Weight Loss Surgery Directory

Julie R.’s Posts

Topic: RE: (follow-up) Dropping Labs- Old Timer Seeking Informed Opinions/ Advice
 Another thing to look into - your copper is also related to calcium AND protein.  Once I got my copper level up, my calcium and protein went up.   How much copper are you taking, and do you know not to take it with your zinc?    

I have problems with edema, and they can't seem to find the cause of it.    It's been diagnosed as idiopathic cyclic edema - it seems to be related to my hormone levels.    I can't comment much on the hemotological apsect of your labs.     I agree that adding a couple of protein shakes in for now is a good idea, and figure out a way to get more calcium in  - I take it every time I eat.     Do make sure you get your A, D and PTH done.    Your A and zinc can also relate to your calcium and protein levels.     Confusing, huh??

Julie R - Ludington, Michigan
Duodenal Switch 08/09/06 - Dr. Paul Kemmeter, Grand Rapids, Michigan
HW: 282 - 5'4"
SW: 268
GW: 135
CW: 125

Topic: RE: Stage III Kidney Failure?
 I'm sorry!   I was posting from my phone, off the top of my head!    It's not h. pylori, it's oxalobacter formigenes (o. formigenes)!   I'm noticing also that some of the bifidus probiotics also help reduce oxalate formation.

Here is one study.   There are a few others out there:

http://www.ncbi.nlm.nih.gov/pubmed/20602988
Julie R - Ludington, Michigan
Duodenal Switch 08/09/06 - Dr. Paul Kemmeter, Grand Rapids, Michigan
HW: 282 - 5'4"
SW: 268
GW: 135
CW: 125

Topic: RE: Failed Lapband...should I go VSG or DS
 You've received some great, well-informed advice here, so I won't give you that, but speaking from personal experience, I have a friend who thought she'd be going the "safest" route by going with the VSG.   She also had a BMI of over 50.   She has lost 146 pounds and has stopped losing, with another 60 pounds left to lose.   She's beating her head against the wall right now.  At the time, she thought she'd be happy with ANY weight loss, but now she wishes she'd gone with the DS, because she will likely never get to goal now.
Julie R - Ludington, Michigan
Duodenal Switch 08/09/06 - Dr. Paul Kemmeter, Grand Rapids, Michigan
HW: 282 - 5'4"
SW: 268
GW: 135
CW: 125

Topic: RE: ds surgery long distance?
 In regard to train - Amtrak's Noreaster runs from Portland to Boston, then you can connect from Boston to NYC.   I've taken it.   Also, Dr. Gagner, from last I heard, was working out of Montreal, so depending upon where in Maine you are located, that is an option as well.
Julie R - Ludington, Michigan
Duodenal Switch 08/09/06 - Dr. Paul Kemmeter, Grand Rapids, Michigan
HW: 282 - 5'4"
SW: 268
GW: 135
CW: 125

Topic: RE: 7 Years Out & BIG Weight Regain - HELP!
 Morganna,

Grapes, cantaloupe and all the fruit you are eating are all full of sugar.   KFC's cole slaw is high in sugar also.   Start counting carbs.   Keep it to 20-30 a day for a few weeks.  I guarantee you, you will lose weight.   Remember, you are absorbing 100% of the carbs you ingest.  That bowl of cereal you eat right before bed?   You absorb every single calorie.   Plus, I swear, they put stuff in fast food that makes it addictive.   It's a good thing I hate 99% of it - I swear I taste the chemicals in it.   

I'm almost six years out.    I have had pretty minimal rebound (ten pounds, and I'm looking to lose five of it before my daughter's wedding in July because I have a REALLY form-fitting dress)   I am kinda sorta watching my carbs (just cutting out sugar and candy and I avoid most white flour anyway) and this is what I ate today:

Breakfast-   Low-carb almond meal pancakes
Lunch -        Mexican fried cheese, low-carb burrito, and about two tablespoons refried beans, fresh veggies and dip
Snacks -        Popcorn, nuts
Dinner -       Salmon patties and one slice of an asparagus/ricotta tart made with puff pastry, which is relatively low-carb compared to crackers, bread, etc.
**    I'll have some Greek yogurt before bed tonight, mixed with DaVinci caramel syrup and a handful of pecans. 


