This interesting new twist offers an alternative to GLP-1s and acts as a temporary lining on the small intestine to mimic a gastric bypass for 24 hours.

https://www.wired.com/story/syntis-bio-weight-loss-pill-gast ric-bypass/

Most people here had the BPD DS you mentioned. It's also referred to as the Hess DS and started in the 1980's. A smaller number here like myself had newer versions like the SADi DS (also called Single Loop DS) which is a simpler version but similar in many respects. There are also people here with other weight loss procedures (RNY, VSG) that help with advice or share their experiences.

It's not uncommon for people who lost a lot of weight, especially DS or Sadi DS. I had the same thing around 18 months out from the surgery. It lasted 6 to 12 months and mostly occurred after I was sitting or laying down and then got up and started moving around. The doctor said to take a moment when I initially stand, consume a lot more water, and intake more salt.

I'm 10+ years post Sadi (Loop) DS and no dizziness issues in many years.

I'm 10 years next month and have the same issue. It's based on what u eat. generally diary, carbonated drinks, anything with sorbitol, onions and others. The products like Devrom don't do anything for me.

I've noticed it's common for people to go to mediocre doctors nearby and then be willing to travel the world to fix problems later. Your doctors recommendation seems dubious. I would get another opinion and seek out an expert, even if you have to travel to find one.

Best of luck!

It will balance out over time. I was 135lbs as a 6'1 male, who previously weighed almost 300lbs. Eventually, after your body has time to adjust to the missing gall bladder and some new routines, you will level off.

100% Agreed. I could eat almost anything during year 1 except white meat Turkey or Chicken. It was the only food that would come back up. I had a much easier time with steak than white meat.

I also have Osteopenia (62 yrs old male, SADi DS in 2014) which I think is very common in both WLS patients and in many people as they get older. I could eat a horse every day and not gain weight, but I also can't add much muscle and worry about osteoporosis and certain cancers I think WLS patients are more vulnerable to.

If you haven't already had a bone scan, you should do it every 2 years at a min. It shows progression very clearly, which for me is primarily is my wrists.

A couple of points to combat it:

1) I doubled my calcium (600 units x 2 times daily), 2) Dr said it's the vit D that needs upgrading with Osteopenia, so I now take 10k units x 2 each day (20k units total). 3) I get a lot of exercise for an old guy, and resistance training is really important for everyone as they age. You should focus on weight lifting while standing (e.g. curls, presses, pushups). The load-bearing component is how you help keep bones strong.

This is an important topic impacting many wls patients, so pls keep us updated and good luck!

Congrats on the surgery. I'm male, 62 yrs old, had the SADi in 2014 (300cm cc). I have mostly similar experiences to HESS DS patients except for carbs. It seems that everyone has a unique experience, and you'll only be able to answer your questions based on trial and error over several years.

My experience and those I've read here don't generally include spasms post-surgery. It doesn't seem like a big deal but your dr should offer some insight. Regarding protein, fat, and vitamins you should generally follow guidelines for the first few months and then go by your own experience and adjust annually based on lab results and also monitor based on what you see on the scale. Many people cling to their Dr. and Nutritionist after surgery but in reality, they become irrelevant very quickly. You're better off finding a good support group and finding a PCP that understands annual lab results.

My suggestions based solely on my own experience: 1) Eat heavy protein, 2) Fat Full Everything 3) Eat unlimited loads of fruits and Veggies.

I eat 20 to 30 lbs of fruit every week, 100 to 150 grams of protein daily, ice cream and avocadoes for fat, and every morning starts with a banana, chobanni strawberry greek yogurt, and oatmeal. I eat a lot of carbs (chocolate) but I get daily exercise now that I can. I also weigh myself daily, track steps on my iPhone and occasionally track what I eat to confirm nutritional content. My weight has been very stable over the past 5 years, and I'm very aware when things change even a little.

I think Gallbladder issues go hand in hand with the DS procedure including the Sadi. So much so, my WLS surgeon told me he was going to just remove it as a precaution at the same time he performed my Sadi procedure in 2014.

Turns out he did not remove it, although I have not had any Gallbladder issues to date. I'm a believer in eating good fats anytime you like, as well as high amounts of protein, and any amount of fruits and fiber you like. It works well for me so far but everyone needs to evaluate what works for them.

Hi Mike, congrats on the wls. The one thing I disagree with you on is the comment about not being able to be as active at 58. I had wls 8 years ago at 54, and now at 62, I'm more active than ever. Let me know when you're up for the Ironman and maybe I'll join you, or at last the first half of it. :)

It's not just the ladies, I eat a ton of sugar everyday. It's my single biggest failure since having wls. I gained back 25 lbs after 2 years but nothing since. The wls is still very effective at keeping me thin, and I do a lot of exercising to help things along.