Guest guest Posted May 15, 2001 Report Share Posted May 15, 2001 : You'll get lots of answers as this is just the type of post we all love to sink our teeth into. By that I mean that you are asking questions we can answer. 1) Can you get DS done LAP? Absolutely. Sometimes. From some surgeons. How's that for being specific? Seriously, there are a number of surgeons who do it lap but not all do. Go to www.duodenalswitch.com and click on surgeons. The ones who do it lap are noted. But even those who usually do it lap will not do it lap on some patients who do not qualify because of being super-morbidly obese (BMI over 50) or who have had previous abdominal surgery and may have adhesions. So if that is really important to you find a surgeon and discuss it with them for you. 2) Why are there so Few Doctors? I live in Chicago there is one of everything in Chicago but no doctors willing to do DS? Why is that? I have to admit that makes me nervous. I live in San and there are at least four MAJOR medical centers and no DS surgeons in the entire state. There are several reasons. First, the DS is more complicated than the RNY. And the RNY is a pretty good weight loss surgery. It's quicker and easier for the surgeon to do. But as you probably know it doesn't have the success rate or the quality of life for the patient. So most surgeons do the simpler surgery for which there is more demand than supply. If they can make the money running the RNYs through they just don't have to do the more complicated surgery. And they defend themselves by saying that the RNY is "the gold standard of WLS." Excuse me while I vomit. (That's a technical term.) 3) What have you all found that are negative side effects? Not that it doesn't by FAR make it worth it. But Something akin to the Dumping syndrome, or the limited food portions, there has to be something that happens, its not magic. So, I want to know the good with the bad. Anyone that can help I would appreciate. There are two. First are the surgical complications which can occur. Second there are the long term complications. Obviously with any major abdominal surgery involving a general anesthetic there is a mortality rate. With the DS it is about 1%. That apparently is about average for all major abdominal surgeries as well. Short of that you can get leaks in the suture or staple lines, leaks in the stomach wall (that's what I had), twisted intestines, healing problems, fissures, blood clots, and any number of other complications. Fortunately these complications are rare. But not unheard of I am here to testify. Long term complications are even less common. I'm not including here the long term results of the surgical complications which some people have. The longer term complication that is by far the most common is mal-nourishment. This is caused by the malabsorption facet of this surgery. You need to commit to blood tests FOR THE REST OF YOUR LIFE, at least on a yearly basis. It's fairly easy to have your calcium, protein, iron and other levels get too low. The good news is that if it hasn't gone too far it's simply a matter of taking some supplement pills. If you don't catch it quickly it still isn't too tough for the doctors to get your levels back up. But you MUST check it to know what the levels are. The primary long term component of the surgery is the shortening of the short intestine to limit the absorption. This is usually made between 80 and 100 cm long. That could be too short or too long for you. There is the possibility, unusual but possible, that you could have to have your "common channel" lengthened or shortened. It usually needs to be shortened as the surgeons tend to be conservative. This is another surgery but a pretty simple one and no where as complex as the DS itself. Most surgeons remove the gall bladder and many remove the appendix as a matter of course. This can cause some problems though many surgeons feel it solves many more problems than it causes. You can have diarrhea, sometimes big time, usually bad for a month or two and then going back to normal. You can and usually will have bad odors from your bowel movements and gas. This as well doesn't usually last all that long. And there are medicines you can take which will help. You can have hair loss. I have heard surgeons say that it is absolutely the anesthetic and others say it is absolutely the protein loss, and others say it is absolutely the weight loss. I suspect it is a combination of all of the above. This is almost always temporary. My hair has thinned a LOT. I am 5 months out. I'm told it will come back but if it doesn't it is no big deal. I'm sure I'm forgetting some things but rest assured you'll hear all about it. 5) Whats the catch? Reading up on this, it seems hands down DS is the way to go. Almost too good. Do you have the problems with not being able to eat certain foods? Not that that is necissarily an issue, but if you eat a piece of wedding cake on your wedding day are you gonna be in the bathroom for the next 3 hours? Can you handle meats? Etc. Anyway, I know you probably get these questions a million times a day. I would appreciate any input you have. In summary, there is no catch. The surgery being more complicated takes longer under the anesthetic. That is a risk. There is one