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My experience has been that you just follow your labs. Yes people talk about ADEK but people are hardly ever low on E for some reason. Many people like it for other reasons than keeping an adequate level after the DS. K too is one of those that it may take a while to see the need on your labs. The tests for K / clotting are not always done so it may not hurt to stay on the **** seems a bummer to add it only after you notice that you are bruising much more. People lump them together because they are all the fat solubles and for those people that use a multi ADEK they have no choice.
Forgot to add that long term use of things like Prilosec can have an adverse effect on your calcium absorption. ( I think I have that right but people will correct if I'm wrong ). My policy is always that if you don't see a need then you need to see if it is valuable as a preventative or if there are any long term consequences.
Pete
HW 552 CW 198 SW 464 4/15/13 - Lap DS by Dr. Philip Schauer - Cleveland Clinic.
Could you talk about specific vitamin B levels? The one you listed sounds like B12 which doesn't cause a problem at high levels. However, something like elevated B6 might be a cause for concern. I'm not an expert on the B's but those 2 come up quite often in discussions.
It's pretty hard to talk about B's as a group.
As to lowering, are you taking a multi vitamin? You may have to start looking at food sources. Not sure what else people have done in your situation although I've seen other people not supplement and still have high levels.
Pete
HW 552 CW 198 SW 464 4/15/13 - Lap DS by Dr. Philip Schauer - Cleveland Clinic.
I'm about 7-8 years out from surgery and it's been an amazing ride.
Lately, I've been dealing with some odd anxiety like symptoms. When I got my last labs back my vitamin B's were extremely elevated. So high that the test didn't have a number other than > 2000. Also vitamin D had dipped.
I started to compare the labs with previous ones and my vitamin B's have always either been way low (before and right after surgery) or very high. Was a little curious on symptoms of high B's and there are not many sources who say high B's are concern. The ones I did find listed problems like skin conditions, issues sleeping, frequent urination, and anxiety. All symptoms that I have been fighting for months or years for some.
Does this sound like a plausible connection? How the hell do I lower them? I'm not taking any additional B.
Couldn't agree more. I am 11 years post op and have gained 25 lbs. And my bathroom escapades were horrible! I went back to the basics 2 weeks ago and saw an immediate improvement. Bathroom issues are non existent. No stomach issues or gas. Down 4 lbs the first week. I eat hardly any carbs. 20-30 grams a day. And those are in my vegetables. I feel great. Now I am a grazer as well. So now I eat a stick of cheese. Or knock off a bottle of water quickly. The desire to graze passes. Best of luck.
Tanya B. 
SUCCESS IS ONLY A STEP AWAY
A successful DS starts in the grocery store. This is what I do if I see a few pounds hanging around. First hit the dairy aisle. Milk, eggs, yogurt, cheese, cottage cheese. Then, the meat aisle for servings of the meat you like, chicken, beef, pork, sausage, bacon, shrimp, fish. The produce section is all good, except fruits and potatoes. The deli counter is good for sliced meats and cheese, but not the prepared foods or salads. You can get beans and tuna in the 'can' aisle, but nothing else. Nothing in boxes. No soda, chips, candy, or cookies. No bread for now. No pasta or rice. Liquid calories are the worst, so no juice, beer, or soda, even diet soda.
Then, go to the checkout counter.
For the first month, don't go to a restaurant or eat fast food, until you get your food choices right.
You can eat as much of these foods as you want. Don't go hungry. Have 5 small meals a day. I predict you can lose 2 lbs a week easily in the first month of "shock" DS diet therapy. You will mostly control your diarrhea and gas if you eat only them, but if some of these symptoms happen, you will recognize your trouble foods (might be yogurt or milk or deli foods)
Im glad you realize you have to change. Your body is signaling you are eating the wrong foods by giving you diarrhea and gas and causing you to gain weight. You are the only one who can fix this and I know it's in your power to do it.
So it's my own fault, once I could eat carbs and not vomit or get sick I started to eat them. I think my problem is I graze and don't know what or how to eat anymore and wind up snacking but the snacks I'm choosing are all carbs. Almost craving them like a pregnancy craving. And feel like I'm starving all the time. I guess I need ideas and food lists or recipes something.
Thank you
I could just about have predicted that was what you would say,as eating carbs is the most prevalent way those with a ds gain.
go back to meat,eggs, cheese, dairy and very little else.
The csrb craving IS an addiction, as you say and the more you eat, the more you want to eat. It has to be old turkey with carbs and the gist week will be very hard.
Drink plenty of no cal liquids and get all your bits in . You can lose the regain this way
So it's my own fault, once I could eat carbs and not vomit or get sick I started to eat them. I think my problem is I graze and don't know what or how to eat anymore and wind up snacking but the snacks I'm choosing are all carbs. Almost craving them like a pregnancy craving. And feel like I'm starving all the time. I guess I need ideas and food lists or recipes something.
Thank you
