I would be very careful on who you pick to revise your rny pouch to a VSG, there are only a handful of surgeon in the world that can perform that surgery. The surgeon is for cutting not for follow up. If that is all he told you you would need, that is way off. First RX vit d is d2 which is oil based and is not absorbed in general but as DS is fat malabsorption, we need to take dry d3, that is all of the fat vitamins..ADEK and zinc. In general 50k vit d/week is nothing, add d2, you may as well throw that rx down the toilet, it is worthless. many dsers take 50-100K or more of dry vit d3/day. Dont know why you would take vitb12 injections 2xs a week, the sublingual work so much better, cheap and easy. you will need to take calcium citrate at least 1500 mg/day.

Like i said make sure your surgeon knows how to take down your rny pouch.

do you have a chance of losing weight, no one can answer that except you

Hi. I had RNY almost 15 years ago and lost about 150 lbs but have regained about 80 of that. I've tried the various diet plans and can lose about 15 lbs before I stop losing again. I met with a surgeon yesterday to see what my options were for a revision. He said basically my only option is converting to a Dudoenal Switch. I was very surprised because I'd seen a non-surgical option on a video from his website, so thought that's what he was going to suggest.

Anyway, I'm starting the process whi*****ludes a GI study, endoscopy, meeting with an endocrinologist and dietician, getting updated bloodwork and starting a medical weight loss program for 6 months. Honestly, I'm hoping I can lose the weight without the revision.

The surgeon was pretty up front and said the revision from RNY to DS is a big surgery, has the highest 30 day risk out of all the bariatric surgery options and that the aftercare/malabsorption is twice as bad as RNY. He said I'll need to double-up on my multi-vitamin, plus add in Vits A, E and K. I'm already on prescription Vit D pills once a week and B-12 shots twice a month. I've also had two blood transfusions, several iron infusions and am monitored every 6 months by my hematologist.

I'm sure the surgeon was just trying to be thorough and not sugar-coat anything but I left the appointment feeling very discouraged. Is the RNY to DS revision as awful as he made it out to be? Do I have any chance of losing weight through a medical weight loss program? I actually had a consultation with their program 4 years ago and at the time, all they told me to do was eat low carb/high protein - and they tried to get me to buy their brand of supplements which were extremely expensive. The surgeon said they now have options to prescribe medication along with their program so that might change things. I'm just very discouraged and not sure what to do.

My surgery was the Second Stage Duodenal Switch with Double Anastomosis Ileal Interposition. Which I believe is the traditional DS surgery. Hoping to start the sequestrants once I speak to the surgeon in the next couple of days.

My surgery was approximately 1 1/2 months ago. For the last month have had severe diarrhea green in color and burning. This can occur up to 4-6X a day especially during the night. I know with this type of surgery, diarrhea can occur as the bile passes straight through into the bowel. Has anyone experienced this, and what was the treatment? Bile Acid Sequestrants? Thanks.

Janet

I'm hopful you and I will be on the same prolia candance and get great results

Julie