	Grams Protein	Grams Carbs
1	Diet Coke & 1/2 Fresh Lime	5	0	5	0	0
2	Fried Eggs	160	90	88	14	0
3	Strips Bacon	135	90	63	7.5	0
2	Whole wheat Low Carb toast	90	10	82	8	10
1	Wal-Mart Chocolate Protein Shake	270	35	242	52	6
3	Zesty Chicken Wings	90	30	66	15	0
1	Polish Sausage 1/2 Bun, Kraut & Swiss	450	323	191.6	20	14
1	Taco Salad	400	300	134	12	10
1	Grilled Cheese on Low Carb WW Bread	210	80	146	16	14
Totals		1810	958	1017.6	144.5	54
	Date January 28, 2009
Quantity	Item	Calories	Fat Calories	DS Calories	Grams Protein	Grams Carbs
1	Diet Coke & 1/2 Fresh Lime	5	0	5	0	0
2	Scrambled Eggs w/sausage & cheese	200	150	80	12	1
1	Banana Scream Shale (2 scoops)	260	50	220	46	6
4	Zesty Chicken Wings	120	40	88	20	0
1	Garden Salad w Catalina Dressing	180	110	134	2	16
1	Choco Mococha Protein Shake w hoods	260	50	220	46	11
1	Ham & Beans	64	10	56	5	5
1	Salami & Cheese Sandwich	260	130	156	18	11
Totals		1349	540	959	149	50
	Date January 29, 2009
Quantity	Item	Calories	Fat Calories	DS Calories	Grams Protein	Grams Carbs
1	Diet Coke & 1/2 Fresh Lime	5	0	5	0	0
2	Fried Eggs	160	90	88	14	0
2	Strips Bacon	90	60	42	10	0
2	Whole wheat Low Carb toast	90	10	82	8	10
1	Banana Scream Shake (2 scoops) & Hoods	350	95	274	54	7
3	Zesty Chicken Wings	90	30	66	15	0
1	Ground Beef & Cheese Burrito Guts	260	110	172	28	0
1	Calzone Insides	180	100	100	10	5
1	Salami & Cheese Sandwich	260	130	156	18	11
1	Banana Scream Shake (2 scoops) & Hoods	350	95	274	54	7
Totals		1835	720	1259	211	40
	Date January 30, 2009
Quantity	Item	Calories	Fat Calories	DS Calories	Grams Protein	Grams Carbs
1	Diet Coke & 1/2 Fresh Lime	5	0	5	0	0
2	Fried Eggs	160	90	88	14	0
2	Strips Bacon	90	60	42	10	0
2	Whole wheat Low Carb toast	90	10	82	8	10
1	Banana Scream Shake (2 scoops) & Hoods	350	95	274	54	7
4	Zesty Chicken Wings	120	40	88	20	0
1	Ham & Beans	200	45	164	24	11
1	Carb Smart Ice Cream	180	140	68	3	5
1	Salad Bar	240	200	80	12	12
1	Personal Thin Crust Pepperoni Pizza	350	150	230	15	31
Totals		1785	830	1121	160	76

The Calories are what I eat, the DS Calories are what I absorb, but actually I absorb a little less, I'm just figuring the fat malabsorbtion, not any protein or complex carb malabsorbtion and there is some. In any case you can get a pretty good idea what my diet is like from this.

Kerry

This is all so good, guess what, I started dumping lately with my RnY, 3 times in the last two weeks. WTF? Not a heavy dumping, just dizzy, very tired, and tummy ache a bit, so I go to sleep and wake up whenever feeling so much better. So Strange. I never dumped early out.

So Kerry, what is with the coke and 1/2 lime every day? is that your craving?  Ha ha. Best to ya.

So Kerry, what is with the coke and 1/2 lime every day? is that your craving?  Ha ha. Best to ya.

I used to drink a glass of OJ every morning to get all my vitamins and meds down, but the OJ was a carb monster, I like Diet Coke if it has enough lime in it and 1/2 a big lime is just right. The lime also gives the DC some citric acid to help with the vitamin absorbsion. I usually drink it and take all the pills at around 5:00 AM.

I don't know why I have that entry in there it doesn't make any difference in the protein or carb count and I drink lots of water and other SF drinks every day and don't list them. I think I put it in the spread sheet once and then it just got copied and pasted and I haven't taken it out yet.

Kerry

HIJACK - Way to go on the carbs, Kerry!  Has that scale moved yet?

 Hi Maria,

Nope, that @^#%#$@^@@ scale is still stuck on 219, I'm starting to wonder if it's broken 

Kerry

You can eat anything your tummy will tolerate. It is so individual.  There is nothing you cannot eat.  For me, eating pasta was difficult and it is only now (almost 2 years post op) that I am finally enjoying pasta again.