additional "hookup" and consequently one more thing that can go wrong with the DS than with the RNY. Beyond that, nothing. You have NO limitations on foods. You should take it real easy for the first few months. But the day I got home from the hospital, two months after I went in, I had a pepperoni pizza. My tastes changed somewhat for a while but now I like everything that I liked before surgery. And I can eat it all, just not very much of it. And I don't absorb much of what I eat. I eat sweets - like wedding cake. I bought a box of donut holes this last week. The box lasted 6 days. It had never lasted a full day before. No dumping normally. Some do report something akin to it early after the surgery but you eat what you want and if you don't feel good don't eat it again for a few weeks or months. Can you handle meats? Certainly. In fact, getting enough protein can be an early problem so eating lots of meat is a very good thing. Softer meats go down easier at first but now I eat all the heavy meats I want. Sometimes if I haven't gotten enough meat for a day or two I will make a protein shake in the mid-afternoon. As I said, I'm sure you'll get lots of answers. Welcome to the group and I hope you find all the answers you need here. Feel free to ask any more questions that occur to you. Regards. Joe Frost, old gentleman, not old fartSan , TX, 60 years oldSurgery 11/29/00 by Dr. Welker Lateral Gastrectomy with Duodenal Switch340 starting weight, currently 241http://www.duodenalswitch.com/Patients/Joe/joe.html Looking for a doctor > Hello Everyone!> > I am new to the list. I am almost 28 years old, a> friend of my just had a Lap RNY and I spent some time> with her over the weekend. We chatted about why she> went through with the surgery and I just couldnt> remember why it was that I wasn't willing to do it> anymore. I had always said, oh well that is for the> people that don't want to do the work, that is for the> ones who wont/can't excersize, I am just being lazy. > And then it occured to me when I started to TRY to> excercise the way I had before, the Tae Bo tapes, the> brisk walking, the line dancing, that I can't do what> I used to be able to. And it occured to me that I was> out of control, and that I had become one of those> people that probably need it. Soooo, here I am. I> did ALL kinds of research, and it seems hands down> that DS is the way to go. You don't have what I> consider the negative side effects that I have heard> with the Lap RNY. I have a couple questions though.> > 1) Can you get DS done LAP?> > 2) Why are there so Few Doctors? I live in Chicago> there is one of everything in Chicago but no doctors> willing to do DS? Why is that? I have to admit that> makes me nervous.> > 3) What have you all found that are negative side> effects? Not that it doesnt by FAR make it worth it. > But Something akin to the Dumping syndrom, or the> limited food portions, there has to be something that> happens, its not magic. So, I want to know the good> with the bad. Anyone that can help I would> appreciate.> > 4) If I get a referral from my PCP to a doctor that> only does RNY, do I have a choice? Or do I have to> self pay all of it? Anyone with experience? I caught> the tail end of part of a conversation regarding that,> and was wondering if you could contact me to let me> know how you went about your fight. But this may be a> moot point depending on the answers from number 2.> > 5) Whats the catch? Reading up on this, it seems> hands down DS is the way to go. Almost too good. Do> you have the problems with not being able to eat> certain foods? Not that that is necissarily an issue,> but if you eat a piece of wedding cake on your wedding> day are you gonna be in the bathroom for the next 3> hours? Can you handle meats? Etc. Anyway, I know> you probably get these questions a million times a> day. I would appreciate any input you have.> > > > > __________________________________________________> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 15, 2001 Report Share Posted May 15, 2001 : You'll get lots of answers as this is just the type of post we all love to sink our teeth into. By that I mean that you are asking questions we can answer. 1) Can you get DS done LAP? Absolutely. Sometimes. From some surgeons. How's that for being specific? Seriously, there are a number of surgeons who do it lap but not all do. Go to www.duodenalswitch.com and click on surgeons. The ones who do it lap are noted. But even those who usually do it lap will not do it lap on some patients who do not qualify because of being super-morbidly obese (BMI over 50) or who have had previous abdominal surgery and may have adhesions. So if that is really important to you find a surgeon and discuss it with them for you. 2) Why are there so Few Doctors? I live in Chicago there is one of everything in Chicago but no doctors willing to do DS? Why is that? I have to admit that makes me nervous. I live in San and there are at least four MAJOR medical centers and no DS surgeons in the entire state. There are several reasons. First, the DS is more complicated than the RNY. And the RNY is a pretty good weight loss surgery. It's quicker and easier for the surgeon to do. But as you probably know it doesn't have the success rate or the quality of life for