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Some heavyweight bariatric surgeons published a consensus view of when to use the DS as a second procedure. 29 surgeons contributed and the summary was written by surgeons, A.E. Merz,R.B. Blackstone,M. Gagner,A.J. Torres,J. Himpens,K.D. Higa,R.J. Rosenthal,A. Lloyd,E.J. DeMaria. You may or may not agree with their conclusions, but I think it is interesting how important they view the DS for revisions. They said it was increasingly more popular for revisions. This is the conclusion paragraph: "As a second-stage procedure, BPD/DS is most appropriate after sleeve gastrectomy (SG) for the treatment of super morbid obesity (96.7% agree) or as a subsequent operation for a reliable patient with insufficient weight loss after SG (88.5%). In a patient with weight regain and reflux and/or enlarged fundus after SG, Roux-en-Y gastric bypass is preferable and BPD/DS should be avoided (90%). BPD/DS should not be used prophylactically in patients with a history of jejunoileal bypass who are otherwise doing well (80.8%). Applicability of BPD/DS is limited by technical difficulty; 86.2% of experts would routinely recommend or consider the procedure if it were more technically feasible after failed bypass. No consensus was found on approaches to revision of BPD/DS for protein malnutrition."
The plastics forum might be useful for you --
VSG with Dr. Salameh - 3/13/2014
Diagnosed with Binge Eating Disorder and started Vyvanse - 7/22/2016
Reconstructive Surgeries with Dr. Michaels - 6/5/2017 (LBL & brachioplasty), 8/14/2017 (UBL & mastopexy), 11/6/2017 (medial leg lift)
Age 42 Height 5'4" HW 319 (1/3/2014) SW 293 (3/13/2014) CW 149 (7/16/2017)
Next Goal 145 - normal BMI | Total Weight Lost 170
TrendWeight | Food Blog (sort of functional) | Journal (down for maintenance)
I'm a vet. 20 yrs. I had BPD/DS open. I was a lightweight at the time. 5'7" and 240. I'm now at 186.
I've had issues in recent years with symptoms mimicking IBD. My son has chrohns. Been in and out of gastroenterologist offices, General surgeons and ER with many issues. Belly pain, diarrhea bloating. Supspected blockages or illeus but then nothing shows up.
I have messantariitis that has progressed rapidly too. They're watching it.
I'm at my wits end on what's wrong. I never had real follow up as my surgeon lived 2 states away and no one understood this surgery...still can't find anyone who does, especially old school bpd/DS open, at that.
So im trying to find someone well versed in this procedure to talk to about the issues I'm having. About reversal. Tests or possible diagnosis. I'm so tired of being sick constantly.
I currently live in McComb Mississippi. Willing to travel for help I just have no idea whom to see that would be sympathetic to my issues.
Iron supplements that have ferrous, such as ferrous sulfate, ferrous gluconate, etc, are very constipating. Theme iron and carbon iron are not constipation. Give one of them a try.
6'3" tall, male.
Highest weight was 475. RNY on 08/21/12. Current weight: 198.
M1 -24; M2 -21; M3 -19; M4 -21; M5 -13; M6 -21; M7 -10; M8 -16; M9 -10; M10 -8; M11 -6; M12 -5.

HW 372 SW 350 CW 185 GW 150 Lost 187 so far....
Is it prescriotion D? All of the prescription D I have seen is in oil, and D2, not D3.
D2 must be transformed in our bodies to D3 before it can be used. Only a small percentage becomes D3. If it is in oil, we absorb even less. You are likely getting very little benefit from prescription D2. You can get dry D3 inexpensively on Amazon and other places, and it will boost your numbers much better.
6'3" tall, male.
Highest weight was 475. RNY on 08/21/12. Current weight: 198.
M1 -24; M2 -21; M3 -19; M4 -21; M5 -13; M6 -21; M7 -10; M8 -16; M9 -10; M10 -8; M11 -6; M12 -5.

HW 372 SW 350 CW 185 GW 150 Lost 187 so far....

HW 372 SW 350 CW 185 GW 150 Lost 187 so far....

HW 372 SW 350 CW 185 GW 150 Lost 187 so far....
Normally I'm a naysayer too, but these results were in fact pretty right on. And it makes sense that I'm not able to absorb the B vitamins so there just sitting in my blood. It makes me wonder if the people who have elevated B12 on this board all have the very common gene polymorphism MTHFR mutation? Time will tell for sure once I start supplementing with what they suggest, if it makes my symptoms go away. But I'm not throwing the baby out with the bath water on Spectra Cell yet.
A grateful DSer forever!
SW 223 CW 132 GW 117-125