I'm a DSer’s Posts
Topic: RE: Help! Need food choices ideas while in Puerto Rico
HW 305/SW 247/CW 130/LW 115/GW 140
BMI = 23.7 3+ yrs post-op
stomach = 3.5 oz, common channel = 125 cm
Replying using the pda texting gets screwy sometimes. let me give it a try in here, but check your PM inbox, I sent you some info. In regards to DS friendly food, it is whatever your digestive system able to tolerate. If you are able to eat meat, you can have a bistec or even carne or pollo guisado. Lechon asado, you can have that, too. I ate lechon asado or pernil 14 days postop. I had arroz con gandules, but very small amount 10 days post-op. I think the most 1 tbsp early out and by 4-5 months out about 1/4 cup and any style of moro. One thing I was able to have was the papaya shake, only I carry around Splenda. I ask them to make the shake with no sugar and add the packets of Splenda. I do not have any lactose intolerance or affect to dairy products.
The seafood and any dish made with seafood is good. I was able to eat shrimp, lobster, crab early out too and for breakfast ate grilled salmon, every single morning for months. So salmon is a good choice and high in protein. If you can have bacalitos, go for it, but do taste test in bites to make sure it is ok for you. To some the flour might give them gas. flour hasn't affect me either. The only thing that does affect me is anything with almonds, so I moderate that.
At 4 months out, asopao and sancocho are good and safe to eat. I did have at 4 months post-op pastelon and wet it with some caldo. I also used a lot of mojo in my food as a condiment. Tortilla de juevo con cebollo, pimenta, jamon y queso is good as a lunch deal for me and high in protein too.
Just remember, each person has different intolerance and even side effects to food. I wasn't able to each much variety of food, until I was 11 months post-op. Early out, ground beef, sausages, steak (especially rib eye and filet mignon), lobster, shrimp, crab, crabcakes, salmon, tilapia, hamburger (minus the buns) were a staple for me. I was not able to eat any type of style of chicken or tuna, until I was 1 year old. I did eat a lot of oxtail stew with alittle moro. It is a matter of judgment and what you think works best for you and your intestinal tract. I had a rough 7 months post-op because of severe food intolerance, but latin food was not much of an issue, not even eating platano maduro. bread such as in the panini style of cuban sandwich, I was able to handle digesting when I was 7 months post-op. I was able to eat monfongo con chicharon and mucho ajo At 4-5 months postop, but had to pour a lot of caldo on it. Enjoy being in Puerto Rico.
The seafood and any dish made with seafood is good. I was able to eat shrimp, lobster, crab early out too and for breakfast ate grilled salmon, every single morning for months. So salmon is a good choice and high in protein. If you can have bacalitos, go for it, but do taste test in bites to make sure it is ok for you. To some the flour might give them gas. flour hasn't affect me either. The only thing that does affect me is anything with almonds, so I moderate that.
At 4 months out, asopao and sancocho are good and safe to eat. I did have at 4 months post-op pastelon and wet it with some caldo. I also used a lot of mojo in my food as a condiment. Tortilla de juevo con cebollo, pimenta, jamon y queso is good as a lunch deal for me and high in protein too.
Just remember, each person has different intolerance and even side effects to food. I wasn't able to each much variety of food, until I was 11 months post-op. Early out, ground beef, sausages, steak (especially rib eye and filet mignon), lobster, shrimp, crab, crabcakes, salmon, tilapia, hamburger (minus the buns) were a staple for me. I was not able to eat any type of style of chicken or tuna, until I was 1 year old. I did eat a lot of oxtail stew with alittle moro. It is a matter of judgment and what you think works best for you and your intestinal tract. I had a rough 7 months post-op because of severe food intolerance, but latin food was not much of an issue, not even eating platano maduro. bread such as in the panini style of cuban sandwich, I was able to handle digesting when I was 7 months post-op. I was able to eat monfongo con chicharon and mucho ajo At 4-5 months postop, but had to pour a lot of caldo on it. Enjoy being in Puerto Rico.
BMI = 23.7 3+ yrs post-op
stomach = 3.5 oz, common channel = 125 cm
Topic: RE: Thursday Food & Fitness
HW 305/SW 247/CW 130/LW 115/GW 140
BMI = 23.7 3+ yrs post-op
stomach = 3.5 oz, common channel = 125 cm
2+ yrs post-op, maintenance mode, trying not to lose anymore weight and holding steady
B1 - protein (21g) - Special K with berries, milk, 1/2 scoop Champion Nutrition Vanilla protein added to cereal
B2 - protein (34g) - ON Rocky Road protein, milk
L1 - protein (15g) - 1/2 gyro , 12 oz can caffeine free diet orange soda
L2 - protein (15g) - 1/2 gyro, 12 oz can caffeine free diet orange soda
Dinner - protein (19g) - broiled tilapia parmesan, steamed carrots, diet orange soda
Snack - protein (35g) - LaYogurt pina colada, Champion Nutrition vanilla protein, milk
protein = 153g, carbs = 175g
My 3 things:
1. enjoying living life with my DS with no complication, issues or worries
2. friends & colleagues, whom I enjoy associating with, working with & hang out on our time off
3. the kitchen renovation is going smoothly and within the timeline
BMI = 23.7 3+ yrs post-op
stomach = 3.5 oz, common channel = 125 cm
Topic: RE: PLEASE READ FROM DEE URGENT!!!
HW 305/SW 247/CW 130/LW 115/GW 140
BMI = 23.7 3+ yrs post-op
stomach = 3.5 oz, common channel = 125 cm
is ddam7 actually you or your match? get a life numbnuts
BMI = 23.7 3+ yrs post-op
stomach = 3.5 oz, common channel = 125 cm
Topic: RE: PLEASE READ FROM DEE URGENT!!!
HW 305/SW 247/CW 130/LW 115/GW 140
BMI = 23.7 3+ yrs post-op
stomach = 3.5 oz, common channel = 125 cm
I haven't been here for awhile. I am reading what you have written and the other members. There are a few things I would like to provide my input, in regards to what you wrote. No info of your journey, no info of your post-op life, no info of your previsous history or even how you found the DS to be your selective choice for revision.
taking your suggestions about the gas and bloating having much less carbs, working real hard with no white flour, pasta, rice, and I am getting better Thank You
Good to see you have taking advice from the DS veterans and post-op regarding this and understanding that excessive carb intake may cause gas and bloatiness to you. It is a matter of elimination to know what is going on and what can be ruled out. I am not sure when you had your DS or what is your common channel, but white flour, pasta, rice and certain carbs do affect certain individuals of WLS (not only DS). I had issues with pain with white flour, dry pasta and even bread when I was 3 months out, then tried again at 4 months, then at 5 and at month 6, was able to eat such and not feel pain. Had some gas when I tested it out, so I waited until I was until I was 6 months post-op to eat these. Rice was never a problem for me, have been eating it (but very small amount) since I was 14 days post-op. The first year, it is all about taste testing to see how your body reacts to it. The first year is a time of a lot of trial and error and even challenging times that you will get to learn about your body system.
My DR ,DR Marchesini from Brazil says if I tried everything he said and my bad breath does not get better then it is from my revision surgery a RNY to a DS then I need to reverse the surgery.
I find it extremely odd that such an high experienced DS surgeon would recommend a reversal to you due to halitosis and gas issues. You do not have any complication that is jeopardizing your health. I do not see anything that your health or life is being compromised that you need a reversal, Before a reversal or even a revision of your DS be perfrom to lengthen it, there are certain test that needs to be done to verifiy that your life is endangered. What you are stating between gas, bloating and bad breath is not medically considered a situation for a DS surgeon to say you will need your DS reversed. A DS surgeon will talk about lengthen your common channel, not reverse your switch.
What you are having is considered a matter of user error. I had very severe food intolerance and could hardly eat anything without throwing it up or negative side affect, very similar to dumping syndrome. My surgeon NEVER recommended a reversal or revision to me, as yours is recommending to you. My surgeon closely monitored me, had a MRI scan to make sure I had no kink, twist or other things wrong with my intestines. A lot of things were ruled out. It all came out to my intestines were very sensitive and taking longer than the average DSer to heal. After 11 months being post-op, I no longer had any issues with eating food. I am now over 2 years out and with the exception of my first 11 months post-op due to food intolerance, have never once had a complicated issues that is considered life threatening or trauma to my health. I honestly do not see any urgency with your condition.
I believe almost all of us had surger because of not being able to control how much we ate or what we ate. No, no magic just very difficult for me to restrict my carbs you know the addiction they can have.
You are making assumptions here. Not almost all of us had surgery due to being unable to control how much we ate or what we ate. This is pure speculation. I weighed 105 lbs since high school until I was 23. Throughout my 20s, I weighed on average 125 lbs and 130s during my 30s. I was never obese or overweight for most of my life. I began to have gain weight after I was 36 years old, due to a medical condition with my digestive system and became SMO. You may talk about your personal experience, but it doesn't mean everyone falls into the mainstream you do. With the DS, you don't not need to restrict your carbs. You just have to learn to focus more on your protein first and once you have your protein, you are able to have your carbs. Early out, I live on 60-80g of carbs daily. My carbs were not low and I still lost weight. If you have issues that you want carbs and only carbs, I would recommend you post to the food thread here and let the DSer here help guide and advise you with your dietary lifestyle.
The gas and bloating pain was so bad I did not have a choice anymore so I had the willpower to take most of it out of my diet and I am better not perfect ,but better still have bad breath most days.
I want to recommend you see a peridontist, endodontist or dentist to be sure you do not have other underlying condition that is not even DS related as you are thinking. They can help you out there and maybe you have dental issues that may also give out halitosis and carry some breath mints, use mouthwash more frequently and check you dental hygiene, especially brushing your teeth after you eat. I am saying this as a recommendation. Also, there is the condition of ketosis in which occurs with various WLS postops of different surgery whether restrictive or malabsorptive. You were a previous RnYer and should know about this and not be something new or surprising to you.
I wi**** was that simple for me I had no dental problems,it is coming from my digestion track.
What did the peridodontist actually say or recommend? Was any particular mouthwash prescribed or other regime? The dentist would explained to you about bad breath and leading cause of bad breath is bacteria that starts and comes from the mouth, not coming from your digestion tract.
Yes I really has a DS on June 26 2008
OK, so you are 6 months post-op and had a DS revision with Dr. Marchesini . Although, you signed on as a member to OH 1 month after you had your DS surgery with Dr. Marchesini. Just find it odd you listed Dr. Swain who is a bariatric surgeon in Arizona, as your surgeon on your profile and not your DS surgeon. Also odd, you had surgery on June 26, 2008 and posted a thread 41 days later on Aug 3rd, that you are eating 175g of protein? That is amazing you are able to intake that amount of protein and just shy being 1 month post-op.
I am having a very hard time staying away from carbs, but I am doing it. I thought i could ask people for their help, and some very kind and wonderful people have helped me. It was hard for me to apply. I have not lied about anything.
You are 6 months post-op and do not need to stay away from carbs per say. You having the RnY know about moderation and being newly post-op, I find it odd how you are intake so many protein or what carbs are you actually taking? It is mental and you may need therapy to help you with your addiction. If you are able to, try to sort out your meals according to your needs that are protein first and do drink your fluids. I think it would be helpful for you to post to the food thread to see what it is that you are actually eating per day and being 6 months post-op, especially what is the amount of food and what do you actually drink for your fluid intake daily as well.
Yes they were from starchy carbs the gas and bloating that is, They are not gone competely but much better. I still have bad breath but I have bought so many internal deodirizors sorry for my bad spelling that my breath is 1 day ok and the next really bad I am on a journey ,a mission I will eventually get it all worked out .
Seriously, get to a peridondontist and either make an appt with a gasterologist who specializes in the DS or since you live in Illnois, contact Dr. Alvery or Prachand to have a post-op consultation with them and do explain your symptoms and issues with them.
taking your suggestions about the gas and bloating having much less carbs, working real hard with no white flour, pasta, rice, and I am getting better Thank You
Good to see you have taking advice from the DS veterans and post-op regarding this and understanding that excessive carb intake may cause gas and bloatiness to you. It is a matter of elimination to know what is going on and what can be ruled out. I am not sure when you had your DS or what is your common channel, but white flour, pasta, rice and certain carbs do affect certain individuals of WLS (not only DS). I had issues with pain with white flour, dry pasta and even bread when I was 3 months out, then tried again at 4 months, then at 5 and at month 6, was able to eat such and not feel pain. Had some gas when I tested it out, so I waited until I was until I was 6 months post-op to eat these. Rice was never a problem for me, have been eating it (but very small amount) since I was 14 days post-op. The first year, it is all about taste testing to see how your body reacts to it. The first year is a time of a lot of trial and error and even challenging times that you will get to learn about your body system.
My DR ,DR Marchesini from Brazil says if I tried everything he said and my bad breath does not get better then it is from my revision surgery a RNY to a DS then I need to reverse the surgery.
