dsdesigna

First off you are not a failure. The sleeve is the most difficult to have long term success with because it is almost completely restrictive alone. Bypass and DS have components that prevent absorption of nutrients that aid in keeping the weight off. I had the DS three years ago. Went from 371 to 255. From a size 32 to an XL. Your diet will change radically as you MUST eat Fat to survive. You will only absorb about 20% of the fat you consume, if you don't get adequate fat in your diet you will get constipated, dry skin, and vitamin deficiency. [Nutritionists will try to put you on a low fat diet, don't do it!! I eat bacon and butter everyday. (FYI if you do get constipated a slice of cheesecake works overnight like a charm.)] Protein is the key for the DS, it's going to sound impossible but you must consume between 100-120gm of protein per day, and since you will only absorb about 20gm per hour you will have to space it out throughout the day in 5-6 meals and snacks. I use protein shakes (Premier) and bars. You also MUST take vitamin supplements that need to be chewable so they can be absorbed quickly. Regular OTC vitamins will not break down in your new system. Flinstones will not be enough to sustain you. I use Celebrate brand bariatric vitamins; MULTI- ADEK 3x per day, Calcium plus 500 3x per day, Vitamin D 5000iu 3x per day, Biotin 5000 mcg 1 daily, I also take Zinc because I'm deficient. Many also take Iron and Potassium, common deficiencies. Bottom line is they are not cheap but you will have to take them religiously. You might want to get on an auto ship plan or you will be getting familiar with your local health store. Your chance of regaining with the DS is less than 5% over 10 years. Find a local DS specific support group, you'll need advice from the experienced. And there are a couple of Facebook groups for bariatric patients. "Bariatric Chatters"is one I'm involved with. It has all surgeries but they are a great group to know. July 2014 May 2027

Alcoholism is a serious problem for post WLS. It's a transfer addiction. Be very careful. It's not just about the calories, it's the damage you are doing to your liver. Most WLS patients already have extensive scar tissue from having a fatty liver pre surgery. It takes a long time for that to heal if ever.

Dsers don't have a pouch. The stretching risk is low with the DS. Carbonated beverages are a no go for me. I'm three years out.

First of all take a deep breath. It will get better soon. How soon really depends on your own body. Keep in mind your body has been through extensive invasive surgery that in itself takes weeks to recover from. Add to that your bodies new digestive process and you have a formula for what will be a challenge. Don't compare yourself to others and their progress. You are saving your life. You'll be down 100 lbs before you even realize it. Your joints will hurt less. You'll be able to walk stairs easily. You'll have the energy you need. Be kind to yourself. You've made a huge life change. Be confident and proud of that choice. Rest. Drink plenty of fluids. Keep up with your protein. Get out and walk. It gets better!

It is perfectly normal as long as you are staying hydrated and getting in the protein required. Stalls in weight loss is normal and should not be cause for concern. Weigh yourself no more than once a week to avoid being terribly frustrating as fluctuations are very normal. Hang in there.

Strictures are uncommon for the DS or Sleeve and an Endoscopy is not recommended at all. CT with contrast is the way to go. Barium swallow might be helpful but unlikely.

Strictures are not common to the DS.

I'm guessing here but you should be on soft stage foods. If you are already on solids I would go back to soft stage for a few weeks. Then add back solids slowly. Chew everything well. Try drinking warm tea to help relieve your indigestion. Small bites. Eat slow. I play a game of Words with Friends and take a small bite between plays.

Plans have been made to arrive in Dallas on July 7th, surgery is the 8th and back here to Lubbock on the 11th if everything goes well. Glad to see other Texas peeps here. I look forward to this jouney and hope to make a few friends a long the way.

Hi I'm Kara. My surgery is slated for July 8th. I look forward to the journey. I am here for support and questions. If I don't have the answer, I'm certain to help you find it.

For early acid reflux try adding TUMS. I was eating them between meals to keep my acid levels low. When you feel heart burn chomp on a few. It will help. This may be why some people have early issues with nausea and vomiting. It takes a while for acid levels to get normalized. At 6 months it was much better for me. Good luck

I don't have problems with gas or diarrhea. I'm 9 months post op and it's great. No dumping syndrome. The problem with the SADI is the digestive juices have to defy gravity and there is a documented risk of intestinal necrosis that never happens with traditional DS. That just sounds not worth the risk.

