Malabsorption - Looking for Information

Hi folks,  Can you tell me more about this? I really don't know much about it and how we are affected.

For RNY the malabsorption is limited, and most people malabsorb some fats, and fat soluable vitamins as well. Also calcium and mild protein malabsorption due to the bypassed portion of the intestines. For most people this helps in the initial weight loss, and means taking vitamins for life. For the DS post-op, this malabsorption is greater and also includes more fats and protein loss to the body, so the those people have to push the protein more and increase the vitamins. For RNY and DS, the body adjusts and begins to absorb more of the fats as time goes one, although DS will most likely always have a little more malabsorption of fats and proteins than most RNY post-ops. The ones with Distal RNY will always have a little more fat and protein malabsorption for life than Proximal RNY.  For some people this has little or no effect other than to help with initial weight loss. For others this causes low iron, calcium, vit D and A , pernicious anemia ( low B12) and low protein. The best way to avoid problems is to supplement the way your doctor orders, and to have labs done every 6 months initially, then every year if things are going well, more often if you have a problem. Edited to add: unfortunately, this malabsorption doesn't extend to carbs for anybody!  We all absorb carbs and will regain weight if we eat much in the way of simple carbs and sugars. So every surgical post-op still has to watch the sugar and carbs.

thank you.  I know I needed to know this information.  I take my vitamins religiously and still my calcium and vit. D is low. This helped me alot. thanks again. Koukla 338/176

Try taking Dry D, this may help and take a really big amount.  You need to probably increase your calcium to as much as 10,000mg a day divided into 3 doses. And use calcium citrate, it's beleived to be absorbed better.

I did buy a vit. d pill of 400 iu's. Is that a dry Vit. D?  or is dry vit. d something else? I do use calcium citrate but I do need to increase it.  My nails just peel right off. Thank you for the info.  And looking forward to find out what dry Vit. d is. thank you again. Koukla 338/176

Dry D is in capsule form where you can see the grandular dry vitamin. Otherwise it's usually oil-based which goes through us faster and absorbed less. Ask for Dry D and Dry A as well at the place where you buy your vitamins.

Twinlab makes a Dry A&D formula - Allergy A&D. That's what I use.  You should talk to your surgeon about the amounts to increase according to your lab results. While harder for WLS patients than "normies," you don't want to get too much A or D. They can be toxic, so don't go adding them in willy nilly on your own. Jeanie