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Malabsorption is a major concern and constipation



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I've been doing my research and malabsorption is a huge issue for me. This is when the small intestine can't absorb important Vitamins, nutrients, and Fluid properly. Which then cause deficiencies and other issues. It is hard for me to wrap my head around. Then the Constipation how long will this be a problem. A lifetime? It sounds like I'm trading one set of problems for newer ones. Can someone share so real honest information please?

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According to the research I did, malabsorption is greatest the first 6 months after surgery. It usually tapers off quite a bit after the first year for sure. Your body adapts eventually. Its still important to keep up with certain Vitamins though. I take Vitamins every day anyway so no change in routine for me there.

From what I gather, Constipation can be an ongoing challenge. I'm just on my 6 months of pre-surgery weight loss but I've already incorporated a couple prunes or ounce or two of prune juice into my Breakfast routine. Staying on top of constipation doesn't sound like fun, but will be SO worth it to not be sick and morbidly obese anymore. I want to live a long and happy life. :-)

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By the way, malabsorption only applies if you are having a gastric bypass. Not an issue with the sleeve. What type of surgery are you getting?

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@@sugarbear234

Malabsorption was very scary for me when i first started this journey mostly because I did not understand it. It is not a side effect, it is on purpose and it helps you with weight loss and maintenance. I am thrilled that I had RNY and have the malabsorption factor.

The most important thing is that you take your Vitamins as prescribed and have your nutritional panel done as prescribed. This makes sure that if you are malabsorbing Vitamins and minerals that they know and you can take a supplement.

I am over two years post op, get my blood checked once per year now. There was only 1 time that my blood work was abnormal and that was post op 6 months, i was low on thiamin. So now i take a B1 Vitamin everday. My blood work has been fine ever since.

Dont be afraid of malabsorption unless you are not a rule follower. They told me that some people stop getting their blood work done, dont follow instructions and then years later are in trouble.

If you follow the plan, it is nothing to be worried about.

Best of luck to you!

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I've been doing my research and malabsorption is a huge issue for me. This is when the small intestine can't absorb important Vitamins, nutrients, and Fluid properly. Which then cause deficiencies and other issues. It is hard for me to wrap my head around. Then the Constipation how long will this be a problem. A lifetime? It sounds like I'm trading one set of problems for newer ones. Can someone share so real honest information please?

Sent from my SM-N910P using the BariatricPal App

I am almost 6 weeks out sleeve surgery and I have not been constipated one single day. In fact, I have had diarrhea a couple of times. Every person is different.

The problem comes from the fact that we always have to eat Protein first. When your tummy is tiny that little bit of chicken or fish fills you up, there isn't any room for veggies and other Fiber rich foods.

Constipation and diarrhea are both pretty easy to remedy, and you don't even need hard core drugs to do it. For both problems my surgeon recommends Benefiber. You put it in your Water and can't even taste it. Basically it just replaces the Fiber you are missing from your diet.

Some people do need more and use things like stool softeners, etc. Some people continue to have problems with constipation for a long time but usually as time goes on and their diet becomes more and more varied it gets better. I can't eat much now but I know in time I will be able to consume more healthy foods.

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vitamin/mineral deficiency should be an issue as long as you keep on top of your supplements. You'll have to take them for the rest of your life, regardless of which surgery you have (gastric bypass requires more, but you'll have to take Vitamins with either option)

Constipation vs (for me) weighing almost 400 lbs was a no brainer. I would have been dead in 10 years if I hadn't lost the weight. I'd much rather take Miralax or whatever every day than drop dead prematurely.


I meant vit/mineral deficiency should NOT be an issue as long as you keep on top of your supplements

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I agree with the other commenters. I'm almost 5 months post-op and I only had Constipation issues in the beginning. Now I make sure I incorporate ground flax seed in my daily diet.

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I do have Constipation, but 2 teaspoons of Metamucil at bed time cured that problem.

