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Blog

Valerie G.

October 23, 2010 3:49 am

Valerie’s Stats

DS Veteran: Valerie G.
Location: OH, USA
Surgery Date: Oct 31, 2005
Surgeon: Rita Anderson, MD
Highest Weight: 286 lbs
Pre op BMI: 44
Pre op Weight: 272 lbs
Goal Weight: 150 lbs
Current BMI: 25
Current Weight: 148 lbs

Valerie’s Message

How many ways can I say that I love my DS? Once I got over the initial recovery period, losing my weight and keeping it off is easier than I ever imagined, thanks to my DS.

My weight history started with my mom doing fad diets with me starting with my first ‘puberty pudge’. This continued with us finding new and creative ways to starve ourselves, while I rarely lost anything despite my best efforts. I was an athlete in high school despite my obesity, and continued to be obese despite my level of activity. I felt very hopeless, and continued to gain weight into adulthood, stopping only when I went back to starving myself again. It was an extremely uncomfortable rollercoaster ride that was my final straw. Add to that my extreme foot pain and chronic back pain, and I wasn’t living my life to the fullest. From that day, I started researching wls. It was through my research that I discovered the duodenal switch, and it just made SO much sense for me. The malabsorption is just what my “hold on to each and every calorie” body needed.

Today I’m a whole new woman. My career is reaching new heights, thanks to my confidence and I hate to say it, but my appearance too. Being a corporate trainer, appearances do matter. I feel that today my appearance finally matches my personality. I was able to confirm that one day when I met a gentleman face to face after training him over the Web several times galarson.com. His first statement to me was “you look just as I pictured you to be”. To me, I knew that day that I made it! Today my foot and back pain are gone, too. I’ve never been healthier, and I owe it all to the DS!

 

Articles by Valerie G.

Famous Recipes
What to Expect Following Surgery

Lisa P.

October 23, 2010 3:47 am

Lisa’s Stats

DS Veteran: Lisa P.
Location: ON, Canada
Surgery Date: Oct 7, 2008
Surgeon: Marek Lutrzykowski, MD
Highest Weight: 340 lbs
Pre-op BMI: 58
Pre-op Weight: 340 lbs
Goal Weight: 150 lbs
Current BMI: 29
Current Weight: 175 lbs

 

Lisa’s Message

Having the DS was the single greatest thing that I ever did for myself. I have more energy now than I have in at least 15 years. I look better, I feel better and I don’t feel like I have to hide in my house anymore. I am out enjoying life now. I know this has been said a million times, but the only regret I have is that I didn’t have this sooner, premium home cleaning services. I missed out on so much while my kids were growing up, and I’m trying to make up for lost time now. I am very close to my personal goal, and I’ve gained an inch in height! I thank my lucky stars every day that I was able to have this surgery.

lisa before and after

Heather M.

October 23, 2010 3:44 am

Heather’s Stats

DS Veteran: Heather M.
Location: ON, Canada
Surgery Date: Dec 5, 2007
Surgeon: Marek Lutrzykowski, MD
Highest Weight: 313 lbs
Pre-op BMI: 49.6
Pre-op Weight: 269 lbs
Goal Weight: 150 lbs
Current BMI: 20.9
Current Weight: 133 lbs

Hayley F.

October 23, 2010 3:42 am

Hayley’s Stats

DS Veteran: Hayley F.
Location: TX, USA
Surgery Date: Mar 5, 2007
Surgeon: Daryl A. Stewart, MD
Highest Weight: 346 lbs
Pre-op BMI: 48
Pre-op Weight: 346 lbs
Goal Weight: 177 lbs (BMI of 24.9)
Current BMI: 20.1
Current Weight: 144 lbs

hayley before and after

Hayley’s Message

I started this journey weighing 346 lbs, wearing a size 24 pant, and 26/28 top. My goals were to get to a size 8 jean (I was determined to get there, even if it was only for a short visit) and to weigh 170 lbs by one year. I surpassed all of these goals!