I find it extremely odd that such an high experienced DS surgeon would recommend a reversal to you due to halitosis and gas issues. You do not have any complication that is jeopardizing your health. I do not see anything that your health or life is being compromised that you need a reversal, Before a reversal or even a revision of your DS be perfrom to lengthen it, there are certain test that needs to be done to verifiy that your life is endangered. What you are stating between gas, bloating and bad breath is not medically considered a situation for a DS surgeon to say you will need your DS reversed. A DS surgeon will talk about lengthen your common channel, not reverse your switch.
What you are having is considered a matter of user error. I had very severe food intolerance and could hardly eat anything without throwing it up or negative side affect, very similar to dumping syndrome. My surgeon NEVER recommended a reversal or revision to me, as yours is recommending to you. My surgeon closely monitored me, had a MRI scan to make sure I had no kink, twist or other things wrong with my intestines. A lot of things were ruled out. It all came out to my intestines were very sensitive and taking longer than the average DSer to heal. After 11 months being post-op, I no longer had any issues with eating food. I am now over 2 years out and with the exception of my first 11 months post-op due to food intolerance, have never once had a complicated issues that is considered life threatening or trauma to my health. I honestly do not see any urgency with your condition.
I believe almost all of us had surger because of not being able to control how much we ate or what we ate. No, no magic just very difficult for me to restrict my carbs you know the addiction they can have.
You are making assumptions here. Not almost all of us had surgery due to being unable to control how much we ate or what we ate. This is pure speculation. I weighed 105 lbs since high school until I was 23. Throughout my 20s, I weighed on average 125 lbs and 130s during my 30s. I was never obese or overweight for most of my life. I began to have gain weight after I was 36 years old, due to a medical condition with my digestive system and became SMO. You may talk about your personal experience, but it doesn't mean everyone falls into the mainstream you do. With the DS, you don't not need to restrict your carbs. You just have to learn to focus more on your protein first and once you have your protein, you are able to have your carbs. Early out, I live on 60-80g of carbs daily. My carbs were not low and I still lost weight. If you have issues that you want carbs and only carbs, I would recommend you post to the food thread here and let the DSer here help guide and advise you with your dietary lifestyle.
The gas and bloating pain was so bad I did not have a choice anymore so I had the willpower to take most of it out of my diet and I am better not perfect ,but better still have bad breath most days.
I want to recommend you see a peridontist, endodontist or dentist to be sure you do not have other underlying condition that is not even DS related as you are thinking. They can help you out there and maybe you have dental issues that may also give out halitosis and carry some breath mints, use mouthwash more frequently and check you dental hygiene, especially brushing your teeth after you eat. I am saying this as a recommendation. Also, there is the condition of ketosis in which occurs with various WLS postops of different surgery whether restrictive or malabsorptive. You were a previous RnYer and should know about this and not be something new or surprising to you.
I wi**** was that simple for me I had no dental problems,it is coming from my digestion track.
What did the peridodontist actually say or recommend? Was any particular mouthwash prescribed or other regime? The dentist would explained to you about bad breath and leading cause of bad breath is bacteria that starts and comes from the mouth, not coming from your digestion tract.
Yes I really has a DS on June 26 2008
OK, so you are 6 months post-op and had a DS revision with Dr. Marchesini . Although, you signed on as a member to OH 1 month after you had your DS surgery with Dr. Marchesini. Just find it odd you listed Dr. Swain who is a bariatric surgeon in Arizona, as your surgeon on your profile and not your DS surgeon. Also odd, you had surgery on June 26, 2008 and posted a thread 41 days later on Aug 3rd, that you are eating 175g of protein? That is amazing you are able to intake that amount of protein and just shy being 1 month post-op.
I am having a very hard time staying away from carbs, but I am doing it. I thought i could ask people for their help, and some very kind and wonderful people have helped me. It was hard for me to apply. I have not lied about anything.
You are 6 months post-op and do not need to stay away from carbs per say. You having the RnY know about moderation and being newly post-op, I find it odd how you are intake so many protein or what carbs are you actually taking? It is mental and you may need therapy to help you with your addiction. If you are able to, try to sort out your meals according to your needs that are protein first and do drink your fluids. I think it would be helpful for you to post to the food thread to see what it is that you are actually eating per day and being 6 months post-op, especially what is the amount of food and what do you actually drink for your fluid intake daily as well.
Yes they were from starchy carbs the gas and bloating that is, They are not gone competely but much better. I still have bad breath but I have bought so many internal deodirizors sorry for my bad spelling that my breath is 1 day ok and the next really bad I am on a journey ,a mission I will eventually get it all worked out .
Seriously, get to a peridondontist and either make an appt with a gasterologist who specializes in the DS or since you live in Illnois, contact Dr. Alvery or Prachand to have a post-op consultation with them and do explain your symptoms and issues with them.
BMI = 23.7 3+ yrs post-op
stomach = 3.5 oz, common channel = 125 cm
Topic: RE: the nutritionist says...
HW 305/SW 247/CW 130/LW 115/GW 140
BMI = 23.7 3+ yrs post-op
stomach = 3.5 oz, common channel = 125 cm
wow, never heard my nutritionist or surgeon tell me I had to eat 30g carb per meal. That is 180g of carbs daily and what I was intaking once I reached goal and didn't want to lose anymore weight. 30g of protein per meal, would be reasonable for a DSer early out and in the weight loss phase that is about 180g daily, but not 30g carbs per meal, even of we malabsorb some of the carbs. Do speak to your surgeon to get his input and how it relates to you. On average, during the first year post-op, a DSer should have about 50-60g carbs per day. I had a lot of issues with food during my first year (tolerating it) and was having a lot of headaches daily, as well. My surgeon recommended I up my carbs to 60-80g per day during that time. Having those extra carbs did help eliminate the headaches for me and continued to lose weight successfully. But, that was 60-80g carbs per day, not per meal.
After a year post-op, my carb intake has been 80-150g carbs daily. Right now, I am over 2 years post-op and having a slight issue with keeping weight on. I do not want to lose anymore and am in maintenance mode. The remedy to help me stop losing weight is to up my daily carbs to 180-300g range and to take enzyme pills. This has helped me and have not lost or gained any extra weight. It has also not cause me any gas or negative issues for me, either. Once, my weight settles out and not dip the scale down again, I can reduce the carbs intake if I like. For now, that is what I have to do.
After a year post-op, my carb intake has been 80-150g carbs daily. Right now, I am over 2 years post-op and having a slight issue with keeping weight on. I do not want to lose anymore and am in maintenance mode. The remedy to help me stop losing weight is to up my daily carbs to 180-300g range and to take enzyme pills. This has helped me and have not lost or gained any extra weight. It has also not cause me any gas or negative issues for me, either. Once, my weight settles out and not dip the scale down again, I can reduce the carbs intake if I like. For now, that is what I have to do.
BMI = 23.7 3+ yrs post-op
stomach = 3.5 oz, common channel = 125 cm
Topic: RE: ***Monday Food & Fitness***
HW 305/SW 247/CW 130/LW 115/GW 140
BMI = 23.7 3+ yrs post-op
stomach = 3.5 oz, common channel = 125 cm
S- piece of cake with Obamas face on it (yes I ate the new president.....and he was dayum good)
What part of his face did you eat?
I wouldn't mind nibbling and devouring on his lips, myself.
What part of his face did you eat?
I wouldn't mind nibbling and devouring on his lips, myself.
BMI = 23.7 3+ yrs post-op
stomach = 3.5 oz, common channel = 125 cm
Topic: RE: ***Monday Food & Fitness***
HW 305/SW 247/CW 130/LW 115/GW 140
BMI = 23.7 3+ yrs post-op
stomach = 3.5 oz, common channel = 125 cm
In DS maintenance mode, trying not to lose anymore. There are times I am not hungry at all and do not want to eat anything. But, I know I have to, in order to stay healthy and to stop losing weight, of course. I am doing very well and all bloodwork results are within normal ranges.
pre-breakfast
1 scoop ON Rocky Road protein
10 oz milk
carbs = 19g, protein = 34g
breakfast
western omelet with cheese
2 slice bacon
2 buttered toast
carbs = 26g, protein 21g
snack
nothing
lunch
1/2 serving of lamb chop
1/2 c creamed spinach
salad with blue cheese dressing with extra blue cheese and
1/2 serving onion rings
carbs = 36g, protein = 48g
snack
LaYogurt pina colada yogurt
added 1 tbsp Champion Nutrition vanilla protein
carbs = 33g, protein = 9g
dinner
lamb chop
onion rings
carbs = 17g, protein = 29g
late dinner snack
banana flambe with vanilla ice cream
carbs = 43g, protein = 3g
| Totals | |||||||
| Calories | Fat | Carbs | Protein | ||||
| Total | 3100 | 202g | 172g | 147g | |||
| DS estimate | 1550 | 40g | 126g | 103g | |||
BMI = 23.7 3+ yrs post-op
stomach = 3.5 oz, common channel = 125 cm
Topic: RE: In responce to my last post!!
HW 305/SW 247/CW 130/LW 115/GW 140
BMI = 23.7 3+ yrs post-op
stomach = 3.5 oz, common channel = 125 cm
I would like to contribute my input to your thread.
3/4 of my stomach wold be removed and some feet of my intestines and I will only utilize approx 3 ft of that.
1/2 to 3/4 of the stomach that is the bottom portion of the fundus is removed. The part that is removed is not actually needed, since the stomach main purpose is to hold food and then release it at a certain rate with the contribution of the pylorus value, as it is naturally suppose to do and the stomach helps break down the food into smaller pieces for easier digestion. These are 2 functions that are removed or not used when you have a RnY and a stoma in place, in which causes the food to slide through to the intestine with no control and a possible cause of dumping and food getting stuck. Another function of the stomach is it starts digestion and since we do have our stomach and it is intact (just smaller), it still has its fully normal function on what it is suppose to do, hold food, digest it to break down to smaller piece, then move along to the small intestine at a controlled pace. RnY do not and no longer have this function and why they have to chew, chew, chew their food to mush. DSer do not have to chew their food to mush since our stomach can still do that for us.
The vertical sleeve stomach (that is not alter or created into a stoma as in the Rny) and allowing the pylorus valve to be intact (which is detach with no working ability for the RnY) helps a DSer maintains the normal function in the emptying the food contents of the stomach to the duodenum at its normal controlled pace and for better food tolerance. DSer have a normal functional stomach that remains untouch, with the only exception of having the bottom portion of their stomach removed and the grehlin which is the hormone that causes hunger (head hunger, binging, etc). The pyloric muscle between the stomach and small intestine being intact and not removed as it is with the RnY, allows the stomach contents (in which the entry and exit ports are untouched and again only the bottom stomach sac (fundus) has been removed compared to the RnY that is a stoma that acts as a tunnel for food to slide through) to start their digestive process before food enters the intestine. This preservation eliminates the symptoms of dumping syndrome, marginal ulcers, strictures and blockages.
None of the intestinal tract with the DS is removed. The intestine is divided into 2 tracts. One tract is for food processing known as the food or alimentary limb and absorbs the protein and peptide hormone. It also controls your metabolism to supress carbs with the contribution of the peptide hormone that is ingested to reduces the amount of carbs that is converted to and stored as fat. Due to the mechanics of this limb, it also does not allow 80% of the fat and 50% of the calories to be stored in your system (meaning it is malabsorb). The other tract known as the digestive limb is for the digestion process for the flow of the bile and pancreatic juices from the liver and pancreas to be digested.
The 2 limbs meet together at the bottom, and beginning of the large intestine. This is known as a common channel. The common cahannel varies from DSer to DSer. Average is 100cm, but it may be personalized and range anywhere from 50cm to 150cm (base of the patient health's, history, etc.). The length of the common channel will determine how much malabsorption level a DSer has. The shorter the common channel, the more malabsorption a DSer will have, the longer the common channel, the less malabsorption a DSer may have.
I also think it is not wrong to think that it is unlikely for 100% of DS'ers to be successful and NO one EVER fail or gain, but my fear/fears are what if it didn't work for ME what do I do than?
Carbs is what affects a DSers in their success to weight loss, not calories or fat from food, so the range of obssessing, counting or making decision what food should I eat that will cause me to gain weight is less of concern compare to other WLS.
Keep in mind, as per my surgeon:
DSer malabsorbs on average 40% of the complex carbs
RnY malabsorbs on average 0%
DSer malabsorb on average 80% fat and this amount will stay constant with time
RnY malabsorb on average 35% fat and may be lower with time
DSer malabsorb on average 50% of the calories
RnY malabsorbs on average 0%
DSer and RnY both malabsorb 0% from simple carbs.
I lost weight at a slow steady pace and met goal at 14 months. Now, after 2 years, my metabolism is at turbo drive and able to lose weight more easily with no effort at all, eventhough I am now eating more. I do not want to lose anymore weight and would prefer (due to my body frame) to stay at 140 lbs and not go below that. Right now, I am 128-130 lbs. My surgeon recommended enzyme pills and up my carbs more (I was intaking 150 carbs daily, now I range higher than that). This means I can eat anything and not even worry about the carb intake, especially simple carbs. If I am still losing too much weight that I go underweight, the surgeon with perform a malabsorption control study to see what is the actual malabsorption level my body is having. The surgeon may also perform a revision to lengthen my common channel to help stop losing anymore weight. If a DSer is unable to lose weight, the common channel may be shorten. The revision for a DSer whether to lose more or stop losing weight, is usually an overnight stay at the hospital and altering the length of the common channel, compare to a RnYer who needs a revision and is a complicated surgical procedure
Therefore, if you are a DSer and want to lose more weight, curb the carbs as a first step. If you are a DSer and do not want to lose anymore weight, increase your carb intake and also may need to take enzyme pill to help as well. One important thing is, you must touch base with your DS surgeon for follow-ups and according to his findings will medically recommend what is appropriate for you. The metabolism of a DSer due to the switch portion is very powerful and does most of the work for you without too much effort on your part.
