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Post by newyorkbitch on Aug 24, 2014 14:08:13 GMT -5
Many many DSers have bathroom issues. Let's not kid ourselves.
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Post by illinids2 on Aug 24, 2014 16:50:56 GMT -5
Many many DSers have bathroom issues. Let's not kid ourselves. And it is my belief for many , not all, that is due to diet. I don't have bathroom issues other than sometimes having to go at night. I don't have diarrhea or any major bathroom issues..my shit st7nks..no big deal, it is poop it isn't supposed to be roses.
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Post by newyorkbitch on Aug 24, 2014 17:46:38 GMT -5
You are lucky, and also very early out.
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Post by kennyk on Aug 24, 2014 23:06:46 GMT -5
What a great topic! Even my lurking has fallen off this is one of the few things I've read in a while besides the occasional Sunday post On Weight loss. 16 months out I feel human again. Depending on the clothes I'm between a medium and a large. My weight seems to fluctuate between all-time low of 167 five and then seeing it momentarily as high as 173. My last look a few days ago was 168.3. Bathroom issues scare the crap out of me, No pun intended. I have been off all of my diabetic medications for well over a year. I would do this again in a heartbeat If and only if I was not able to control my diabetes otherwise. Would I do this to myself or recommend somebody do it just for weight loss? Hell no! I look great, if I do say so myself. Do I feel half as good as people assume I must? Not a chance. But today I am not diabetic. All that being said this is absolutely not for everybody. Okay that is All my quick babble for the moment. Kenny
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Post by goodkel on Aug 24, 2014 23:28:54 GMT -5
Good thread OP, this is exactly why the new and improved SADI-S procedure was invented, to mitigate the bathroom horror stories and the nutritional deficiencies (for the people who don't want to spend a fortune on lifetime supps/infusions etc) Most bathroom "horror stories" are just the effects of healing from a major gastrointestinal surgery, complications from C-diff picked up in the hospital, or eating what does not agree with you. Long term problems are far from the norm. And, while I sincerely hope that the SADI proves successful in the long term---especially for those patients who were given it without their permission after requesting the DS, the fact is that it has not been around long enough for any long term results studies to have investigated its excess weight loss maintained long term success or lack thereof. Let alone its effect on high blood pressure, cholesterol, and diabetes. It is FAR, FAR too soon to even suggest it is an improvement. The SADI, too, carries with it a minimum vitamin intake: All amounts are taken daily: Protein 90 grams Dry D3 5,000-10,000 IU Calcium Citrate 2,000 grams, split into 500 gram dosages at least two hours apart A good multivitamin, Centrum or a generic equivalent twice Iron: I would add a dose of something like Feosol iron, vitamin C to help you absorb it, and Magnesium oxide so it doesn't constipate you taken all at the same time. As always, subject to adjustment based on a complete set of labs. Extrapolated from the study available in full pdf at the link below. "Similar rates of malnutrition are found after BPD or DS, and in most cases are secondary to non-compliance with the prescribed diet, which must include a minimal intake of 90 g of protein per day [19, 20]. No patient has been submitted to a reversal operation, and though follow-up is still short, most of the revisions of malabsorptive surgery for malnutrition are performed between the first and the second postoperative year [21]. Figures tend to improve in patients completing the second and third postoperative years, all but iron and parathormone levels. Practically all patients need calcium and vitamin D3 supplements at long-term, with more than single dose of some 50% of them needing high doses of calcium (more than 2 g per day) and vitamin D3 (5,000–10,000 IU per day) to reach vitamin D3 levels over 30 ng/ml and parathormone under 100 pg/ml." Read more: weightlosssurgery.proboards.com/thread/8587/single-anastomosis-duodeno-bypass-sleeve#ixzz34slJWaXR
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Post by Joanne on Aug 25, 2014 6:33:20 GMT -5
Good thread OP, this is exactly why the new and improved SADI-S procedure was invented, to mitigate the bathroom horror stories and the nutritional deficiencies (for the people who don't want to spend a fortune on lifetime supps/infusions etc) ?? I wasn't talking about bathroom horror stories. I actually dont have any whatsoever. None. Now, if we're talking about calcium malabsorption perhaps contributing to my apparently fragile bones being related to my DS, I hope you understand that would be pretty much the same with the SADI. The loop of the SADI is provides for less fat malabsorption, but the top of the duodenum - where calcium is mainly absorbed - is still bypassed. There wouldn't be a difference. I'm all for continuing to evolve and improve on surgeries. You wont find me among the SADI bashers, per se, because I do think it has promise. Even our beloved DS evolved and improved on another procedure. So is the future the SADI? I dont know, it's too early to tell. But dont fool yourself that the SADI wont have its own trade-offs, and IMHO the calcium malabsorption would be exactly the same. The bathroom issues reported with the DS aren't something that I needed fixing, for me.
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Post by fatmackn on Aug 25, 2014 15:07:25 GMT -5
So are u complaining or complementing the procedure u had? A BMI of 23 is far better then your starting 47, not to mention the back pain and mobility issues associated with morbid obesity
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Post by goodkel on Aug 25, 2014 16:50:29 GMT -5
So are u complaining or complementing the procedure u had? A BMI of 23 is far better then your starting 47, not to mention the back pain and mobility issues associated with morbid obesity She was simply wondering if her malabsorption of calcium ( the same as with the SADI) was the underlying cause of her osteoporosis. That led to her pronouncement that not everyone should have the DS, especially those who will not follow the vitamin regimen for life.
