Doctor Visit
Oh, I am so glad you aren't getting a feeding tube...and they are going the conservative route for now.
Duodenal Switch (Lap) 01-24-11 | Surgeon: Stephen Boyce | High weight: 250 in 2002 | Surgery weight: 203 | Lowest weight: 121 | Current weight: 135 | Goal weight: 135
On October 10, 2011 at 2:57 PM Pacific Time, Ladytazz wrote:
No feeding tube for now. Yay!I did lose some more weight so that isn't good.
They went over my food diary and feel that I am not getting enough calories. They finally admitted that I am malabsorbing. They want me to get in about 2000 calories a day. I am getting in 1600 on a good day so it's not too far off. I am going to set the alarm on my phone for every 2 or 3 hours and have a protein shake or snack of at least 100 calories or more and see how that goes.
No pancreatic enzyme because they told me that would help me absorb more fat but I'm not getting a lot of fat because I dump on too much.
They want to see me in 2 weeks and I am really going to work at eating more. Boy, who would have thought I would ever say that?
I don't understand the reasoning on the pancreatic enzymes - they have 3 enzymes in them - one for absorbing proteins, one for fats and one for sugars. So, you probably wouldn't benefit much from the sugars although you still get natural sugars in somethings, so any extra calories can help - the same for the fats - you get some fat, so if you can absorb some - more than you are, it might help. The part that would help you the most is the the protein part - you will absorb more protein. I know we aren't supposed malabsorb protein but with people like us that are malabsorbing so badly, I really think we malabsorb everything. I really think it might be worth a test trial - take if for 1 month and see what happens. I took it and gained 10 pounds in one month but I was eating alot of high calorie foods that I was eating before just trying to maintain. So, now I stopped the enzymes and am maintaining with what I eat but if I go back to eating low calorie foods, I immediately start to lose weight again.
Great news on no feeding tube! That would be such a pain!
An extra protein shake or 2 sounds like just the ticket- hope it works!
Keep us posted on what your PCP says, OK?
An extra protein shake or 2 sounds like just the ticket- hope it works!
Keep us posted on what your PCP says, OK?
"What the caterpillar calls the end of the world, the master calls the butterfly." Richard Bach
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babyface1
on 10/24/11 9:44 am
on 10/24/11 9:44 am
Ladytazz,
When they revised you from the DS to the RNY did they lengthen your common chanel and make it a proximal RNY or is it a distal RNY.
As this is the only reason that I could think of as to why you would still be malabsorbing this far out.
Are you able to get a hold of you surgical records for the RNY revision.
I hope that the medical profession are able to rectify the problem that you are currently having and that they will be able to avoid you having to have to go down the tube feeding road.
Best of luck to you
Babyface1
When they revised you from the DS to the RNY did they lengthen your common chanel and make it a proximal RNY or is it a distal RNY.
As this is the only reason that I could think of as to why you would still be malabsorbing this far out.
Are you able to get a hold of you surgical records for the RNY revision.
I hope that the medical profession are able to rectify the problem that you are currently having and that they will be able to avoid you having to have to go down the tube feeding road.
Best of luck to you
Babyface1
Technically I still have the DS intestinal configuration with a 200 cc common channel. My sleeve was revised to a RNY pouch but my intestines are not a RNY. At this point I almost feel like my surgeon may have a weird way of measuring things or something.
I have seen my operative report where it talks about limb lengths but I don't have it with my right now.
I have seen my operative report where it talks about limb lengths but I don't have it with my right now.
WLS 10/28/2002 Revision 7/23/2010
High Weight (2002) 240 Revision Weight (2010) 220 Current Weight 115.
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