Progress Report:
(1 week): -30 lbs total
(3 weeks): -40 lbs total
(1 month): -44 lbs total -44 for month
(2 months): -64 lbs total -20 for month
(3 months): -78 lbs total -14 for month
(4 months): -91 lbs total -13 for month
(5 months): -101 lbs total -10 for month
(6 months): -115 lbs total -14 for month
(7 months): -126 lbs total -11 for month
(8 months): -136 lbs total -10 for month
(9 months): -146 lbs total -10 for month
(10 months): -153 lbs total – 7 for month
(11 months): -162 lbs total -9 for month
(12 months): -170 lbs total -8 for month
(13 months): -174 lbs total -4 for month
(14 months): -181 lbs total -7 for month
(15 months): -188 lbs total -7 for month
(16 months): -192 lbs total -4 for month
(17 months): -192 lbs total -0 for month
(18 months): -196 lbs total -4 for month
(19 months): -199 lbs total -3 for month
(20 months): -199 lbs total -0 for month
(21 months): -200 lbs total -1 for month
(22 months): -202 lbs total -2 for month

As I lost weight, I changed my goal weights. I wanted the following:

Normal BMI (must weigh 177 lbs)
Weigh 170 lbs (personal goal 1)
Weigh 160 lbs (personal goal 2)
Weigh 146 lbs (personal goal 3) so I could say that I lost –200 lbs

I reached all my goals. I now weigh 146 lbs, I wear a size 2 jean and Small/Med tops. So I have lost 202 lbs, I dropped 6 shirt sizes, and 11 pant sizes.

I can sit anywhere I want w/out thinking twice about the seating (restaurants, theatres, roller-coasters, planes). I can double cross my legs. I can put my feet up in the theatre seat. I can shop at any store. I can pick an article of clothing off the rack and KNOW it will fit without having to try it on. I’m wearing skirts, shorts, and dresses (I never wore those as a MO person). I’m wearing sleeveless tops for the first time in my adult life. All the discoloration on my skin from being over weight has vanished. I can walk and walk and walk and not get out of breathe or cramp up. I have energy! I am no longer the biggest person in my family. I am the smallest/lightest person in my family now.

I have had no complications or bad side effects. I do not suffer from any bathroom issues and I have no problem maintaining my weight. I lost my weight without ever going on a diet. The DS is a dream come true! For more information about me, check out my profile on ObesityHelp.

 

Articles by Hayley F.

Acne

Elizabeth N.

October 23, 2010 3:39 am

Elizabeth’s Stats

DS Veteran: Elizabeth N.
Location: NJ, USA
Surgery Date: Dec 4, 2006
Surgeon: William S. Peters, MD
Pre-op BMI: 63
Pre-op Weight: 400 lbs
Current BMI: 25.8
Current Weight: 170 lbs

 

Articles by Elizabeth N.

Post Surgery Advise

elizabeth before and after

Diana C.

October 23, 2010 3:31 am

Diana’s Stats

DS Veteran: Diana C.
Location: CA, USA
Surgery Date: Aug 5, 2003
Surgeon: Robert Rabkin, MD
Highest Weight: 293 lbs
Pre-op BMI: 49
Pre-op Weight: 285 lbs
Goal Weight: 160 (after plastics)
Current BMI: 29
Current Weight: 175 lbs

diana before and after

Diana’s Message

Was a solid child, and then became obese at age 16 when my mother took me to a “health food doctor” who ordered me to stop taking my thyroid meds cold turkey. I gained 30 lbs in one month. Yo-yoed up and down, mostly staying around 210-220, for the next 34 years. Occasionally got down to the 170s-180s via starvation diets and diet pills, but couldn’t stay there. Had two babies, with fortunately uncomplicated pregnancies.

