WTH??!! Absorption a few years after RNY??
Ok, so I posted this thread a few days ago
Ok so I had RNY back in June of 2008 and lost 130 lbs in 10 months. I then got pg with my third baby at 14 months post op (cleared by my doctor first and got pg the first try! lol). I gained 27 lbs total and then lost it all within 6 days post partum after having the baby (that's just how it is for me even pre op, lose the baby weight within a month or less). I then had to go on meds for PPD and gained the 27 lbs all back and was then feeling really bad, these meds made me eat like a horse!! I got off the meds almost a year ago and can't seem to lose this weight still!
I got down to 145 before I got pregnant 2 yrs ago and am currently fluctuating between 170 and 175 and HATE IT! I was a size 8 and don't think I'll ever get back down to 145 again, but 155 or 160 would be nice. I am currently in a size 12 and hate it, scared my weight will keep going up. Plus we are trying to get pregnant with #4 and this is the first month trying, so if I gain weight with the pregnancy, I could get up 200 lbs maybe (my pre op weight was 270)!!! Ahhh!!
Does our body just adjust several years after WLS and we don't lose weight as easily as before (even with the malabsorption issue)?? I have tried to excercise and eat right but it's obviously not enough and I am not trying hard enough. When I tried like this around a year out, I lost at least 2-3 lbs a week. What should I be doing to lose weight, I want to lose like 15 lbs before I get pregnant and get to 160 or 155.
Then someone posted this comment (below this blue paragraph) about the RNY and is it TRUE?????? I always thought that we would have at least half or 50% of the malabsorption with us after RNY (to keep the weight off for the most part), but she is saying that we absorb most of the calories post op. So WTH is the point of the RNY if we don't keep that malabsorption, just a smaller stomach and can't eat as much?? And we don't have the part of our stomach that absorbs nutrients such as calcium, vitamin D, etc anymore, is that still there a few years out?
And what is this about it screwing with our metabolism, is that true too??
Ok so I had RNY back in June of 2008 and lost 130 lbs in 10 months. I then got pg with my third baby at 14 months post op (cleared by my doctor first and got pg the first try! lol). I gained 27 lbs total and then lost it all within 6 days post partum after having the baby (that's just how it is for me even pre op, lose the baby weight within a month or less). I then had to go on meds for PPD and gained the 27 lbs all back and was then feeling really bad, these meds made me eat like a horse!! I got off the meds almost a year ago and can't seem to lose this weight still!
I got down to 145 before I got pregnant 2 yrs ago and am currently fluctuating between 170 and 175 and HATE IT! I was a size 8 and don't think I'll ever get back down to 145 again, but 155 or 160 would be nice. I am currently in a size 12 and hate it, scared my weight will keep going up. Plus we are trying to get pregnant with #4 and this is the first month trying, so if I gain weight with the pregnancy, I could get up 200 lbs maybe (my pre op weight was 270)!!! Ahhh!!
Does our body just adjust several years after WLS and we don't lose weight as easily as before (even with the malabsorption issue)?? I have tried to excercise and eat right but it's obviously not enough and I am not trying hard enough. When I tried like this around a year out, I lost at least 2-3 lbs a week. What should I be doing to lose weight, I want to lose like 15 lbs before I get pregnant and get to 160 or 155.
Then someone posted this comment (below this blue paragraph) about the RNY and is it TRUE?????? I always thought that we would have at least half or 50% of the malabsorption with us after RNY (to keep the weight off for the most part), but she is saying that we absorb most of the calories post op. So WTH is the point of the RNY if we don't keep that malabsorption, just a smaller stomach and can't eat as much?? And we don't have the part of our stomach that absorbs nutrients such as calcium, vitamin D, etc anymore, is that still there a few years out?
And what is this about it screwing with our metabolism, is that true too??
The problem is that now you no longer have much malabsoprtion, so you are absorbing almost all the calories you eat (whereas before you at least had SOME of your malabsorption left) AND the severe caloric restriction during the first year after surgery causes a permanent change in the metabolism for some/many of us (have not seen any statistics on how many)... and therefore, if you are one of thsoe people, it DOES make it more difficult to lose weight... even more difficult than it may have been before surgery.
Your best shot at losing weight now is by cutting out as many carbs as possible and making sure you are not consuming too many calories overall.
Hit goal weight of 140 at 13 months out from RNY!! 130 pounds GONE! 
It's true :( I've always been told that malabsorption only lasts up to 18 months (that's an average, I'm sure some people have it for less, some for more). That's why they say we need to learn how to eat when we're in our "honeymoon phase" so when the malabsorption stops, we're eating a healthy, balanced diet. Good luck with everything! :)
wow, if I would've known that, I would've done the Gastric Sleeve surgery instead (I was self pay). I thought they covered that in the class I took pre-op and I just assumed we'd have some malabsorption for the rest of our lives after RNY. They never told us that we'd temporarily have the absorption and that it will return a few years post op. Does that happen to all the RNY patients or just a certain %??