Yesterday, the only carbs I ate were three corn tortillas and a square of super dark chocolate.    I do not routine eat fruit, so when I am in the mood for it, I don't feel guilty about eating a small bowl of fresh pineapple.    Also, a lot of people have lost rebound by consciously adding in a couple of protein shakes a day.    It seems to lower their cravings and the extra protein jumb-starts their weight loss.   
Julie R - Ludington, Michigan
Duodenal Switch 08/09/06 - Dr. Paul Kemmeter, Grand Rapids, Michigan
HW: 282 - 5'4"
SW: 268
GW: 135
CW: 125

Topic: RE: It's not always whats eating you - but what you're eating.
 Great post and oh so true.   I've seen people come on here and start sobbing that they need a revision because of the gas and loose stools and all they needed to do from the get-go was to cut out the carbs.    That's not to say that there aren't a few valid cases of necessary revision, but what comes out of our butt CAN be greatly controlled.    Also, for what it's worth, I know of an individual who is not on these boards who was having a severe bacterial overgrowth issue - loose, burning, horrible-smelling, foamy poops in addition to weight loss - and she was placed on Flagyl, to no avail.    As soon as she gave up the mountains of sugary foods she was eating every day, the problem cleared right up, and her weight went up into a healthier range.
Julie R - Ludington, Michigan
Duodenal Switch 08/09/06 - Dr. Paul Kemmeter, Grand Rapids, Michigan
HW: 282 - 5'4"
SW: 268
GW: 135
CW: 125

Topic: RE: Stage III Kidney Failure?
Just to clarify, a DS is not a gastric bypass.   It is technically a VSG with a form of intestinal bypass.   It gets really confusing when you refer to a DS as a gastric bypass, as people then assume you have had a RNY.    I am also a very stubborn calcium absorber, and although I have no stones, my oxalates are sky high.     I have been warned about the risk of kidney failure, as well as oxalate deposition disease, which is when oxalate crystals are deposited in your joints and even your eyes.   Low oxalate diets are unreliable and difficult to adhere to, especially as a DS'er.     Their success rate is also not very good, even with careful adherence.

Have your doctor also research a probiotic called h. pyelori, which inhibits oxalate formation.   When I checked last year, it was in Stage 3 clinical trials, and was expected to be marketed soon.   Lastly, don't forget that a lot of doctors know squat about this kind of stuff, so don't take your doctor's word as gospel.   Do your own research and reach out to others in the medical community.   I'll be pursuing this issue further this summer, because I have to have some tests and see some more specialists about my oxalates, and I'll let you know what I come up with.  In your case, you have more urgency because of your renal failure.   Good luck!
Julie R - Ludington, Michigan
Duodenal Switch 08/09/06 - Dr. Paul Kemmeter, Grand Rapids, Michigan
HW: 282 - 5'4"
SW: 268
GW: 135
CW: 125

Topic: RE: my BMI is over 50!!!!!!!!!!! what wl should i do? help
I second what the others have to say.   Do your research, and please consider Dr. Kemmter.    He truly is a competent and concerned surgeon.
Julie R - Ludington, Michigan
Duodenal Switch 08/09/06 - Dr. Paul Kemmeter, Grand Rapids, Michigan
HW: 282 - 5'4"
SW: 268
GW: 135
CW: 125

Topic: RE: Stage III Kidney Failure?
Jazzy, yes, kidney failure is associated with any form of malabsorptive situation, whether it is gastric bypass or the DS.   Fortunately, it is not very common, but likely could be as the rate of WLS rises.

http://www.ncbi.nlm.nih.gov/pubmed/2225562
Julie R - Ludington, Michigan
Duodenal Switch 08/09/06 - Dr. Paul Kemmeter, Grand Rapids, Michigan
HW: 282 - 5'4"
SW: 268
GW: 135
CW: 125

Topic: RE: Stage III Kidney Failure?
Yes, in a worse case scenario situation, hyperoxaluria can cause kidney failure because of calcification of the kidneys.    This is due to our poor calcium absorption.    Your doctor needs to do more research on other options for hyperoxaluria besides just an oxalate free diet.   You should be taking calcium EVERY time you eat, as this gives the oxalates something to bind to.  (Long story short, oxalates bind to calcium in the gut and because we don't absorb much calcium, they don't have much to bind to, so they kind of float around our bodies, forming crystals, and creating all kinds of havoc).     You also need to increase the acidity of your urine, because acid inhibits crystal formation.   There are medications out there that can help with this as well.    You need to be seeing the best kidney specialist you possibly can, and Dr. K might be able to help you.   Ms Calculator, a DS'er on these boards, has managed to improve her oxalate situation and you might want to contact her.  I think she is also a patient of Dr. K's.    Have you also consulted with an endocrinologist?    Are you seeing a urologist or a nephrologist?
Julie R - Ludington, Michigan
Duodenal Switch 08/09/06 - Dr. Paul Kemmeter, Grand Rapids, Michigan
HW: 282 - 5'4"
SW: 268
GW: 135
CW: 125