Married my second husband at age 45, and over the next 5 years went from 235 to 290+. I enrolled in a Phase III clinical trial for an obesity drug, which didn’t work, and then gave up. I started looking into WLS in late 2002.

I found ObesityHelp.com, and the more I read, the more appalled and depressed I got. I knew there was no way in hell I could live the way the RNY and LapBand required. I was about to give up entirely, when someone read a post I wrote bemoaning my dilemma, and led me by the virtual hand to information about the duodenal switch.

Well holy crap–this made sense! I have a PhD in biochemistry and molecular biology from UCLA Medical School, so I know enough about science and medicine to understand how the DS differs from the other surgeries. I couldn’t believe I hadn’t seen anything about it before, despite 4+ months of research! As soon as I understood how the DS works, I was sold–and thus began my six month quest to get insurance approval.

Long story short, I had a ferocious battle with Aetna, and ultimately won, after threatening to sue them. I had to pay several thousand dollars of my surgeon’s fee, but my hospitalization was fully covered.

I had an uncomplicated surgery with Dr. Rabkin 12 days before my 50th birthday. While I did not have severe co-morbidities prior to my DS, there certainly were several in my future, as evidenced by my SMO mother’s health–I had pre-diabetic hypoglycemia; my cholesterol was about to cross over into the too-high range, as was my triglyceride level; my C-reactive protein, which is an indicator of cardiovascular risk, especially in women, was sky-high, and my white blood count was chronically elevated, both indicators of inflammation of the blood vessels–that earned me a statin prescription and my very own cardiologist; I had urinary stress incontinence; shortness of breath on exertion; my feet KILLED me after walking more than 10 minutes; sex was–well, you can guess.

8 months after my DS, my company closed its offices in CA, and I had to look for another job. I can’t express what a difference it made to be able to go on job interviews and look decent in a suit. One year after my DS, I went hiking and camping with my family and friends–something I would NOT have been able to do pre-op. A month later, my daughter and I traveled in Europe for nearly 3 weeks at a fast pace, climbing towers in every town we went to, including to the top of the Vatican dome in late August.

I would be remiss if I didn’t confess that I did NOT limit carbs enough during my “honeymoon” period. I lost to 205 lbs in one year, and then stopped dead. I had NO trouble maintaining that weight, but I was stuck there for well over 2 years. I wasn’t unhappy with this–I was in size 14-16 at that weight, in the NORMAL stores. Then, seemingly for no reason at all, in Nov 2006, I started slowly losing weight again. I have lost 30 lbs in the last two years, and started exercising, which has put me in size 8-10 (even at 175 lbs!), and hope to win my current battle against insurance stupidity in order to get my reconstructive surgery, which should put me at my goal weight of 160 lbs. 5 years out, and I am not only NOT fighting regain (and not dieting in the least), but I am still slowly losing. This does not suck.

I feel VERY strongly that the DS is by far and away the BEST bariatric surgery available today, both in how well it works, and in the quality of life it provides. Having said that, it is not for everyone. If you cannot commit to eating 80-100 g of protein a day, every day, for the rest of your life, go find yourself a diet with a scar, or a diet with a choke chain–the DS is not for you. If you cannot commit to a strict regimen of vitamin, mineral and probiotic supplementation, don’t bother. If you cannot commit to having blood drawn at least yearly, more often if necessary, and making appropriate changes in your diet and/or supplements, go get something “less drastic”–a surgery that won’t work as well, but won’t be as likely to kill you if you can’t be compliant. If you can’t commit to being proactive about your health, for the rest of your life, including standing up to doctors who want to blame everything that is wrong with you on the DS (just like they used to blame everything that was wrong with you pre-op on your obesity), this fantastic surgery is not for you. Frankly, if you are too stupid or passive to be a proactive and informed patient, move along and have a less successful but less “dangerous” surgery–it probably won’t work very well for you, but at least you won’t become a statistic that makes the DS look bad. We don’t want you to do that, trust me.