So the whole point of RNY was to have the malabsorption temporarily and have the part of our stomach removed that absorbs the nutrients- mostly to have a smaller stomach, that's the only part that doesn't change- stomach size???! So we still can't have NSAID's and can't drink with our meals but we will absorb most of the calories after about 2 yrs?
All I can say is WOW!
So the whole point of RNY was to have the malabsorption temporarily and have the part of our stomach removed that absorbs the nutrients- mostly to have a smaller stomach, that's the only part that doesn't change- stomach size???! So we still can't have NSAID's and can't drink with our meals but we will absorb most of the calories after about 2 yrs?
All I can say is WOW!
Hit goal weight of 140 at 13 months out from RNY!! 130 pounds GONE!
Unfortunately the bodies ability to adapt also includes being able to eat more as time goes on. This is true of all restrictive surgeries except the lap band, which in theory can be adjusted if the restriction isn't enough. But it has so many problems and rarely works as advertised. By the time you get enough restriction you are barely able to eat any solid foods in some cases. I guess it looked good on paper but hasn't worked like they planned.
Another concern is the stoma, the attachment between the pouch and the intestines, can enlarge causing food to just go right through and leaving you hungry again soon after eating.
Another concern is the stoma, the attachment between the pouch and the intestines, can enlarge causing food to just go right through and leaving you hungry again soon after eating.
WLS 10/28/2002 Revision 7/23/2010
High Weight (2002) 240 Revision Weight (2010) 220 Current Weight 115.
Nutrients aren't absorb in our stomach, either before or after surgery. Most nutrients are absorbed in the small intestine.
I'm gonna suggest maybe you contact your surgeon and express your concerns about the lack of pre op education you were given, since this stuff apparently wasn't explained to you before surgery. It should have been clearly explained.
I'm gonna suggest maybe you contact your surgeon and express your concerns about the lack of pre op education you were given, since this stuff apparently wasn't explained to you before surgery. It should have been clearly explained.
Kelly
Please note: I AM NOT A DOCTOR. If you want medical advice, talk to your doctor. Whatever I post, there is probably some surgeon or other health care provider somewhere that disagrees with me. If you want to know what your surgeon thinks, then ask him or her. Check out my blog.
Yeah, it sucks, doesn't it? Some people with a distal, or extended RNY like Vitalady, have more permanent malabsorption but for most they are stuck with the disadvantages such as needing to be careful with supplements but none of the benefits. Does make you wonder what the point is.
If you want permanent malabsorption then the DS is the way to go but the need to supplement is even greater in most cases then the RNY.
The reason for this is because our bodies are amazing at the ability to adapt and will eventually grow more villi in the intestines to make up for what is bypassed.
Did your surgeon tell you that you would always malabsorb calories?
If you want permanent malabsorption then the DS is the way to go but the need to supplement is even greater in most cases then the RNY.
The reason for this is because our bodies are amazing at the ability to adapt and will eventually grow more villi in the intestines to make up for what is bypassed.
Did your surgeon tell you that you would always malabsorb calories?
WLS 10/28/2002 Revision 7/23/2010
High Weight (2002) 240 Revision Weight (2010) 220 Current Weight 115.
(deactivated member)
on 10/29/11 12:51 pm
on 10/29/11 12:51 pm
Yes, I was reading a few articles and the problem with the DS too, is that there is a huge link to DS and defects in babies. So I think if you ever want to have children, the DS is not really an option. That's one of the main reasons I wouldn't even think twice about the DS. I got a chance to watch my aunt do the RNY and she lost a ton of weight but started gaining things back within two years and it was sad to watch, but the "honeymoon period" is the time you need to learn healthy habits the most. Keep in mind too, it is a tool, not a solution. Keep all your heads up, don't let little set backs get you down. The worst is behind you, now just be positive. You can do it! Positivity!
On October 29, 2011 at 7:51 PM Pacific Time, allieac wrote:
Yes, I was reading a few articles and the problem with the DS too, is that there is a huge link to DS and defects in babies. So I think if you ever want to have children, the DS is not really an option. That's one of the main reasons I wouldn't even think twice about the DS. I got a chance to watch my aunt do the RNY and she lost a ton of weight but started gaining things back within two years and it was sad to watch, but the "honeymoon period" is the time you need to learn healthy habits the most. Keep in mind too, it is a tool, not a solution. Keep all your heads up, don't let little set backs get you down. The worst is behind you, now just be positive. You can do it! Positivity! what kind of defects in babies? I'd like to see some links, too.
Kelly
Please note: I AM NOT A DOCTOR. If you want medical advice, talk to your doctor. Whatever I post, there is probably some surgeon or other health care provider somewhere that disagrees with me. If you want to know what your surgeon thinks, then ask him or her. Check out my blog.
Sadly, It's true. I have read of some people who have it last 3 years out but it's not many. The DS is the surgery that has malabsorption for life and they can take NSAIDS. If I had the choice I probably would have gone for the DS myself but Tricare refuses to pay for it.
Proud army wife and mom of 2 ♥ 
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