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your supplement schedule will shift over the years many times. What works for ages will, sometimes, cease working.
Once a K deficiency exacerbated a iron deficiency and resulted in a huge case of anemia, and Iron Sucrose I.V treatments quarterly for years.
Eventually I went back to processing iron sufficiently to go back to oral supplements.
Another time a string of illnesses, flu, bronchitis, and a uti resulted in a zinc deficiency that took a year to recover from completely.
Currently I am on this;
| Centrum Silver BID | am/pm |
| Selenium 200 mcg | am |
| Calcium Citrate 250mg D3 20mcg BID | am/pm |
| Klor-Con/Potassium 10 meq ED/750mg BID | am/pm |
| Zinc Picolinate 50mg | am |
|
Calcium Citrate Chews 250mg whenever I think of it (with a 2 hour window before and after) because it turns out I personally can not O.D. on calcium. |
24/7 |
| L-Lysine 500mg | |
| L Carnitine 500mg | |
| Collagen1200mg/hyaluronic acid300mg/Biotin3000 | am |
| Vitamin A 25000 iu | am |
| VIT D2 50,000 iu Ergo/Teva BID | am/pm |
| Vit E 400iu | am |
| Vitamin K 100mcg | am |
| Multigen (Iron) | noon |
| Vitamin C 1000mg | noon |
I am hoping I misunderstood the exchange about baby aspirin, but just in case; Do not go on baby aspirin (unless indicated by a Dr) as it is a blood thinner and will exacerbate the clotting problem caused by K deficiency.
Do try a k supplement. It is a fat soluble vitamin so it will be difficult to metabolize, but a supplement will help.
I have taken k supplements for many years to deal with this. Low K count can be super dangerous so it's not good to just 'live with it'.
You do not have to be on a spiral but you are smart to pay attention to trends. Look to see what has changed recently. then; Up the protein and fat, lower the carbs. Increase water intake. Portion control.
You have the tool, but you have to work it.
I would go back to basics. Probably do a week of meal replacement shakes and then back to as close to no carbs as possible. Keep a food log of some sort and get a wearable fitness tracker. Won't take long to figure out what you need to change. So back to the physiology, this may be your new normal. Many of us find that we either have less malabsorbtion as our DS ages OR that we have simply let too many carbs back into our lives. Weight is a battle for almost everyone and the problem becomes harder to fight as we age as well.
on 9/23/22 8:40 am
Hey there,
Thanks for your feedback! I'm glad to know there are K supplements. Maybe my practice just doesn't sell them separately and writes them off. Also glad you're getting what you need!
I think my dietician missed a day, too. I called yesterday and asked if I should be eating some fat with my vegetables to boost absorption. She said no since it might upset my bowels due to the malabsorption. Fascinating!
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
I had RNY in 2007. I have been through regain and losing it again several times. My goal is 136, today I am 133. The only way that I have been able to lose the weight and keep it off has been Weigh****chers. Their program allows you to eat any food that you want as long as you measure and track and stay within your points. I recommend you get and read their new book, "The Shift".
We learn how to eat enough food to gain weight even with our tiny stomach and with malabsorption. I weigh daily, often several times a day. I attend online WW meetings with Zoom. I track everything I eat and drink and get plenty of exercise. After surgery I never expected to attend a WW meeting again, but now accept that it is WW or living with an extra 30 pounds.
Real life begins where your comfort zone ends
It's a no brainer to me but I'm limited to my own experience living with the SADi single loop DS for about 8 years as of next month. I was concerned about potential DS vitamin deficiency issues, but wanted to make sure I took off all the weight and kept it off. In the hands of a skilled surgeon, I think the SADi is the best option for most people which I also think experienced WLS surgeons will also tell you.
My experience is almost identical to all DS surgery patients with 2 exceptions, 1) I take about half as many vitamins, 2) I can eat anything, and I mean ANYTHING, and I do not gain weight. I pay with gas and bathroom trips for excess eating but not weight gain. I have to deal with all the other issues any DS patient goes through.
I had vitamin K deficiency after about 5 years. I think it's pretty normal, and I also had some mild easy bruising at times but never associated it with the K issue. I take a vit K pill now every day, in addition to the ADEK pill. Your nurse seems like she was absent certain days in nursing school.
So I lost about 120 pounds with DS (I'm 5' 11" and was pre-diabetic with severe sleep apnea, starting weight 279 and at my lowest I was 150). My doctor expected that I would put 25 pounds of it back on. I stayed pretty consistent at 155 to 160 for the last five years. (Had my surgery at the end of October 2017.)
But literally within the last few weeks my weight has been creeping up. I started being between 160 to 165, then 165 to 170 and suddenly find myself at 175 to 180. I'm technically overweight again with my BMI at 180. 170 to 180 would put me at that 25 pounds regain that was expected to be put back on.
Is there any way to get this weight off? I'm noticing that my clothes are a bit too tight and I'm a little unhappy with the extra weight. Am I going to plateau at some point? Or am I in a downward spiral where I'm going to keep putting on weight?
on 9/21/22 6:31 pm
Congratulations on your progress and success over the years. I'm glad you've been able to work out the process for you. We've had the same surgery so I'm hoping to be where you are in a few more months.
Cheers to you!
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
