Proteinsnob

I just had a revision from RNY to a DS this Fall. I had significant complications and have extremely strong opinions about getting quality pre-op advice from knowledgable vets, as well as using only the most experienced surgeon for that particular surgery.
Additionally, I have strong opinions about people's ability to handle a surgery like the DS, possible complications, and maintenance. This surgery is not as forgiving as RNY or the sleeve.
I have grave concerns that someone on this forum is already trying to censor participants unchecked (board nannying) and that there is not a strong enough moderator.
People die from bad advice about the DS. I almost did. A few times. Good information must outweigh "feelings". If someone is so emotionally fragile that they cannot handle truth-telling, then they are not ready for this surgery.
If you want vets like me to participate, I need to be able to speak freely and honestly.

Actually, sheesh, I just realized I am further out than 12 years from RNY. It's closer to 15 now.

She's already well known as a long-term vet with good information. But I've honestly never heard of you before (not trying to be rude, just have never seen you and I've been around a long time). What I have heard of is people dying from bad information. I got the same lame advice from my RNY surgeon 12 years ago about the Flintstones Vitamins. I added a specialty bariatric Iron Vitamin that I'd rather not name which turned out to be junk. I trusted that company. Well, I have trust issues now. Show me the labs. My Iron levels plummeted and I ended up needing infusions. I didn't find out about labs and Vitalady until my health was impacted.
I care more about someone dying than I do about hurt feelings and I would question anyone who had different priorities.

I just had a revision from RNY to a DS this Fall. I had significant complications and have extremely strong opinions about getting quality pre-op advice from knowledgable vets, as well as using only the most experienced surgeon for that particular surgery.
Additionally, I have strong opinions about people's ability to handle a surgery like the DS, possible complications, and maintenance. This surgery is not as forgiving as RNY or the sleeve.
I have grave concerns that someone on this forum is already trying to censor participants unchecked (board nannying) and that there is not a strong enough moderator.
People die from bad advice about the DS. I almost did. A few times. Good information must outweigh "feelings". If someone is so emotionally fragile that they cannot handle truth-telling, then they are not ready for this surgery.
If you want vets like me to participate, I need to be able to speak freely and honestly.

I just had a revision from RNY to a DS this Fall. I had significant complications and have extremely strong opinions about getting quality pre-op advice from knowledgable vets, as well as using only the most experienced surgeon for that particular surgery.
Additionally, I have strong opinions about people's ability to handle a surgery like the DS, possible complications, and maintenance. This surgery is not as forgiving as RNY or the sleeve.
I have grave concerns that someone on this forum is already trying to censor participants unchecked (board nannying) and that there is not a strong enough moderator.
People die from bad advice about the DS. I almost did. A few times. Good information must outweigh "feelings". If someone is so emotionally fragile that they cannot handle truth-telling, then they are not ready for this surgery.
If you want vets like me to participate, I need to be able to speak freely and honestly.

I just had a revision from RNY to a DS this Fall. I had significant complications and have extremely strong opinions about getting quality pre-op advice from knowledgable vets, as well as using only the most experienced surgeon for that particular surgery.
Additionally, I have strong opinions about people's ability to handle a surgery like the DS, possible complications, and maintenance. This surgery is not as forgiving as RNY or the sleeve.
I have grave concerns that someone on this forum is already trying to censor participants unchecked (board nannying) and that there is not a strong enough moderator.
People die from bad advice about the DS. I almost did. A few times. Good information must outweigh "feelings". If someone is so emotionally fragile that they cannot handle truth-telling, then they are not ready for this surgery.
If you want vets like me to participate, I need to be able to speak freely and honestly.

I just had a revision from RNY to a DS this Fall. I had significant complications and have extremely strong opinions about getting quality pre-op advice from knowledgable vets, as well as using only the most experienced surgeon for that particular surgery.
Additionally, I have strong opinions about people's ability to handle a surgery like the DS, possible complications, and maintenance. This surgery is not as forgiving as RNY or the sleeve.
I have grave concerns that someone on this forum is already trying to censor participants unchecked (board nannying) and that there is not a strong enough moderator.
People die from bad advice about the DS. I almost did. A few times. Good information must outweigh "feelings". If someone is so emotionally fragile that they cannot handle truth-telling, then they are not ready for this surgery.
If you want vets like me to participate, I need to be able to speak freely and honestly.

