What if I Need my Tummy Back?

Thanks. My error, I meant to say DS.

I want to clear up a few items I saw earlier that are not accurate.

I will also post links as I am one that likes "proven" information for myself.

According to the ASMBS-American Society of Metabolic and Bariatric Surgery VSG patients need:
Multivitamins
Calcium Citrate--not carbonate
Vitamin B sublingual
many women will need iron.

Please go on the VSG board and see the post by Celticfairy-she is 6years out. The portion of the removed stomach DOES have a function. Its removal can contribute to some vitamin deficiencies---not at the level of RNY patients.

http://my.clevelandclinic.org/disorders/post_gastrectomy_syndrome/dd_overview.aspx

http://www.medicine.virginia.edu/clinical/departments/medicine/divisions/digestive-health/nutrition-support-team/nutrition-articles/radiganarticle.pdf

I tried to search more articles but my computer is having fits.
I believe in the long run there will be better direction given to sleeve patients about vitamins. My grandmother had stomach cancer and a partial gastrectomy. I believe WE as patients will play a big part in discovering our own needs. If we leave these items up to the doctors--we are in big trouble.

Best advice is take the best vitamins you can and get your labs pulled on a schedule. No matter which surgery you get.

My fear with the RNY was the reactive hypoglycemia that some patients see with time. My mom had that with diabetes and it is scary to watch someone's blood sugar drop. I lost a co-worked to a car accident when she hit a tree during a attack.

 

Not sure what you think you are correcting here.

~~According to the ASMBS-American Society of Metabolic and Bariatric Surgery VSG patients need: 

Multivitamins
Calcium Citrate--not carbonate
Vitamin B sublingual

many women will need iron.~~

I explained we need multis x2 daily.  I explained we need calcium but not because of surgery but because of being female.  Non ops need it as well.  Due to PPI use we may need to double the dose.  Vit B is not needed in everyone.  Not everyone suffers from B12 issues, I am an example.  I am bad, I don't even take a multi vitamin let alone B12.  Normal lab values range up to 800 and my labs are 1200.  MOST do not need B12 but since doctors don't always do appropriate testing some will just have people take B12 'in case' but probably 50% of doctors do not agree with this.  As for iron, that isn't a sleeve issue, that is a FEMALE issue.  If someone is deficient in B12 they will become anemic and need iron, but treating a VSGers with low B12 with iron is treating the symptom and not the cause.

I also explained about the fundus and Intrinsic Factor.

Again, not sure what you are correcting here.

Honestly lbd1086, my post was intended for the op. You are 5 years out so I am sure you already know all there is to know regarding vitamin deficiencies in partial gastrectomny patients.

Being that I posted links and provided a patient that did indeed have issues ( I have also seen other VSG'ers report some minor issues on the VSG board), please post any links you have that could assist. I am researching this issue more thoroughly myself. I will say my grandmother had ulcers that turned into stomach cancer, she had a partial gastrectomy so I am not coming on here with "limited" information or hearsay. This was some years ago but I truly believe anytime you cut into an organ that has a function, there can be some consequences in the long run.

Doctors get very limited training in medical school on vitamin supplementation. Patients tend to take gummy vitamins and vitamins that taste like candy. Researching as much as possible will only serve to make you a better, well-informed patient.

Hi CrabAdams72,

Thank you so much for the links and pointing out the inaccuracies I'm sure I made in my posts. I'm very new to all of this and love reading up on it. I find that's ALL I do. When you say get the best vitamins available, would the surgeon be the one to advise me of what I need or would I be left on my own to decide what I want to take?

I have a history of diabetes in my family as well. (You name it, they have it. Very sad.) I was also concerned about the hypoglycemia after seeing how low sugars affect my sweet aunt. This is definitely not a situation to be taking lightly. I am SO appreciative of you guys sharing so much knowledge with me!

The surgeon/nut has a list but for most of us, it's not enough. Check these links:

http://www.gblcreations.com/Resources/Gina/VitaladysPre-op_i deas_11-2009.doc

http://www.gblcreations.com/Resources/Gina/VitaLadysLabsandT argets_11-2009.doc

http://www.gblcreations.com/Resources/Gina/ProgramDRNY_ERNY_ BPDDS3-2010.pdf

http://www.gblcreations.com/Resources/Gina/ProgramPRNY2-2010 .pdf

http://www.gblcreations.com/Resources/Gina/ProgramAGB&VSG2-2 010.pdf

http://www.gblcreations.com/Resources/Gina/ProgramChewable2- 2010.pdf

http://www.gblcreations.com/Resources/Gina/ArticlesonK2Poste dbyVitalady.pdf

 

As to reactive hypoglycemia...just do a search HERE on OH for "low sugar", "reactive hypoglycemia", "late dumping" "sugar issues"...the list of posts, ESP from the RNY crowd is extensive. Also see this post: http://www.obesityhelp.com/forums/amos/4588814/Weight-Loss-S urgery-Doesnt-CURE-Diabetes-Forever/

I HAD reactive hypoglycemia PRE-OP so I did not want a surgery where the chance was very great that it would get worse afterward. I still get episodes of it but like pre-op, I know my body well enough to feel an attack coming on and can head it off. The DS way of eating is especially suited for diabetics.

Oh, and I was an insulin pump dependent type 2 diabetic...last time I wore my pump was a week after my DS, and my last insulin was 10 days later. My cholesterol in Oct 2010 was over 220, not on meds cause I came off them cause I didn't want to renew a prescription that late before WLS. In April 2011, 3 months after surgery it was 190, April 2012, it was 183. April 2013, 143 and I eat about 120-150 grams of fat a day or get constipated (BRICK BUTT). A stick of butter has 92 grams of fat.

Liz

Thanks. Those were some very useful links. It's really a shame that the doctors aren't perscribing enough vitamins. I really have a lot more to learn. I hope to learn all I need to pre-op so I don't have that added stress post-op. I might just have to learn to swallow a pill. It seems like you have to take so many more chewable ones than the regulars.

Wow.....where do I begin?

If you have any sort of gerd at all. Do not get the sleeve. Also look at the success statistics for the sleeve. If you want to achieve 100% success you will want the gastric bypass. Why would you want any of that stomach bac****rtainly don't ever want that size again. I wanted to reach 100% of my goal. I am a year and a half out from surgery and I can eat like a normal person. I choose not to eat that much (my before pix keeps me in check).

You would never regret the gastric bypass. I had wanted the sleeve but after finding out the gerd would get worse I decided against it.

Make the decision that's best for you.

Thanks

Linda