KShingler82

I increased my fat intake above 100 grams. Hopefully this will get things moving.

The people who I have interacted with on the Facebook group don't count calories. I have the same problem with the dietetic people at my clinic, they are trying to tell me to stay under so many calories and so much fat but they are so geared towards the rny they don't really know. Definitely seek out the Facebook groups, they will assure you that the nutritionists are clueless with the DS diet =) its also nice to talk to people who are 10+ years out from the DS a d see they are doing fine! Good luck!

My surgeon called me back today, said he has no problem doing a traditional DS on me and he will see me at pre-op! =)

My surgeon called me back today, said he has no problem doing a traditional DS on me and he will see me at pre-op! =)

Marie, what are you doing eating Pasta, bread and chips? Those are definite no nos especially this early out. I'm surprised that your system tolerates that and sugar with no issues.

Adding Fiber does really work well for the DS. Fat is more effective.

Stop counting calories! You malabsorb fat so when you don't get enough, you get constipated. You need to lube the machine.

I can't agree more! Counting calories for a DSer is useless. You lose weight because that's how the tool works.
Absorbing no more than 20% of Fats
About 40% of Protein and the same for complex carbs.
The fat that you don't absorb keeps the intestines lubricated. You may have loose stool a few times till you get the quantity right for your body but Constipation can be severe if you don't eat enough fat.

Research and find another surgeon that does the DS. My first surgeon told me to stay home and have the sleeve. Naw! Wasn't an option. Find someone else. He probably has never done the DS before.

Thanks for the advise, I am going to talk to him a little more when I go back for pre op testing and voice my concerns to him a d go from there. The worst that could happen is I could end up with a different surgeon at a different facility at a later date =)

My surgeon said 2 months and gave me a urine nicotine test last week (my surgery is scheduled for February 20th) and said they would re-test me the morning of surgery and would cancel if it was positive. I quit cold turkey November 30th 2014 after 2 packs per day for 19 years! Good luck!

My surgeon said he wouldn't touch me unless I quit at least 3 months before surgery. He actually adds something to the blood workup right before surgery that can measure nicotine in the blood,if he thinks a patient is noncompliant. As for picking it up again. I was told in no uncertain terms that if I started to smoke again after RNY that it can result in serious ulcers and internal bleeding. Not good..... I wanted to quit for years, and never did it. Now I know I'll never go back.

Thanks for the advise, I am going to talk to him a little more when I go back for pre op testing and voice my concerns to him a d go from there. The worst that could happen is I could end up with a different surgeon at a different facility at a later date =)

I had nervous thoughts about my DS, but I didn't have second thoughts. I think if you are really apprehensive, talk to the doctor about having it the way you want it... And if you still feel iffy.. Don't have the surgery. It is your body. Do (or don't do) the surgery that's right for you.

Speak up with him and be direct. But also find out why he thinks it is better. Find out what the differences are, etc. But speak up. It's ok.

Fat: 1 gram = 9 calories
Protein: 1 gram = 4 calories
Carbohydrates: 1 gram = 4 calories
Alcohol: 1 gram = 7 calories
​I was thinking the same thing as well since I know they give the same printed sheets to individuals who have also had RNY. This is my concern with those numbers:
120-150 grams of protein=480-600 calories
100-200 grams of fat=900-1800 calories
50 carbohydrates=200 calories
That would be 1580 calories on the low end and 2600 calories on the high end. I don't see how I could lose any weight eating that many calories. I also don't even know if I could eat that much food. I am going to present this to my nutritionist on February 6th at my next appointment.
Thanks for all the advice! I am going to look at the Facebook groups right now

Are you guys members of the Duodenal Switch groups on Facebook? They have helped me a TON! I just saw someone say their happy place is 120-150 Protein a day 100-200 fat depending on what they can get in and less then 50 carb... sounds like your nutritionist is talking rny.

For a DSer, you should increase your fat intake, check to ensure you're drinking enough fluids and watching your carb intake.

Get a new nutritionist before they kill you! Don't limit your fat at all.

You aren't eating enough fat. Get an order of guacamole or eat apiece of cheesecake to get things moving. Maintain by adding Peanut Butter, real butter an heavy whipping cream in your coffee daily.
Do not follow a low fat die . It will kill you. You MUST eat fat.