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Hi. I had Rny in 2010. Lost 80 lbs and gained back due to poor habits. I just had the Long Limb revision done 2 weeks ago. My pouch size was ok so the surgeon did not modify that or the outlet. I had to do 1 week low carb and 1 week clear liquids prior to surgery. I lost maybe 5 pounds during pre-op diet. During the second week I lost nothing due to low calories. Since surgery I have progressed from full liquids for 4 days to soft foods and at 2 weeks was given the ok for full diet. My new intestines do NOT like vegetables so far and really have to watch the fat content. Since we do not digest as much as before you will quickly learn what to eat and what not to eat. I have lost 9 lbs since surgery. I lost 20 during pre-op (4 months) just from logging and paying attention. Let me know if you have any other questions.
Carol
You still need to eat high protein but you can back off on restricting carbs. So eat protein plus whatever looks good. Are your protein numbers good? Eating a little more and having some carbs is the easy answer. If that works, great!
If that is not enough you can try something like Creon or Viokase. Both of these help you absorb more of what you eat.
Honestly don't think the GB has much to do with it. It just happened. And you will change again somewhere down the road.
on 2/17/23 7:39 pm
Hi there!
Not sure how much this might help since I just had my gallbladder out a week ago.
My surgeon and team actually told me that the gallbladder removal might enable me to eat more since the stomach adapts to the changes. Even seven months out I struggle to eat the amount they think I should in a single sitting, so this was a point they specifically raised as an outcome from the surgery. It's still really too soon for me to be able to tell a difference, so maybe other DSers can weigh in.
Has your diet changed? Or your macros in that time? Can you eat more?

HW 282, LW 123.4 (8/29/23), CW 144.4
Pre-op-33, M1-12, M2-17, M3-14, M4-11, M5-14, M6-5, M7-6, M8-5, M9-22, M10-6, M11-5, M12-2, M13-2, M14-5
Hi I'm getting worried that I was steady at 125 for a couple of years since I had a DS. After having my gallbladder removed 2 years ago I'm wondering if that's why I lost another 10 pounds. I can't get my weight back up which I am now considered underweight. My family said I look sick and too skinny. Does a removal of a gallbladder do something to the DS metabolism? Noticed I started to lose the weight slowly after the removal. Please help me with this question. Very worried.
Hello I read that you stated that a general surgeon can have some issues in removing a gallbladder if they don't know the DS anatomy.? That kinda scares me because I have a DS done in 2012 and had my gallbladder out by emergency visit 2 years ago. And a year later I had an intestinal blockage near the left side where the gallbladder was removed. My blockage I was told was 5cm. Stayed in the hospital for 7 days with a NG tube to suction out the blockage out. It was painful with a tube down your nose and down the throat . Now I think about what you said about a general surgeon going in our anatomy and messing with it. Could of been related to what happened to me a year later due to the gallbladder removed.
so far after that experience I have lost an extra 10 pounds and now considered under weight which worries me now. My family thinks something is going wrong with me. I now most likely am going to get my surgery report and see what went on with my gallbladder removal from the general surgeon. Thank you for posting that about a general surgeon issue. It never dawned on me about that there not familiar with a DS.
Yes, I told this specialist last week and she mentioned my Estrogen is probably down, but make sure you clean Your system out...that helps too!
Im testing bow, but usually after my cycle it balnce things out.
SW / CW / GW 292 / 188 / 174 - Height 5'7, Size 10
Hey!
I'm curious if anything worked for you? I'm 3 years post op, having the same issue along with really bad stomach pain relieved by passing gas/ stool. I've tried xifaxin, metronidazole and probiotics. None of which worked. Had an endoscopy and colonoscopy to rule out any other issues. I even did surgery to remove my gallbladder because my GI thought it was causing my symptoms. No change. I feel like I'm losing my mind. Im scared to eat anything on days that I have to work. On days I'm home, like the weekends I tend to overeat to try and compensate for my starving body. So basically a starve binge cycle of me trying to avoid symptoms when I'm not home. I am honestly at my whits end. I can not eat anything without gas and bloating, especially not carbs, or fiber.
Any tips would be greatly appreciated!
on 2/4/23 7:57 am
Good morning!
I'm providing a bit of an update for any of the folks *****ad these boards.
Since surgery my biggest vitamin deficiency has been K. I had no baseline pre-surgery. As listed here, my first test came back at 55. I started eating more greens and got some dry K supplements (K1 and K2) that were started the first week of October, even though my dietician says you can't supplement K. My numbers in October tested in the 60's.
I bumped up my K supplements to double each day, plus a lot of seaweed and greens. My six month follow up was a couple weeks ago and my K level is now at the bottom of the normal range at 167 out of a range of 130-1,500. I'm going to keep taking at least double dosage until my one year follow up.
The easy bruising and sensitivity/pain have not changed. My clinic has now referred me to my PCP about it since my vitamin levels are within range. The last blood draw included coagulation testing, which also came back normal.
Make sure you take your supplements!

HW 282, LW 123.4 (8/29/23), CW 144.4
Pre-op-33, M1-12, M2-17, M3-14, M4-11, M5-14, M6-5, M7-6, M8-5, M9-22, M10-6, M11-5, M12-2, M13-2, M14-5
Hello Tanya,
I've received your msg, later my post, I think I added you as a friend, I've looked on this site a lot through the years, however not very active, thus trying to figure this out, like FaceBook,. Lol
OMG, lady, as they say it, your a "Glutton For Punishment", hope your knee, Isn't a full replacement!
Yes, I definitely want to keep up on our developing progress, even though a different procedure, very similar in nature. I looked over all the image's, read each procedure, over, and over, and had a really hard time, through verbiage, of how, and where, the changes are made, in the small Intestines. I've never been very good, with the whole anatomy thing, the (inside parts), is parts. Lol
Good thing, I changed my direction of what careers I was to enter, decades ago, Dr. Surgeon, or Administrative Office, haha
Take care, my procedure "DISTALIZATION ", Like your Duodenal Switch, (twin surgury) is fast approaching, the 20th is just around the corner, I guess maybe age, is why as you wrote your more anxious, and scared this time around, I am as well, I blame mine on age, and all the surgeries I've had, in all, came through the anesthesia good, I am more fearful now, and with my B.P., higher now, 20 yrs after my RNY, the though of blood clots, etc., come more to mind now, then ever!
Blessings, Patty