I just had a revision from RNY to a DS this Fall. I had significant complications and have extremely strong opinions about getting quality pre-op advice from knowledgable vets, as well as using only the most experienced surgeon for that particular surgery.
Additionally, I have strong opinions about people's ability to handle a surgery like the DS, possible complications, and maintenance. This surgery is not as forgiving as RNY or the sleeve.
I have grave concerns that someone on this forum is already trying to censor participants unchecked (board nannying) and that there is not a strong enough moderator.
People die from bad advice about the DS. I almost did. A few times. Good information must outweigh "feelings". If someone is so emotionally fragile that they cannot handle truth-telling, then they are not ready for this surgery.
If you want vets like me to participate, I need to be able to speak freely and honestly.

I just had a revision from RNY to a DS this Fall. I had significant complications and have extremely strong opinions about getting quality pre-op advice from knowledgable vets, as well as using only the most experienced surgeon for that particular surgery.
Additionally, I have strong opinions about people's ability to handle a surgery like the DS, possible complications, and maintenance. This surgery is not as forgiving as RNY or the sleeve.
I have grave concerns that someone on this forum is already trying to censor participants unchecked (board nannying) and that there is not a strong enough moderator.
People die from bad advice about the DS. I almost did. A few times. Good information must outweigh "feelings". If someone is so emotionally fragile that they cannot handle truth-telling, then they are not ready for this surgery.
If you want vets like me to participate, I need to be able to speak freely and honestly.

NSAIDs are not good for those looking to benefit from Protein synthesis (aka muscle growth) following exercise that breaks down the muscle.
I want to share the following study below with others as I found it very enlightening. I have been researching this connection between protein synthesis and pain medicine in order to understand my own lack of progress after months and months of "doing the right thing" in the gym and with my diet.
I have been taking therapeutic doses of ibuprofen and some use of Tylenol to deal with back and neck inflammation unrelated to exercise. After finding this information, I have stopped taking the pain medicine cold turkey despite having to deal with the inflammation.
In order to combat these back and neck pains, I am turning exclusively to posturing focus, when standing or sitting, and very focused physical therapy at home with rollers, lacrosse balls and yoga stretching. It does help, but requires a lot more time and focus.
Does anyone know how long it will take for the effects of COX-1 and COX-2 inhibitors to leave the body? Will months and months of taking high doses of ibuprofen cause a permanent change in the body with regards to these enzymes?
Here is a study outlining the effect of NSAIDs such as aspirin, ibuprofen, and acetaminophen on muscle growth.
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If you are one of the many people who take a few Advil aspirin,or any other NSAID after a workout or in the days following to alleviate muscle soreness, think again! There is recent research that conclusively shows that taking NSAIDs after exercise-induced muscle damage significantly reduces levels of the prostaglandin, PGF2-α, which is intimately involved in the protein synthesis that occurs post-exercise; we work out, tear down our muscles, and the anabolic process of tissue repair and hypertrophy is dependent on levels of this prostaglandin.(1,2). It has been known for some time that maximal, prescription-level doses of NSAIDs will inhibit skeletal muscle protein synthesis, as the study in reference (2) below was performed in 1982. Most of these studies, however, utilized in-vitro systems where cultured myocytes were exposed to a stretch-stimulus to induce tissue damage and then protein synthesis was measured with-and without the presence of a high concentration of NSAID. As those of us in the field of pharmacology have (painfully) witnessed time-and time again, in-vitro systems are rarely representative of what actually occurs in-vivo. Because of this the notion that NSAID use after a workout might decrease muscular gains was passed off as an artifact of the experimental systems used; and not representative of what somebody would experience when taking over the counter doses of NSAIDs.
A group in 2001, however, using eccentric contractions in human subjects to induce muscle damage, showed that post-exercise NSAID use drastically reduced the increase in protein synthesis normally seen in response to muscle damage. This study is relevant to real workouts because the researchers used a model for muscle damage that is very similar to what what happens during a normal weight training workout and the doses of NSAIDs used in the study were normal therapeutic doses, not unlike those that most people would take for a headache or after a tough workout for soreness.(3) The results of this study were that, in the untreated subjects, post-exercise muscle protein synthesis (24 hours post-workout) increased in upwards of 76%, while subjects that received either acetaminophen or ibuprofen saw no significant increase at all. The implications of this study are huge; if you are into taking a few Advil after a tough workout to alleviate soreness, think again; you may be severely hindering your progress.
It is important to know the mechanism behind such a phenomena because it may be possible that we can use this to our advantage. NSAIDs inhibit the enzyme COX-1 and COX-2, which basically take a common substrate, arachidonic acid, and through a cascade of biochemical reactions create a number of prostaglandins. Some Prostaglandins cause inflammation and are largely responsible for the pain response we get after a workout. Reducing prostaglandin synthesis by inhibiting the COX enzyme can reduce pain and inflammation, but at the same time reduction of the specific prostaglandin, PGF2-α has a dramatic effect on the ability of muscles to hypertrophy(2,4). Intuitively, this makes sense, because inflammation is intimately involved with the healing process. Although there are certainly situations when reducing inflammation is beneficial, after a weight training workout is clearly not one of them.
The pathway is outlined below and as you can see, inhibiting COX will have the effect of reducing PGF2-α, inhibiting the ever-so-important protein synthesis that occurs to repair the muscle and allow it to hypertrophy. So there you have it, convincing evidence that NSAIDs after a workout inhibit muscle gains. The next question you may ask is: How can we use this to our advantage? (i.e. by somehow increasing PGF2-α levels). Glad you asked! This will be coming in a future post; sign up for our feed or to receive posts by email to get this cutting edge info as soon as it is published. Until then, keep training hard and continuing to learn; the day you think you know it all is the day that you stop making gains.
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Here is another link for your reading pleasure on the same topic:
http://adisonline.com/sportsmedicine/Abstract/2012/42120/The_Use_of_Nonsteroidal_Anti_Inflammatory_Drugs.3.aspx

