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larra
on 2/19/19 8:56 am - bay area, CA
Topic: RE: VSG to DS

People often come to this forum and others only when they are having a problem and seeking information and help. So, sometimes the "bad" gets more press than the good. In reality, most of us live very happily and successfully with the DS. You also need to consider the negatives of what you are living with now - being MO and all that means every day of your life, maybe also living with miserable and potentially deadly comorbidities like type 2 diabetes, sleep apnea, etc.

We see new people wanting to revise from VSG to DS all the time. Early results are good (for most people) with VSG, long term, some are successful, a lot are not. The DS has the best statistics of any bariatric surgery for percentage excess weight loss, for maintenance of that weight loss (a big problem with VSG) and also for permanent resolution or maximum improvement of almost all comorbidities. You have the good fortune to be in the LA area, and thus close to Dr. Keshishian, who is one of the best DS surgeons in the country. A consult with him would be a great way to learn more about the DS and ask any questions about the possible negatives, and a consult doesn't commit you to anything.

More info coming to you in a pm, so be on the lookout for it.

Larra

Sunkissedsgrho
on 2/19/19 8:15 am - LA
Topic: RE: VSG to DS

Hi. I'm also working to revise from the VSG to the DS, and I have so many questions. I see a lot of good, but I'm more worried about the bad. I hear and see so much about bad gas and umm... other issues.... Can you shed some light on these areas?

PeteA
on 2/18/19 10:20 am - Parma, OH
DS on 04/15/13
Topic: RE: Help!!! Bad gas all the time

Two things. I came out of the DS sensitive to lactose. It eventually went away but any type of milk or ice cream gave me a lot of gas. It lasted about 6 months, I used lact-aid and frozen yogurt to get around those limitations. It wasn't so bad that everything gave me gas.

You also might go on a heavy dose of probiotics. Sometimes this is just an imbalance in your gut biome. You should discuss with your Doc about a round of flagyl which kills off most of thegut bacteria giving you a chance to repopulate with healthier bacteria leading to less gas.

Although at a month out things are always a little unpredictable and a lot of the things that go wrong in the first couple of months just go away.

Pete

HW 552 CW 198 SW 464 4/15/13 - Lap DS by Dr. Philip Schauer - Cleveland Clinic.

H.A.L.A B.
on 2/17/19 3:24 pm
Topic: RE: Help!!! Bad gas all the time

Carbs, high fiber grains, SA and raw veggies can give me a horrible gas.

Read about high FODMAP foods. Most on that list can give me really bad smelling plus painful gas. Avoiding high FODMAP stuff then try to add one at a time.

I hate having gas and the pain it can cause.

I can eat some veggies but well cooked. Some I still have to avoid, like beans, onion and garlic. No matter how well I cook them, try digestive enzymes, it is not worth for me.

SA - sugar alcohols, even small amount in chewing gums, or chewable vitamins can give me bad painful gas.

Hala. RNY 5/14/2008; Happy At Goal =HAG

"I can eat or do anything I want to - as long as I am willing to deal with the consequences"

"Failure is not falling down, It is not getting up once you fell... So pick yourself up, dust yourself off, and start all over again...."

MarinaGirl
on 2/17/19 12:21 pm
Topic: RE: Help!!! Bad gas all the time
On February 15, 2019 at 4:18 PM Pacific Time, nikkir70 wrote:

Been trying all different types of food. I am not able to just stick to dry meats and shakes! , it's just not realistic for me.

What are all the different types of food you've tried? Please provide specifics so DS vets can help troubleshoot.

nikkir70
on 2/17/19 10:40 am
Topic: RE: Help!!! Bad gas all the time

Thanks for all your replies.. That is a good plan Eliza. I guess it's just the reality that these operations don't change the root cause , the food addiction and DS forces me to deal with it or suffer the consequences and it is a haaaaard lesson!

Eliza970
on 2/17/19 7:46 am
Topic: RE: Help!!! Bad gas all the time

Go to whole food. Not the store, but just real food that doesn't have additives like corn starch, guar gum, food starch, etc. Start with chicken breast or red meat without fat for every meal for 2 days (not the frozen frankenfood, or fast food, prepared food. It must be real meat, cooked yourself from raw real meat). Water is the only beverage on those days. Add one food a day and keep a diary of how it affects you. [Nothing from fast food, the deli counter, a frozen meal, or anything in a box. They can be tested later.] Next day, add eggs cooked with little fat. [fast food eggs are the worst for me, they add starch to them.]

Next, add yogurt. The one with the fewest ingredients on the label, that's usually not the familiar brand name labels. (You will learn to read labels). Next add other meats, like lean hamburger (no buns). Next day, milk. Peanut butter.

After that, add your favorite foods, one at a time to see what's causing your problems. A single food a day was how I started. There are foods I identified during this test that I still don't eat, like deli ham.

Definitely start probiotics (not with a prebiotic, lethal gas for me) or kefir ( withno sugar, no additives). Good luck. We have all been there.

Laura in Texas
on 2/17/19 5:07 am
Topic: RE: Help!!! Bad gas all the time

Most shakes have artificial sweetener. Try eliminating artificial sweetener and see if that helps.

Laura in Texas

53 years old; 5'7" tall; HW: 339 (BMI=53); GW: 140 CW: 170 (BMI=27)

RNY: 09-17-08 Dr. Garth Davis

brachioplasty: 12-18-09 Dr. Wainwright; lbl/bl: 06-28-11 Dr. LoMonaco

"May your choices reflect your hopes and not your fears."

(deactivated member)
on 2/16/19 9:59 pm
Amy R.
on 2/16/19 2:47 pm
Topic: RE: Help!!! Bad gas all the time

I buy the capsules. How much I take daily is subject to how gassy I feel. I take four each day and sometimes six. The maximum dose is I believe eight.

So every day I take two capsules with my morning meal and then another two capsules with dinner. I've had periods when I've only had to take two each day but unless I run out I don't go any lower than two. So in other words sometimes I can get by with only one capsule morning and evening.

It's also a bit subject to what's going on in my life that day. Formal or semi-formal occasions? I take six the day before (divided into three doses). I then do the same the day of. Hanging around the house with no big plans? Maybe only two or four.

Sorry to give such a long response to such a short and specific question. There just isn't any way to know how much you need without trying it out. All of our bodies and food intakes are so different. As is the way we metabolize supplements and meds.

Good Luck =)

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