Then you have the Duodenal Switch and not the older BPD. I know it is confusing because they used the Biliopancreatic Diversion as part of the name of the procedure. A traditional BPD does not preserve the pyloric valve.

This is a picture of the BPD/DS (which you appear to have):

 

And the BPD (which is not what you have):

 Didn't you have the DS? It's confusing because it's called the BPD-DS, but this forum is just BPD, which is different (and they are rare, as most surgeons don't do this any more).

You should ask this on the DS board, since I think that's what you actually have, and even if not, they are the most knowledgeable group about supplements usually.

I'll answer since I'm here though.

What do you eat all day long?

I'm at goal, so I eat a pretty normal diet. I do watch carbs if I want to take off a pound or two, or if I'm getting gassy, but I just eat whatever, and aim for 100gr of protein a day.
When I was earlier out, I focused on meat, peanut butter, beans, eggs, cheese, lots of nuts, and left veggies for last, as there was room. I experimented with vegetarian options too, like soy or TVP, put like meat better.

What causes gas and bloating?

I'm somewhat bullet proof, and get very little gas, and don't have any bathroom issues to speak of so I'm not the best to address this, but most people say that carbs, particularly too many white carbs like white bread, rice, tortilla, sugar - give them problems. They are good to avoid anyway, just so you maximize your weight loss during your window, then when you are to goal you can add them back if you want.


Sometimes the gut flora gets out of balance too (especially if you've had a round of antibiotics, and didn't use probiotics afterward). ALWAYS use probiotics after any antibiotics, and they are a good idea to take regularly anyway. I credit them for my lack of farts and poop smell, especially since I'm not overly careful with what I eat.


What vitamins do you take/dosage and name?

It is best to start off with Vitaladys plan, since that is as close to what most of us will end up needing, then have regular labs, and tweak according to those. My surgeon (and most of our surgeons) have terrible vitamin plans, and some even sell supplements, so I just find what is complete, and cheapest.

For the multi, of which I take two per day, I just buy the Costo/Kirkland brand, for something like $12 for a big bottle. I'll take other brands, if I find a great sale, but they must compare to Centrum. You will have to actually look at the label, and make sure everything is there, and in equal, or close to equal amounts.

Puritans Pride or Vitacost are reasonable places to buy on line, and often have sales like buy 2, get 3 free, but you need to make sure you are getting the right types of things you can absorb. For this reason, I think most of us should buy all our stuff from Vitalady, because her prices are always competitive, and she sells the right formulations for us, at least till you get the hang of it. 

You have to make sure sure you take calcium citrate, not carbonate (there are other forms that may be useful, but more expensive, like MCHA or hydoxyapatite, but look into those if calcium is proving to be a problem for you). I also take magnesium in a ration of 50% to the calcium, like, I take 3000mg of calcium per day, so I take 1500mg of magnesium. I also have some co-factors with my calcium, like strontium, and vitamin K.

I take a combination of Vitaladys Tender iron (300 mg) and Polysacharide iron from Costco (300mg) daily and a B50 vite with the iron every other day, as well as zinc and vitamin D with my multis. If you take zinc, it should be taken separately from calcium and iron. Calcium and iron cannot be taken together either.

I have taken vitamins A and E as well, but am not now.They aren't actually a vitamins, but I take a hodge podge of probiots as well. 

The following is the description of the BPD/DS which I had in 2002. The pancreatic diversion portion of the surgery was very important in correcting  a malfunction in my GI system which often led to sphincter constriction and pancreatitis as the bile I produced often backed up into my pancreas. The BPD resolved that issue for me. The sleeve gastectomy reduced the amount of food I could eat at one time but I retained normal stomach function with a functioning pyloric valve.

Biliopancreatic Diversion (BPD) with Duodenal Switch

Biliary Pancreatic Diversion, also known as BPD, reduces the size of the stomach to create a smaller stomach pouch. The procedure 1.restricts the amount of food that can be consumed in one sitting, and 2. alters the small intestine to make it possible for bile and pancreatic juices to meet digested food closer to the middle or the end of it – leading to less absorption of calories and nutrients by the body.

About 3/4ths of the stomach is removed during BPD with duodenal switch, restricting food intake as well as output of acids. The duodenum is a part of the small intestine. This end of the small intestine is re-routed to the new stomach pouch, separating the flow of pancreatic juices and bile. This allows for digestive juices and food to meet in the lower part of the intestine – creating malabsorption of calories. Ultimately, Biliary Pancreatic Diversion with Duodenal Switch is both a restrictive and a malabsorptive weight loss surgery procedure. It restricts the amount of food intake by making the stomach smaller, and cuts down on the amount of nutrients and calories the body absorbs.

The entire BPD with Duodenal Switch procedure takes about two to three hours to complete.

Prescription D is NOT what you need. All prescription D is D2, which must be converted in the body to D3 before it's useful---and it takes a LOT of D2 to make a little D3. Toss the 'script and get Vitalady's D3-50. Like a DSer, you malabsorb a LOT of fat---and D is a fat-soluble vitamin. Vitalady's D3-50 is a 'dry' formulation, so you'll absorb moe of it, and it's the RIGHT kind of D.

Taking one a day I raised my D level 30 points in 90 days.

I'm not totally convinced that a low carb high protein diet is what is going to help a BPD patient.  I've been keeping my carbs between 40-60 a day for the last 6 weeks and I've been getting in over 100g protein and staying between1300-1500 calories for 6 weeks now.  I've been trying to use the "DS math" but again, I'm not sure it works for a BPD.  I've been exercising 3 times a week for an hour (high cardio), walking more, taking stairs where I can and only lost 6 lbs. But then again, this week I'm up 2 lbs.... Really,  that's it?  I'm not giving up and will continue to try, but it is frustrating.  I haven't even ate a piece of bread, potato or pasta for these last 6 weeks.  Any carb I'm getting is from yogurt, almonds, cheese and some fruit.

I've called a couple offices to see if they can see me and work with me, but they all say  they will talk to the Dr. and then call me back.  I've yet to be called back!  None of them have been here in the KCMO area either and both were ones that currently do DS's.  I was hoping they would understand the differences and be able to offer me some assistance.

Keep me posted as to if there is any kind of revision.  I'm not sure there is, but I'd love to hear about it if you find one.  I'll be watching for you to post updates.   I'm on OH everyday and mostly watch the DS board but check this one just to see if there is any activity.

Good luck on your revision search!