What happens after the malabsorption is gone?

we are left with a vsg? 

 

Please someone explain this part to me... thx!

My doctor, nut and nurses say the malabsorption may go away but the restriction and good habits are forever.

By the time malabsorption may be ending we should all be measuring everything we put in our mouths and not grazing. The good habits we develop the first few months are our foundation.

VERY WELL PUT!!!

Are you referring to RNY ??

If so my understanding is that the malabsorption is forever. That is why we take vitamins etc. for life?

Only the lack of vitamin absorption is permanent. The body compensates for the caloric and, to a lesser extent, fat malabsorption by 18-24 months post op. By that time you are again absorbing 80-90% of the calories you eat.

Lora

I saw a post from someone who said they still have theirs and its been a long time...like maybe 2 years...?? I dont think its possible for RNY to turn into VSG. They are 2 totally different surgeries and our pouch may stretch but not that big (I hope, lol). As the other poster said we have to make sure we learn good habits in the honeymoon phase so we do not fall back on the habits that made us overweight. Thats why they constantly tell us RNY is just a tool and not a solution.

We are left with a pouch that holds only a small amount of food, so we get full on a small amount.  At four years out, I can eat about a cup of food at a time.  Tonight for dinner I ate about half of a six inch sub and felt stuffed.

Thanks for your replies!

 

I know that RNY and VSG are two different surgeries. But i have been reading that for RNY after 2 years you lose the malabsortion part but you still need to take a lifetime of vitamins, and that you have only the restriction part, thats why i was thinking

 

¿whats the difference between each other, if passed the 2 years they act pretty much the same, right?

Perhaps im wrong..thats why i want someone with knowledge to explain this to me... thank you.

Yes, you are correct. Once we lose the malabsorption, we have (almost) a restrictive-only procedure, which is what the VSG is. With the RNY, though, we have the drawback that we still have the vitamin malabsorption and the lack of a pyloric valve (which is what causes the dumping syndrome in those who dump). With the VSG you do not have those things. That is why a number of people who had RNYs several years ago before the sleeve was available would choose the sleeve if we were doing it now.

Essentially, if you choose RNY, you trade gaining some temporary caloric malabsorption (and the faster weight loss that brings) for the vitamin malabsorption and potential dumping.

Lora

Your malabsorption of vitamins will be forever, but malabsorption of calories stops around the 2 year mark. Meaning every calorie you eat is absorbed. Most people post-RNY seem to eat 1200-1600 calories a day to maintain their weight.