I had RNY and I have days when my gas is absolutely horrible. I can often relate that to for I've eaten earlier.

Last night was horrible. But as you think back what I ate and how much, I know that it was combination of Chinese dish and some fruits I ate.

When do I get a horrible gas:

• Any food or drink or even chewable vitamins and minerals that contains any type of Sugar Alcohols
• Any type of beans - no matter how well they are cooked, prepared, or what digestive enzymes or herbs I take with them - even small qty of beans would cause me to have a horrible stinky gas.
• Any high FODMAP tape foods - Google FODMAP.
• Most raw veggies and most fruits (high in FODMAP)
• High fiber - fiber feeds gut bacteria and I do have SIBO (Google that) so almost anything with lots of fiber, the prebiotic type fiber would cause a lot of gas created not only in my colon but also in my small intestine. That gas dies not only smell horrible, but it can cause a severe intestine pain.

To find out what was causing my issues - I went on a very specific elimination diet. Very clean eating, cooked meat and a very few cooked veggies (low FODMAP veggies), plus fat. After a week on the very restricted diet, when the gas was minimal and with almost no odur, I started introducing different foods, one item at a time, every 2 days. And recorded my body reaction to that food. If I got a lot gas, I would clean my eating again, wait a couple of days and then try adding another food.

Discovered that done foods my body tolerates better than others. The type of food, how it was prepared, and how much I ate would determine if I can eat it "freely" Ori have to limit the quantity. Or if I decide to just "have it", then I know that I probably would need to sleep upstairs. With a window cracked open, and fan going on. On days like that even the cats don't want to be near me. My guy is really super and he often knows I can't help having gas like that, but it is not fair to him and our relationship, prevent me to get exposed daily to things like that.

Some days I chose to walk in a treadmill in our exercise space to clean the "air out of me" (again with a window cracked open and fan running). (But with the doors closed).

Well, depending on how late i eat the night before. But if I stop before 6.30, i use the rest room once in the morning, or it depends on my diet. But I was talking about # 2...urinating. Im too sensitive with caffeine for some reason. I love coke zero, but not my bladder, Every hour on the hour. I was use to wonder Diabetes, or a the DIM...i take for hormones....not sure, but im sick of giving up the stuff i enjoy.

It has been a long time since I have been on here, but I have always gotten great information and advice. So, I'm curious to hear what you all think or have experienced about vitamin patches and their effectiveness after DS

There is a new-ish single anastomosis procedure that goes under various names such as the SIPS, SADI, Loop DS, and a couple of others. They are a simplification of the traditional BPD/DS (much like the "mini-bypass" is a simplified RNY). It is being promoted as being "as good as" or "almost as good as" the traditional BPD/DS, but more "accessible" (requires lower skill levels so more surgeons can offer it.) Whether it lives up to the claims is uncertain at this point - it doesn't have enough of a track record for the ASMBS to endorse it yet, and most insurance doesn't cover it for that reason. At best, it is likely to fall in somewhere between the RNY and the BPD/DS in effectiveness, which would be a good thing, particularly if it has fewer side effects and limitations than the RNY and DS.

To find the closest experienced DS surgeons to you, then yes, you will have to come down the CA - either to SF for Rabkin or Jossert, or LA for Keshishian. Rabkin used to have a WA based support group, but I think that it has been inactive for some time.

SO I've been gone from the WLS world for quite a few years, due to skeletal issues requiring surgery...

I come back and notice all these new acronyms...SADI/SIPS(can't recall the other 2-3 I've seen)

What are these, new types of the D/S?

I want the standard(Gold Standard) and a surgeon that really knows their stuff...still looking like it will be California at the rate things here in Washington State are going...

Any help understanding these new things would be appreciated

Cheers,
Rhainy