Topic: RE: 7 months out doing great but...
You're still in that "melted candle" stage.    I just yesterday saw a picture of myself taken when I was about seven months out, and was shocked at how saggy and floppy I looked, and I had less to lose than you.    Now, I think, especially since I'm 51,  I look pretty freakin' normal!   Your skin does catch up some, especially since you are younger.   Good job on the weight loss!
Julie R - Ludington, Michigan
Duodenal Switch 08/09/06 - Dr. Paul Kemmeter, Grand Rapids, Michigan
HW: 282 - 5'4"
SW: 268
GW: 135
CW: 125

Topic: RE: Trying to find a chocolate bar substitute!
These give me terrible gas, LOL!

I just eat super dark chocolate.  It's pretty low in carbs and now regular chocolate is too sweet for me.
Julie R - Ludington, Michigan
Duodenal Switch 08/09/06 - Dr. Paul Kemmeter, Grand Rapids, Michigan
HW: 282 - 5'4"
SW: 268
GW: 135
CW: 125

Topic: RE: A questIon about the DS and Weight Regain
I've had a ten pound rebound from my very lowest (too thin) weight.   As long as I don't go completely butt wild on the carbs (and I mean completely butt wild) my weight stays the same.     Just this winter, I had some rebound, and the pants that I'd been wearing for the past five years started to get too tight.   I cut back the carbs a bit, and I'm back into them.
Julie R - Ludington, Michigan
Duodenal Switch 08/09/06 - Dr. Paul Kemmeter, Grand Rapids, Michigan
HW: 282 - 5'4"
SW: 268
GW: 135
CW: 125

Topic: RE: how long before you started enjoying food again?
Congratulations!
I had the brutal two-week pre-op liquid diet (which was really really rough for me) and then I was supposed to do two weeks of liquids afterwards.   However, I became severely lactose intolerant post-op, and the product they used that time was very poorly tolerated by me.  I called the dietitian and talked her into letting me go to the soft food stage at five days post-op.     I did fine, but this is not my recommendation to do so....check with them first!
Julie R - Ludington, Michigan
Duodenal Switch 08/09/06 - Dr. Paul Kemmeter, Grand Rapids, Michigan
HW: 282 - 5'4"
SW: 268
GW: 135
CW: 125

Topic: RE: how long before you started enjoying food again?
 I dunno...I'm kind of the odd man out here, but I started enjoying food again within the first few weeks - just in much smaller doses!
Julie R - Ludington, Michigan
Duodenal Switch 08/09/06 - Dr. Paul Kemmeter, Grand Rapids, Michigan
HW: 282 - 5'4"
SW: 268
GW: 135
CW: 125

Topic: RE: How do you eat enough?
 At 5.5 years plus out, I have no problem eating enough!
Julie R - Ludington, Michigan
Duodenal Switch 08/09/06 - Dr. Paul Kemmeter, Grand Rapids, Michigan
HW: 282 - 5'4"
SW: 268
GW: 135
CW: 125

Topic: RE: Post surgical abdominal pain, any suggestions?
 You sound perfectly normal, unfortunately, LOL.     You will likely find your improvement quite dramatic over the next few days.  Keep moving - it's good for you on many levels.    

Don't worry so much about the protein (even though GHP makes you feel like an idiot if you are not blithely gulping down 70 g of protein by the third day post-op) and concern yourself primarily with getting those fluids in!
Julie R - Ludington, Michigan
Duodenal Switch 08/09/06 - Dr. Paul Kemmeter, Grand Rapids, Michigan
HW: 282 - 5'4"
SW: 268
GW: 135
CW: 125

Topic: RE: STOP!!! Trying to "Talk Me Out Of Surgery" !!!!
 An icy "thank you for your feedback, however I've already made the decision that I feel is best for me," followed by some miserably uncomfortable silence works most of the time.....

