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I've bought a year of A and D because the short supply issues.
i had my BPD/Ds in 2002 well last post i had put on 10 kg now its up to 14 kgs I was 140kgs and am now 89kgs i have tried to get this off im not sure what else to do i tried keto that didnt work not even a bit and i tried optifast the full progam for a month and i didnt loose anything either i am really stuck with what to try next i do the same amount of exercise as i did before . ANY Ideas on what i could do next. Hay Any Suggestion would be most welcome our ds group in austrlias Gold coast is no longer operational as teh Surgeon retired.
Rachel
RNY malabsorption can change depending on the length of the common channel. In the old days they would refer to as either a proximal (standard) or distal RNY, the distal having a much shorter common channel. I don't think many surgeons do the distal anymore because with the RNY the pouch is so small that the combination of a very restrictive surgery with significant malabsorption is just asking for health problems. The sleeve part of the DS is much larger than the pouch of the RNY so you can eat more. I think the average pouch is 1 oz (at the beginning) while the average sleeve of the DS is about 6 oz.
I've known people who had an RNY who only have to take a multi-vitamin, and maybe some extra calcium or iron or D. Nothing like the laundry list of vitamins I take for my DS. Same with labs - I know a few RNYers and they all get labs done once a year (like me). My list of labs requires approximately 15-20 tubes of blood - this list comes from my DS surgeon's office and I will follow it.
Main differences between DS and RNY:
- Sleeve as opposed to pouch
- No bypass - my duodenum is still intact - no dumping
- Significant malabsorption
Janet in Leesburg
DS 2/25/03
Hazem Elariny
-175
on 5/24/20 6:13 pm
My priorities were 1) losing all the weight, 2) keeping it off, and 3) leading as close to a normal life as possible post wls. Eventually I had a modified version of the DS called a SADi DS. The guy who performed it is a wls rock star which may be as important as the actual procedure you have. All my objectives were met, but I do take some vitamins, and have to watch certain foods that cause gas or bloating. Ultimately you can be successful with any procedure if you work the program. I'm flawed enough that I need help even now almost 6 years out, which the wls surgery still provides effectively.
I thought there were malabsorption issues with bypass too? and I know I've read in other places that supplements/vitamins are mandatory for life with bypass too? Same with labs, isn't it a requirement to get labs done yearly?
I will have to see if DS is an option for me. I am not sure who I will be referred to for my insurance so I will see if that's even a possibility! I always thought it was going to (only) be bypass or sleeve.
Thank you for your feedback!
Thank you. You bring up many valuable points. I think with my BMI, when I see the surgeon he/she will probably lean toward bypass since I have more weight to lose
Hi Krishna,
Sounds like you are doing a great many things that will help.
For B50 you would really look for the individual B vitamins listed under ingredients. The only B vitamin that I have heard people have trouble with (and not many of those) is B6 that can cause numbness and some fuzzy thinking.
As far as I can tell there is a blood clotting test for K1 which is primarily the benefit and why they make you stop for some surgeries and if you go on blood thinners.
For K2 there is no test that I'm aware of. There are just several scientific studies that say it helps build bone mass - nothing that says it is a miracle just one more thing that helps along the way
I think working with the trainer is a great thing I hope it helps.
The same with the IV - a lot of places in the US are starting to allow the treatments like yours instead of not doing them at all to keep people from taking up protective equipment, etc.
Take care,
Pete
Hey Pete,
Thanks for your message, so sorry it took me this long to reply, i haven't been on this site for a while as i've been working on my health and finally just started to feel better (more energy) since the beginning of the lockdown.
Here in England, the doctors have suggested that I do an IV treatment for my osteoporosis (Zoledronic acid infusion) because I have acid reflux. The iv treatment has been delayed due to the lockdown, and i'm probably now last in the list cause most people who have osteo are elderly and more vulnerable.
I have a personal trainer (3 times a week) who is helping me build my weak muscles and we do mostly weight bearing exercises. Additionally I was lifting weights once or twice a week, but no more gym for who knows how long.
I have taken your advice and have upped my magnesium to 3 times a week.
I have been taking 100,000iu vitamin A a day for some years now, my latest level is 2.6 (0.99 - 3.35)
B50 complex: i got this advice from vitalady's website. However, i have no idea how to look for this on my blood results. Should I look out for 'B-50'?
Latest vitamin D is 130 (75 - 200)
K2 - thanks. I'll look into this. Not sure what to do here - as I also don't know how to check K1 or K2 on my blood results - i believe this is to do with how think the blood is?
Thank you very much for taking time to give me all this advice, I very much appreciate it!
Hello,
My goodness, it's a struggle to find Vitamin A Palmitate in a dry form here in England, only dose I can find for now is 5,000iu.
Is Palmitate the same thing as palmitate Rentinol?
Can we have Vit A Retinol Acetate instead?
Thanks so much.

