Hello! My name is Genesis and I am representing Dr. Roslin's office. We would like to share our thoughts on the topic and make some clarifications:

Dr. Roslin was one of the many surgeons who started off performing the traditional duodenal switch, but after seeing the long term effects, he has since modified the operation. The purpose of these modifications is to provide the best balance between weight loss and significant micronutrient deficiencies. Dr. Roslin states that even surgeons who continue to perform the tradition duodenal switch have since begun to increase the length of the common channel. We have long believed that obesity is caused by an increase in fat, but we now understand that obesity is a hormonal disease and fat is not the culprit. Having a short common channel is likely to cause poor body composition and increase the likelihood of losing lean muscle and fat.

Dr. Roslin explains that, while people speak about weight loss as the metric of success, this is flawed. The goal is loss of adipose tissue without loss of muscle mass. When looking into these metrics, he has concerns for loss of muscle mass and micronutrient deficiencies with short common channels. Despite common belief, "thin" does not equate to being healthy. To reach your health goals, cardiovascular and respiratory fitness require adequate muscle mass to reach the desired metrics. The traditional duodenal switch with a short common channel can affect your body composition and this should be adequately monitored. Many patients will lose a disproportionate amount of muscle mass and this is what the modified version aims to prevent.

Thank You!

HI, I had the sleeve done in 2011 and like some other people, the weight has crept back on. I'm in SW MT and there are not too many surgeons who do Bariatric Surgery or revisions/conversions here. I did contact a Surgeon in Billings who did sleeve and RNY, but he did not want to do the surgery on me and basically told me to live with the surgery I have and to lose the weight. I felt embarrassed and discouraged after the video call. So a few months later I have decided to move on and try to find a surgeon who actually does revisions/conversions for sleeve to DS.

Is there anyone out there who can recommend such a surgeon in southern ID or in the Salt Lake area?

Have you ever noticed it's around your periods?

What will stop me from gaining it back? Well, I don't know that there are any guarantees, but I know what contributed to my weight gain. Since my RNY, I went through several years of infertility treatment (multiple IUIs w/ injectable meds and IVF) which resulted in 3 wonderful children - a singleton and a set of twins. I retained a little baby weight in between pregnancies, but not that much. After my twins were born, I made the mistake of having an IUD inserted to help with some of the nasty post-twin birth issues. I say it was a mistake because while it helped in some areas, I didn't realize it didn't have any hormonal qualities that would keep my PCOS in check. Quite frankly, I have to be on some kind of estrogen otherwise the free testosterone in my body skyrockets causing all kinds of issues, including weight gain. I should have researched it more before I agreed to the IUD so that's on me. I was on the IUD for 2 years and that's when I gained most of my weight back. I had it removed, and went back on oral birth control pills, but the damage was done. I also spent a year dealing with the death of my father and making multiple trips out of state to make funeral arrangements, clean out his house...etc.

I don't plan on having any more children so there won't be any infertility treatments or pregnancies in my future. I'm never having another IUD put in. I'm working with an endocrinologist to help manage my PCOS and get the side effects under control, since unfortunately there's no cure for PCOS. I'll also have to be more diligent about my diet. I have a child with cerebral palsy so there are lots of doctor, specialist and physical therapy appointments, and I have a very demanding full-time job so I tend to skip meals and grab snacks on my way out the door. I need to start making myself and my health a priority rather than putting myself last. That's probably going to be my biggest challenge.