Dr. Kemmeter rocks, and you have wisely chosen THE most effective bariatric surgery available at this time.   When you see Dr. K, tell him Julie from Ludington sent you.    I think he must think I walk the length of I-94 advertising his services or something because I ask everyone to do that.   He's a wonderful man and he will ALWAYS be your doctor.      

Good luck!


Julie R - Ludington, Michigan
Duodenal Switch 08/09/06 - Dr. Paul Kemmeter, Grand Rapids, Michigan
HW: 282 - 5'4"
SW: 268
GW: 135
CW: 125

Topic: RE: Why is a Sleeve to DS revision considered complicated?
 A VSG to DS revision should not be any more complicated than a DS, unless you are also having your sleeve revised.      What I'm wondering that you might be misinterpreting is the difference in technical difficulty between a VSG and a full DS.    Tightening up a sleeve is a procedure that I would only leave to an experienced revisionist, but a VSG to DS should be able to be performed by any vetted DS surgeon.
Julie R - Ludington, Michigan
Duodenal Switch 08/09/06 - Dr. Paul Kemmeter, Grand Rapids, Michigan
HW: 282 - 5'4"
SW: 268
GW: 135
CW: 125

Topic: RE: Longer Term Post Op Touching Base
 Hi Stephanie:

I'd say a twelve-pound rebound at almost ten years out is a wildly successful DS story!   I am 5.5 years out and have minimal rebound.  My weight seems to maintain itself.  If I do gain a few pounds due to shameless carb consumption, I just cut back a bit and I drop the weight immediately.  

 I too have to have infusions.   Since having an ablation, I can now manage to go about eighteen months between infusions.  I have two really big ones, two weeks apart.    

I have had some terriblyl stubborn issues with calcium and D absorption, but since upping my K2 and copper supplementation, they seem to be slowly resolving.  If you are just seeing a PCP for your post-op follow up, REALLY make sure you keep on top of your D and PTH.   Are these being tested regularly?
Julie R - Ludington, Michigan
Duodenal Switch 08/09/06 - Dr. Paul Kemmeter, Grand Rapids, Michigan
HW: 282 - 5'4"
SW: 268
GW: 135
CW: 125

Topic: RE: For those missing pizza....
 Good to see you Beanie!   You look absolutely stunning - and like you've never had a weight problem in your life.   Funny, I just had basically the same thing today, but with a Flat-out Light.  6 net carbs!
Julie R - Ludington, Michigan
Duodenal Switch 08/09/06 - Dr. Paul Kemmeter, Grand Rapids, Michigan
HW: 282 - 5'4"
SW: 268
GW: 135
CW: 125

Topic: RE: 3 - year post op update VSG DS Henry Buchwald MD PhD
 You look stunning!   Happy Three Year Surgiversary!
Julie R - Ludington, Michigan
Duodenal Switch 08/09/06 - Dr. Paul Kemmeter, Grand Rapids, Michigan
HW: 282 - 5'4"
SW: 268
GW: 135
CW: 125

Topic: RE: THE Announcement: Do you guys have room?!
 Wonderful news!  Congratulations!

Julie R - Ludington, Michigan
Duodenal Switch 08/09/06 - Dr. Paul Kemmeter, Grand Rapids, Michigan
HW: 282 - 5'4"
SW: 268
GW: 135
CW: 125

Topic: RE: Two weeks post opp and need a lot of advice
 Yes - they will go away.   The only time I ever have "crampiness" now is if, for some reason, I go to a fish fry the night before.   You will probably never have the "formed" stools that you had as a pre-op.   My stoools are usually looser and "fluffy," but the watery stools will get better.
Julie R - Ludington, Michigan
Duodenal Switch 08/09/06 - Dr. Paul Kemmeter, Grand Rapids, Michigan
HW: 282 - 5'4"
SW: 268
GW: 135
CW: 125

Topic: RE: Have I broken my DS?
 I think we all go through that scary feeling when we realize that we no longer eat as much as a small toddler; however, before I advise any further, 1)  Who is your surgeon? and 2)  What are you eating?
Julie R - Ludington, Michigan
Duodenal Switch 08/09/06 - Dr. Paul Kemmeter, Grand Rapids, Michigan
HW: 282 - 5'4"
SW: 268
GW: 135
CW: 125