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How is it possible one gains weight after Gastric Bypass despite Dumping Syndrome

I am trying to figure out how is it possible that people gain weight despite the dumping syndrome that exists in Gastric Bypass patients, virtually due to the fact that the Pylorus is not intact? If anyone has answers to this, please feel free to share. Is it that people have figured out how to cheat the punishment factor of Dumping, and get around it?

Thanks,

Gabriel

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People can still eat way too many calories/carbs after WLS, its difficult to do in one sitting but not hard to do over the course of a day, We still have to watch what we're eating, make healthy choices, etc.

I have had days that I've gained, usually if I've gone out to eat or gotten takeout and then grazed on the leftovers.

I take cholestyramine and the problem is gone. has your doctor recommended this to you?

  • Author

The overall point to my question, is that since the pylorus is no longer intact due to the Bypass procedure itself, that sole aspect means that naturally, as a result, the sugars are going to digest too quickly into the small intestine. This is what causes the dumping syndrome. Therefore if Bypass patients have this physical issue, how can they overcome the dumping syndrome and still gain the weight? It seems like fighting with fire.

Edited by Gpome1

You can gain weight not eating any sugar at all. Post ops can still eat way too many calories and avoid dumping syndrome by eating things like pizza.

And again, most people don't have the dumping syndrome (according to my doctor). Everyone is different. I'm still finding out what I can or cannot tolerate (honey yes, sugar in very small doses, sorbitol no).


The overall point to my question, is that since the pylorus is no longer intact due to the Bypass procedure itself, that sole aspect means that naturally, as a result, the sugars are going to digest too quickly into the small intestine. This is what causes the dumping syndrome. Therefore if Bypass patients have this physical issue, how can they overcome the dumping syndrome and still gain the weight? It seems like fighting with fire.

Dumping syndrome does not prevent sugars from being absorbed/weight gain. It's a physical response that causes cramping but it doesn't stop absorption entirely.

Supposedly, if you don't drink or eat too quickly while eating things with sugar you are less likely to dump because the food shouldn't be forced into the intestines too quickly. However, with the pyloric valve missing I am not sure it would be possible to manage dumping syndrome effectively.



I get dumping syndrome from even 1 chocolate chip! Or from even skim milk or anything with sugar elements in it! I get the sweats feel like I am gonna puke and feel like I have the very worst hangover I ever had for an hr or two. As far as weight gain well grazing is the most common reason or eating past full.


  • 2 weeks later...

Sugar doesn't make me dump - it's the fat in steaks and fried eggs, etc. I learned that I can have sugar with no problems at all. However, with this new discovery means weight gain, which I did during the holidays. But that is OK as I was underweight and looked sick. Now I'm where I should be but I have to be VERY careful not to overdo it on the sweets.

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