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lm4dham05

Duodenal Switch Patients
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Posts posted by lm4dham05


  1. On 2/28/2020 at 1:25 PM, RickM said:

    I don't think that you will find much in specific threads on this, as it can be quite individual.

    First off - do you have a "traditional" BPD/DS, or the newer SIPS/SADI/"Loop DS"? I know Dr. Roslin does both, but that certainly plays into this.

    If you have a BPD/DS, that specifically malabsorbs fats, more than the RNY or SIPS, so will have a somewhat different character. Some DS folks go on about how they "need" to have lots of butter, bacon and cream, but that's mostly an individual interpretation on their part rather than medical direction, though medically one doesn't have to worry much about low fat eating. My wife (DS class of '05) eats a lot less fat than many claim is "essential" yet gets along just fine. The main compromise is that too little fat can leave you constipated, while too much can leave oil slicks in the toilet (kind of a hardwired Xenical effect) and one needs to find the right compromise between the two, and that comes with experimenting. How the DS was done plays into it as well, as there can be substantial variations in how surgeons perform it - common channel length and how the rest of the intestines are split up.

    Your best bet would be to check with Dr. Roslin's staff and see what they recommend and go from there, still keeping in mind that you may vary some from their "average" experience.

    Thanks Rick!

    I had the SIPS. I see Roslin this week for my 6 month check up and was planning on asking. Thanks for your feedback - I appreciate it!


  2. Hello All!

    I wasn't able to find a thread that had this in it - or maybe I wasn't looking for the right things.

    I wanted to know what post op patients have been told is a good ration on foods when it comes to the Total Fat for the amount of Protein.

    For example;

    Calories - 160 / Total Fat - 13g / Protein - 11g

    I'm a 6-month post op DS patient (previously had Lapband - but this was tech not a revision). Only 15 lbs away from goal so now i'm looking for ways to maintain.


  3. Poo-pourri has worked wonders but for me the oil slicks that sometimes appear are a real annoyance more when i'm out than at home when I can clean up after myself. My gas is something my wife and I are both getting used to. I seemed to have trained my body to not have to fart while at work - but I feel bad for those I crop dust on the streets of NYC as soon as I leave the office. Night time is really when all hell breaks loose. The oil slick doesn't happen nearly as often but it's obviously totally dependent on what I eat, but the gas is always bad.


  4. I had a BMI of 40 and had a Modified DS. Just hit 6 months in and my BMI is down to 27 and I'm down 80 lbs. I had a lapband before for 4 years and lived without it for about 4 years before I had the DS done. My thing was is I have major knee issues so cardio to work out is impossible. Sometimes I can barely walk. I lost 165 lbs when I had the lapband, my surgeon knew I'd do well with the DS.

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