I had Duodenal switch surgery in May of 2000. I was 20 yrs old 430lbs. Lost 200lbs. I did not adhere to any specific vitamin plan. Honestly back then there wasn't as much importance placed on it. I took a normal personal multivitamin until 2016.

2010 - iron infusions

2021 - rushed to hospital with severe anemia. Been getting infusions since.

2018 - lots of teeth problems

Anyway , I'm older now and my laissez fairer attitude about supplements has gotten me into more trouble. Elevated intact PTH, vitamin D of 12. Calcium hovers around 8.9. Just had a failed dental implant where a little bit of bone came out with the failed screw.

im trying to make things right. High PTH, super low vitamin D, and low/normal calcium. I am attempting to take 1200mg calcium citrate per day, 5000 iu daily of vitamin D between supplements and vitamin D lamp.

I guess my question is do you all take calcium? I know I need as much D as possible but calcium is always in range so hard to know if I need it although high PTH means I do I believe. I'm afraid of overdoing calcium. Advice?

You can aim to consume more calories than you're currently burning which will provide your body with the energy it needs to build new muscle tissue. pokedoku

Weight loss journeys can be tough, right? I haven't had a RnY to DS revision myself, but I've heard it can be a bit slower. Keep up your healthy habits, and consult a surgeon for advice on your specific situation. Don't be too discouraged by the scale - it can be tricky.

I've never heard of fat taking away other nutrients. Protein and fat are absorbed differently. Try leaner protein sources if you're low on protein. Talk to a dietitian for personalized advice.

Gaining weight in a healthy way can be tricky, but it's great that you're focused on muscle mass. I'd recommend working with a nutritionist or a dietitian who specializes in post-DS surgery nutrition. They can create a plan tailored to your needs.