I had RNY is 2007. I have no malabsorption or restriction. I only control my weight with diet and exercise. Just like before surgery.

The DS does give lifetime fat malabsorption. The RNY gives about two years of calorie malabsorption. When the surgery is new, there is tremendous restriction. But it is similar to a new born baby. The RNY pouch or VSG/DS sleeve grows up and becomes an adult pouch or sleeve.

If I wanted to, I could eat as much as before surgery and if I did not control my eating, I would weigh as much as before surgery.

I can eat three bites of a slice of pizza and have to put it down due to sneezing and sniffling ( my pouch?s indicators that she?s had ENOUGH lol) .

It literally takes me two hours to eat half of it and usually I throw the rest out .

I find I?m a constant food hoarder - my eyes want this and that .... I plan this great meal in my mind and aquire the ingredients and 9/10 gets left on the plate . Since my pouch can?t tolerate leftovers I throw out ( or compost ) an unconscionable amount of food - every single day .

Yes my natural predilection/ preference is to eat very low fat or ( preferably ) fat free.

I think you?re right this might be why I still have malabsorption when I do eat ? normal ? amounts of fat .

In any case I?m grateful for my pouch?s touchy temperament. She keeps me slim, ? fighting weight ? and super healthy and ridiculously energetic .

I don't have that issue, either.

I know you've frequently mentioned on this site that you follow a very low-fat diet. So maybe that's why you're seeing this when you DO eat fat? As in your body's just not used to it? Not sure.

re: the weight regain during year 2 or 3 - part of it may be due to the malabsorption ending, but that only happens in bypass patients. VSG patients also experience "rebound", so part of it may also be due to bad habits creeping back in - or just eating more in general (even if we haven't reverted to bad habits).

I still have restriction, but not like I did the first few months post-op. I doubt anyone could tell at this point that I've had WLS. I eat about as much as my never-been-obese women friends who are watching their weight. For example, at restaurants I'll typically just eat an appetizer - or order an entree and take 1/2 - 2/3 of it home. Or I'll eat 1-2 pieces of pizza (that's all I can handle now at one sitting) vs the half a large pizza that I used to be able to eat prior to surgery.

I will be 14 years out later this month. I now malabsorb just a very small amount of fat (it isn't even noticeable unless I eat something with a lot of it... and even then it doesn't result in the stools you describe).

I do still have pretty good restriction (knowing that the pouch would naturally be expected to stretch a bit), though. I can still only eat about 3.5-4 ounces of a dense protein.

Lora

I agree exactly with what partlypollyanna said.

reslly bad things can happen like memory loss, brain drag, loss of your muscle function. Considering your heart and lungs are muscles you don't want to go there.
I had a near fatal heart episode when I had salmonella snd couldn't eat drink or take any vitamins. In just three weeks of that, I was rushed to the hospital where I was found to be depleted of calcium folic acid snd many other hormones. I was having a neat fstsl heart arrhythmia and found to be in early renal failure. I was given massive amounts of iv supplements over the course of a week in the hospital.
don't go there. Don't even think about it. You knew this was necessary. Do the right thing, forever, for yourself.