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SidneyLeiFrances
on 8/24/21 6:36 am
Topic: RE: Once home from surgery, what should I have at home?

Thank you for posting this. I am scheduled for surgery soon and hearing from others is very helpful.

SidneyLeiFrances
on 8/24/21 6:32 am
catwoman7
on 8/24/21 5:09 am, edited 8/23/21 10:10 pm
RNY on 06/03/15
Topic: RE: Need help. Have Lapband, considering sleeve or DS

DS seems a bit extreme for someone with a BMI of 36, but then, I'm not your doctor, so...

diarrhea isn't that common with a sleeve (i.e., if you have it as a standalone surgery). Most people with sleeve (or RNY) have the opposite problem - constipation. Diarrhea IS more common with DS, but I think there are ways they can control that (the DS'ers here would know - I don't since I didn't have DS)

Janet P.
on 8/24/21 3:46 am
Topic: RE: Need help. Have Lapband, considering sleeve or DS
On August 23, 2021 at 5:56 PM Pacific Time, sporty333 wrote:

Hello everyone...I'm new to the group and I need some opinions based on your experience.

I had a lap band placed in 2008. No critical problems, just either too tight or too lose, could never dial it in. Lost about 40 lbs and regained it all plus a little for good measure. I'm male, 54, 5'11 and 265. BMI is roughly 36.5. I have sleep apnea so insurance isn't an issue.

I saw my DR, and he recommends DS after band removal, done with two surgeries, and he suggested keeping the common channel a little longer than normal because I'm not too big...lol.

I've reviewed all the information and perused the forums. I am hung up with the issue of having malabsorbtion of vitamins/minerals for life. I heard that after about 5 years the data on both merged,as the calorie malabsorbtions returns almost to normal with DS, but the vitamin malabsorbtion remains for life. I know with the sleeve vitamins are a must too....I am just worried about the nutritional malabsorbtion and possible diarrhea issues with the DS...and is it too drastic for my size.

Please continue your research. I am 18 years following a full DS and I still experience significant malabsorption. Everyone is different so you're never going to hear two stories that are the same. If you do decide on the DS and do it in two parts, you can see if maybe the sleeve alone will work for you. Remember the sleeve is just another restrictive surgery.

There's a version of the DS called the SADI, which I think is what they call what you're describing - a longer common channel. Just remember that as malabsorption disappears, so does your ability to keep the weight off. At 18 years post-op I do not diet at all. I eat normally for someone who has a DS. Capacity-wise, I feel I have the capacity of a "normal" person - definitely not what I ate pre-op but more than post-op.

I eat a very high protein diet, eat full fat everything, drink lots of water, take all my vitamins, and watch my carbs. Carbs, for me, is where I lose and gain weight, period. Too many carbs, I gain weight (and deal with other DS-related issues - gas, bloating, loose stood, etc.), but I do love my sweets. However, if I don't eat enough carbs, I lose weight. Sometimes I simply don't want to lose weight - yes I can say that at this point in my life :) The main thing I've learned in almost 20 years is to listen to my body and eat appropriately for me.

I get labs done once a year. I take the full complement of vitamins and supplements to maintain "normal" ranges. I have a great primary doctor (after years of shopping around). I have osteoporosis so I'm currently being treated with Prolia. I've also battled iron deficiency anemia almost since the beginning. Again, working with my doctors, I'm able to maintain a normal iron/ferritin with diligence, regular testing, and periodic infusions.

Good luck with your research.

Janet in Leesburg
DS 2/25/03
Hazem Elariny
-175

sporty333
on 8/23/21 5:47 pm
Topic: RE: Need help. Have Lapband, considering sleeve or DS

I certainly am able to commit to vitamins for either sleeve or ds...I'm just concerned that there may be other issue such as diarrhea, or many bowl movements per day etc

sweetpotato1959
on 8/23/21 5:00 pm
Topic: RE: Veteran RNY ers ( or others ) do you still have malbsorption and volume restriction years post op

I am 24 years post op. My surgery was RNY on steroids, had multiple bowel resections and portion of colon removed. Pouch still works have 4-6 oz depending on density.

Just began tolerating regular mayo in last 2 years, i use it very skimpy....ie i spread it with back of spoon or butter knife. I can eat few greens, must maintain low carbs or cravings get horrific. eggs are half my protein for a day me and hubs eat 25 dz a month/ ave. 10 a day for both.No, we don't have cholesterol issues or high blood pressure.

