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on 9/10/23 2:27 am
Good morning!
That's a new one to me, at least in phrasing. I've been told that you don't get the chance to absorb the fat soluble ADEK vitamins when the fat shoots through your system too quickly and causes diarrhea, so that could be one interpretation if it's part of your current experience. Not so much that the fat attaches to nutrients, just that everything flushes with it.
My clinic advised low fat just for the purpose of preventing the super quick movement, so to speak.
If you're losing weight quickly at 9 years out, is it purposeful or could something else be going on? I get the concern but that's some interesting feedback from the nutritionist. What are you eating?
Cheers!

HW 282, LW 123.4 (8/29/23), CW 144.4
Pre-op-33, M1-12, M2-17, M3-14, M4-11, M5-14, M6-5, M7-6, M8-5, M9-22, M10-6, M11-5, M12-2, M13-2, M14-5
Thanks for your reply Holdenwhat. I am taking 40 mg of copper daily (separately from zinc) and still it doesn't go up. One doctor tried to get me infusions, but the pharmacist said they didn't have it. Go figure. I did get an iron infusion, and I am now taking desiccated liver. I also started on a ketogenic diet last month. I hope these things will make a difference. I'll see in my next labs.
So, I had a talk with a nutritionist today. She told me to go low fat because when fat is not absorbed it takes nutrients along with it, as a part of the malabsorption (she tried saying that protein was one of those nutrients but hello- protein and fat are completely different and absorbed differently).
Is there any truth whatsoever to malabsorbed fat sucking up other nutrients and carrying them away? I can only eat meat that has a significant amount of fat in it or I can't get it down, and I'm running protein deficient.
This nutritionist told me I was doing everything wrong, then told me to stop losing weight so quickly. I'm 9 years out from surgery.
I have heard of issues with copper absorption after DS surgery and cannot speak of it with any authority but what I heard was that it can turn into a real issue. I always have mine checked as part of my labs and it has run low a couple of times but it went back to normal with supplements. It needs to be taken at a time separately from zinc- that's about all I remember.
We will never knwo what she did or didn't do. Often with pain, any type of pain - the docs prescribe pain meds, muscle relaxants,. etc. That in itsefl can mask a serious pain and cramps. From simple obstruiction to drasit one - there can be a relative short time - a few days when the bowels die and become septic. Unfortuantaly even when a person goes and comaplins but still have some BM, the symptoms can be dismissed - ignored.
To add: becasue of the abdominal surgery - some nerves never completely regenerate and a person may not even realise how critical their condition is.
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...."
Most likely you ate too much too fast. Someone told me to put an egg timer on the table and flip it between bites. Worked well for me.
The excessive pre and post surgery refeeding plans are a recent thing. When I had my surgery I was told to eat what I wanted in tiny quantities and take my time. I was fine.
on 8/13/23 6:24 pm, edited 8/13/23 11:27 am
Congrats on making it through surgery.
Your plan has you on solid food much faster than mine did. No chicken or anything that couldn't be cut easily with a plastic for****il two months out, really. As the others have said, chicken can be hard.
My best advice if you're on solid food already is to cut it really, really small and make sure you have sauce or gravy to help with moisture. My clinic was big at preaching about chewing to applesauce consistency. You're still healing and probably swollen, so it'll be a process. It should get better with time even if it doesn't feel that way now.
Editing to add that some great advice I've gotten is that when you hit a snag in your diet progression, take a step backward to give your system a break. It's helped me a ton in my year since surgery!
Best wishes.

HW 282, LW 123.4 (8/29/23), CW 144.4
Pre-op-33, M1-12, M2-17, M3-14, M4-11, M5-14, M6-5, M7-6, M8-5, M9-22, M10-6, M11-5, M12-2, M13-2, M14-5
100% Agreed. I could eat almost anything during year 1 except white meat Turkey or Chicken. It was the only food that would come back up. I had a much easier time with steak than white meat.
Most likely it will. Eggs shouldn't be a big problem - we were cleared to try them along with other soft foods very early out. The chicken can be tougher - when we started more solids and meats, we were told, contrary to classic diet lore, to go for dark meat chicken/poultry rather than white, as the fatter cuts tend to go down easier than the drier breast meat; some sauces or gravies (aka "meat lube") can be helpful in keeping things moving. I would try to keep things liquid and sloppy for a while until it passes on through.
1st support group/seminar - 8/03 (has it been that long?)
Wife's DS - 5/05 w Dr. Robert Rabkin VSG on 5/9/11 by Dr. John Rabkin
I had surgery on July 31st and then on August 10th I air fried 2 eggs and ate them then later that night I ate little bit of air fried chicken breast. Now feeling like it is obstructing what I eat now...will it get better or worse is the question? Thanks for any advice