WHAT IF The stomach being removed and the fact that the surgery is not reversible(NO, I don't plan on have anything reversed ) but WHAT IF GOD forbid addtl research comes out years from now saying that this or that are issues caused b/c of malab.
With the DS, the stomach is not removed, only the bottom portion of the fundus that is basically a food storage bag. A DSer has to be deligent with their bloodwork lab and carry out what needs to be done by adjustments of their vitamins and supplements. If their blood work shows deficiencies after medical evaulation and still showing low level or extreme low levels after vitamins and supplement therapy and determine by the surgeon their malabsorption level is too high causing constant deficiencies over a period of time, their common channel can be lengthen. The common channel determines the amount of malabsorption a DSer will have. That lengthening or shortenig of the DS common channel is known as a DS revision. A RnY revision can go from anywhere to a reversible or takedown in placing all your parts back together (minus the pouch they created) and hope the pylorus valve does work when reattached to revising it, to another surgical procedure whether another RnY or to a DS. RnY to a DS or distal RnY revision is a huge surgery, compare to a DS to DS revision operation which is just varying the length of the common channel. The bottom portion of the stomach sac or fundus that has been removed for the DS is not a crucial or essential muscle that is needed. The purpose of the stomach is to hold food and with the DS, you do hold an amount of food in the stomach that start the digestion to be broken down. Only difference is, it is not a larger volume that can be held as before when you were non-op or an thin person who never had WLS. The DS reversal is placing the 2 limbs back into 1 intestinal tract.
WHAT IF it is proved that by the removal of the STOMACH,APPENDIX,GALLBLADDER,DS SWITCH ETC. some major issues can effect us later on in life(these are my fears for all WLS) AND than what do I do? At least, If it is RNY I may be able to get my stomach reconnected but with DS what could I do?
Appendix and gall bladder are removed on people who never had WLS. The stomach portion of the DS that is removed, as I stated above is a muscle that is not needed since the only purpose of the stomach that was removed was to hold more volume of food and nothing else. The grehlin that was removed is a hunger hormone. The removal, reversal or takedown of the DS switch can be done by taking the 2 limbs and reconnecting them again to become 1 intestinal tract. Compare the DS reversal to a RNY reversal or takedown, which is removing the pouch that was created from the entry and exit port, reconnect the plyorus valve back to where it was originally, reconnect the blind unused stomach that hasn't been used in awhile (with its grehlin hormone) to the the end of the esophagus and the other end. How complicate is a reversal of a RnY, I would recommend a book by my friend Dani Hart in which she goes into details about the RnY reversal to save her life and how complicated it was. Do research and compare the RnY reversal to a DS reversal.
AS stated before These are MY fears and I feel I am entitled to them. YES, I did ask for advise and I appreciate all of the information I have received.
I hope my explanations provide a better understanding to your inquiries and fear you may have. My best to you.
Edit to add: the name of Dani Hart book is "I Want To Live: Gastric Bypass Reversal"
3/4 of my stomach wold be removed and some feet of my intestines and I will only utilize approx 3 ft of that.
1/2 to 3/4 of the stomach that is the bottom portion of the fundus is removed. The part that is removed is not actually needed, since the stomach main purpose is to hold food and then release it at a certain rate with the contribution of the pylorus value, as it is naturally suppose to do and the stomach helps break down the food into smaller pieces for easier digestion. These are 2 functions that are removed or not used when you have a RnY and a stoma in place, in which causes the food to slide through to the intestine with no control and a possible cause of dumping and food getting stuck. Another function of the stomach is it starts digestion and since we do have our stomach and it is intact (just smaller), it still has its fully normal function on what it is suppose to do, hold food, digest it to break down to smaller piece, then move along to the small intestine at a controlled pace. RnY do not and no longer have this function and why they have to chew, chew, chew their food to mush. DSer do not have to chew their food to mush since our stomach can still do that for us.
The vertical sleeve stomach (that is not alter or created into a stoma as in the Rny) and allowing the pylorus valve to be intact (which is detach with no working ability for the RnY) helps a DSer maintains the normal function in the emptying the food contents of the stomach to the duodenum at its normal controlled pace and for better food tolerance. DSer have a normal functional stomach that remains untouch, with the only exception of having the bottom portion of their stomach removed and the grehlin which is the hormone that causes hunger (head hunger, binging, etc). The pyloric muscle between the stomach and small intestine being intact and not removed as it is with the RnY, allows the stomach contents (in which the entry and exit ports are untouched and again only the bottom stomach sac (fundus) has been removed compared to the RnY that is a stoma that acts as a tunnel for food to slide through) to start their digestive process before food enters the intestine. This preservation eliminates the symptoms of dumping syndrome, marginal ulcers, strictures and blockages.
None of the intestinal tract with the DS is removed. The intestine is divided into 2 tracts. One tract is for food processing known as the food or alimentary limb and absorbs the protein and peptide hormone. It also controls your metabolism to supress carbs with the contribution of the peptide hormone that is ingested to reduces the amount of carbs that is converted to and stored as fat. Due to the mechanics of this limb, it also does not allow 80% of the fat and 50% of the calories to be stored in your system (meaning it is malabsorb). The other tract known as the digestive limb is for the digestion process for the flow of the bile and pancreatic juices from the liver and pancreas to be digested.
The 2 limbs meet together at the bottom, and beginning of the large intestine. This is known as a common channel. The common cahannel varies from DSer to DSer. Average is 100cm, but it may be personalized and range anywhere from 50cm to 150cm (base of the patient health's, history, etc.). The length of the common channel will determine how much malabsorption level a DSer has. The shorter the common channel, the more malabsorption a DSer will have, the longer the common channel, the less malabsorption a DSer may have.
I also think it is not wrong to think that it is unlikely for 100% of DS'ers to be successful and NO one EVER fail or gain, but my fear/fears are what if it didn't work for ME what do I do than?
Carbs is what affects a DSers in their success to weight loss, not calories or fat from food, so the range of obssessing, counting or making decision what food should I eat that will cause me to gain weight is less of concern compare to other WLS.
Keep in mind, as per my surgeon:
DSer malabsorbs on average 40% of the complex carbs
RnY malabsorbs on average 0%
DSer malabsorb on average 80% fat and this amount will stay constant with time
RnY malabsorb on average 35% fat and may be lower with time
DSer malabsorb on average 50% of the calories
RnY malabsorbs on average 0%
DSer and RnY both malabsorb 0% from simple carbs.
I lost weight at a slow steady pace and met goal at 14 months. Now, after 2 years, my metabolism is at turbo drive and able to lose weight more easily with no effort at all, eventhough I am now eating more. I do not want to lose anymore weight and would prefer (due to my body frame) to stay at 140 lbs and not go below that. Right now, I am 128-130 lbs. My surgeon recommended enzyme pills and up my carbs more (I was intaking 150 carbs daily, now I range higher than that). This means I can eat anything and not even worry about the carb intake, especially simple carbs. If I am still losing too much weight that I go underweight, the surgeon with perform a malabsorption control study to see what is the actual malabsorption level my body is having. The surgeon may also perform a revision to lengthen my common channel to help stop losing anymore weight. If a DSer is unable to lose weight, the common channel may be shorten. The revision for a DSer whether to lose more or stop losing weight, is usually an overnight stay at the hospital and altering the length of the common channel, compare to a RnYer who needs a revision and is a complicated surgical procedure
Therefore, if you are a DSer and want to lose more weight, curb the carbs as a first step. If you are a DSer and do not want to lose anymore weight, increase your carb intake and also may need to take enzyme pill to help as well. One important thing is, you must touch base with your DS surgeon for follow-ups and according to his findings will medically recommend what is appropriate for you. The metabolism of a DSer due to the switch portion is very powerful and does most of the work for you without too much effort on your part.
WHAT IF The stomach being removed and the fact that the surgery is not reversible(NO, I don't plan on have anything reversed ) but WHAT IF GOD forbid addtl research comes out years from now saying that this or that are issues caused b/c of malab.
With the DS, the stomach is not removed, only the bottom portion of the fundus that is basically a food storage bag. A DSer has to be deligent with their bloodwork lab and carry out what needs to be done by adjustments of their vitamins and supplements. If their blood work shows deficiencies after medical evaulation and still showing low level or extreme low levels after vitamins and supplement therapy and determine by the surgeon their malabsorption level is too high causing constant deficiencies over a period of time, their common channel can be lengthen. The common channel determines the amount of malabsorption a DSer will have. That lengthening or shortenig of the DS common channel is known as a DS revision. A RnY revision can go from anywhere to a reversible or takedown in placing all your parts back together (minus the pouch they created) and hope the pylorus valve does work when reattached to revising it, to another surgical procedure whether another RnY or to a DS. RnY to a DS or distal RnY revision is a huge surgery, compare to a DS to DS revision operation which is just varying the length of the common channel. The bottom portion of the stomach sac or fundus that has been removed for the DS is not a crucial or essential muscle that is needed. The purpose of the stomach is to hold food and with the DS, you do hold an amount of food in the stomach that start the digestion to be broken down. Only difference is, it is not a larger volume that can be held as before when you were non-op or an thin person who never had WLS. The DS reversal is placing the 2 limbs back into 1 intestinal tract.
WHAT IF it is proved that by the removal of the STOMACH,APPENDIX,GALLBLADDER,DS SWITCH ETC. some major issues can effect us later on in life(these are my fears for all WLS) AND than what do I do? At least, If it is RNY I may be able to get my stomach reconnected but with DS what could I do?
Appendix and gall bladder are removed on people who never had WLS. The stomach portion of the DS that is removed, as I stated above is a muscle that is not needed since the only purpose of the stomach that was removed was to hold more volume of food and nothing else. The grehlin that was removed is a hunger hormone. The removal, reversal or takedown of the DS switch can be done by taking the 2 limbs and reconnecting them again to become 1 intestinal tract. Compare the DS reversal to a RNY reversal or takedown, which is removing the pouch that was created from the entry and exit port, reconnect the plyorus valve back to where it was originally, reconnect the blind unused stomach that hasn't been used in awhile (with its grehlin hormone) to the the end of the esophagus and the other end. How complicate is a reversal of a RnY, I would recommend a book by my friend Dani Hart in which she goes into details about the RnY reversal to save her life and how complicated it was. Do research and compare the RnY reversal to a DS reversal.
AS stated before These are MY fears and I feel I am entitled to them. YES, I did ask for advise and I appreciate all of the information I have received.
I hope my explanations provide a better understanding to your inquiries and fear you may have. My best to you.
Edit to add: the name of Dani Hart book is "I Want To Live: Gastric Bypass Reversal"
BMI = 23.7 3+ yrs post-op
stomach = 3.5 oz, common channel = 125 cm
Topic: RE: ***Friday Food & Fitness***
HW 305/SW 247/CW 130/LW 115/GW 140
BMI = 23.7 3+ yrs post-op
stomach = 3.5 oz, common channel = 125 cm
I am over 2 years post-op and in maintenance mode. I have to intake higher amount of carbs than the average DSer daily in order to help STOP losing weight. Good thing is, it doesn't affect me in any way (no negative side effects). Just want those reading to know if a DSer can't stop losing weight, the surgeon recommends they up their carb intake. That is what I am doing and it is helping me to maintain my weight and not lose anymore. I concentrate more on my protein and make sure I do eat enough high carbs, since my metabolism is on turbo mode right now and yeah after 2 years post-op. My DS is rocking. Reality is, I eat almost like a normal non-op person out there and no one notices or can tell I had WLS. I can eat more now, but not too much. Right now, I don't pay mind to anything that I eat. If I am hungry, I eat, no drama, issues, pity party, whining or feeling guility about it and it feels great that I do not need to deal or count calories or fat. Now, I don't even have to deal with carbs (for how long not sure, but for now, carbs are my friend to help me stop losing anymore weight). All I need to focus on is making sure I meet my protein quota for the day and that is it (also my vitamins and supplements). Life really is very beautiful living with the DS.
pre-morning
1 scoop Optimum Nutrition Rocky Road Protein
12 oz milk
breakfast
sausage mcffin with egg (added McD buttter to it)
McD hash brown
12oz can diet caffeine free orange soda
snack
LaYogurt Pina Colada yogurt
added 1 Tbsp, Betty Crocker Parline Crunch topping to it because I like it
lunch
Red Lobster
2 lobster, crab stuffed mushroom
wood grilled shrimp skewer and grilled chicken with rich pilaf
2 cheddar bay biscuit
salad with bleu cheese dressing and croutons
12 oz Ice tea
snack
4 Oreo pure white fudge covered sandwich cookies
12 oz milk
dinner
homemade lasagna
12 oz diet caffeine free orange soda
snack
just drink 12oz can diet caffeine free orange soda
late night snack
1 scoop Optimum Nutrition Rocky Road protein
10oz milk
calories 2481 / with DS adjustment 1241
carbs 216 g / with DS adjustment 166 g
protein 199 g / with DS adjustment 130 g
BMI = 23.7 3+ yrs post-op
stomach = 3.5 oz, common channel = 125 cm
Topic: RE: Post-op survey questions???
