Flowers for Algernon

Clematis

Well-Known Member
It’s been a while since I posted. I had DS exactly 5 years ago, lost all my weight in less than a year, high cholesterol and elevated glucose vanished. I had a lower body lift 18 months out. I have no words to describe the miracle of DS. I have been absolutely overjoyed with the happiest years of my life.

Nearly a year ago, though, my weight slowly begun to rise. without a change in my eating habits. Nothing too dramatic at first: 5 pounds. I wasn’t too worried. Then in the early part of this year I was startled when one day my floating soft serve ice cream kinda poop was firmly-formed and sunk in the toilet. At first that was only once a week or two, then several times a week and now mostly all the time. My weight rapidly rose and I am now more than 25 pounds over where I was and where I’d like to be. BMI is 25 bordering on 26. (I’ve shrunk an inch with age which I refuse to acknowledge or my BMI would be even higher.) I still appear to be gaining 2-3 pounds a month. I have a closet full of new clothes in size 4 or XS, most of which I can now no longer wear. I bought a new coat last week and had to get L for it to zip around my hips. I was so embarrassed, when I got home I cut the size label out at the neck for fear someone would see it.

I usually have blood work done in May and November. Because of Covid I skipped May and just got my November results: cholesterol is up to 219 from 167. (I am unable to take statins as I am one of those who developed dementia, liver damage and every other bad side effect from them.)

Sinking firm poop and rising cholesterol tell me I have hypertrophy of the bowel: my intestines have adapted to absorb fats again.

Yeah, I certainly had heard about this phenomenon but of course I never thought it would happen to ME.

People who have known me from my fat days say nothing but I see them surreptitiously glance at my hips and thighs and quickly look away. People I have met since the DS who believe I have always been not just thin, but lanky skinny have made jokes about "Covid weight". I am so deeply ashamed.

My only remedy at this point is strict dieting and even that won’t help my cholesterol much. Hey, if I was any good at dieting I wouldn't have needed a DS. I wake with dieting determination but that evaporates by lunchtime. I am very active and hike 8-12 miles a day. Yes, every morning. There’s not much more I can do on the exercise front besides push myself from the table, not one of my better skills.

I am utterly terrified I will revert to the marginalized fat person I was. Tears fill my eyes and my heart races with anxiety when I think of it.

The DS is such an incredible gift but for me it will not last forever.

Well, damn, but this is a depressing post.

Sorry.
 

southernlady

Administrator
Staff member
I’m sorry this is happening.

What I would do is log everything that goes in my mouth. See where I was eating incorrectly (that’s assuming I was) and adjust from there.
 

hilary1617

First time at the rodeo.
Hi Clematis and welcome back!

First, you are the same person, deserving of respect and positive treatment, regardless of size! Sounds to me like you are judging yourself harshly and then self-sabotaging, which is where some counseling might be helpful. These are stressful times. Be nice to you!

Sorry you are experiencing this. Also, please make sure your DS dietary needs are being met (protein, fat, vitamins), because you really can't be certain how much you are or are not absorbing.
 

Georgepds

Well-Known Member
Condolences for your troubles... and I'm with Hilary.." you are the same person, deserving of respect and positive treatment, regardless of size! "

Finally.. kudos for the keen observation and deduction "Sinking firm poop and rising cholesterol tell me I have hypertrophy of the bowel: my intestines have adapted to absorb fats again."

For those like me who were unaware of the problem, I found this on Dr K's site


August 21, 2015

Duodenal switch (DS) operation results in the highest success rate of all weight loss surgical procedures. Patients, over time, will experience some weight gain many years after DS procedure. There are a number of suspected mechanisms that may be responsible for the weight gain:

1-Ageing may slow the metabolism and the activity down.

2-Over time patients may not be as adherent to healthy dietary and lifestyle changes as they may have been immediately after surgery.

3- Hypertrophy of the alimentary and common channels over time increases in surface area f allowing greater caloric absorption leading to increased weight gain.