I ordered the $3 sample pack from Celebrate (celebratevitamins.com) and have been taking them pre-op to make sure my levels are up before surgery. While I like them for flavour and the fact that they are mostly chewable and not horse pills, I will be ordering the DS pre-packaged Vitamins post-op from Vitalady.com.
Celebrate is fine for other surgery types, but from what I've researched, DS patients need much higher levels because of malabsorption and must have "dry" Vitamins. Vitalady had surgery specific packages, understanding the differences in people's needs. I'm only going to buy two months worth, since post op I know I won't be able to take much at first, and then after I start getting labs I may need to adjust.
Hope that helps, Diamond Girl! Good luck to you!

I just had a revision from RNY to a DS this Fall. I had significant complications and have extremely strong opinions about getting quality pre-op advice from knowledgable vets, as well as using only the most experienced surgeon for that particular surgery.
Additionally, I have strong opinions about people's ability to handle a surgery like the DS, possible complications, and maintenance. This surgery is not as forgiving as RNY or the sleeve.
I have grave concerns that someone on this forum is already trying to censor participants unchecked (board nannying) and that there is not a strong enough moderator.
People die from bad advice about the DS. I almost did. A few times. Good information must outweigh "feelings". If someone is so emotionally fragile that they cannot handle truth-telling, then they are not ready for this surgery.
If you want vets like me to participate, I need to be able to speak freely and honestly.

I did not call Carly an idiot. I called her doctor an idiot for telling her to take Flintstones childrens Vitamins. That was an important message: that her doctor is giving her dangerous information concerning Vitamins. We go to our surgeons for cutting. They know next to nothing about vitamins.
There is a glitch in this forum. My profile does not show my surgery type even after I updated it twice. I was replying to someone whose surgery type was not shown, but since this is a DS thread, I replied as such. Regardless, her Vitamin regimen is dangerously deficient for RNY or gastric bypass as well.
Carly is very smart for questioning her surgeon's idiotic Flintstone advice.
Arts137: If you wish to keep "vets" on this site, stop nannying. It's annoying when you don't follow the details.

Please don't take someone's word on any on-line forum as to whether you qualify for the DS or not. You need to see a qualified surgeon who actually DOES the Duodenal Switch in order to see if you are a candidate. BMI is not the only qualifier. You can also qualify with additional co-morbidities, as far as your insurance goes.

Make sure before you choose a surgeon that yours actually has DONE the Duodenal Switch. Because if they don't, you're not going to hear anything good about it. Even my own surgeon bad-mouthed the DS. You do have to be proactive about your labs and Vitamins with the DS. Most surgeons do not understand our needs, and it is frustratingly common for surgeons to give bad advice post-op to DSers. They historically hand us RNY data to follow.