Duodenal Switch - malabsorption

[Guest guest]

Hi Everyone....

I received the following from a former student of mine and since I rarely

counsel this type of client I am asking for assistance from those with

expertise:

" I am 10 years post-op from having a duodenal switch (Gastric bypass procedure).

Recently, I have been tentatively diagnosed with rickets and secondary

hyperparathyroidism. Clearly, I have absorption issues with vitamins and I am

also having protein absorption issues. In order for me not to swell up like a

puffer fish, I must maintain over 100 grams of protein per day. I have a

sensitivity to fake sugars rendering the majority of the protein shakes and bars

out of the question. Not to mention, I am at a point where I would need to drink

a shake while eating a meal to even think about getting an appropriate amount of

protein in. Being a gastric bypass patient, that's impossible to do since my

stomach is so small.

From my understanding, I would need to watch my phosphate levels with the high

PTH, yes? This means that I need to watch my intake of eggs and meat? Those are

my two main sources of protein. See my problems? "

Can anyone help? Thanks so much!

J. Sheerin, RD

Traverse City, MI