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Post by Joanne on Aug 25, 2014 17:30:39 GMT -5
So are u complaining or complementing the procedure u had? A BMI of 23 is far better then your starting 47, not to mention the back pain and mobility issues associated with morbid obesity I am simply saying that over time things change. When I was a year or two out I was convinced I found the right surgery for everyone. I tried to convince everyone to have a DS. I was blind to the tradeoffs. I was making a comparison that now, I continue to see the tradeoffs. I also said for me they are worth it but I realize they may not be worth it to someone else. Someone who won't or can't supplement religiously. Someone who may be happy with 50 extra pounds and fewer risks or less supplements. Everyone needs to make up their own mind. It's not one size fits all. And you are correct, I am over the moon happy with my results. But they are the results of carb control, diligent supplementation and good choices made in surgeon, suegery, and follow up. Sent from my SM-N900V using proboards
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Post by Joanne on Aug 25, 2014 17:33:14 GMT -5
So are u complaining or complementing the procedure u had? A BMI of 23 is far better then your starting 47, not to mention the back pain and mobility issues associated with morbid obesity I am simply saying that over time things change. When I was a year or two out I was convinced I found the right surgery for everyone. I tried to convince everyone to have a DS. I was blind to the tradeoffs. I was making a comparison that now, I continue to see the tradeoffs. I also said for me they are worth it but I realize they may not be worth it to someone else. Someone who won't or can't supplement religiously. Someone who may be happy with 50 extra pounds and fewer risks or less supplements. Everyone needs to make up their own mind. It's not one size fits all. And you are correct, I am over the moon happy with my results. But they are the results of carb control, diligent supplementation and good choices made in surgeon, suegery, and follow up. Sent from my SM-N900V using proboards Sorry on my phone. I meant to add to that that the results are from all that I mention, and a bit of good luck with a body and metabolism that respond to my efforts. Definitely a YMMV thing. Two people can make the same choices, do the same things, and have different results. We are all individual. Sent from my SM-N900V using proboards
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Post by illinids2 on Sept 1, 2014 7:38:23 GMT -5
After living with a DS and reading through some of the posts on this board for the last 11 months, two things are very clear to me:
1. The DS is the only WLS I would ever consider. I knew that before surgery but it has really been codified.
2. I understand why psyche evals are done, because it is clear that some people are not mentally fit to receive this gift.
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Post by aflame on Dec 5, 2014 13:11:44 GMT -5
hi joanne,
thank you so much for a very sobering, realistic and fair elaboration on your own experiences with the DS. it puts in perspective how long and arduous the journey is, despite the surgery being life saving. it is a life time commitment and one that requires consistent attention, the lack of which has consequences as dire as can be. it's not about doom and gloom. assessing the risks of major surgery effectively is a part of the research and decision making process, as well as life long/ongoing maintenance, for any sensible medical consumer.
p.s. *waves* at board. won't be very active yet, but i am browsing the threads slowly, and everything looks great.
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Post by louteg on Dec 16, 2014 20:34:00 GMT -5
I agree 100% the DS is not for everyone. I am 18 months post op what I have learned since having the DS is that it takes a great deal of work and willingness to change to live with it. You must be diligent; you must learn to put your own health first. You must become your own advocate, especially when seeking medical help. For many of us that‘s a hard thing to do, we are not use to putting ourselves first, or speaking up for ourselves. Plus the weight is not the only battle we are fighting. Like many have said they will be changes; that is why it’s imperative that you do your homework before going into this WLS. You must make sure this surgery is worth all the changes you must make. Before my revision my health was bad; besides the crap I had to deal with because of a fail lap band I was having heart problems. I had severed hypertension, joint pain (I waddled) back pain, pre-diabetic and the list goes on. I was on my way to an early grave. Within 3 months of my DS almost all my health issues were gone. The ones that I still have were reproductive, which got taken care of last week Thursday, which I couldn’t have done without the DS. My DS also have forced me to address issues in my live I wouldn’t have address before. Yes they are changes, and more changes will come. Do I regret my DS? Not at the moment. Do I love being a DSer 100 of the times? No Would I do it again? Yes!
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Post by Simba on Dec 17, 2014 6:35:48 GMT -5
The DS is NOT for everyone, and should be used for the small % of patients, due to the compliance, surgical complexity etc. I dont think any one surgery is for all patients. You cant take lightly malabsorption. I went into the DS with metabolic bone disease, both mother and father with osteoporosis, now that is something you really have to think about since Ca and VitD are malabsorpbed in this surgery. You have to make the best decision for you at that time. DS was all that I had left (no RNY for me) so it was by default persay, and even that if you are not willing to be compliant, vit/min, followups blood work, you should not get a DS, vit/min deficiencies, protein malnutrition will be a slow and painful death.
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Post by PrettyGirlBounce on Dec 17, 2014 21:23:23 GMT -5
Eating tons of food and whatever you want is not something to be proud of. Being healthy is something to be proud of, because it takes so much work. Being healthy long term with a DS takes A LOT OF WORK, and money, and good health insurance. And a lot of assertiveness and intelligence and discipline. THIS. This has to be the most important & relevant information I have EVER read regarding this surgery. Thank you for putting it out there so blatantly and concisely. I wish these words appeared on the top of every single DS site known to mankind. Simple and to the point...but more importantly, true. LOVE THIS NYB. And thank you for this thread, Joanne!!!
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