Snacking and grazing is the downfall of WLS. Plan your meals and snacks ahead of time and limit yourself to those times. Might try a "pouch test" which for Sleevers is really just a back to basics to get that restriction back in their tummy.

The SADI-S/Loop, or more fully, "Single Anastomosis Duodeno-Ileal Bypass with Sleeve Gastrectomy", is an experimental weight loss procedure which involves a Vertical Sleeve Gastrectomy paired with an end-to-side duodeno-ileal diversion. Given that the SADI/Loop (also called SIPS) is a new surgery, the long term weight loss results and other outcomes and side effects are not yet known. I haven't been able to find an independent published study that describes results or concerns beyond 3 years out and/or with a large sample size. If anyone comes across one, please share!

Regain with the DS is a challenge. She must be way off her program or was given a sleeve or bypass instead.

I'm sad to see that forum gone and feel really bad for new DSers who might be in search of some guidance. I had my surgery July 8th and used the forum to help guide me along the way. The Duodenal Switch is completely different weight loss surgery in how the body absorbs nutrients. It is vitally important to have external support from DS vets to get accurate information. Too many patients have ended up very ill and in the hospital because they followed the recommended diet for Gastric Bypass. If we eat a Low Fat diet we will eventually die. So very sad that its gone. It feels like the admins here felt it wasn't a legitimate WLS, when in fact it is growing in popularity due to is success and lack of complications among the compliant and educated. I would like to see the DS forum restored if possible.

If you are from the Lubbock area we have a special support group that meets once a month and has a closed/secret Facebook page to ask questions and stay informed. Let me know if you are interested.

Remember to get as much protein in your diet as physically possible at this point. Stay away from real sugar. Drink plenty of water. Don't go fat free. At your purreed stage try tuna with full fat mayo. I was a slow loser at first but I was eating enough. Now I'm 8 months out and down 100lbs.

The challenge with the SADI is that it lacks the benefit of gravity in pushing the digestive fluids into the common channel and causes a complication not found with the perfected DS. Intestinal necrosis is unheard of with the Traditional DS. It also lacks the history that the traditional DS has and preliminary stats show weight loss akin to the Bypass.

The DS causes serious malabsorption of fat, Protein and complex carbs. Many Vitamins require fat to be used in the body and because we absorb fat so poorly it means getting the vitamins and minerals we need to maintain good health is very difficult. Our diets differ widely from the lap band and the sleeve as they are only restrictive and do not inhibit absorption. Gastric bypass has a mild mal absorption issue but one Multivitamin fixes that. The DS regime requires two regular chewable Multivitamins daily, 1500 mg of Calcium Citrate split through three doses per day, B-12 sublingual, Vitamins A, D, E and K daily in dry format since the soft gels won't absorb. I also take Biotin and Selenium and prescription Levothyroxin to combat my thyroid issues. Required bi annual blood tests. Dietary recommendations minimum 120gm Protein, 100gm Fat, and limit carbs that can cause painful excessive gas. Laxatives cause a disruption in the lining of the large intestine. We retain our hydration through our large intestine. It's bad to do anything to mess with it. Excess Fiber can contribute to dehydration as it takes more moisture to eliminate it from the body. coffee is dehydrating. Sodas are dehydrating. It's alm guaranteed that a DS patient will be in the ER for dehydration within the first three months.

The forum you are commenting is NOT a community forum. It is a DS forum. And as long as you insist on giving out harmful and unhelpful advice to DS patients I'll be there to help you not injure others. It's not my intention to insult you. Just saving lives.

You read it as hypersensitive and prickly because you fail to understand that bad advice can be lethal. I make sure my comments are ONLY on the DS forum and are to DS patients because that is my experience and my focus. The number one cause of death in Bariatric patients is failure to follow guidelines for their surgery. Do you want to be the one that gives bad advice that leads to someones death? I don't. I'll be hypervigilant as long as people insist on giving out dangerous advice. I'm saving lives. What are you doing?

I'm speaking as another Duodenal Switch patient which is a completely different weightloss surgery than the gastric bypass or any other surgery. We need a dedicated locked out forum to prevent dangerous advice from the other surgeries. I know you are just trying to help but really it's not helpful for DS patients.

Coffee is unlikely to aid in softening bowel movements either. Fat. Stick will eating enough fat. Try to eat all carbs with fat.