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Hey there. Does anybody have a spreadsheet to track labs available? I don't want to reinvent the wheel if I don't have to.
Thx
A grateful DSer forever!
SW 223 CW 132 GW 117-125
My ferratin is 35 so low end of "normal"
What is your ferritin level? Sometimes doctors say bloodwork is good, but levels that might be good for normal people are not good for folks who have had WLS.
Dr. Sanchez Lapband 9/12/2003
hw305/revision w280/cw197/gw150
Revision from Lap Band to Bypass on 2/4/2015 by Dr. Pohl
Just an option. You could back off and have just protein shakes(and your supplements) for a couple weeks. Give your gut and your nose a break and let them calm down. And BTW make sure those are meal replacement shakes that have the electrolytes you need! Plus you will probably lose a few pounds. Win/win.
Sort of a reset!
I had the RNY in 2014 and began to gain my weight back and pretty much hit my weight when I had my first surgery. My revision went great. Frustrated that my weightloss is alot slower than my first surgery, but I do get that I am older (48) and this is a revision as well. I have lost 46 lbs since then, but as I said it is much slower.
So here is what I am experiencing:
1) issues with eating meat. I have issues with the smells and actual consumption. There are times when I can tolerate it but there are more times when I can not and end up throwing it up (sorry TMI). I have spoke to my Dr.and a dietician. I was able to substitute the meat with beans (dietician did say this was okay for now) but then the beans turned on me and I ended up with so much bloating, uncomfortably bloated not to mention the gas... 
2) extremely tired. I am taking my vitamins, had recent blood work and all is good actually really good. But I can not get over this fatigue. I want to get back to the gym to swim but by the time I get home I am exhausted. Working out in the morning is not an option as I have to be at work at 6:30 am.
Has anyone with this type of revision had similar issues. Any suggestions on protein ideas? I do still drink a protein shake every morning.
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300cc is the standard for Sadi. It's the same thing I have from 2014 surgery.
on 8/2/22 11:42 am
Hey there!
So much information! Thank you. My clinic does 300cm common channels, so I should have about 50% bypass. So yes, yours is much shorter!
Appreciate the feedback. My first labs will be at the end of the month but I figure that's still a bit early to see how it will play out. Based on replies, it sounds like there might be several adjustments over time.
And thanks for sharing your supplement list. I had heard in one other place that there were issues with DSers and gelcaps, so that's good info. My clinic hadn't mentioned it and I do have a couple of gel supplements. On the fence with you on probiotics and taking them just in case. Also with you on the hair piece. I lost a lot of hair the last time I dropped weight. Fully expect to again, unfortunately.
Thanks for sharing your experiences! This is all new to me, so helpful to hear from others!
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
on 8/2/22 11:35 am
Thanks for the response! That makes a lot of sense. I agree, it will take time to find out. It's good to hear the feedback that the supplements can change over time. I'm glad your wife has a regimen that works for her!
Per the literature from my clinic, ADEK is for life, so I never thought about it any other way. Still new though and my first labs will happen at the end of this month. I appreciate these perspectives!
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
Keep in mind my CC is 75 and your SADI is 200 if I remember correctly? I have a lot more malabsorbtion than you and that's why I said your labs would tell the tale down the road. Some SADI patients have to supplement like traditional DSers and others don't. You have to wait and see. Either way it will become a habit and you will do it automatically.
No ADEKS for me because they are too low dose to be effective. And too expensive! I take individual supplements. Whenever they add the word bariatric to a product, they jack up the price! And strange thing, I have never needed to supplement E yet. Maybe I will down the road but not yet. I also don't have to supplement B's. Things do change over time and we have to be flexible. But right now I am fine with just what is in my multivitamins. I also have no problems with iron levels. This one makes me happy because iron is the one supplement I hate taking.
I do take dry supplements(pills, not gelcaps in oil) because I don't absorb much fat. On the rare occasion I am forced to use gelcaps, I take 4 or 5 times my usual dose. You malabsorb fat too but the jury is still out on how much for how long because there are not enough large cohort studies done on the SADI yet. Give it time. More information will come. It is probably safe for you to assume you won't ever need as much in the supplement department as I do.
What I take.
Hair supplements(crappy hair before and after surgery so not DS related)
Saw palmetto
silica
lysine
biotin
collagen peptides
Hyaluronic acid
Other supplements.
multivitamin/mineral
Potassium
magnesium
K
A
C
D
zinc
calcium citrate
calcium apatite
fiber
aspirin
probiotics(Sometimes. I want to be able to say they do wonders for me but so far not so much. I try them off and on.)
selenium(A couple times a month)
iron(once a week)
