We are far enough out from surgery-it ceases to be about mal absorption and begins to be about utilization of what we take. 2X a day and all basics are in.

Don't give up. There is A solution. You Will find the one that works with your body!.

all multi vites., some c( i take C in good amounts n divided dose, to tolerance.- since i rarely eat citrus...,..+iron. .morning,

selenium, and copper, iodine - can be taken morning or night.

mag, calcium, d3, K2,(wally wrld has a combo dry D3 w/K2 in one skinny cap. dose on it is one daily- then i take 5K more D3.)..some c,+zinc, Vit E(if you require 2 part can be taken in mornng).,...at night ,Logic:,,all of these are required together for best use of mag, cal.

huuummmm...Check your form of magnesium!-

maybe try foot soaks-to replace/pills.. this CAN give huge explosive BM's and gas....citrate form esp!

ALSO:Check how many of your vitamins/supplemnts are oil based?

If you take eye vitamins-common (gel) caps of lutein, astazanthin, CoQ10, E,+D are all oil based in common use...Dry forms(cap) of D3 and E are available...

alternates to reduce pills- . ...could do epsom salt foot soak 2x week for magnesium.......magnesium oil as muscle rub will give you absorb-able magnesium as well.

I use a zinc lozenge part of the time... cold-eze. it is fully absorbed and i use one abt Q 5 days..

.Any meds daily i take 30 min -1 hr before supplements EXCEPT PREVACID./for gastritis - i take it if i flare.

I take no regular meds. Occ something for gastritis.. have some herbals for pain - moringa, willow bark are my tolerated

It does not really matter if pos or neg, that is for Rh factor.... if A blood type..

The doctors have no clue because is in long term care of ppl w/ WLS.

They are "not read" on the subject- have not encountered. IT is not a common problem.

I would rate explosions at night as needs resolution last week and the hgb as need to address now.

Each of these i have experienced to some degree, mine was not " just" night.

Neither of these treatment/trials are expensive and are generally safe..if imodium works for you- like me- will be well worth the trial..and you will know by morning..

Both are something to "trial" when others have offered no solutions or answers. after i got my iron levels up, i use maintenance dose of 2 caps 2 x a week- i just hate to take pills and have limited space for them...

I want you to know you are not in this alone.You will find the issue . and it can be fixed.

Yes i t is possible to have normal IRON binding capacity or level and low hemoglobin. The intrinsic issue is common in people with A blood type, My DM (A+)did not have the same issue and she had wls surgery.... I have it., also A+.. is the most likely.since all other tests negative presently.

Each body responds differently to gastric surgery. You are on this journey to find your unique internal response and re-balance to your optimal.You need to figure this out before it becomes critical.

I went critical. It is NOT fun.My problems became apparent @5 years. I had lost all medical coverage 2.5 years prior.My HGB/iron/HCT all were critical low., dropping slowly....and i had a twisted gut. 6 days vacation, tubes in both ends for 24 hours, low intermittent upper gastric suctioningx5 days, 2 units PRBc's. then i had energy and stamina.

My logic is:If you have your base line labs and TRY low dose liver extract cap for 6-8-+ weeks- between now and the new consult... - ie. is possible your labs - new doctor would require- to have for a comparative- would reflect effectiveness./not. (THE NUMBERS should begin to reflect change in 6 weeks- according to the internist who gave me the information.) AT the very least it would confirm not the issue,OR the best outcome: levels would be nearing or on way to normal.

This is August. it would give your system 10 weeks to respond while you are WAITING.. the caps w/ extracted liver are not that expensive...much easier than eating 3 oz of liver a day.

Whether we like it or not our bodies ARE in charge , their communication is clear. Somewhere their are (at least 2) issues. I suspect, both are in the gut, (The intrinsic factor is made in first section of gut attached to the normal stoma*****omplete digestion most common cause of explosive gas.)

.Since your present doctors have NO Clue., and have done multiple tests. This seems reasonable.

IF you are still having diarrhea at night and explosive gas i would try Imodium(I would take 2 first night, and see if it works,.. then one each night until i got this figured out).. in evening 2-3 hrs after evening meal.. it will absorb gas. so will charcoal. This sounds like incomplete digestion issue. When I eat something that disagrees with me, 3 days are sometimes required for me -to get the end result.I love bananas but can not eat them.they take 3 days to be heard.

An elimination diet might be in order to find your offending food./RE GAS: milk, lecithin,soy, beans, legumes,sweet peas, nuts, artificial sweeteners- all are common offenders.

Since your worst time is night, be sure to read every label,of foods from noon til bed- and do a written diet diary to track down your offender. Once you find it, you can get the enzyme specific to that food.will no longer require meds for gas or diarrhea.

IF there is one food you have every day- start with eliminating that food and all the ingredients it contains.5 days minimum-7-10 better yet. if symptoms continue, is not the one offender. can resume and eliminate another one.

Eugene for low iron... TRY Foltrin( a rx) that contains intrinsi factor.... OR Liver extract capsules( is a liver in a capsule. It sounds like you do not have the intrinsic factor that allows body to use /absorb iron from foods. I have this issue.. Carlson labs puts out a calf and also an organic buffalo liver capsule.. they say dose is 6 A DAY. I ROUTINELY USE 2... it is not the iron you need but the factor liver contains. LIVER is the only food source for this intrinsic factor, I once got it for 6 weeks straight by eating liver patties 2 a day 6 days a week..

On my own, I figured out a lot of my loose stool and flatulence issues after surgery were caused by my bariatric vitamins. They were sweetened with sugar alcohol and my body cannot tolerate that.

I switched to a vitamin without sugar alcohol and most of the issues disappeared. I also gave up all products with sugar alcohols. They were delicious but I really suffered after eating them.

A few years after surgery, I developed hyperparathyroidism. My levels were in the 300's. I spent about two years with different doctors and specialists. None of them could figure out what caused it. My calcium levels were high and they took me off of calcium supplements. Nothing helped and none of them could give me a cause. No tumors, nothing showed up on scans. I finally just accepted it and stopped worrying about it.

If I eat fresh fruit, I sometimes take an Imodium with it. I also have had constipation issues bad enough to go to the emergency room where they x-rayed and prescribed magnesium citrate. I have almost never had a time since RNY surgery when I was not treating constipation or diarrhea issues.

I am constantly aware of what I eat and what can happen. This is the price I paid for my quick and easy weight loss.