. still can not eat chicken/tuna salad unless w/ low fat version, so must make those myself to make sure is usually tolerated- as opposed to lunch out.

.... my limit on seafood is 1.5 oz.... sits heavy for a long time..if i eat even a small bite over that.most other meats i tolerate well.

if portion size and leftovers a problem try child's portions.. when u go out to eat each get something different in childs portion and half each to share. or just order an appetizer.?

I have to be very careful of combo's /amounts, when i consume anything sweet. a 1/2 inch slice off a candy bar consumed at night.. followed w/ cup of coffee in am will give laxative effect.

I have zero tolerance for artificial sweeteners. +very low sugar tolerance.. a teaspoon of organic syrup on french toast is my limit... i load toast with 3 eggs, lactose free milk, cinnamon, nutmeg or allspice.. sprinkle of salt and tsp sugar..AND. use thin bread. oh the jelly packs they give in eaterys- i can use 1/2 pack, of strawberry...i give rest to DH he has no intolerance or wt issue.

i can eat no cereals- limited to2 oz oats, plain w/ 3 poached eggs...w/o sugar reaction/no bread. .....no dry cereals. no grits, or corn products , no lecithin, no whey,soy,or pea protein. i can eat white/jasmine rice.and we use it in many dishes. from plain-to stirfry, Mexican rice..gumbo, jambalaya.

i can eat kfc fried chicken if i skin it..and no other commercially prepared..

.. can sear in skillet w/ oil and steam meats.. or grill must still remove all visible fats or pouch tell m STOP, And NO you shouldn't have! My young pup has no problems helping with disposal., and no weight issues...

SAusage... oil in saucepan til done thru and through.. dip out of water and brown in dry.skillet for firm patty with little fat...

DaffodilKM
on 8/23/21 12:35 pm
Topic: RE: Veteran RNY ers ( or others ) do you still have malbsorption and volume restriction years post op

Hi, I just read your reply, and thought..wait..another person who had RNY awhile back like and never felt restricted or malabsorption etc. I haven't either! After 1 month post op I was able to and unfortunately chose to go back to the same foods pre op. I am a bad patient though, and I post 60 lbs in like 3 mos but then regained most of it. I eat large portions give or take, eat very slowly and don't drink and eat at the same time etc..but I am a sugar addict and addicted to dark chocolate!

If I have malabsorption I do not know it, I don't have a lot of really loose stools. I still take a lot of vitamins and supplements and several Rx meds which I hope are being absorbed properly. However, I assume I must not absorb all the fat because despite the way I eat, I do not gain more, I stay in the same weight give or take 5lbs for years! I do get dumping often from sugar and my blood sugar drops at times too. If I eat too much esp if it's sugary, I will feel super tired or just fall asleep.

Anyway I know this has been alot to write and for you to read! I just wanted to reach out as it seems most post op rny'ers have some sort of restrictions and malabsorption issues that make it very uncomfortable to over eat etc. I think .did I have the same surgery?? I was told that when I had an endoscopy post op for chronic reflux, it was noted that the opening to the pouch was a tad larger than the usual protocol. Supposedly this was done to reduce complications..but did it make this whole thing useless?? Sorry again for dragging on, thanks for reading all this!

I

(deactivated member)
on 8/23/21 12:09 pm
RNY on 01/01/14
Topic: RE: Once home from surgery, what should I have at home?

And a loving pet !

My lil Persian kitty Minime literally walked w m every fifteen minutes forever it seemed like ..... he was my absolute loving hero .... and then he laid w m and purred in th bed n easy chair ....lil darling.

(deactivated member)
on 8/23/21 11:57 am, edited 8/23/21 4:57 am
RNY on 01/01/14
Topic: RE: Need help. Have Lapband, considering sleeve or DS

I?ll also dare say that most surgeons ? measurements ? for the ? correct ? surgery r WAY off.

Because they?re thinking about the likelihood of you surviving the surgery statistically.... whereas you?re trying to achieve a ? normal ? weight beauty of course and long term health.

Their idea about goal weight and yours may literally differ 50 lbs or more.

(deactivated member)
on 8/23/21 11:52 am
RNY on 01/01/14
Topic: RE: Need help. Have Lapband, considering sleeve or DS

I guess th question is R U willing 2 take vites every single day 4 life ?

Its really NOT a jail sentence.... just what U HAVE 2 do following a DS or an RNY .

????

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