Carolyn M.

October 23, 2010 3:30 am

Carolyn’s Stats

DS Veteran: Carolyn M.
Location: TN, USA
Surgery Date: Nov 3, 2003
Surgeon: Dennis Smith, MD
Highest Weight: 323 lbs
Pre-op BMI: 52
Pre-op Weight: 317 lbs
Goal Weight: 155 lbs
Current BMI: 26
Current Weight: 155 lbs

carolyn

Articles by Carolyn M.

[urltopost]https://dsfacts.com/hair-loss/[/urltopost][urltopost]https://dsfacts.com/post-op-birth-control/[/urltopost]

Qualifying for Weight Loss Surgery

October 23, 2010 3:04 am

The National Institutes of Health (NIH) has set the criteria for qualifying for weight loss surgery. Most surgeons and insurance companies abide by these guidelines. Surgery should be considered for individuals who can show that dietary attempts at weight control have been ineffective and have a BMI greater than 40 or greater than 35 in the presence of comorbidities. If your BMI is between 35 and 39.9 your insurance company may require that that you also have at least one of the following obesity related comorbidities: sleep apnea, diabetes or hypertension. Check with your insurance company on their policy. Patients considering weight loss surgery should be well-informed and motivated with acceptable operative risks. The patient must clearly and realistically understand how their lives may change after operation and be able to participate in treatment and long-term follow-up. These guidelines apply to adults only.  

BMI Calculator

Body mass index (BMI) is a measure of body fat based on height and weight that applies to both adult men and women. BMI does not differentiate between body fat and muscle mass. Therefore, body builders and people who have a lot of muscle bulk will have a high BMI but are not overweight. A BMI > 35 indicates you may qualify for weight loss surgery. Calculate you Body Mass Index (BMI)  Free BMI Script by BMI-Club  Waist circumference  BMI Range     Meaning < 18.5            Underweight 18.5 – 24.9     Normal 25.0 – 29.9     Overweight 30.0 – 39.9     Obese 40.0 – 49.9     Morbid Obesity > 50              Super Morbid Obesity

Obesity Comorbidities

To follow is a list of comorbidities (additional conditions or diseases) related to obesity which may help you in qualifying for weight loss surgery.
  • Family history of heart disease
  • Family history of stroke
  • Family history of diabetes
  • Family history of heart attacks
  • Hyperinsulinemia
  • Diabetes
  • High blood pressure
  • Coronary-artery disease
  • Hypertension
  • Migraines or headaches directly related to obesity or cranial hypertension
  • Congestive heart failure
  • Neoplasia
  • Dyslipidemia
  • Anemia
  • Gallbladder disease
  • Osteoarthritis
  • Degenerative arthritis
  • Degenerative disc
  • Degenerative joint disease
  • Recommended joint replacement from specialist
  • Accelerated degenerative joint disease
  • Asthma
  • Repeated pneumonia
  • Repeated pleurisy
  • Repeated bronchitis
  • Lung restriction
  • Gastroesophageal reflex (GERD)
  • Excess facial & body Hair (Hirsutism)
  • Rashes
  • Chronic skin infections
  • Excess sweating
  • Frequent yeast infections
  • Urinary stress incontinence
  • Menstrual irregularity
  • Hormonal abnormalities
  • Polycystic ovaries
  • Infertility
  • Carcinoma (breast, colon, uterine cancer)
  • Sleep apnea
  • Pseudotumor cerebri
  • Depression
  • Psychological/sexual dysfunction
  • Social discrimination
  • Premature death
  For more information on the NIH qualifications for weight loss surgery:  Gastrointestinal surgery for severe obesity. Proceedings of a National Institutes of Health Consensus Development Conference, March 25-27, 1991.

Vitamin D

October 23, 2010 1:01 am

Benefits of Vitamin D

– Builds strong bones and teeth. – Protects against virus infections such as the common cold. – May be stored in the liver and skin.

