Ds people HAVE to eat tons of meat

So I have a friend who has rny and I was asking what she thought about the surgery. She said that it was not the right fit for her Bc you have to eat a ton of meat, you are on the potty all the time, and that ds fight with vitamin decencies more than any of the other surgeries! I know you get tired of this but is this true? I know that potty thing is not right I have read tons of post like that! Sorry guys just have to find out from you guys!
Ps she also said to ask the doctor to do a sleeve on top an rny on the bottom.... Huh?!?

All false. Your friend is very poorly educated about the DS, it was a good decision to come here for correct information.

1) eating tons of meat: while we need 100grams of protein a day, it doesn't have to be from meat. We can eat tofu, beans, protein shakes, etc...

2) potty all the time: Getting the DS doesn't doom you to a life of sitting on the toilet. I crap twice a day. The only time I had frequent bowel bowel movements was during the first three months post op when my intestines were adjusting to the changes, this is a normal stage to go through and it doesn't last long. Bowel movements normalize after your body adjusts. Most DSers (not all) will tell you the same thing.

3) fighting vitamin deficiencies: Pure bull**** in the way your friend framed that comment. Having the DS doesn't mean were languishing in malnutrition. You have to take vitamins with the DS, this is not optional (FYI , RNY patients need to take vites too or they can have deficiencies as well), provided that you take them and adjust your vitamin regiment depending on what your blood labs say, we're not "fighting" vitamin deficiencies at all. However, if you're not compliant with after care (don't eat well, and don't take your vites) then yes you can develop vitamin deficiencies- that's true for anyone, surgery or not.

Hey, hey HEYYYY . . . I resemble that remark.  Although . . . can I just plead the 174th and claim temporary moronity?

I'm sorry DivaJo, I didn't mean to offend you in any way.

Oh, please. . . none taken. Just had to stick my foot in it. ; )

 I'm going to respectfully disagree with you on a couple of counts, Busybee, but it's more of warning that this  CAN happen SOME of the time:

1)   Potty issues....I know a few DS'ers, that despite really careful adherence to a strict dietary regime, struggle with diarrhea.  Lynn Bee comes to mind immediately, and there are others.  It's not common, but it does happen.

2)  I am not a "moron," I do eat extremely well, and I am religious about my vites.   I've been to three endocrinologists, including a Vitamin D specialist, and still struggle, struggle, struggle with my D and calcium absorption.  Nobody knows what to do with me.    Again, I'm not a moron, and I'm one of the unlucky less than 5% of all DS'ers who DESPITE CAREFUL COMPLIANCE, do struggle with deficiencies.   

In the spirit of full disclosure to all current and potential DS'ers, I really need to put this out there.   Not everybody likes me to state it.   We all like to put our best face forward in any situation, and I despite the D issues I've had, I'd still have the DS every year for the rest of my life, but this IS a reality, and it CAN happen to thankfully, a small percentage of the DS population.

No worries Julie.

I think I'm going to edit my post, it's being taken the wrong way.

Also, I have no idea what she meant by asking the doc to "do a sleeve on top an rny on the bottom", that doesn't make sense to me either.

Regarding eating "tons" of meat:  DSers HAVE to take in more protein than folks who haven't been surgically altered, because of our malabsorption.  You might want to let your friend know that protein can be found in, not only meat, but cheese, yogurt, beans, and, most importantly, in protein supplements.  Not everyone with a DS uses protein supplements, but it's an easy way to get in a respectable amount in a fairly small amount of space.  And we don't have much space.  Our fully functioning stomach (with pyloric valve intact) is considerably smaller than it was pre-surgery, so, sometimes it's difficult to eat enough in a day to get in the protein that we need.
Meat is a fairly dense protein, so, next to supplements, it's probably easier than other food sources.
Please read through AT LEAST the last weeks' worth of pages.  Previous threads provide thorough coverage of your questions.

One would be hard-pressed to be a vegetarian & have the DS, it's considered one of the "contraindications".  In all honesty, it's possible, but definitely more difficult, but that's really not what your friend's talking about anyway.

I suppose it depends on your outlook of what constitutes eating meat all of the time.  I try to eat a minimum of 50 - 75gms of protein from meat alone every day.  At this point from surgery, b/c I can eat more than someone in the first year post-op in partiuclar, I can pretty easily get that 50 - 75gms in from 2 meals where I have meat on my plate.  The rest of the protein tends to come from cheese & soy milk most frequently for me (I do soy b/c lactose upsets my stomach - something new for me after surgery & fairly common).  That aside, I tend to alternate things like eggs, lentil soup, split-pea soup (eg, some kind of high protein/ veggie soup), peanut butter, and protein shakes.  So, in essence, the answer is "NO", one does not have to eat meat all the time in order to be compliant in their protein needs with the DS.  You just have to know where other good sources of protein are & incorporate them into your diet along with meat.

I don't think we necessarily fight deficiencies more often than those with the RNY & I will say primarily b/c I think there's a lot of RNY people who don't take enough vitamins for their nutritional needs b/c they're listening to their nutritionists who generally - not always, but often enough - give them inadequate nutritional advice for vitamin dosing.  The most remarkable example I can think of for this that I have read fairly often is to take children's chewable vitamins.  On a purely logical level, that makes NO sense.  Obviously, the level of vitamins are formulated for kid's reduced nutritional needs compared to adults - their bodies are smaller, they don't need as many vitamins as someone who is an adult.  Telling an adult who cannot get enough nutrition through food to get it through children's vitamins is just ludicrous and purely illogical.  They suggest it b/c it's "easy" on their pouch, NOT b/c it's good nutritional advice for an adult's needs.  It's not.

DSers do have to take more vitamins than RNY's, in general, though there are similarities as well.

Ignore sleeve on top and rny on bottom.  RNY on bottom means you get 15% max malabsorption, which will essentially be gone by two years post-op.  The small intestine's villi, which absorbs nutrients, elongate to increase absorption area and therefore absorption of nutrients & calories.  The small intestine can also grow longer for the same reasons.  It does this in response to inadequate calories & nutrition, which happens for both RNY & DS patients (& likely the sleeve  alone to a lesser degree).  This then means that the malabsorption of 15% with the RNY is essentially zero by two years out, which is how long the small intestine will continue to adapt to increase calories & nutrient absorption.  The DS's average 75% malabsorption rate decrease just as much of that as an RNY, but b/c we have so much more malabsorption to begin with, DSers continue to malabsorb forever - that SIGNIFICANTLY CONTRIBUTES to being able to keep your weight off long-term WITHOUT having to eat a severely restricted caloric diet for the rest of your life . . . I know *I* don't have that kind of self-control.  Personally, if I did, I wouldn't have needed WLS to begin with.

If your friend things the last paragraph is hogwash, you or her can do your research on it.  Google terms like, 100cm small intestine adaptation, short gut syndrome adaptation.