So I had my annual check up for my surgiversary. It was a mixed bag.  The positive points-I am skinnier now than I was at this time last year and the surgeon is pleased.  I had an opportunity to discuss my fear of bounce-back and they stated: 1) it doesnt have to happen and 2) it may be a result of taking in too many calories outside of meals.  Limit snacking to one snack of 120 calories per day. What the liquid calories.  The surgeon thinks I may be able to squeak by on ONE metformin pill per day, since my A1C was 5.4 or 5.8, especially since I have had some low blood sugar incidents.

The bad news is my iron is pretty low. Pre-op, I would run anemic. Then in the first two years post op, I didnt need iron. But now, here I am back to taking iron and metformin again.

I am a bit unsettled because deficiencies/imbalances which were temporarily resolved in the first two years are slowly starting to creep back.  It creates an insidious feeling in my psyche.

I am thankful that Vitalady has carbony iron. Before, I had really good luck with it.  I am glad I got a vitamix too so I can start sneaking spinach into my protein shakes.

Especially since you were anemic pre-op, I'm not sure I understand why they thought you didn't need iron the last two years. There are very, very few RNYers who don't need extra iron, and it's a pretty sure bet they eventually will. If you had been on some all along, you wouldn't be so low now.

I wouldn't feel down about it. We all will be making vitamin adjustments for the rest of our lives. It's still worth it.

Thank  you. This makes me feel a lot better. I was worried that things might being revert back to where they were before...but you comment that most need some extra iron reassures me.

Thank you for answering this.

And that needs to be a reminder why post op RNY we should not donate blood.. Because our numbers can drop very low very fast... 

Ugh. I hate that idea.  Now that I am a bureaucrat, blood donation is really one of the few good things I can do medically to help someone.

I have to much iron, but the American red cross will not take it because it benefits me to get rid of it.  Makes no sense since it is high in iron. So every other month I donate a unit of blood and watch it being put in the trash.