This does not sound like dumping to me at all.  This sounds more like a stuck episode.



(And before someone chastizes her for taking iron with some milk in her pouch -- there wasn't enough calcium to block the receptor sites.  The magical number is 300mg to inhibit ionic iron.  600mg to inhibit heme iron.  Just in case someone wants to, you know, bug her about this - don't.)

From what I've heard, heat it up VERY slowly.  If you heat it up too quickly it will clump up.

I'm echoing the previous poster -- please educate yourself on all four procedures.  The DS and VSG are worthy surgeries that warrant careful consideration -- especially in light of your comment of the band -- "having to get it filled and worrying about the band breaking, etc.." as the VSG is similar to the band in that it is a restrictive-only procedure but does not have any of the maintenance issues that the band requires.

(I'm sure that sentence will sound awful when I come back in a few hours to re-read it, but I've not had enough coffee yet.  I, too, am a mother -- and my two are under 4 so in the "I don't like to sleep" stage.)

I have a video on my blog that has a pretty good representation of all four surgeries.  It's not perfect -- but it's a heck of a lot better than some of the comparison charts I've seen floating around of late with outdated information about the DS and VSG on them.  The link is here if you are interested.

I've had the chocolate chews -- they aren't bad.

I've had the new lemon calcets -- they are phenomenal.  I know you hate lemon -- and I only mention this because there is a chocolate on the way so I can only hope that the chocolate is just as ******ic (yes, really, THAT GOOD) as the lemon is.

So I'd get something for now, and then hope that the chocolate calcets (which were supposed to be out this past December...) hurry up and get produced live up to reputation and you like them and can use them for your needs.

Tums aren't a great source for you as you don't have a high stomach acid content for you to break down the carbonate in them.

You can read about it more here if you're interested.

Yes, it's a bad thing.

However, your alternatives are not appealing, either.  NSAIDs postop are one of those things we have to evaluate the risks versus benefits.  With this -- take the freaking aspirin.

There are ways to mitigate your damage.  Call your OB and make sure you can take prilosec and carafate with the pregnancy.  I know I took an acid reducer when I was pregnant with Daniel, but I don't remember which one.  Explain the need to reduce the amount of acid in the remnant stomach since aspirin will, in fact, reduce the mucosal lining in the remnant despite the fact that the aspirin does not even touch the area.  Carafate will coat the pouch and anastomasis and help protect your system from the direct contact of the aspirin.


But -- and I'm saying this as someone who has had ulcers even without taking oral NSAIDs and know how nasty they can be -- take the damned aspirin.  That baby is worth it.

I've said it before, and I'll say it again: pregnancy breaks every RNY rule.  

Greek yogurt, maybe with some Kay's protein cereal mixed in?

The problem is that you've scared them.

When cyan will work in 75-80% of the people that take oral supplementation, there's not much reasoning in scaring people into not taking the cyan until they find the other -- and let's face it -- taking cyan is better than not taking anything at all.

This isn't a citrate vs. carbonate deal -- and you've already scared someone into thinking the cyan is completely worthless when it's not.

Hey, I was as shocked reading it.  I only convey the study -- I did not conduct it! ;-)

And it was in regular gutted folks with full IF -- which we don't have.  So take that into account.


I need to put this in my signature line -- your labs should always be your guide.

Hey Amy --

While it's try that methyl is better absorbing, some do absolutely fine on cyan.  Me, for example, with my 1748.

I asked this of an exercise doc when I had a pulled muscle (very specifically, a doctor that specialized in sports medicine).

She said it is due to a specific nerve that runs along the outside of the thigh and when you are on certain machines it is stretched further than normal and thus it causes the area to go numb.

Now, I'm not quite certain it's true, but I've noticed that when on the elliptical (which was when my bouts were the worst) that if I made sure my stance was more narrow, my feet wouldn't go numb so maybe?

Just relaying what she told me -- not sure as to the validity.

This is really up to your surgeon and your personal preference.

I've been off chewables for years.


While some will say there is a difference in the absorption, there are no studies that prove this one way or another -- especially in gastric bypass patients.  We can only go by our labs.

So the first person I'd ask is your surgeon (or his nurse) to find out the protocol for the program you are with.  If they don't have a problem with you switching to pill-form, then it's up to your comfort level.


And as always, be sure to monitor your labs yourself -- don't take the word of anyone else and watch for trends.