Having said that, you want to eat high protein and fat - low carb.  Carbs will slow your weight loss.  Just like every other surgery and people who do not have surgery at all...Carbs is the devil. 

not exactly sure what you're asking but here's my input:

With the RNY I couldn't eat (gave me problems)  or wasn't supposed to because of one reason or another.

bread
pretzels
beef
fried chicken
fried foods
oranges
popcorn
sweets
cereal (oatmeal and plain cheerios)

With the DS

Too much sugar gives me gas
Too many white flour products give me gas
Too much fat gives me looser stools (but I need to eat a lot of fat because I tend towards constipation)



 

No food is completely off limits, as dumping is very rare with the DS.  We generally eat high fat, high protein, low sugar, low carb.  But we eat foods from all of the major food groups including chocolate, do-nuts and of course cookies.

Early on chicken did not sit well in my tummy.  It was a shame too because chicken was my favorite before surgery.  However, I am finding I am tolerating it better these days.  I drink coffee and diet pepsi  - an insane amount of diet pepsi as a matter of fact.  I prefer the dreamfields pasta since it is essentially low carb, and it does not give me gas or bowel issues.

Is this the kind of information for which you were looking?

Red

I am 8.5 months out and can eat almost like a non-WLSer. 

My breakfast staples are:  eggs, bacon, and sausage.  I may eat a few bites of hash browns topped with melted cheese on occasion when I eat out when hash browns are part of a package.  I also eat fruit when there is enough room in my real estate after having eaten the protein.  I don't eat toast or any kind of bread.  My toaster oven is more like a decorative piece now.

My lunch staples are:  slices of either ham or turkey stuffed into a half slice of whole-wheat pocket bread.  Or, I eat tuna salad stuffed into the same pocket bread.  I slather real mayo inside the pocket bread very generously. 

A lot of times I order some Chinese food to take home.  I order chicken, beef, or pork drowned in sauces.  I recently discovered that orange chicken that I ate a couple times before has far more carbs than any other meat; consequently, I eat that very sparingly.

When I have ham sandwiches, I slather the inside of the pocket bread with mayo and mustard, add cheese (usually provolone or cheddar on occasion) and a pickle that has been sliced lengthwise, and finish with stuffing the ham slices until it hurts.

If I have enough room after eating the sandwich, then I may eat fruit.

My dinner is whatever I feel like eating.  I may eat some chicken, veggie burger, burger, brats, or sausage.  No bun or bread.  If there is still room, then I may eat cottage cheese or fruit.

My snack staples are:  dry salami, pepperoni, cheese, cottage cheese, fruit, plain yogurt, peanuts, and cashews.  Sometimes I snack on tuna salad alone or stuff that salad into my half pocket bread.

I drink water and coffee.

I can eat ice cream, but I don't have the same desire for it as a post-op as I did as a pre-op.  That's because my post-op taste buds have changed.  I have eaten 2 pints of ice cream (one from B&J; the other from Haagen-Dazs) since my surgery but have yet to finish a pint in one sitting.

I ate a slice of birthday cake exactly one month after my surgery.  I had been cleared to eat solid foods 5 days earlier.  Because my taste of cake has changed, it took me about 1/2 hour to fini****  I did eat ice cream on the side and it took me a bit longer than usual to fini**** too.  I also ate slices of strawberries over vanilla ice cream the next day, and the combination was a lot easier to get down.

I tried eating toasted whole wheat bread smothered with real butter about a week after I started eating solid foods.  However, I experienced discomfort after a couple of bites so had to stop.  Same with a grilled cheese sandwich; had to stop after several bites.  I haven't tried eating toast since then.  I now have my sandwiches stuffed in a 1/2 whole wheat pocket bread and don't have any issues with that.

I ate a baked potato smothered in real butter on the 4th of July.  I would have added bacon bits if those were available.

When I ordered a sausage and cheese omelet at a restaurant at about 2.5 months post-op, it came with hash browns and two slices of toast.  I opted to have them smother the hash browns with melted shredded cheese for a nominal charge.  I chose whole wheat bread for my toast.  I ate the entire omelet but managed to eat only about 1/4 of the hash browns before I stopped because I got full.  I chose not to take a container of the hash browns or toast home.

I ate a Coney Island with all the works when I was nearly 3 months post-op.  I chose not to eat the bun and got full as I took the last bite of the rest of the food.  I had no room at all to eat the side dish.

I developed an intolerance to sugar alcohols about a month post-op.  Consequently, I avoid them whenever possible.

I haven't eaten cookies or candy since my surgery, except for one of those chocolate fudge Citracal bites.  I was taking one of them a day before the product was discontinued.  Bariatric Advantage is due to release its version of those bites in March 2009.

I have cut way down on simple carbs but still take in complex carbs, such as fruits.  I have had to eat at least one banana a day since I came home from the hospital due to potassium issues.  I usually mix my banana in with plain yogurt.  That way, the banana goes down easier and I get protein from the yogurt.  Sometimes I slice the banana in half lengthwise and then spread peanut butter over each slice.  Other times, I just eat it plain.

You may be surprised as to how your taste buds change after surgery.