Malabsorbstion?

I was talking to my doc about the RNY.....which i am planning.....and he stated that the RNY was mostly a  "restrictive" method....and did not have a large malabsorbtion component.

is that yalls experience?


everything i have read, state that the RNY is a restrictive and malabsorbtive (sp?) procedure?


thanks.......


ps. he said he would go "distal" on me, and I think this is 150 CC bypassed.

ps..on the title, i know i can't spell  

You must have mis-understood your Doctor.  RNY is malabsorbtive.  2 1/2 feet of our small intestine is taken out of the food tract.  That 2 1/2 feet affects all of us differently though.  In my body that part of my intestine was doing a lot of my digestion pre-opp, but in my friend it wasn't doing much pre-opp digestion and absorbtion.  In my case I still have a hard time with sugars and he has no problem with them because his body takes care of them in a different part of the intestine than the bypassed part..

I was always told it was malabsorbtive as well. Have to keep up extra vit's and calcium because of it.

I always wondered how much is bypassed - I did not realize it was that much of the small intestine. And I definitly did not know we processed food differently and in different parts of the digestive tract. I rarely have issues with sugars, but many do. That explains it!

Hey Larry;
I was looking at you tracker and I'm about the same as you. I have lost down to 180 started at around 292. I'm six months out. How is the weight loss for you now and is it hard to maintain?
Thanks,
David

Hi David,
You know at about 6 months it really tapered off for me and I was seeing 1 or 2 pounds a month coming off. I've now settled into gaining and losing about 3 pounds consistantly, so I would say I am where I am going to be.

I feel like it is not hard to maintain, as long as I keep my activity up and good eating habits in order. It would be very easy to fall back into bad habits if I allowed it. I am looking at the next year as my "new permanat habits" time - meaning that I hope the good habits are ingrained enough to drive out all the old ones. I am looking at it like when I quit smoking about 20 years ago. Got through the first phase by sheer will power - and the next 5 years - even though I had cravings, I just would not go back to it. At least that's how my brain thinks.

You are doing a GREAT job at your weight loss! Keep it up!

Not to worry ... it's definitely malabsorptive as well as restrictive.  I'll find out how much in mid-November when I have my 6 month labs done.

I guess he was talking relatively      (like "well-endowed"    )

  The RNY does not have as "severe" or "extreme" (not sure if those are good words for it) of a malabsorptive factors as does the DS, but ti does have some, of which the VSG and band have none .. 

thanks what i thought.......thanks.......it really surpirsed me, i must have misheard

I think he is in essence correct. The RNY is primarily restrictive, in the sense that you lose and keep off a majority of weight through limiting the amount of food you can eat at one time. This is one reason that regain is so common at 2 years out. By that time the body has basically adjusted to the malabsorbtion (calorie wise but for some reason not vitamin wise) and you are able to eat more. IF you are not regimented, and staying on a low carb, low calorie diet, and exercising, you'll regain.

That is why I chose the DS. I needed the malabsorbtion, it helps maintain the weight loss long term.