It has been demonstrated in bowel resection studies, as well as rat studies, that the nutrient stimulated regions of small intestine increase villus height and total weight, crypt depth and proliferation as well as wall thickness, as an adaptation to compensate for the loss of absorptive capacity in the resected bowel. This observation may be applied to DS procedure as seen in histological slides from a patient who had to have an operation done requiring bowel resection. The segment of the bowel resected included the junction of the biliopancreatic, common and alimentary limbs
~~~~~

PS... great post title.. very appropriate ...it's been years since I read the story
 
Last edited:

DianaCox

Bad Cop
I’ve always thought of that story when I see people feeling like they failed with the DS. The good thing is we are now more like normal people, for whom adherence to a high protein, low carb diet will work.
 

Clematis

Well-Known Member
Thank you, all. I know there are no easy answers other than strict food management. Making the post was an act of catharsis in a way: I typed it out, owned it, mourned the loss and now have to walk on in my new normal. I just pray I can level out at just chubby and the cholesterol does not go higher. Regardless, I am grateful for the 5 years of success I have had.
 

CaraOC

Credentialed Bitch
It’s been a while since I posted. I had DS exactly 5 years ago, lost all my weight in less than a year, high cholesterol and elevated glucose vanished. I had a lower body lift 18 months out. I have no words to describe the miracle of DS. I have been absolutely overjoyed with the happiest years of my life.

Nearly a year ago, though, my weight slowly begun to rise. without a change in my eating habits. Nothing too dramatic at first: 5 pounds. I wasn’t too worried. Then in the early part of this year I was startled when one day my floating soft serve ice cream kinda poop was firmly-formed and sunk in the toilet. At first that was only once a week or two, then several times a week and now mostly all the time. My weight rapidly rose and I am now more than 25 pounds over where I was and where I’d like to be. BMI is 25 bordering on 26. (I’ve shrunk an inch with age which I refuse to acknowledge or my BMI would be even higher.) I still appear to be gaining 2-3 pounds a month. I have a closet full of new clothes in size 4 or XS, most of which I can now no longer wear. I bought a new coat last week and had to get L for it to zip around my hips. I was so embarrassed, when I got home I cut the size label out at the neck for fear someone would see it.

I usually have blood work done in May and November. Because of Covid I skipped May and just got my November results: cholesterol is up to 219 from 167. (I am unable to take statins as I am one of those who developed dementia, liver damage and every other bad side effect from them.)

Sinking firm poop and rising cholesterol tell me I have hypertrophy of the bowel: my intestines have adapted to absorb fats again.

Yeah, I certainly had heard about this phenomenon but of course I never thought it would happen to ME.

People who have known me from my fat days say nothing but I see them surreptitiously glance at my hips and thighs and quickly look away. People I have met since the DS who believe I have always been not just thin, but lanky skinny have made jokes about "Covid weight". I am so deeply ashamed.

My only remedy at this point is strict dieting and even that won’t help my cholesterol much. Hey, if I was any good at dieting I wouldn't have needed a DS. I wake with dieting determination but that evaporates by lunchtime. I am very active and hike 8-12 miles a day. Yes, every morning. There’s not much more I can do on the exercise front besides push myself from the table, not one of my better skills.

I am utterly terrified I will revert to the marginalized fat person I was. Tears fill my eyes and my heart races with anxiety when I think of it.

The DS is such an incredible gift but for me it will not last forever.

Well, damn, but this is a depressing post.

Sorry.
Hey you !! We were DS'd around the same time I believe. Damn girl you are so hard on yourself. I have my own issues. I haven't gained any weight but I've been horrible with healthy living. We are our own worst enemy. I hate how I look. I have boobs hanging like rocks in socks and an apron of fatty skin around my middle. I have more skin Chin's than a Chinese phone book. My thighs sag and sway like my mother's dinning room window treatments. I believed when I went under the knife that life would be perfect if I just wasn't FAT. Not so much. Seems this life thing is so so much more complicated. So glad we have this forum to connect though. Chin up buttercup. This too shall pass. Give yourself permission to screw up and be human.
 