HW 305/SW 247/CW 130/LW 115/GW 140
BMI = 23.7 3+ yrs post-op
stomach = 3.5 oz, common channel = 125 cm
Hello Joan, although you just had surgery less than a week ago, keep in mind, any concerns you have about yourself should be communicated with your surgeon. Each of us have different post-op experiences. Do keep tab with your surgeon if you are constipated, if any pain develops or doesn't mellow down and especially if you feel something is not right. I am 2 years post-op and had a very difficult 1st year recovery. I didn't have any direct DS complications, just was a very slow healer and developed severe food intolerance and symptoms that disappeared, after I was 11 months post-op.
1.) How many bowel movements should I have within my one week post-op??? I had surgery Friday, had 3 bowel movements on Tuesday and none since.
I had my first bowel movement 4 days after surgery. After that, I started having daily bowel movements 7 days postop, sometimes 3-4 times a day and it was watery or very loose. At day 8, I was intaking more food compare to those first 7 days after surgery. It depended on what I ate, how much and the frequency of my food intake. I ate every hour because I had a difficult time eating and my VSG restriction portion of my DS didn't allow me to eat much at all. Just nibble here and there. I was limited to scramble eggs, yogurt, milk, soup, pudding, that I can remember. I did remember eating lots of strawberry/banana yogurts.
At day 12, I began to eat Wendy's chili and was able to eat 1/4 to 1/3 serving of it, at a time. Meat such as ground beef, salmon, roast pork, shrimps, lobster, ribeye steak, etc., I was able to eat 13 days post-op. I could only eat 2oz worth of meat per serving. Once I introduced meat into my daily intake, it helped me become a bit more regular with my daily bowel movements and I drank a lot of water and milk daily, basically all day long. During those first 10 days, it took me 2 hours to finish 1 cup or 8 oz of yogurt. I had to drink up on my fluids every 20-30 minutes to make sure I did not dehydrate or become constipated. I had bottled water by my side all the times and would drink it constantly. If I woke up in the middle of the night, I take the bottled water at my night stand, drink some and then go back to sleep. Also, calcium, iron and pain killers, may cause constipation. This is why it is important to let your surgeon know what is going on with you, in order that he may diagnose you and recommend what is needed for you.
2.) What should I take if no bowel movements???
Do contact your surgeon to make sure he is aware you have no bowel movement and what he recommends. Make sure you are drinking enough fluids. I didn't have issues with no bowel movements, but was told to have Miralax upon my surgeon's recommendation, after I went to his office and asked him if I become constipated what should I have at home. He also recommended Fibercon and Metamucil, and to make sure I was eating food rich in fiber. he told me calcium and iron may cause constipation, especially the amount we take. Hence up the fluids, food rich in fiber, etc.
Does this mean a obstruction?
Your surgeon can medically evaluate you on that if you feel or think you have an obstruction. If you are having symptoms of severe stomach pain, throwing up or other symptoms that is signalling your boady that it is not right, do not hestiate to go to the Emergency Room or contact your surgeon to be properly diagnosed and find out what it is.
I'm still on liquid diet till next Friday.
I think each surgeon's has different post-op protocols. I was on puree food (not liquid diet), after I had my surgery and taken to the step-down ICU. I was eating scrambled eggs once I got home from the hospital on day 5.
3.) Do I need to wear my abdominal binder all the time???
An abdominal binder was not required, but recomended by my surgery to help me with my post-op surgical recovery period, after I told him it was extremely painful within and every time I move about, it hurt like a mofo. My surgical pain lasted 28 nonstop days and I am serious about this, even with various pain killer. I was just a slow healer. Wearing it, helped keep everything within feel snugged and not feel too much pain when I move, especially getting up from a chair, sofa or bed. I did not need to wear it all the time. It did feel good wearing it when I went to sleep.
4.) Does the normal healing of my wounds look like scabs with yellow covering???
The incisional site where the cut was made does get hard. I had a severe allergic reaction from the steri-strips that cause swollen and red skin around the area. But, any cut may on the skin will "harden" along its crease, as it heals.
5.) How long after surgery do I need to worry about blood clots and life threatening complications?
If you have a history of blood clotting, if is very important your doctor knows to make sure proper treatment has been provided. After surgery, I was on herparin every so hours while at the hospital. But did not need any medication or preventation for it, once I was home. Besides, I was in constant contact with my surgeon because I had other surgical recovery issues and visted him every 4 days to make sure there weren't other post-op surgical problems. I was ok, just a rough recovery period and felt peace knowing my surgeon was there for me any time I needed him. If blood clotting is present, they might need to insert a Greenfield filter or provide something else.
6.) When does this stop or will it???
I didn't have problems with being hot or cold. I just wear what I need according to the temperature. Each DS post-operative person is different. Same thing as, some heal and recover faster than others. Some recover within 2 weeks of surgery, some within 4-6 weeks, some 8-10 weeks and like me that it took 15 weeks to recovery. Hang in there, the first year may be smooth sailing or a rough one. But, after that, it is beautiful living with the DS.
My best to you.
1.) How many bowel movements should I have within my one week post-op??? I had surgery Friday, had 3 bowel movements on Tuesday and none since.
I had my first bowel movement 4 days after surgery. After that, I started having daily bowel movements 7 days postop, sometimes 3-4 times a day and it was watery or very loose. At day 8, I was intaking more food compare to those first 7 days after surgery. It depended on what I ate, how much and the frequency of my food intake. I ate every hour because I had a difficult time eating and my VSG restriction portion of my DS didn't allow me to eat much at all. Just nibble here and there. I was limited to scramble eggs, yogurt, milk, soup, pudding, that I can remember. I did remember eating lots of strawberry/banana yogurts.
At day 12, I began to eat Wendy's chili and was able to eat 1/4 to 1/3 serving of it, at a time. Meat such as ground beef, salmon, roast pork, shrimps, lobster, ribeye steak, etc., I was able to eat 13 days post-op. I could only eat 2oz worth of meat per serving. Once I introduced meat into my daily intake, it helped me become a bit more regular with my daily bowel movements and I drank a lot of water and milk daily, basically all day long. During those first 10 days, it took me 2 hours to finish 1 cup or 8 oz of yogurt. I had to drink up on my fluids every 20-30 minutes to make sure I did not dehydrate or become constipated. I had bottled water by my side all the times and would drink it constantly. If I woke up in the middle of the night, I take the bottled water at my night stand, drink some and then go back to sleep. Also, calcium, iron and pain killers, may cause constipation. This is why it is important to let your surgeon know what is going on with you, in order that he may diagnose you and recommend what is needed for you.
2.) What should I take if no bowel movements???
Do contact your surgeon to make sure he is aware you have no bowel movement and what he recommends. Make sure you are drinking enough fluids. I didn't have issues with no bowel movements, but was told to have Miralax upon my surgeon's recommendation, after I went to his office and asked him if I become constipated what should I have at home. He also recommended Fibercon and Metamucil, and to make sure I was eating food rich in fiber. he told me calcium and iron may cause constipation, especially the amount we take. Hence up the fluids, food rich in fiber, etc.
Does this mean a obstruction?
Your surgeon can medically evaluate you on that if you feel or think you have an obstruction. If you are having symptoms of severe stomach pain, throwing up or other symptoms that is signalling your boady that it is not right, do not hestiate to go to the Emergency Room or contact your surgeon to be properly diagnosed and find out what it is.
I'm still on liquid diet till next Friday.
I think each surgeon's has different post-op protocols. I was on puree food (not liquid diet), after I had my surgery and taken to the step-down ICU. I was eating scrambled eggs once I got home from the hospital on day 5.
3.) Do I need to wear my abdominal binder all the time???
An abdominal binder was not required, but recomended by my surgery to help me with my post-op surgical recovery period, after I told him it was extremely painful within and every time I move about, it hurt like a mofo. My surgical pain lasted 28 nonstop days and I am serious about this, even with various pain killer. I was just a slow healer. Wearing it, helped keep everything within feel snugged and not feel too much pain when I move, especially getting up from a chair, sofa or bed. I did not need to wear it all the time. It did feel good wearing it when I went to sleep.
4.) Does the normal healing of my wounds look like scabs with yellow covering???
The incisional site where the cut was made does get hard. I had a severe allergic reaction from the steri-strips that cause swollen and red skin around the area. But, any cut may on the skin will "harden" along its crease, as it heals.
5.) How long after surgery do I need to worry about blood clots and life threatening complications?
If you have a history of blood clotting, if is very important your doctor knows to make sure proper treatment has been provided. After surgery, I was on herparin every so hours while at the hospital. But did not need any medication or preventation for it, once I was home. Besides, I was in constant contact with my surgeon because I had other surgical recovery issues and visted him every 4 days to make sure there weren't other post-op surgical problems. I was ok, just a rough recovery period and felt peace knowing my surgeon was there for me any time I needed him. If blood clotting is present, they might need to insert a Greenfield filter or provide something else.
6.) When does this stop or will it???
I didn't have problems with being hot or cold. I just wear what I need according to the temperature. Each DS post-operative person is different. Same thing as, some heal and recover faster than others. Some recover within 2 weeks of surgery, some within 4-6 weeks, some 8-10 weeks and like me that it took 15 weeks to recovery. Hang in there, the first year may be smooth sailing or a rough one. But, after that, it is beautiful living with the DS.
My best to you.
BMI = 23.7 3+ yrs post-op
stomach = 3.5 oz, common channel = 125 cm
Topic: RE: Which is best WLS for someone with Irritable Bowel Synd
HW 305/SW 247/CW 130/LW 115/GW 140
BMI = 23.7 3+ yrs post-op
stomach = 3.5 oz, common channel = 125 cm
QUESTION #1 = what WLS Surgery would you folks with the experience and more knowledge think would be best for me- with my IBS and sensitive digestive system ISSUES ~
~~~~~~~~~the VGS Vertical Gastric Band ---or---
~~~the entire DS whi*****ludes the 2 part operation on the stomach and the small intestine
Only you can determine what is best for you. Keep researching each and obtain the medical facts, compare side effects, complications, etc. and you will be able to decide which surgery you will be live with for life.
QUESTION #2 =Also, with the DS and Mal-absorption of fat soluble vits A,D,E, and K - what about taking other important and helpful supplements that are in capsules/liquid gel-caps
Fish Oil, Oil of Evening Primrose, CoQ 10 {i am asking bkz i do take these and they help with some illnesses and possibly prevent some health conditions such as heart, skin, hot-flashes-stopped mine!!!, and fish oil is brain food and may help folks with Alzheimer's!
There are dry form vitamins that we take that replace the fat soluble ones and not consider an issue or hard to find. I do take CoQ10 with no problem and at over 2 yrs postop have never had any difficienciesor red flags with any of my bloodwork results. I also take boron that has many positive benefits from helping your bones and inflammation to helping with memory function.
Question#3-have your DS and VGS/Sleeve been covered by insurance?
My insurance did cover the DS and my BMI was 42 when I had my surgery. regarding the VSG, some insurance covers it, some don't.
i was told of dangers of dumping,and pouches - not = exterior bodily fashion accessories :) , and the surprise that i would be crushing my vitamins and mixing them into applesauce & yogurt--- because i would no longer be using the bottom part of my stomach, in a manner of speaking! *do you STILL have to do this with DS and VGS even months after operation? {i had also read :no more rice, no more pasta... i love pasta and rice- brown rice is really excellent for you, right? but it will fill up the lil' pouch :( } ...
During the first 2 weeks of surgery, I did have to crush my pills, since my inside was very raw from the surgery. But, I was able to take regular pills without crushing them about 3-4 months postop.
In regards to eating rice, pasta, I ate white rice and beans (arroz con gandules) 14 days out of surgery with no problem. I wasn't able to eat much, but enough to satisfy the taste of it. It was after I had my pernil (latin roasted pork). Pasta took me alittle longer to tolerate and was able to eat it with no problems 5 months post-op. Tonight, I had angel hair pasta with meatball and marinara sauce.
***but the big major problem that concerns the WLS choices is this:i have severe Irritable Bowel Syndrome IBS --- and bkz i need your advice must elaborate, sorry, my problem consists of 3-4 bms or more - can occur as often as i use the bathroom - at least 1 maybe 2 large amount, but soft and or diarrhea- it is a mess- even when soft- it is getting really depressing now. {i already have known for yrs that i'm lactose intolerant, too}
I had severe IBS for 10 yrs. I was first a RNY pre-op and because of my severe IBS, the RnY was not recommended due to the pylorus being removed and it being a gastric bypass what would cause more aggravation because any food I eat would slide right through to the intestines and cause my diarrhea to continue and not be controlled as it what was happening to me then. The problem would still exist for me.
