hilary1617
First time at the rodeo.
- Joined
- Jan 6, 2014
- Messages
- 3,763
Hi and welcome @GreenEyedGrrl24 ! Glad you've finally got a DS after all those years and happy you're past the immediate post op and doing well. All the best!
Hey, y'all!
- Thread starter GreenEyedGrrl24
- Start date
Larra
Well-Known Member
- Joined
- Dec 31, 2013
- Messages
- 3,524
Hi and welcome!
I'm so glad you told your saga of bad insurance policies, financial woes, etc. On other websites I meet people who desperately want and need bariatric surgery and have pinned their hopes on the DS, but have insurance like what you had and no other way to finance surgery. I express sympathy but also tell them to never give up hope. Things can and do change, and I'm so glad they changed for you. Your story will give hope to others.
You've already had some great advice about fat and vitamins and all, so I'll just throw in that 5000 D is a piddly ass and totally inadequate amount for someone, really anyone, with the DS. We only absorb about 20% of the fat we consume (which is why you can now eat fat freely) so we also don't absorb the fat soluble vitamins well. These are A, D, E, and K. No one seems to have trouble with E (now watch, someone will come along and tell me they had a problem with low E but really it's rare) but we need to supplement A, D, and K aggressively and with the "dry" form, because we won't absorb the stuff packaged in oil. 50,000 D per day seems to be the bare minimum. I now take 100,000 D per day just to stay in the mid-normal range, but you could at least start at 50,000 and see how you do. Get the dry A and K as well, you'll need them. I'll leave the rest for others who get into the details more than I do.
And, if you have a Costco handy, they have the best canned chicken around. the regular grocery stuff does not compare. You can make a nice chicken salad with that stuff - and with full fat mayo, of course!
I'm so glad you told your saga of bad insurance policies, financial woes, etc. On other websites I meet people who desperately want and need bariatric surgery and have pinned their hopes on the DS, but have insurance like what you had and no other way to finance surgery. I express sympathy but also tell them to never give up hope. Things can and do change, and I'm so glad they changed for you. Your story will give hope to others.
You've already had some great advice about fat and vitamins and all, so I'll just throw in that 5000 D is a piddly ass and totally inadequate amount for someone, really anyone, with the DS. We only absorb about 20% of the fat we consume (which is why you can now eat fat freely) so we also don't absorb the fat soluble vitamins well. These are A, D, E, and K. No one seems to have trouble with E (now watch, someone will come along and tell me they had a problem with low E but really it's rare) but we need to supplement A, D, and K aggressively and with the "dry" form, because we won't absorb the stuff packaged in oil. 50,000 D per day seems to be the bare minimum. I now take 100,000 D per day just to stay in the mid-normal range, but you could at least start at 50,000 and see how you do. Get the dry A and K as well, you'll need them. I'll leave the rest for others who get into the details more than I do.
And, if you have a Costco handy, they have the best canned chicken around. the regular grocery stuff does not compare. You can make a nice chicken salad with that stuff - and with full fat mayo, of course!
Munchkin
Full of Fairy Dust
Your stomach is the size of a small banana. The CC is the part of your guts that still absorbs everything. Usually along the lines of 50 to 200 cm.
GreenEyedGrrl24
Member
Thanks, @Munchkin! I sent a note to my surgeon and color me surprised, he answered. My CC is 120 cm. I also had the "true" DS with two anastomoses. Additionally, he replied, "The American Society of Metabolic and Bariatric Surgery (ASMBS) still considers the SADI-loop procedure to be experimental and recommends that it only be done in an experimental protocol. We are watching the literature for outcomes." I think it's the most he's said to me since my first consult. ::Smirk::
duh_Mom
Well-Known Member
LORD HELP! real true info!
Larra
Well-Known Member
- Joined
- Dec 31, 2013
- Messages
- 3,524
Hey, this surgeon isn't as bad as he sounded at first! Both real info AND recognition that the SADI is experimental and should only be done as part of a research protocol. If only some other surgeons were as ethical (names will not be mentioned to protect the guilty).
Granted, he may still have awful bedside manner, but he did come through for you on a real DS, and that's important.
Granted, he may still have awful bedside manner, but he did come through for you on a real DS, and that's important.