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    • LeighaTR

      Four days post surgery. I am sipping as fast as I can and getting NO WHERE near the goal of 60 - 80 grams of protein or the 64 oz of liquids. I just feel FULL. I don't know if it can still be the gas build up (I would think by now that would be gone) but it is a struggle to drink. And so far I have not had the nausea or spasms and don't want to wander into that territory by pushing too hard with liquids. I about passed out today as it was my most "strenuous" day. Went from second story to basement for shower and I was sure I was going to pass out. Looking back on my last few days I have had a total of less than 1000 calories. Am I just not getting enough nourishment in me? Once again a friday where I can't get ahold of the doc until Monday rolls back around so I am hoping maybe someone here has some experience on how to keep energy going. I do have fibromyalgia too and that may be where some added fatigue comes into play. How did you all fair with the goals the week after surgery?
      · 0 replies
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    • Doughgurl

      2 days until I fly out to San Diego to have my Bypass Surg. in Tiajuana Mexico. Not gonna lie, the nerves are starting to surface. I don't fear the surgery itself, or the fact that I'm traveling alone, but its the aftermath that I'm stressing about the most, after this 8 week wait. I'm excited to finally be here, but I am really dreading the post surgical chapter. I know its going to be tough, real tough and I think I'm just in my head to much now that the day i here. Wish me luck, Hopefully I'm one of the lucky ones, and everything goes smoothly. Cant wait to give an exciting update,. If there is anyone else have a June bypass or even a recent one, Id love to have someone to compare war stories with. Also, anyone near San Antonio Tx? See ya soon with the future me. 💜
      · 3 replies
      1. Phil Penn

        Good Luck this procedure is well worth it I am down to 249.6 lb please continue with the process..

      2. Selina333

        I'm in Houston so kind of near you and had the sleeve in Dec. Down 61 lbs. Feeling better. Was definitely worth it. I hope the everything is going well for you. Update us when you can!

      3. Doughgurl

        I am back home after my bypass surgery in Tiajuana. I'm post op day 4. Everything went great! I guess I'm one of the lucky ones who have not encountered much pain at all, no nausea thus far and I'm having no problem keeping down broths and water. Thank you for your well wishes. I cant wait to keep up this journey and have a chance at better health and simply better quality of life. I know there will be bumps in the road ahead, and everything won't be peaches and cream, but at least I have a great start so far. 😍

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      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
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    • Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 2 replies
      1. Selina333

        I'm so happy for you! You are about to change your life. I was so glad to get the sleeve done in Dec. I didn't have feelings of regret overall. And I'm down almost 60 lbs. I do feel a little sad at restaurants. I can barely eat half a kid's meal. I get adults meals often because kid ones don't have the same offerings at times. Then I feel obligated to eat on that until it's gone and that can be days. So the restaurant thing isn't great for me. All the rest is fine by me! I love feeling full with very little. I do wish I could drink when eating. And will sip at the end. Just a strong habit to stop. But I'm working on it! You will do fine! Just keep focused on your desire to be different. Not better or worse. But different. I am happy both ways but my low back doesn't like me that heavy. So I listened (also my feet!). LOL! Update us on your journey! I'm not far from you. I'm in Houston. Good luck and I hope it all goes smoothly! Would love to see pics of the town you go to for this. I've never been there. Neat you will be traveling for this! Enjoy the journey. Take it one day at a time. Sometimes a few hours at a time. Follow all recommendations as best you can. 💗

      2. Doughgurl

        Thank you so much for your well wishes. I am hoping that everything goes easy for me as well. We don't eat out much as it is, so it wont be too bad in that department. Thankfully. Also, I hear you regarding your back and feet!! I'd like to add knees to the list. Killing me as we speak! I'm only 5' so the weight has to go. Too short to carry all this weight. Menopause really did a doosey on me. (😶lol) My daughter also lives in Houston. with her Husband and my 5 grand-littles. I grew up in Beaumont, so I know Houston well, I will be sure to keep in touch and update you on my journey. I may need some advice in the future, or just motivation. Thank You so much for reaching out, I was hoping to connect with someone in the community. I really appreciate it. 💜

    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

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