I changed to a new gastroenterologist *****commend I get tested for the DS and my insurance does cover it. She informed me that the DS would help with my IBS, severe obstructive sleep apnea and weight loss that would improve my health. She also informed me with the DS, I can continue taking me pain medications that were NSAIDs with no complications or for ulcers to occur as with the RNY. During the first year post-op, I was on Naproxen for painful menstrual symptoms that you are not able to take with the RnY.
I am 2 yrs post-op and ever since I had the DS, I am completely CURED of my severe IBS condition that I no longer suffer from. I go once or twice a day now since I was early out of surgery. They first 10 days, I did have frequen****ery stools and with time it fixed itself. By the time I was 1 year out, my bowel movements are soft, yet firm and no****ery and never had any diarrrhea. The DS helped control my bowel movements and eliminate IBS.
I was told that I might get lactose intolerant after having the DS and would need to change to Lactaid milk and use Lactaid pills prior to consuming any lactose or milk sugars products. I have never since having surgery been lactose intolerance and drink milk products daily with no side effects. Some DSer do get lactose intolerance and some don't.
~~~~~~~~~the VGS Vertical Gastric Band ---or---
~~~the entire DS whi*****ludes the 2 part operation on the stomach and the small intestine
Only you can determine what is best for you. Keep researching each and obtain the medical facts, compare side effects, complications, etc. and you will be able to decide which surgery you will be live with for life.
QUESTION #2 =Also, with the DS and Mal-absorption of fat soluble vits A,D,E, and K - what about taking other important and helpful supplements that are in capsules/liquid gel-caps
Fish Oil, Oil of Evening Primrose, CoQ 10 {i am asking bkz i do take these and they help with some illnesses and possibly prevent some health conditions such as heart, skin, hot-flashes-stopped mine!!!, and fish oil is brain food and may help folks with Alzheimer's!
There are dry form vitamins that we take that replace the fat soluble ones and not consider an issue or hard to find. I do take CoQ10 with no problem and at over 2 yrs postop have never had any difficienciesor red flags with any of my bloodwork results. I also take boron that has many positive benefits from helping your bones and inflammation to helping with memory function.
Question#3-have your DS and VGS/Sleeve been covered by insurance?
My insurance did cover the DS and my BMI was 42 when I had my surgery. regarding the VSG, some insurance covers it, some don't.
i was told of dangers of dumping,and pouches - not = exterior bodily fashion accessories :) , and the surprise that i would be crushing my vitamins and mixing them into applesauce & yogurt--- because i would no longer be using the bottom part of my stomach, in a manner of speaking! *do you STILL have to do this with DS and VGS even months after operation? {i had also read :no more rice, no more pasta... i love pasta and rice- brown rice is really excellent for you, right? but it will fill up the lil' pouch :( } ...
During the first 2 weeks of surgery, I did have to crush my pills, since my inside was very raw from the surgery. But, I was able to take regular pills without crushing them about 3-4 months postop.
In regards to eating rice, pasta, I ate white rice and beans (arroz con gandules) 14 days out of surgery with no problem. I wasn't able to eat much, but enough to satisfy the taste of it. It was after I had my pernil (latin roasted pork). Pasta took me alittle longer to tolerate and was able to eat it with no problems 5 months post-op. Tonight, I had angel hair pasta with meatball and marinara sauce.
***but the big major problem that concerns the WLS choices is this:i have severe Irritable Bowel Syndrome IBS --- and bkz i need your advice must elaborate, sorry, my problem consists of 3-4 bms or more - can occur as often as i use the bathroom - at least 1 maybe 2 large amount, but soft and or diarrhea- it is a mess- even when soft- it is getting really depressing now. {i already have known for yrs that i'm lactose intolerant, too}
I had severe IBS for 10 yrs. I was first a RNY pre-op and because of my severe IBS, the RnY was not recommended due to the pylorus being removed and it being a gastric bypass what would cause more aggravation because any food I eat would slide right through to the intestines and cause my diarrhea to continue and not be controlled as it what was happening to me then. The problem would still exist for me.
I changed to a new gastroenterologist *****commend I get tested for the DS and my insurance does cover it. She informed me that the DS would help with my IBS, severe obstructive sleep apnea and weight loss that would improve my health. She also informed me with the DS, I can continue taking me pain medications that were NSAIDs with no complications or for ulcers to occur as with the RNY. During the first year post-op, I was on Naproxen for painful menstrual symptoms that you are not able to take with the RnY.
I am 2 yrs post-op and ever since I had the DS, I am completely CURED of my severe IBS condition that I no longer suffer from. I go once or twice a day now since I was early out of surgery. They first 10 days, I did have frequen****ery stools and with time it fixed itself. By the time I was 1 year out, my bowel movements are soft, yet firm and no****ery and never had any diarrrhea. The DS helped control my bowel movements and eliminate IBS.
I was told that I might get lactose intolerant after having the DS and would need to change to Lactaid milk and use Lactaid pills prior to consuming any lactose or milk sugars products. I have never since having surgery been lactose intolerance and drink milk products daily with no side effects. Some DSer do get lactose intolerance and some don't.
BMI = 23.7 3+ yrs post-op
stomach = 3.5 oz, common channel = 125 cm
Topic: RE: Are There Different Ways of Doing the VSG?
HW 305/SW 247/CW 130/LW 115/GW 140
BMI = 23.7 3+ yrs post-op
stomach = 3.5 oz, common channel = 125 cm
Paul, you are a couple of months further out than I am. I have posted replies to you throughout the years (eventhough you are an idiot priving into my private life than just ask questions pertaining to the DS and ignored you for that). I think replies that have been posted and given to you throughout the years goes in one ear and out the other for you, unless it is filled with drama or contraversies, in which I ignore.
I had a few friends on the Texas board private message me about you asking for revision surgeons in Texas. I didn't even bothered to reply to your thread because you made no sense. One reason, you know very well, if you have problems with your DS as you are saying and regaining weight, you should contact Dr. Stewart office for a consult that is not far from Dallas or seek a DS surgeon that knows about the DS and how it works and you KNOW is a DS specialist/expert and most important a DS surgeon or make an appt with a gastroenterologist who is familar and has knowledge of the DS. Asking the mainly RNY postop members that you know are on that board and have no knowledge of the DS or the physiology of it, to seek recommendation or answers from them when you are a DSer, seems illogical. As you can see they gave you RNY revision surgeons and for you to even want info on the 2 RNY revision surgeons you posted about, who have no experience or been proctored to know about the DS is absurb. As I said, replying to your thread you posted there would have been a waste of time because you are far out enough to know the answers, if you read the threads here on the DS board to know what you got to do if you are post seeking support, advice, reference to the DS or surgeons who do revised the DS.
Getting your DS to be revised is not easy to get, since, there are specific medical testings that needs to be done to rule out certain conditions and factors before the DS surgeon determines you need one. This includes a malabsorption controlled study, barium scan MRI and even evaluate your eating habits for 6 months in which you must follow and log your intake to see what is resulting in your regain. Save your money and post your food intake here and have the other DSers help you out and guide you with recommendations and from reading what you need to do to help continue your weight loss. You seriously do not have any DS complications.
The barium MRI test is done to check your VSG and DS plumbing and functionality. Stalls are very normal and a part of postop life. Regain for a DS is a direct cause by excessive carb intake and most DSer know this. DSers, and especially you know very well calories and fat and even some complex carbs will not cause tremendous weight gain. Have you input your food intake to any online sites to check your intake of carbs, especially simple carbs and especially from beverages and food that are not sugar free? If not, I recommend you should start there and also post here to the DS board to seek support, guidance and advice to help you with your DS lifestyle that you do not understand (even if you are 3 years out and causing you issues and not failure with your DS). A DSer can eat and alot, but it depends on what food or meal you are intaking and you should already know that protein is prevalent for us, then complex carbs and if room carbs. If you are still not full, eat more protein rich food. Leave the simple carbs to a minimum. Start making a spreadsheet like menu to what you are eating or input your intake for the day to site as fitday.com, dailyplate.com or you can also purchase a more personalize software. Be aware and get control to what you are eating and see how much you are intaking daily in regards to your complex and simple carbs, before concluding that your DS has failed you and especially your VSG portion. The switch itself is very powerful. If anything, have a malabsorption control test study done to see what your malabsorption level is. Not every DSer has the same malabsorption level. It is very close, but each of us do slightly differ.
I know that my sleeve has doubled in capacity of late for sure, because of a dining pracitce of mine at a certain Italian restaurant that I like to eat at:.
You do know most Italian based food are high carbs and many of the dishes uses breading, white flour, pasta, sugar and those Italian breads and dessert are high carb, especially simple carbs. Since you are STILL in what is considered the weight loss phase, even if you are almost 3 years out, take control of the amount of your carb intake and see what value you are absorbing daily. Calories and fat do not count or have to worry about. If you eat 4000 calories a day and that is alot to eat, it comes out to about 2000 calories a day for you due to you malabsorption courtesy of the DS intestinal bypass portion. Complex carbs are malabsorb on average 40%. Simple carbs does all stay within you (absorb at 100%), so keep that as low as possible and varies from person to person. Complex carbs are needed to stay healthy and never should go below 35gms. Healthy amount of complex carbs is 100-150gms of complex carbs. This means control your carb intake until you hit your personal weight goal, then add to help maintain your weight.
My personal opinion would be, for you to not visit these Italian restaurant for a month and see how that goes or at least not eat or avoid food that has breading, pasta, sugary and of course pushing away the bread, desserts and regular drinks and juice. By order of elimination of such things, you can determine where you stand with your weight and if there is any changes after a month. Also, lay off food that are known as high carb or high in simple carbs for a month. Don't know which food is high carb, you are knowledgeable to google the nutritional values.
My client responded to that news by pointing out that his surgeon supposedly does his VSG in a particular way, in which it sounds like he cuts away the front portion of the stomach and then "wraps" the skin back under and up the back, where the edges are then stapled together.
Supposedly, this particular configuration makes it much more difficult for the sleeve to "expand" in response to being filled with food, vs. other ways of designing it. The client says Dr. Barker told him that the "weak point" of the stomach (which I guess means where the flesh is thinnest?) is toward the front and it is therefore in that area where it is most likely to stretch out when filled up. He fashions the sleeve in such a manner to supposedly minimize the ability of the sleeve to change size over time.
Has anyone else heard anything like this?
I seriously recommend you contact Dr. Stewart and direct your concerns regarding this to see what he says or email Dr. Ganger or another DS surgeon you feel most comfortable to see what they have to say about it. Dr. Barker, although and excellent RNY surgeon and just started doing VSG recently as many RNY surgeons are jumping the bandwagon for this, does not compare to a any DS surgeons who has done the DS and is very familar with the VSG in relation to the DS configuration or even a VSG stand alone with more years and patient case in experience and expertise.
I wonder now, whether my surgeon didn't follow that procedure when doing the sleeve part of my DS and, if not, whether my VSG could be "re-done" in that configuration to keep it from expanding again.
If you don't know what your surgeon performed on you, I recommend you contact him (which show you haven't) and ask him. Since you are questioning your surgeon and how he configured the VSG portion on you, I think you should also request a copy of your surgical report.
I had a few friends on the Texas board private message me about you asking for revision surgeons in Texas. I didn't even bothered to reply to your thread because you made no sense. One reason, you know very well, if you have problems with your DS as you are saying and regaining weight, you should contact Dr. Stewart office for a consult that is not far from Dallas or seek a DS surgeon that knows about the DS and how it works and you KNOW is a DS specialist/expert and most important a DS surgeon or make an appt with a gastroenterologist who is familar and has knowledge of the DS. Asking the mainly RNY postop members that you know are on that board and have no knowledge of the DS or the physiology of it, to seek recommendation or answers from them when you are a DSer, seems illogical. As you can see they gave you RNY revision surgeons and for you to even want info on the 2 RNY revision surgeons you posted about, who have no experience or been proctored to know about the DS is absurb. As I said, replying to your thread you posted there would have been a waste of time because you are far out enough to know the answers, if you read the threads here on the DS board to know what you got to do if you are post seeking support, advice, reference to the DS or surgeons who do revised the DS.
Getting your DS to be revised is not easy to get, since, there are specific medical testings that needs to be done to rule out certain conditions and factors before the DS surgeon determines you need one. This includes a malabsorption controlled study, barium scan MRI and even evaluate your eating habits for 6 months in which you must follow and log your intake to see what is resulting in your regain. Save your money and post your food intake here and have the other DSers help you out and guide you with recommendations and from reading what you need to do to help continue your weight loss. You seriously do not have any DS complications.
