I had the duodenal switch by Srikanth in 12/2019. By 7/2021 I was dying of malnutrition. I was taking all my vitamins and drinking my protein shakes - not the pre made ones but the ones you make yourself. I was blacking out, collapsing in parking lots, I couldn’t drive because I was blacking out while I was driving, it got so bad my husband had to bath me. I couldn’t be left alone. I had called Srikanth’s office to schedule an appointment to talk about the symptoms when they first started but was told that I needed to call my PCP so I scheduled an appointment with her. I was put on various medications because my BP was typically around 67/52, I had ear problems in addition to blacking out, collapsing, throwing up any food I could get down IF I could get food down. I eventually ended up in the ER and was admitted for a little over 2 months for malnutrition. Sometimes when you have the duodenal switch your stomach doesn’t absorb enough nutrients and your body will start shutting down. It was awful. Now I’m on TPN and have my vitamins, proteins, carbohydrates, and electrolytes pumped through my blood stream 12 hours a day. I’ve had sepsis 3 times in 2 months. I’m not saying it happens to everyone but the nurses in the hospital said they see this all the time. No one mentioned this before surgery. No one helped me after surgery. Srikanth’s office told me to go see my PCP who is not a specialist in weight loss surgery. I’m so dissatisfied with Srikanth’s office with the exception of Karli. She is wonderful but my issues came on before she started working there but now I have a resentment against there office and don’t ever want to go back. It MAY not happen to you BUT watch out for those symptoms.