CaraOC

Credentialed Bitch
Hey you !! We were DS'd around the same time I believe. Damn girl you are so hard on yourself. I have my own issues. I haven't gained any weight but I've been horrible with healthy living. We are our own worst enemy. I hate how I look. I have boobs hanging like rocks in socks and an apron of fatty skin around my middle. I have more skin Chin's than a Chinese phone book. My thighs sag and sway like my mother's dinning room window treatments. I believed when I went under the knife that life would be perfect if I just wasn't FAT. Not so much. Seems this life thing is so so much more complicated. So glad we have this forum to connect though. Chin up buttercup. This too shall pass. Give yourself permission to screw up and be human.
I never lost what you lost though. I went from about 300lbs to 155 and stayed there...
 

southernlady

Administrator
Staff member
Hey you !! We were DS'd around the same time I believe. Damn girl you are so hard on yourself. I have my own issues. I haven't gained any weight but I've been horrible with healthy living. We are our own worst enemy. I hate how I look. I have boobs hanging like rocks in socks and an apron of fatty skin around my middle. I have more skin Chin's than a Chinese phone book. My thighs sag and sway like my mother's dinning room window treatments. I believed when I went under the knife that life would be perfect if I just wasn't FAT. Not so much. Seems this life thing is so so much more complicated. So glad we have this forum to connect though. Chin up buttercup. This too shall pass. Give yourself permission to screw up and be human.
Yeah, it’s not the weigh loss but what it leaves behind. And most of us just have to live with it and accept it, doing nothing for our self esteem, especially when looking at ourselves. But remember, we are own worst enemy.
 

Georgepds

Well-Known Member
It’s been a while since I posted. I had DS exactly 5 years ago, lost all my ...?BMI is 25 bordering on 26. ..

....cholesterol is up to 219 from 167. (I am unable to take statins as I am one of those who developed dementia, liver damage and every other bad side effect from them.

My only remedy at this point is strict dieting and even that won’t help my cholesterol much.
Hi again

Speaking as a person with a BMI of 25 to 26, it's really not so bad. Now 50+... that's something to worry about.

As to cholesterol, there are other alternatives to statins, bile acid sequestrants come to mind. I'm not sure if they are indicated for a person with DS, but the idea here is your GP would know of alternatives that might help.
 
Last edited:

Georgepds

Well-Known Member
Hey you !! We were DS'd around the same time I believe. Damn girl you are so hard on yourself. I have my own issues. I haven't gained any weight but I've been horrible with healthy living. We are our own worst enemy. I hate how I look. I have boobs hanging like rocks in socks and an apron of fatty skin around my middle. I have more skin Chin's than a Chinese phone book. My thighs sag and sway like my mother's dinning room window treatments. I believed when I went under the knife that life would be perfect if I just wasn't FAT. Not so much. Seems this life thing is so so much more complicated. So glad we have this forum to connect though. Chin up buttercup. This too shall pass. Give yourself permission to screw up and be human.
Before covid hit, I sat in on a lecture dem, sponsored by the weight loss clinic where I got my DS, given by a plastic surgeon. Most of the lecture was a series of before and after slides from women who had lost a lot of weight through bariatric surgery. The differences were absolutely remarkable. Some of the before pictures looked painful, like one really could not move around properly without binding parts of their body with elastic support clothes. The after pictures looked like health, not salacious, just healthy, what one would like to be given that size and shape

Each procedure was about the cost of a good used car, say ~$10k.The decision to do plastic surgery gives me pause, is it necessary? For me it was simple to justify DS.. I was on my way to a fat death what with all the comorbidities, that, and 30 years of failing to lose serious weight, convinced me to get the surgery. Plastic surgery is another matter, a cosmetic issue... but let me tell you.. if it changed my appearance like it did the women in the lecture dem, I'd do it in a minute... screw the used car, I'd hitchhike.

Chin up indeed
 
Top