The barium MRI test is done to check your VSG and DS plumbing and functionality. Stalls are very normal and a part of postop life. Regain for a DS is a direct cause by excessive carb intake and most DSer know this. DSers, and especially you know very well calories and fat and even some complex carbs will not cause tremendous weight gain. Have you input your food intake to any online sites to check your intake of carbs, especially simple carbs and especially from beverages and food that are not sugar free? If not, I recommend you should start there and also post here to the DS board to seek support, guidance and advice to help you with your DS lifestyle that you do not understand (even if you are 3 years out and causing you issues and not failure with your DS). A DSer can eat and alot, but it depends on what food or meal you are intaking and you should already know that protein is prevalent for us, then complex carbs and if room carbs. If you are still not full, eat more protein rich food. Leave the simple carbs to a minimum. Start making a spreadsheet like menu to what you are eating or input your intake for the day to site as fitday.com, dailyplate.com or you can also purchase a more personalize software. Be aware and get control to what you are eating and see how much you are intaking daily in regards to your complex and simple carbs, before concluding that your DS has failed you and especially your VSG portion. The switch itself is very powerful. If anything, have a malabsorption control test study done to see what your malabsorption level is. Not every DSer has the same malabsorption level. It is very close, but each of us do slightly differ.
I know that my sleeve has doubled in capacity of late for sure, because of a dining pracitce of mine at a certain Italian restaurant that I like to eat at:.
You do know most Italian based food are high carbs and many of the dishes uses breading, white flour, pasta, sugar and those Italian breads and dessert are high carb, especially simple carbs. Since you are STILL in what is considered the weight loss phase, even if you are almost 3 years out, take control of the amount of your carb intake and see what value you are absorbing daily. Calories and fat do not count or have to worry about. If you eat 4000 calories a day and that is alot to eat, it comes out to about 2000 calories a day for you due to you malabsorption courtesy of the DS intestinal bypass portion. Complex carbs are malabsorb on average 40%. Simple carbs does all stay within you (absorb at 100%), so keep that as low as possible and varies from person to person. Complex carbs are needed to stay healthy and never should go below 35gms. Healthy amount of complex carbs is 100-150gms of complex carbs. This means control your carb intake until you hit your personal weight goal, then add to help maintain your weight.
My personal opinion would be, for you to not visit these Italian restaurant for a month and see how that goes or at least not eat or avoid food that has breading, pasta, sugary and of course pushing away the bread, desserts and regular drinks and juice. By order of elimination of such things, you can determine where you stand with your weight and if there is any changes after a month. Also, lay off food that are known as high carb or high in simple carbs for a month. Don't know which food is high carb, you are knowledgeable to google the nutritional values.
My client responded to that news by pointing out that his surgeon supposedly does his VSG in a particular way, in which it sounds like he cuts away the front portion of the stomach and then "wraps" the skin back under and up the back, where the edges are then stapled together.
Supposedly, this particular configuration makes it much more difficult for the sleeve to "expand" in response to being filled with food, vs. other ways of designing it. The client says Dr. Barker told him that the "weak point" of the stomach (which I guess means where the flesh is thinnest?) is toward the front and it is therefore in that area where it is most likely to stretch out when filled up. He fashions the sleeve in such a manner to supposedly minimize the ability of the sleeve to change size over time.Has anyone else heard anything like this?
I seriously recommend you contact Dr. Stewart and direct your concerns regarding this to see what he says or email Dr. Ganger or another DS surgeon you feel most comfortable to see what they have to say about it. Dr. Barker, although and excellent RNY surgeon and just started doing VSG recently as many RNY surgeons are jumping the bandwagon for this, does not compare to a any DS surgeons who has done the DS and is very familar with the VSG in relation to the DS configuration or even a VSG stand alone with more years and patient case in experience and expertise.
I wonder now, whether my surgeon didn't follow that procedure when doing the sleeve part of my DS and, if not, whether my VSG could be "re-done" in that configuration to keep it from expanding again.
If you don't know what your surgeon performed on you, I recommend you contact him (which show you haven't) and ask him. Since you are questioning your surgeon and how he configured the VSG portion on you, I think you should also request a copy of your surgical report.
BMI = 23.7 3+ yrs post-op
stomach = 3.5 oz, common channel = 125 cm
Topic: RE: Lil' Scared of DS..... Please help!!!!
I had a very slow healing recovery period and severe food intolerance that caused dumping like symptoms. Take note, I did not have dumping like a RNY has from their plumbing, just side effect symptoms that were similar. Mine were directly related to food intolerance and not from the DS plumbing. It took me a good 11 months, to recover from that and had no further negative experiences or issues with that ever again.
2. How long were you in the hospital? Out of work?
I was in the hospital 4 days, 3 days step down ICU and 1 day at the regular floor. I could have stay for an extra day, but felt ok to go back home the 4th day after surgery and it was at night. I did not return to wor****il I was 16-18 weeks post-op. I had a slow healing recovery.
3. What the heck is "dumping"?
Dumping is a reaction to how food is processed and passed into digestive system due to certain factors, such as food going down to quickly through the intestines, certain amount of sugar or carbs intake, trigger food, etc. A Dser does not experience dumping as a RNYer since the DS stomach is intact and functional (only the bottom portion of the stomach sac is removed, but you still have your original stomach which is the top portion of the sac and again fully functionality with entry and exit ports untouched) that take the food to the small intestine via the plyorus value which is untouch and intact to allow food to pass and process with control as it is suppose to.
It is extremely rare for a DSer to dump (less than 1%) and would be similar to the same condition as a person who never had WLS surgery and dumps. It depends from what it is that is causing a DSer to have such condition and to be closely monitored by their surgeon to rule out other conditions or underlying factors. Some DSer may experience food intolerance that will give them "dumping like" physical symptoms. To some it may disappear as you get further out, to others, they may still have it for a longer period of time (such as from intaking certain dairy products known as lactose intolerance). Just wanted to say dumping is not a condition that occurs to a DSer or what a is known as RNY dumping.
4. What kind of scar do you get from DS, especialy Lap DS????????
I had lap DS and have 7 incisional scars. My surgery took 5 hours to perform.HW 305/SW 247/CW 130/LW 115/GW 140
BMI = 23.7 3+ yrs post-op
stomach = 3.5 oz, common channel = 125 cm
The above are potential risks that may occur with ANY type of surgery and that includes non WLS procedures. It truly depends on your health condition, weight and co-morbidities that would cause risk and complication to occur from being under anesthesia and in surgery.
1. I would like to know who has had complications of the surgeries and what were they?I had a very slow healing recovery period and severe food intolerance that caused dumping like symptoms. Take note, I did not have dumping like a RNY has from their plumbing, just side effect symptoms that were similar. Mine were directly related to food intolerance and not from the DS plumbing. It took me a good 11 months, to recover from that and had no further negative experiences or issues with that ever again.
2. How long were you in the hospital? Out of work?
I was in the hospital 4 days, 3 days step down ICU and 1 day at the regular floor. I could have stay for an extra day, but felt ok to go back home the 4th day after surgery and it was at night. I did not return to wor****il I was 16-18 weeks post-op. I had a slow healing recovery.
3. What the heck is "dumping"?
Dumping is a reaction to how food is processed and passed into digestive system due to certain factors, such as food going down to quickly through the intestines, certain amount of sugar or carbs intake, trigger food, etc. A Dser does not experience dumping as a RNYer since the DS stomach is intact and functional (only the bottom portion of the stomach sac is removed, but you still have your original stomach which is the top portion of the sac and again fully functionality with entry and exit ports untouched) that take the food to the small intestine via the plyorus value which is untouch and intact to allow food to pass and process with control as it is suppose to.
It is extremely rare for a DSer to dump (less than 1%) and would be similar to the same condition as a person who never had WLS surgery and dumps. It depends from what it is that is causing a DSer to have such condition and to be closely monitored by their surgeon to rule out other conditions or underlying factors. Some DSer may experience food intolerance that will give them "dumping like" physical symptoms. To some it may disappear as you get further out, to others, they may still have it for a longer period of time (such as from intaking certain dairy products known as lactose intolerance). Just wanted to say dumping is not a condition that occurs to a DSer or what a is known as RNY dumping.
4. What kind of scar do you get from DS, especialy Lap DS????????
I had lap DS and have 7 incisional scars. My surgery took 5 hours to perform.
BMI = 23.7 3+ yrs post-op
stomach = 3.5 oz, common channel = 125 cm
Topic: RE: ***Thursday Food & Fitness***
HW 305/SW 247/CW 130/LW 115/GW 140
BMI = 23.7 3+ yrs post-op
stomach = 3.5 oz, common channel = 125 cm
| Meal | Item Name | Calories | Carbs | Fats | Protein |
| breakfast | Eggs Benedict | 594 | 27g | 41g | 28g |
| snack | ON Rocky Road Protein | 129 | 3g | 1g | 24g |
| snack | 8oz Lactaid Fat Free Milk | 80 | 13g | 0g | 8g |
| lunch | Elio's Cheese Pepperoni Pizza | 450 | 44g | 18g | 19g |
| snack | Pina Colada Yogurt | 150 | 30g | 2g | 5g |
| dinner | 6 Coconut Shrimps | 622 | 84g | 10g | 28g |
| dinner | 1/8 cup Pina Colada Sauce | 238 | 28g | 14g | 2g |
| dinner | 1/2 cup Coleslaw | 112 | 10g | 8g | 1g |
| snack | ON Rocky Road Protein | 129 | 3g | 1g | 24g |
| snack | 10oz Lactaid Fat Free Milk | 100 | 16g | 0g | 10g |
| Totals with DS Calculation | |||||||
| Calories | Fat | Carbs | Sugars | Protein | |||
| 2,584 | 95g | 258g | 88g | 150g | |||
| 1,292 | 19g | 174g | 88g | 105g | |||
BMI = 23.7 3+ yrs post-op
stomach = 3.5 oz, common channel = 125 cm
Topic: RE: revision of DS
HW 305/SW 247/CW 130/LW 115/GW 140
BMI = 23.7 3+ yrs post-op
stomach = 3.5 oz, common channel = 125 cm
The only surgeon to perform revisions and that has a track record of experience in NYC is Dr. Inabnet. The other DS surgeons in NYC do not perform revisions. I am not sure about revising DS from the others DS surgeons. You would have to contact them regarding that. I know, the other DS surgeons do not do revision to DS. Sean stated that Dr Shah does do revisions to DS, but haven't met anyone in person or online who had him and wouldn't know if he does DS to DS revision. He might and you can contact him to find out.
Speak to Rodelyn at Dr Inabnet's office in regards to your medical situation and other concerns. He will perform certain tests to rule out certain conditions and factors before finalizing to perform a revised DS surgical procedure on you.
... 212-305-0444
Next on my list to contact for consult would be Dr. Greenbaum in Jersey. My best to you.
Speak to Rodelyn at Dr Inabnet's office in regards to your medical situation and other concerns. He will perform certain tests to rule out certain conditions and factors before finalizing to perform a revised DS surgical procedure on you.
... 212-305-0444
Next on my list to contact for consult would be Dr. Greenbaum in Jersey. My best to you.
BMI = 23.7 3+ yrs post-op
stomach = 3.5 oz, common channel = 125 cm
Topic: RE: New here and I'm interested in DS
HW 305/SW 247/CW 130/LW 115/GW 140
BMI = 23.7 3+ yrs post-op
stomach = 3.5 oz, common channel = 125 cm
Can you guys tell me your experience?
The first 10 months post-op was very rough for me. It gave me the opportunity to get to know my digestive system, how it works and affected. After I hit my 12th month (1st yr surgiversary), everything from there has been a smooth journey with no issues.
Pros and cons?
Pro -
* I live life with the DS as though I NEVER had surgery.
* I don't live counting, obsessing, freaking out or feel guilty eating anything that is high calorie, high in fat or even high in carbs
* It is an easier way to live with life with not wasting your precious time dealing or sorting through low fat, low calorie or low carb type of diets.
* Not going through those horrendous experience of dumping syndrome for the rest of your life or when you eat something that may or not affect you. Seriously, that dumping crap is awful to deal with if you become one who has to have it. The mental push that it is a good thing to avoid certain food is utter BS. Dumping syndrome also cause the acid in your mouth from throwing up to cause teeth issues such as tooth decay.
* No issues with food getting stuck or having to deal with strictures. No need to chew food down to pulp, especially if you are early out. At 10 days out, I was eating a small portion (about 2 tbsp) of rice and beans and 2oz nicely marbled rib-eye steak with au jus (yeah the gravy from it. Best thing about it, I was able to digest it with no problems and didn't need to chew, chew, chew.
* With the DS, you want to eat something go ahead, most likely you will malabsorb most of it anyway. For the DS, it is all about moderation when it comes to simple carbs intake, that may be an issue for some, but not all Dsers. The amount or limit varies from DSer or DSer. I can eat 300gms of carbs for a few days, with no negative side effects or weight gain. With the DS, complex carbs is malabsorb at 40%, with other bariatric surgeries, you do not malabsorb the complex carbs.
* I enjoy drinking my diet orange soda daily and it does not affect me either. I just make sure it is caffeine free. But, there is nothing like a refreshing carbonated drink to enjoy daily and not worry that it will cause a reaction from it. It did early in my journey causing horrible stomach cramps I was able to drink carbonated soda with no issues, after I was 16 months post-op. Still have issues with the dark sodas, such as diet Pepsi, diet Coke, diet Rite, diet Dr Pepper, etc. The caramel coating still gives me slight cramps, but not as bad as before.
Con-
* I do not consider this a con, but I have to be diligent with my vitamins and supplements intake. But that goes for any bariatric surgery, not just the DS.
