Getting back on track... you can do it
You might mean well, but this is NOT correct info for DS'ers... this should be on the RNY forum, not the DS forum. You are going to confuse people with incorrect info who are considering and reviewing both surgery options.
If you are a newbie, PLEASE PLEASE remember this is RNY info NOT DS Info !
Ginger<><
Revision #2 Dr John Rabkin June 21, 2013; First Revision DS - Dr Maguire 5-18-09; First DS 7-15-2003 Dr Clark Warden = Third time is the charm 
on 1/5/12 11:12 am
THIS IS NOT ADVICE FOR A DS'ER!!
THIS FORM OF GETTING BACK ON TRACK WILL BE HARMFUL TO YOU!!
WE SHOULD NEVER BE ON A 1200 CALORIE A DAY DIET FOR ANY REASON. Although 1200 per meall would be ok.
Michele
Your post, while upbeat and well-intentioned, does not offer dietary advice suitable for Duodenal Switch patients. If I may, allow me to propose the following edits to your third paragraph:
"So, to take off the weight, the two biggest things I did were to track my protein and carb intake, and to increase my water. In order to take care of myself, I made sure that I was consuming at least 100 g. of protein every day and fewer than 75 g. of carbohydrates every day. If I ate carbohydrates, I made sure that they were complex carbs from vegetables or whole grains, and that they were incidental to the main focus of my meals and snacks, i.e., protein. I did not focus on the number of calories I ate, but on the protein grams and carbohydrate grams. I never worry about the fat content of my food, as 80% of that fat (and its calories) is not going to be absorbed. While I realize that calories are important, my malabsorption eliminates so many of them that it's not worth tallying the total number of calories only to have to do some complex math in order to get an accurate final number of absorbed calories.
I also made sure that I was drinking at least 120 oz of water every day. Thankfully, because I had a DS, I didn't have to worry about the timing of my water intake, as we are allowed to drink before, during, and after meals if we need to. This helped me get my water in. I have to say that I did occasionally indulge in dessert while I was losing. Knowing that I was allowed to have dessert let me to keep it to a bite or two and give me the delicious flavor of the dessert and also allowed me to feel "normal" and not deprived. Most of my favorite desserts are very rich, high-fat desserts anyway, so the DS whisked away 80% of those fat calories, leaving me only the carb calories to worry about. Because of that malabsorption, I didn't have to wait very long for the scale to move back down. I'm thankful that the DS leveled the playing field and boosted my metabolism back to normal so that all it takes is a couple of weeks of watching my diet to get me back to my goal weight."
I believe that my advice is more beneficial to a DSer.
That said, I would not post this advice on the RNY board. I wouldn't post it on the Lap Band or VSG boards, either. The nutritional advice in it not appropriate for them, and would most likely irritate them. Imagine, if you will, the rolled eyes and raised eyebrows of those struggling with sliming, inability to stomach dense proteins, or blocked stomas upon reading the advice to ingest at least 100 g. of protein daily with blatant disregard to fat content? There would very well be snarky comments aimed my direction about what I said regarding drinking with meals if I posted this on the RNY board. And they would be perfectly justified, because I would have knowingly posted something completely unsuited to their surgeries on their boards. Imagine that. Who would do that?
It is important to consider one's audience carefully before one cross-posts. I do not believe that anyone on an OH surgery board is particularly receptive to advice that is clearly meant for another surgery type. Spam is only good on a sandwich.
"Differences of habit and language are nothing at all if our aims are identical and our hearts are open." --J.K. Rowling, Harry Potter and the Goblet of Fire
Check out my profile: http://www.obesityhelp.com/member/goodkel/Or click on my name
DS SW 265 CW 120 5'7"
on 1/6/12 3:53 am - Califreakinfornia , CA
The following is an excerpt from a response I made to someone who asked about getting back on track. This person has been very successful in her weight loss journey, but has recently experienced some regain. Statistically, her regain is within the norms for 'bounce back' weight, but it was how she regained that distressed her and it was nearly a mirror image of what happened to me a few years ago. I really felt her distress and fear and wanted to reassure her that all is not lost, that we always have our tool and we can get control of it now, even when we couldn't for so many years before. So if you have have arrived at maintenance and are struggling with some unwanted regain or if you are only thinking about WLS or in the process of losing and want to know if you can and will be able to maintain your weight after you lose it, read on...
Okay, so the real question is how to get back on track and if it's a realistic possibility and probability. I'm here to tell you that it is both possible and probable that you can reverse the tides and get back to where you are happy and be able to stay there. I have to tell you that I too was just terrified because I knew from my previous experience that 'diets' just don't work for me. I'm an overgrown 3 yr old and if you tell me I can't have something, then.... I will. That scared the proverbial pants off of me. After mulling it over a bit, I decided to try a new tact. One to get the unwanted extra pounds off and another, related tact to keep my weight where I want it to be.
So, to take off the weight, the two biggest things I did were to log my intake and activity and to cut back on simple carbs... cut back, not cut out. I made sure to 'take care of business' with every meal and snack, making sure I was eating 5 to 6 times a day. When I say 'take care of business' I mean that I made sure that I got in 4 to 6 ounces of protein, then followed that with colorful, complex carbs. I also made sure that I wasn't drinking any fluids within that 30 min window before, during and after my meal so that I could allow my tool to work for me and help me really regulate my intake to ensure I wasn't taking in more calories than I needed. I maintained a caloric intake of about 1000 to 1200 calories a day when I was working on losing the weight. Logging really helped me think about what I was ingesting and if it was supporting my goals or undermining them. This helped think of things in a positive light. Is this choice going to help get me to where I want to be or submarine my attempt to achieve and maintain a healthy and active life? If not, I often would think twice and let it go without the burden and baggage that comes with feeling deprived. I have to say that I did occasionally indulge while I was losing, but not often because I had my eye on the proverbial prize and I was delighted at the result I was getting; most of the time the 'indulgence' I wanted at the moment faded when I 'weighed' it against my goals. To be honest, the weight came off relatively easily. Much more so than I thought it would.
Now that I've taken the excess weight off, I don't really log anymore unless might weight ticks back up out of it's normal range. If that happens, I start logging again and am able to easily trim off the few pounds.
I honestly think that losing the weight and then maintaining it all comes down to awareness and accountability. If you think about it, I'll bet that you've been playing a bit of 'hear no evil, see no evil, speak no evil' as it relates to what you are consuming. You 'know' you are going off track, but tend to not want to see the evidence of it. We all have to find ways to be aware and accountable and to be honest what works when we are losing is not necessarily what works in maintenance and I think that this is one of the main reasons we tend to falter in maintenance. Whatever we did to maintain awareness and accountability in our weight loss phase doesn't really work for us anymore and no one has told us that we need re-evaluate how we are going to remain aware and accountable as we work to maintain or new found weight and it's resulting health and quality of life benefits. It took me a while to find what works for me. It may take you a while to find what works for you, but I'm sure that you can and will.Can you tell me why after you have respectfully been asked by several members of this board to remove your post you still have not done so ? Please help me understand exactly what it is you are trying to prove by ignoring the advice of the vets of this particular surgery board ? Vets who have asked you to remove what could be dangerous advise to a DSer...
OH Staff, it is your duty to make sure that unsafe information that could potentially harm one of your members is removed. This is a matter of safety, not some petty argument.
Elizabeth
Back in the U.S.A.
"I have lost the lumbering hulk that I once was. I don't hide behind my clothes or behind my door. I am part of life's rich tapestry not an observer." Kirmy
