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Hello All - In 2009 I had VSG and lost 200 pounds from 425 to 225 in about 13 months... after the initial year with the proper diet and exercise I settled in around 240 pounds and was very happy....I kept it off until 2013 and that's when I went through many difficult personal challenges and stop taking care of myself. I have regained about 30 pounds per year and now Im at 380 LBS. I have decided to do a self pay DS Loop with my original surgeon in about 4 weeks. Im excited yet terrified of failure again and complications with my body and mind. I have found it hard to find facts on projected weight loss and long term success going VSG to DS Loop ? He will also be re doing my sleeve as well. Any advice, thoughts, support, weight loss projections would be very helpful. I know that all of this has been asked before but I really appreciate the support, Thank You
I agree with Larra.
My common channel should have been 80cm according to my surgeon but that was 10 years ago, I don't know quite how absorbtion changes. It was the standard DS.
I'm in my early 30s, 5'2" and also sedentary. My malabsorbtion must be working as I have had issues with iron deficiency (on infusions now) and have developed osteoporosis (working on it).
I find if I eat 'normal carb levels (100g+) I get severe diarrhea. If I eat low fat I get constipation. Eating about 70 percent of my calories as fat means I go to the toilet once a day on average and it doesn't smell bad.
Artifical sweetners and fibre can sometimes make it smell bad. I don't eat too much fibre, it doesn't agree with me.
I don't drink any sugary drinks or drinks with calories in, just tea and flavoured water - it's sugar free and i need some favour because i hate plain water. I drink a lot daily.
I just wi**** was a bit more straightforward - we all seem to be so different, and the health service here has no idea because there are very few DS patients. I've seen nutritionists and they just want me to eat as if I had a rny.
I don't ever track calories, but just for fun because you asked, I did this for what I ate yesterday. I ate about 2450 calories. This is roughly what I usually eat and I am trying to maintain at one half my Preop weight (@around 145 lbs). But before surgery, I was probably eating 1,000 calories more than that or more. Your calorie needs vary by age, size, and activity, and I am an older, short, sedentary person.
A thought.. the DS works from both restriction and malabsorption. The surgery changes your stomach as well as your gut. I eat many very small meals, every 2-3 hours. Maybe that would speed your metabolism.
The other thought is that all DS surgeries are not alike. If you have one of the single anastamosis procedures or a long common channel, say 250cm, you can't use DS math. My common channel is 100 cm. Whatever the DS math says about fat, I don't eat big quantities of fat. I limit large amounts of fat because it gives me severe diarrhea at times. Every meal, I eat protein first, carbs last. I eliminated all liquid calories and that includes protein drinks, soda, beer, juice, and any sugar or artificial sugar products, regardless of calories or carbs.
I am never hungry, so this doesn't feel like a diet, and I figure I am getting a lot more calories than I could have to maintain my weight without DS. Good you are being so serious about losing the weight increase.
The trouble is, my carbs have been under 20g a day for a very long time, barring a 'relaxed' week at Xmas. Restricting carbs and eating at this calorie level always used to work for me but now it doesn't work as well.
I drink about 3l of water a day, always.
I'm going to try eating more calories but keep my carbs under 20g and see if it helps, thank you.
I am still curious from anyone who does track what calorie level they actually eat, as I really want to understand how our system works a few years out.
I can honestly say I have never in 16 years counted calories. Sorry but I only track protein and carbs. A couple of years ago I wanted to lose 20 pounds I simply limited my carbs and that did it for me.
Personally I don't think you're eating enough. You still have the old "diet" mentality and when you have the DS, standard diets don't work.
Forget about calories and focus on protein and carbs (high protein, low carbs). Also make sure you're drinking enough water (sometimes we forget about at least 64 ounces of water per day - at a minimum).
Janet in Leesburg
DS 2/25/03
Hazem Elariny
-175
You aren't going to be able to find good long term statistics on loop DS (aka SADI/aka SIPS) results because it isn't a standard of care bariatric surgery. It isn't accepted by the AMSBS, and isn't covered in any insurance policy I've ever seen. So, what most surgeons doing it do is use the code for a standard of care DS, which is NOT a loop, and which contains specific language that would preclude it being used as a code for a loop. Eventually, the insurers are going to catch on to this, some already have, and refuse coverage. In the meantime, the code will continue to be misused.
Well, that doesn't help you much, except to say that you would be wise to consult with a surgeon who does a real, standard of care DS, which does have well documented statistics that demonstrate the best long term results of any bariatric surgery for percentage excess weight loss and for maintenance of that weight loss. Especially given your struggles with one operation, why go for something with unproven long term results when you can have the operation with the best results and a surgeon who is being honest with your insurer?
We've seen people here with good results with loop DS. We've seen others with miserable results - something I've never seen with a real DS. It's up to you whether to take your chances on something unproven, or to go to the extra trouble of consulting with a real DS surgeon. IMHO it's well worth the extra effort.
Larra
Why the Loop of a standard DS?
HW: 398.8 SW:356 GW: 175 CW:147
Hello All - In 2009 I had VSG and lost 200 pounds from 425 to 225 in about 13 months... after the initial year with the proper diet and exercise I settled in around 240 pounds and was very happy....I kept it off until 2013 and that's when I went through many difficult personal challenges and stop taking care of myself. I have regained about 30 pounds per year and now Im at 380 LBS. I have decided to do a self pay DS Loop with my original surgeon in about 4 weeks. Im excited yet terrified of failure again and complications with my body and mind. I have found it hard to find facts on projected weight loss and long term success going VSG to DS Loop ? He will also be re doing my sleeve as well. Any advice, thoughts, support, weight loss projections would be very helpful. I know that all of this has been asked before but I really appreciate the support, Thank You
A question about calories.
I eat a keto diet, so around 20g carbs a day, the rest fats and protein. It's just hard to know what my calorie intake should be.
For example on a day when I eat 1600 calories, with 60 percent of those coming from fat and 30 percent from protein - according to 'DS Maths' I should only be absorbing about half of those calories or less.
But if I'm only absorbing 800 or so calories a day, why is my weight loss so slow? I lose about 4lbs a month at most with the above macros. Often several weeks go by with no loss.. Previously I have lost faster and I'm not sure why it's so slow this time around.
I was at 140lbs (down from 320) but regained a lot after a bereavement. The weight just doesn't seem to be coming off the way it should and has in the past and I realise I never figured out what calorie level to eat at.
i
Should I eat more? Should I eat less?
I have at least 50lbs left to lose...
could people tell tell me how many calories they eat?
Thank you for replying Janet. My fat intake varies. 70-150 gr a day over the last 2 weeks.
My water intake has been pretty consistent. I never get 64 in.
My vitamin regimen was increased about 6 months ago. And I have tolerated it well. My labs are excellent.
I was told about adding Magnesium and someone else suggested MCT oil.
Tanya B. 
SUCCESS IS ONLY A STEP AWAY