* Make sure you have your blood work done periodically and more if you have deficiencies. You MUST keep tab and adjust your vitamins and supplements accordingly. Again, not a con, but these 2 things are vital to good health and to live life with no discrepancies.
Happy experiences?
EVERYTHING!!!!!!!!!! I have the DS and have enjoyed the outcome from it all. I do not have any nutritional or blood deficiencies and never had since having my DS. Some DSer live on eating a high fat diet. I have not. If I want to, I can, but do not do it on a daily basis and still go once a day as needed and still lost all the weight. Like I said, the first year was rough, but after that, life has been very beautiful living with the DS and unnoticeable when it come to going out, eating and even bodily functions. One of the best experience is, I have not gain any weight at all and do eat high carbs meals at times.
Regrets?
NONE for me.
I feel those that don't understand what the DS is or how it works to benefit your health and well being are missing out on having such a great surgery. There are those that speak about the DS (eventhough they do not have it) in a tone that is very negative, ignorant and filled with misnomers. Some listen to rumors that are not even true. There is a very small percentage of DSer who do have complications and issues, but it does not speak, reflect or represent the entire DSer community or in general. That is called ignorance if people think it happens to the majority.
Some think because their insurance will not cover it, they can't have it. There is something called an appeal process that can overturn their insurance company's WLS clause. They can have their surgery, if they put in the effort to appeal it. It is a shame in their mentality to think the DS is a bad thing or can't have it, when it is one of the most incredible bariatric surgery to date with restriction and malbsorption and the ability to have a wide range of food that is YOUR OPTION in what you want without worrying about getting sick, having negative side effects or gain weight and most importantly go through guilt trips over it.
The first 10 months post-op was very rough for me. It gave me the opportunity to get to know my digestive system, how it works and affected. After I hit my 12th month (1st yr surgiversary), everything from there has been a smooth journey with no issues.
Pros and cons?
Pro -
* I live life with the DS as though I NEVER had surgery.
* I don't live counting, obsessing, freaking out or feel guilty eating anything that is high calorie, high in fat or even high in carbs
* It is an easier way to live with life with not wasting your precious time dealing or sorting through low fat, low calorie or low carb type of diets.
* Not going through those horrendous experience of dumping syndrome for the rest of your life or when you eat something that may or not affect you. Seriously, that dumping crap is awful to deal with if you become one who has to have it. The mental push that it is a good thing to avoid certain food is utter BS. Dumping syndrome also cause the acid in your mouth from throwing up to cause teeth issues such as tooth decay.
* No issues with food getting stuck or having to deal with strictures. No need to chew food down to pulp, especially if you are early out. At 10 days out, I was eating a small portion (about 2 tbsp) of rice and beans and 2oz nicely marbled rib-eye steak with au jus (yeah the gravy from it. Best thing about it, I was able to digest it with no problems and didn't need to chew, chew, chew.
* With the DS, you want to eat something go ahead, most likely you will malabsorb most of it anyway. For the DS, it is all about moderation when it comes to simple carbs intake, that may be an issue for some, but not all Dsers. The amount or limit varies from DSer or DSer. I can eat 300gms of carbs for a few days, with no negative side effects or weight gain. With the DS, complex carbs is malabsorb at 40%, with other bariatric surgeries, you do not malabsorb the complex carbs.
* I enjoy drinking my diet orange soda daily and it does not affect me either. I just make sure it is caffeine free. But, there is nothing like a refreshing carbonated drink to enjoy daily and not worry that it will cause a reaction from it. It did early in my journey causing horrible stomach cramps I was able to drink carbonated soda with no issues, after I was 16 months post-op. Still have issues with the dark sodas, such as diet Pepsi, diet Coke, diet Rite, diet Dr Pepper, etc. The caramel coating still gives me slight cramps, but not as bad as before.
Con-
* I do not consider this a con, but I have to be diligent with my vitamins and supplements intake. But that goes for any bariatric surgery, not just the DS.
* Make sure you have your blood work done periodically and more if you have deficiencies. You MUST keep tab and adjust your vitamins and supplements accordingly. Again, not a con, but these 2 things are vital to good health and to live life with no discrepancies.
Happy experiences?
EVERYTHING!!!!!!!!!! I have the DS and have enjoyed the outcome from it all. I do not have any nutritional or blood deficiencies and never had since having my DS. Some DSer live on eating a high fat diet. I have not. If I want to, I can, but do not do it on a daily basis and still go once a day as needed and still lost all the weight. Like I said, the first year was rough, but after that, life has been very beautiful living with the DS and unnoticeable when it come to going out, eating and even bodily functions. One of the best experience is, I have not gain any weight at all and do eat high carbs meals at times.
Regrets?
NONE for me.
I feel those that don't understand what the DS is or how it works to benefit your health and well being are missing out on having such a great surgery. There are those that speak about the DS (eventhough they do not have it) in a tone that is very negative, ignorant and filled with misnomers. Some listen to rumors that are not even true. There is a very small percentage of DSer who do have complications and issues, but it does not speak, reflect or represent the entire DSer community or in general. That is called ignorance if people think it happens to the majority.
Some think because their insurance will not cover it, they can't have it. There is something called an appeal process that can overturn their insurance company's WLS clause. They can have their surgery, if they put in the effort to appeal it. It is a shame in their mentality to think the DS is a bad thing or can't have it, when it is one of the most incredible bariatric surgery to date with restriction and malbsorption and the ability to have a wide range of food that is YOUR OPTION in what you want without worrying about getting sick, having negative side effects or gain weight and most importantly go through guilt trips over it.
BMI = 23.7 3+ yrs post-op
stomach = 3.5 oz, common channel = 125 cm
Topic: RE: ..
HW 305/SW 247/CW 130/LW 115/GW 140
BMI = 23.7 3+ yrs post-op
stomach = 3.5 oz, common channel = 125 cm
As Val said, it is one of those things you won't know until after you have surgery and it can happen with any of the bariatric surgeries. I am 2 yrs out and have never been lactose intolerant. I was able to drink milk, right after surgery with no problem. If you do become lactose intolerant, you can drink Lactaid milk and use Lactaid pills to help you have things that are dairy or have lactose in it. I purchased Lactaid pills prior to having surgery, since I read from a number of people that have become lactose intolerant. It was a waste buying it, since I did not experience any lactose intolerance issues since having my DS.
BMI = 23.7 3+ yrs post-op
stomach = 3.5 oz, common channel = 125 cm
Topic: RE: Curious - pain med tolerance post op?
HW 305/SW 247/CW 130/LW 115/GW 140
BMI = 23.7 3+ yrs post-op
stomach = 3.5 oz, common channel = 125 cm
There is liquid Lortab. Unfortunately, Lortab gave me a severe allergic reaction that I was unaware of, once I was out of surgery and in the step down ICU, that included vomiting and it was very painful to vomit once you are out of surgery and off the morphine drip. I was then given tynelol with codeine and crush them in order to ingest them, after they remove the morphine pump. I crushed it, added it into a small amount of water and drink it. I also had in addition to the tynelol other pain meds, once I was home, since my pain was extreme and unbearable. I will say, it taste awful and very chalky to crush them down and ingest as is or mixed with water But, I had to do what I needed to help ease my pain level. Speak to your surgeon about it and if there is any other pain meds you are able to take once you have surgery that you can tolerate and take.
BMI = 23.7 3+ yrs post-op
stomach = 3.5 oz, common channel = 125 cm
Topic: RE: The good, the bad and the ugly of DS
HW 305/SW 247/CW 130/LW 115/GW 140
BMI = 23.7 3+ yrs post-op
stomach = 3.5 oz, common channel = 125 cm
Here's what I know so far:
Certain foods (and sometimes ALL food) give you unbearable VERY stinky gas
Certain foods can give ANY post-op very stinky gas whether they had RnY, DS, VSG, VBG or even LapBand. It is an individual thing and not based as being general fact solely for DSer. The statement that ALL food gives a DSer very stinky gas is also a fallacy. The first year post-op I had a lot of food intolerance and NOT ONCE had any diarrhea, bathroom issues or certainly there weren't very stinky gas from it. Hey, I fart as do many people do, including non-op. First year is a lot of trial and error and you will get to know your system very well. The only issue that gave me very smelly gas was almonds, as it may with any other post-op with food they eat, regardless what type of surgery they have.
One of the great pluses of having the DS is, the post-op is very aware which type of food can cause them to have gas issues and they can CONTROL it for it not to occur. DSers are very in tune with their digestive system and mechanics to what happens when certain food is eaten and doesn't agree with them. This is very easily controllable and not an issue at all.
Revision from RNY to DS has LOTS of "could" happens
A revision in general that consist of having a take-down or reversal from the RnY is a very complicated surgical procedure and should only be perform by very experienced and knowledgeable revision surgeons. In general, there can be a lot of "could" happen with ANY of the bariatric procedures and depends on the patient's health condition, weight and other pre-exisitng factors.
Longer surgery
Depends of various factors based on the patient medical condition and even weight. This is for any bariatric surgery and not just the DS.
Longer Hospital
I was high risk and spent 4 days in the hospital. Even as high risk, I was discharge on day 4 and with no medical complications that needed to me stay there any longer. On average, DSers spend 3-4 days inpatient after surgery, then discharge.
Longer time off work
Depends on the individual. Some are able to recover faster and go back to work in 2 weeks. Others, depending on whatever it is and even in the surgical recovery process, may take alittle longer.
"Most" people LOVE their DS and would do it again in a heartbeat.
I would because I live life as though I NEVER had WLS. I can eat food and not worry, focus or even concentrate on what I eat. I am hungry, I go eat. If I am still hungry, I go again and eat. No big deal or drama about it. The best thing is, I haven't gained any weight. Calories, fat and even complex carbs has not been an issue for me and I have tested my limits on it with no negative effects. The most important thing to me is I have my health back and able to move on in life and beautifully with no issues or guilt from it.
A Lot of people wish they'd never done it (because of the "brown cloud")
If you mean farting. I would like to know who are these "a lot of people" who wished they never done it because of the "brown cloud" that said that. I personally know a lot of DSers in real life and even myself as a DSer, do not have issues with gas or bowel movements that impedes in mine or their lifestyle. It is all common sense to be honest. DSer do know what to avoid and have in moderation when it comes to eating things that do not agree with them, especially when in public.
Many of the hear-says that are said to you or have read, I am sure are from people who do not have the DS as their surgery or experienced life being a post-op DSer. Huge difference to live it and another to hear from 3rd parties or friend of a friend. As for me, living with the DS so far has been very productive and beautiful experience. My DS friends do not regret it either and many here on this board and other boards that I am a member of, also do NOT regret having the DS. I enjoy the freedom I have living with the DS since there is no limitations to anything in regards to food and haven't once had any negative side effects since the initial 1st year post-op with severe food intolerance which has since then been ALL GONE. Food is just food and I have the option to choose what I want to eat or have without worrying, freaking out, go into pity party mode of guilt, deal with if I might get sick or even gain weight. I am now in maintenance mode and do not want to lose anymore weight.
I would rather be 300 lbs than have gas issues (I'm such a prude!)
I personally weighed 305 lbs and was suffering alot with immobility and my health deteriorating taking me closer and closer to my death. It was a very difficult life living with 300 lbs on my tiny body frame. I now weight 135 lbs and have my health back, a great social life, enjoy playing sports and most of all, have my independence not to rely on anyone to assist me, especially with my daily basic tasks and needs. Like I said, life is beautiful living with the DS.
Wishing you the best in your journey to better health and life.
Certain foods (and sometimes ALL food) give you unbearable VERY stinky gas
Certain foods can give ANY post-op very stinky gas whether they had RnY, DS, VSG, VBG or even LapBand. It is an individual thing and not based as being general fact solely for DSer. The statement that ALL food gives a DSer very stinky gas is also a fallacy. The first year post-op I had a lot of food intolerance and NOT ONCE had any diarrhea, bathroom issues or certainly there weren't very stinky gas from it. Hey, I fart as do many people do, including non-op. First year is a lot of trial and error and you will get to know your system very well. The only issue that gave me very smelly gas was almonds, as it may with any other post-op with food they eat, regardless what type of surgery they have.
One of the great pluses of having the DS is, the post-op is very aware which type of food can cause them to have gas issues and they can CONTROL it for it not to occur. DSers are very in tune with their digestive system and mechanics to what happens when certain food is eaten and doesn't agree with them. This is very easily controllable and not an issue at all.
Revision from RNY to DS has LOTS of "could" happens
A revision in general that consist of having a take-down or reversal from the RnY is a very complicated surgical procedure and should only be perform by very experienced and knowledgeable revision surgeons. In general, there can be a lot of "could" happen with ANY of the bariatric procedures and depends on the patient's health condition, weight and other pre-exisitng factors.
Longer surgery
Depends of various factors based on the patient medical condition and even weight. This is for any bariatric surgery and not just the DS.
Longer Hospital
I was high risk and spent 4 days in the hospital. Even as high risk, I was discharge on day 4 and with no medical complications that needed to me stay there any longer. On average, DSers spend 3-4 days inpatient after surgery, then discharge.