Best Absorbed Form

Cholecalciferol (D3)

Take With

Calcium

Information on Vitamin D

In supplements vit D is available in two forms, D2 ergocalciferol and D3 cholecalciferol. The two forms have traditionally been regarded as equivalent based on their ability to cure rickets, but evidence has been offered that they are metabolized differently. Vit D3 could be more than three times as effective as vit D2 in raising serum 25(OH)D concentrations and maintaining those levels for a longer time, and its metabolites have superior affinity for vit D-binding proteins in plasma. [44-46] As a result it is preferable to supplement with D3 cholecalciferol. According to the AACE/TOS/ASMBS Guidelines [51] for post-op Duodenal Switch patients in cases of severe vitamin D malabsorption, oral doses of vitamin D2 or D3 may need to be as high as 50,000 to 150,000 IU/day, and the more recalcitrant cases may require concurrent oral administration of calcitriol (1,25-dihydroxyvitaminD). It is very important to be aware that if you receive a prescription for a high dosage of vit D, like the 50,000 i.u., often these prescription vit D pills are for D2 ergocaliciferal, not D3, and they are usually an oil based pill which as a post op DSer we do not absorb well. For a 50,000 i.u. vit D supplement in dry form visit Vitalady.com  Check with your surgeon for the suggested post-op daily supplementation. For more information on vit D from post op DSers see these two threads on the Obesity Help Duodenal Switch Forums. Vitamin D Very Low  My Endocrinologist Called…

For more information on Vitamin D

Vitamin D in a New Light  Vitamin D2 Is Much Less Effective than Vitamin D3 in Humans  Understanding Vitamin D Cholecalciferol  Studies on vitamin D3 and the intestinal absorption of calcium and other ions in the rachitic chick 

Calcium

October 23, 2010 12:59 am

Benefits of Calcium

– It builds strong bones and teeth. – It helps in facilitating the movement of nutrients across cell membranes. – It helps prevent osteoporosis. – It is needed for muscle contraction, blood vessel contraction and expansion.

Best Absorbed Form

Citrate

Take With

Vitamin D

Don’t Take With

Iron, zinc and caffeine

Information on Calcium

The two main forms of calcium found in supplements are carbonate and citrate. Other forms of calcium in supplements or fortified foods include calcium gluconate, lactate, and phosphate. An acidic environment is required to absorb calcium (and vitamin D). Calcium carbonate neutralizes stomach acid and as a result the calcium (and vitamin D) are not absorbed well. Calcium citrate does not neutralize stomach acid so is more readily absorbed and as a result does not interfere with the absorption of vitamin D which is essential for the uptake of calcium into the bones. Calcium citrate is better absorbed in individuals, like post-op DS patients, who have decreased stomach acid. [52-54] Calcium citrate contains 21% elemental calcium. For more information on elemental calcium and understanding supplement labels see our Vitamin and Mineral Supplement Basics.  Calcium absorption depends on the total amount of calcium consumed at one time and whether the calcium is taken with food or on an empty stomach. Absorption from supplements is best in doses 500 mg or less because the percent of calcium absorbed decreases as the amount of calcium in the supplement increases [47, 48]. Therefore, someone taking 1000 mg of calcium in a supplement should take 500 mg twice a day instead of 1000 mg calcium at one time. The most efficient absorption of calcium is dependent on the presence of vitamin D in the body and this is why you should take vitamin D with calcium. Check with your surgeon for the suggested post-op daily supplementation.

Caffeine and Calcium

Caffeine has a small effect on calcium absorption by temporarily increasing calcium excretion and may modestly decrease calcium absorption. This effect is easily offset by increasing calcium consumption in the diet [49]. Moderate caffeine consumption, (1 cup of coffee or 2 cups of tea per day), in young women who have adequate calcium intakes has little to no negative effects on their bones [50].