DS failure and
Just my opinion... you are eating alot of carbs... Although its healthy the yogart has alot of carbs... I think something like Fitday etc is a great place to log what you eat for awhile to get a better idea of how much carbs you are eating... especially hidden carbs..
for example I love this creamer and when i logged on fitday i found there is alot of carbs - I was putting like 1/4 cup of it and it has 7 grams of carbs in a tablespoon (i am just making up the particulars, but you get the idea). I think more fat is in order as well. :)
Hope you get things figured out and get to losing again without a revision but if you do go for one realize carbs will always be something we have to "watch." Best of luck!
I'm sure some other vets will chime in- its the weekend so not as many folks post.
KAREN W.
I LOVE MY DS!!!!!
STRIVE TO BE THE BEST YOU CAN BE AND DO THE BEST THAT YOU CAN.
Check out www.dsfacts.com and www.duodenalswitch.com for all the accurate information on the great DS, and find surgeons in your area or around the country or out of the country.
I couldn't have done without all the great peeps on this board.
SW: 234.5 CW: 157 GW: 140 - ish
You also sound like you need more protein from FOOD to help the appetite issues. If I were you I'd think about adding a nice hunk of cheese in there for a snack somewhere, as in 3-4 oz. of good yummy cheese. Or how about eggs? Egg salad, hard boiled, deviled, whatever appeals.
Another great DSer snack is chicken salad or tuna salad. Grab a scoop from the fridge, or two or three scoops. Munch it on the go with a few, note FEW, crackers. You'll be changing the balance of what you're eating to work with your malabsorption--more fat and protein gives you more nutrition and better satiety, while still absorbing far fewer calories.
You've been given RNY nutritional advice. Throw it out the window and join the Dark Side :-D.
Some of your choices just aren't filling. Regular (non-greek) yogurt? Not filling. V8? Not filling. Soup? Not filling. Apples, same.
I really think some dense protein could make you feel a little fuller. I bet the chicken, pork chops, or burgers are much more filling for you. I would personally not eat the bread, though. That adds ~50 carbs. Soup can have a lot of carbs, and I don't really know how you're making it into a high protein soup. If I make soup high protein, I am adding meat and cheese to it. Tonight I made a ham and cheese soup - the base was cream of chicken and herb soup (approx 20g carb in the whole can), made with milk and heavy cream (approx 10g more carbs), then I added like 7 ounces of leftover spiral ham and around 4-5 ounces of cheddar cheese, let it get all melty and bubbly together and I ended up with a whole pot of soup with tons of protein and not a lot of carbs. Plus it was filling because it had solid food in it, and no I couldn't eat the whole pot, but if I could...it wouldn't have made me gain weight or anything, not very many carbs.
How do you sweeten the cappuccino drink? It's good that it's high protein, but what about the carbs? Is there milk in it...milk has a lot of carbs.
Corn is a grain - which is high carb. And I know you don't need me to tell you rice is high carb.
I'd give the low carb thing a try. Add more dense protein - meat, cheese, eggs. These types of foods can keep you full, and honestly, you can probably eat as much of them as you want. For snacks, I ALWAYS think protein first. I'll head for some nuts, seeds, beef jerky, thick plain greek yogurt, cottage cheese. If you snack on carbs, they aren't that filling physically and if you choose something simple like apples or yogurt, it can cause blood sugar rollercoasters. When the blood sugar goes down, you get hungry again, and it makes you want to snack again to bring the blood sugar back up. Not to mention, when you get sharp increases in blood sugar, it triggers insulin to be released so that you store the sugar - as glycogen first, but later, as fat if the glycogen stores are full.
I never skip the nutrition facts. Snacks must have 2x as much protein as carbs. Yes, check everything. Just cuz it's beef jerky, doesn't mean it doesn't have a ton of sugar. Same for nuts, nothing glazed.
I know low carb is just another diet to you, but if you give yourself some more freedom with fats, I think you might find it more satisfying than you remember it. As much butter, cream, marbled meats, beef, etc. as you want.
If you want to start slow, I'd try ditching half the bun on the burger. I ditch the whole bun, personally, but some people do not. I'd swap the yogurt for something with higher protein - try plain greek yogurt. It'll have approx 20g carbs in a cup and around 8-9g carb. Sweeten it with sugar substitute. I'd swap the starchy side dishes (corn, rice) for something else...maybe try a new veggie (edamame, peas, green beans). You can put as much butter on the veggies as you want.
I eat a lot of food, too. I can eat like 4 or 5 eggs at once or a big hamburger patty...it's the carbs that pack the weight on for me. Milk, sugar, cereals, crackers...those put the lbs on pretty quickly for me. I still eat carbs, of course, but I go for low glycemic ones first. Less insulin response, less blood sugar fluctuations, less crazy hunger pangs, less cravings. I don't really think the amounts in your diet are really all that bad at all. I could probably out-eat you if that's what you eat in a day.
Well re your reply regarding RNY instructions - ugh...it must make it so frustrating to you! The nut obviously has no clue about the DS - because we don't have a pouch to wash anything out of...grr!
So you're always hungry - it might be worth getting a 2nd opinion from an experienced revisionist - sounds like you're on the right track for that. They can tell you if your stomach has gotten too big.
That said though it does sound like you're eating too many carbs....100gms of protein is good - but lots of people here swear by eating way more than that - shooting for 150gms per day. By doing that you'll have less room for those carbs. You talked about adding extra brocolli to the soup you like - instead of brocolli which obviously is a good carb - but a carb none the less - maybe add some chicken or something? I'm not saying to cut out all the carbs - because that is very difficult - but start by cutting down the carbs. Instead of having yogurt for a snack try and have a protein based snack such as cheese, or deli meats. By just replacing the snacks your having with higher protein lower carb snacks you may start to see the scale go in the right direction. Plus, I'm pretty sure protein keeps you full for longer.
Oh and don't worry about the fat content of anything you're eating - especially since you're constipated. The yogurt you mentioned was low fat - that doesn't matter. If you can find a lower carb higher fat version try that instead.
I'm a newbie so take my info with a grain of salt, but I do understand that cutting carbs is hard but if you stick to the rule of protein first (i.e. instead of having a grilled cheese sandwich which isn't very high in protein but quite high in carbs) try to eat 4-5 oz of protein first and then if you're still hungry have some carbs (i.e. the rice etc.)
Good luck...I hope you start to find some happiness with your DS...and you get where you'd like to be!

I had the Duodenal Switch! Do yourself a favour and check out www.dsfacts.com - especially if your BMI is over 50!
HW: 426/SW: 421/CW: 165/ GW: 150 Current BMI is 26.6!