Longer time off work
Depends on the individual. Some are able to recover faster and go back to work in 2 weeks. Others, depending on whatever it is and even in the surgical recovery process, may take alittle longer.
"Most" people LOVE their DS and would do it again in a heartbeat.
I would because I live life as though I NEVER had WLS. I can eat food and not worry, focus or even concentrate on what I eat. I am hungry, I go eat. If I am still hungry, I go again and eat. No big deal or drama about it. The best thing is, I haven't gained any weight. Calories, fat and even complex carbs has not been an issue for me and I have tested my limits on it with no negative effects. The most important thing to me is I have my health back and able to move on in life and beautifully with no issues or guilt from it.
A Lot of people wish they'd never done it (because of the "brown cloud")
If you mean farting. I would like to know who are these "a lot of people" who wished they never done it because of the "brown cloud" that said that. I personally know a lot of DSers in real life and even myself as a DSer, do not have issues with gas or bowel movements that impedes in mine or their lifestyle. It is all common sense to be honest. DSer do know what to avoid and have in moderation when it comes to eating things that do not agree with them, especially when in public.
Many of the hear-says that are said to you or have read, I am sure are from people who do not have the DS as their surgery or experienced life being a post-op DSer. Huge difference to live it and another to hear from 3rd parties or friend of a friend. As for me, living with the DS so far has been very productive and beautiful experience. My DS friends do not regret it either and many here on this board and other boards that I am a member of, also do NOT regret having the DS. I enjoy the freedom I have living with the DS since there is no limitations to anything in regards to food and haven't once had any negative side effects since the initial 1st year post-op with severe food intolerance which has since then been ALL GONE. Food is just food and I have the option to choose what I want to eat or have without worrying, freaking out, go into pity party mode of guilt, deal with if I might get sick or even gain weight. I am now in maintenance mode and do not want to lose anymore weight.
I would rather be 300 lbs than have gas issues (I'm such a prude!)
I personally weighed 305 lbs and was suffering alot with immobility and my health deteriorating taking me closer and closer to my death. It was a very difficult life living with 300 lbs on my tiny body frame. I now weight 135 lbs and have my health back, a great social life, enjoy playing sports and most of all, have my independence not to rely on anyone to assist me, especially with my daily basic tasks and needs. Like I said, life is beautiful living with the DS.
Wishing you the best in your journey to better health and life.
BMI = 23.7 3+ yrs post-op
stomach = 3.5 oz, common channel = 125 cm
Topic: RE: 3 days out. miserable. in so much pain. huge regrets.
HW 305/SW 247/CW 130/LW 115/GW 140
BMI = 23.7 3+ yrs post-op
stomach = 3.5 oz, common channel = 125 cm
Do make sure you are in constant contact with your surgeon and let him know the pain level you are in, to work out the proper pain meds. My pain level was like HELLRAISER EDITION and lasted 27 days non-stop with pain medication. I was just a slow healer and couldn't do much at all because of the pain, including sleep, get out of bed on my own or even walk. To me, it was the worst pain in my life and I had other surgeries and given birth. I was on codeine and pain management for 4 weeks. The pain will mellow out and go away. It is not a permanent thing, just a healing from the major surgery you just had. To be honest, when I had the DS, it freaking hurt like hell the recovery period. When day 28 came, it was like heaven scent. Still remember that moment the pain left me. I also want you to know that my first year post-op was a very, very rough experience for me. After my 12th month post-op, living with the DS has been beautiful every single day, including now. Just remember, this too shall pass.....
BMI = 23.7 3+ yrs post-op
stomach = 3.5 oz, common channel = 125 cm
Topic: RE: Why DS over RNY?
HW 305/SW 247/CW 130/LW 115/GW 140
BMI = 23.7 3+ yrs post-op
stomach = 3.5 oz, common channel = 125 cm
I am 2 year postop with the experience to know what it truly feels to be a DSer as many postop here do. First of all, to live the rest of my life, not having to focus, worry, freak over or count calories or fat because it will not cause me to gain weight. I am not going to give a personal reason why I choose DS over RNY. I will give you an example of my personal experience why the DS over RNY in regards to my lunch today.
Today, I went to eat at KFC, had 1 original chicken breast, 1/2 coleslaw and unlike the RNY, did drink with my meal, as it is allow and normal with the DS and had a 12oz fruit punch. With the RNY, drinking with meal is not allowed since it flushes the food out quickly due to the mechanism of their gastric bypass. DSer are able to drink with their meals, since the plyoric muscle is intact to allow the food to digest BEFORE it enters the intestine meaning no bypass is being performed here and an actual normal process of your digestive sytem is taking place.
The meal I had today had a total of 620 calories and 25g of fat.
If I had the RNY, the actual amount absorbed into the system is the entire 620 calories because calories going in, all stays in your digestive system. With the DS, it is 310 calories, since only 50% of all calories is absorbed into the system.
For RNY, all 25g fat is absorbed into the digestive system, compared to the DS in which only 5g fat and 20% total of all the fat is absorbed into the system. This absorption level is for any food that I eat as a DSer.
As a DSer or RNYer, we do have to eat food for the rest of our life. There is no avoidance of it. So, why focus or concentrate how much calories or fat you need to count for the day or have taboo of food that are consider not allowed. With the DS, you want to eat it as a choice that day, go ahead. Calories and fat are 2 things as a DSer, I do not need to worry about or if it will cause me to gain any weight from. If you are hungry with the DS, go eat. No need to deal with head hunger. You are still feeling hungry, go eat. You want that ice cream, dessert, high calorie entree or fried food or that creamy sauce or gravy with your meal, go have it. Calories, fat and even complex carbs are malabsorb at a high rate. Do watch the simple carbs, as it is for any type of WLS. But, 1 out of 4 isn't bad, compare to obssessing or keeping tabs on 4 different categories such as calories, fat, complex carbs and simple carbs. As a Dser, you need moderate your simple carbs as needed, but doesn't need to be eliminated. That's 1 out of 4 things to focus on if you need. It is all about options and the choices in food selection and not freak out over it. I ate that KFC chicken and my focus on the high protein it had at 37g. The coleslaw was just as good and considered an add-on that I can have, but only could eat 1/2 a serving. I do not have any issues with weight gain or whining over head hunger or ever feeling hungry. If I'm hungry, no matter when or what time it is, I just go eat and it is simple as that. No b*tching, whining, feel guilty or getting dramatic over it.
Today, I went to eat at KFC, had 1 original chicken breast, 1/2 coleslaw and unlike the RNY, did drink with my meal, as it is allow and normal with the DS and had a 12oz fruit punch. With the RNY, drinking with meal is not allowed since it flushes the food out quickly due to the mechanism of their gastric bypass. DSer are able to drink with their meals, since the plyoric muscle is intact to allow the food to digest BEFORE it enters the intestine meaning no bypass is being performed here and an actual normal process of your digestive sytem is taking place.
The meal I had today had a total of 620 calories and 25g of fat.
If I had the RNY, the actual amount absorbed into the system is the entire 620 calories because calories going in, all stays in your digestive system. With the DS, it is 310 calories, since only 50% of all calories is absorbed into the system.
For RNY, all 25g fat is absorbed into the digestive system, compared to the DS in which only 5g fat and 20% total of all the fat is absorbed into the system. This absorption level is for any food that I eat as a DSer.
As a DSer or RNYer, we do have to eat food for the rest of our life. There is no avoidance of it. So, why focus or concentrate how much calories or fat you need to count for the day or have taboo of food that are consider not allowed. With the DS, you want to eat it as a choice that day, go ahead. Calories and fat are 2 things as a DSer, I do not need to worry about or if it will cause me to gain any weight from. If you are hungry with the DS, go eat. No need to deal with head hunger. You are still feeling hungry, go eat. You want that ice cream, dessert, high calorie entree or fried food or that creamy sauce or gravy with your meal, go have it. Calories, fat and even complex carbs are malabsorb at a high rate. Do watch the simple carbs, as it is for any type of WLS. But, 1 out of 4 isn't bad, compare to obssessing or keeping tabs on 4 different categories such as calories, fat, complex carbs and simple carbs. As a Dser, you need moderate your simple carbs as needed, but doesn't need to be eliminated. That's 1 out of 4 things to focus on if you need. It is all about options and the choices in food selection and not freak out over it. I ate that KFC chicken and my focus on the high protein it had at 37g. The coleslaw was just as good and considered an add-on that I can have, but only could eat 1/2 a serving. I do not have any issues with weight gain or whining over head hunger or ever feeling hungry. If I'm hungry, no matter when or what time it is, I just go eat and it is simple as that. No b*tching, whining, feel guilty or getting dramatic over it.
BMI = 23.7 3+ yrs post-op
stomach = 3.5 oz, common channel = 125 cm
Topic: RE: Is Eggplant Parmesan for us DSers?
HW 305/SW 247/CW 130/LW 115/GW 140
BMI = 23.7 3+ yrs post-op
stomach = 3.5 oz, common channel = 125 cm
Breadcrumb are not bad for a DSer or consider a no-no. Most food for a DSer are guilt free. What concern DSers are simple cabs, since we so absorb all of it. There are some DSers, in which certain flour and cabs doesn't agree with their system. But, to others has no effect. It is all about moderation when it comes to certain food and ingredients, and what you are able to tolerate and digest.
You can and are allow to have breadcrumbs, whether you make it yourself or buy it ready-made. I use it all the time, but prefer for some dishes to use panko, since it makes the food more lighter and crispier to eat and digest. Especially early out, since for some, our tummy can't handle certain white flour or even breaded food. I was unable to eat bread or breadcrumb food until I was 7 months post-op. At 5 months, I was able to tolerate the panko breadcrumbs, but not the regular breadcrumbs. Bagel and bagel chips was extremely difficult for me to digest until after I was 9 months post-op, whether low carb or not. The main focus is protein intake and having a chicken or veal parmesan has more protein, than an eggplant parmesan. I couldn't eat chicken, but did have veal parmesan and it wasn't breaded early out because I could not tolerate bread, but ok as time went by and use panko that I mixed with seasoning and parmesan for added flavor.
You can and are allow to have breadcrumbs, whether you make it yourself or buy it ready-made. I use it all the time, but prefer for some dishes to use panko, since it makes the food more lighter and crispier to eat and digest. Especially early out, since for some, our tummy can't handle certain white flour or even breaded food. I was unable to eat bread or breadcrumb food until I was 7 months post-op. At 5 months, I was able to tolerate the panko breadcrumbs, but not the regular breadcrumbs. Bagel and bagel chips was extremely difficult for me to digest until after I was 9 months post-op, whether low carb or not. The main focus is protein intake and having a chicken or veal parmesan has more protein, than an eggplant parmesan. I couldn't eat chicken, but did have veal parmesan and it wasn't breaded early out because I could not tolerate bread, but ok as time went by and use panko that I mixed with seasoning and parmesan for added flavor.
BMI = 23.7 3+ yrs post-op
stomach = 3.5 oz, common channel = 125 cm
Topic: RE: My 34th birthday celebration...this Saturday night!!!
HW 305/SW 247/CW 130/LW 115/GW 140
BMI = 23.7 3+ yrs post-op
stomach = 3.5 oz, common channel = 125 cm
Would've been nice to join you and attend your party. But due to how far I live from you and the schedule of committments I have and we've commnicated about, I want to drop by here and say, wishing you a happy birthday and for all the years ahead to be filled with peace, love, prosperity and good health. Take care 
BMI = 23.7 3+ yrs post-op
stomach = 3.5 oz, common channel = 125 cm
Topic: RE: ***Wednesday Food & Fitness***
HW 305/SW 247/CW 130/LW 115/GW 140
BMI = 23.7 3+ yrs post-op
stomach = 3.5 oz, common channel = 125 cm
2 yrs post-op, maintenance mode and trying NOT to lose anymore weight.
meal 1 = breakfast = 23g protein
time = 4:30am
western omelet
1/4 cup home-fries
2 toast with 2 tbsp butter
12 oz caffeine free diet orange soda
meal 2 = after breakfast or snack = 34g protein
time = 8:00am
1 scoop ON Rocky Road protein with 10oz milk
meal 3 = lunch = 20g protein
time = 12:30pm
1/2 Bubba sweet onion cheeseburger on bun, mayo, ketchup
12 oz caffeine free diet orange soda
meal 4 = after lunch = 35g protein
time= 4:00pm
salad with lettuce, carrots, mushroom, cherry tomatoes, onion, red/green peppers, ham, cheddar and parmesan cheese, hard boiled egg, croutons and 1/4 cup Marzetti blue cheese dressing
12oz caffeine free diet orange soda
meal 5 = dinner = 36g protein
time = 8:00pm
1 scoop ON Rocky Road protein with 12oz milk
meal 6 = after dinner = 4g protein
time = 9:30pm
1 cup Turkey Hill strawberry cheesecake ice cream 4g
Cal 2642 / DS cal intake = 1321
Fat 140g / DS fat intake = 28g
Carb 194g / DS carb intake = 121g
Protein 151g / DS protein intake = 106 g
BMI = 23.7 3+ yrs post-op
stomach = 3.5 oz, common channel = 125 cm
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