the patient. So most surgeons do the simpler surgery for which there is more demand than supply. If they can make the money running the RNYs through they just don't have to do the more complicated surgery. And they defend themselves by saying that the RNY is "the gold standard of WLS." Excuse me while I vomit. (That's a technical term.) 3) What have you all found that are negative side effects? Not that it doesn't by FAR make it worth it. But Something akin to the Dumping syndrome, or the limited food portions, there has to be something that happens, its not magic. So, I want to know the good with the bad. Anyone that can help I would appreciate. There are two. First are the surgical complications which can occur. Second there are the long term complications. Obviously with any major abdominal surgery involving a general anesthetic there is a mortality rate. With the DS it is about 1%. That apparently is about average for all major abdominal surgeries as well. Short of that you can get leaks in the suture or staple lines, leaks in the stomach wall (that's what I had), twisted intestines, healing problems, fissures, blood clots, and any number of other complications. Fortunately these complications are rare. But not unheard of I am here to testify. Long term complications are even less common. I'm not including here the long term results of the surgical complications which some people have. The longer term complication that is by far the most common is mal-nourishment. This is caused by the malabsorption facet of this surgery. You need to commit to blood tests FOR THE REST OF YOUR LIFE, at least on a yearly basis. It's fairly easy to have your calcium, protein, iron and other levels get too low. The good news is that if it hasn't gone too far it's simply a matter of taking some supplement pills. If you don't catch it quickly it still isn't too tough for the doctors to get your levels back up. But you MUST check it to know what the levels are. The primary long term component of the surgery is the shortening of the short intestine to limit the absorption. This is usually made between 80 and 100 cm long. That could be too short or too long for you. There is the possibility, unusual but possible, that you could have to have your "common channel" lengthened or shortened. It usually needs to be shortened as the surgeons tend to be conservative. This is another surgery but a pretty simple one and no where as complex as the DS itself. Most surgeons remove the gall bladder and many remove the appendix as a matter of course. This can cause some problems though many surgeons feel it solves many more problems than it causes. You can have diarrhea, sometimes big time, usually bad for a month or two and then going back to normal. You can and usually will have bad odors from your bowel movements and gas. This as well doesn't usually last all that long. And there are medicines you can take which will help. You can have hair loss. I have heard surgeons say that it is absolutely the anesthetic and others say it is absolutely the protein loss, and others say it is absolutely the weight loss. I suspect it is a combination of all of the above. This is almost always temporary. My hair has thinned a LOT. I am 5 months out. I'm told it will come back but if it doesn't it is no big deal. I'm sure I'm forgetting some things but rest assured you'll hear all about it. 5) Whats the catch? Reading up on this, it seems hands down DS is the way to go. Almost too good. Do you have the problems with not being able to eat certain foods? Not that that is necissarily an issue, but if you eat a piece of wedding cake on your wedding day are you gonna be in the bathroom for the next 3 hours? Can you handle meats? Etc. Anyway, I know you probably get these questions a million times a day. I would appreciate any input you have. In summary, there is no catch. The surgery being more complicated takes longer under the anesthetic. That is a risk. There is one additional "hookup" and consequently one more thing that can go wrong with the DS than with the RNY. Beyond that, nothing. You have NO limitations on foods. You should take it real easy for the first few months. But the day I got home from the hospital, two months after I went in, I had a pepperoni pizza. My tastes changed somewhat for a while but now I like everything that I liked before surgery. And I can eat it all, just not very much of it. And I don't absorb much of what I eat. I eat sweets - like wedding cake. I bought a box of donut holes this last week. The box lasted 6 days. It had never lasted a full day before. No dumping normally. Some do report something akin to it early after the surgery but you eat what you want and if you don't feel good don't eat it again for a few weeks or months. Can you handle meats? Certainly. In fact, getting enough protein can be an early problem so eating lots of meat is a very good thing. Softer meats go down easier at first but now I eat all the heavy meats I want. Sometimes if I haven't gotten enough meat for a day or two I will make a protein shake in the mid-afternoon. As I said, I'm sure you'll get lots of answers. Welcome to the group and I hope you find all the answers you need here. Feel free to ask any more questions that occur to you. Regards. Joe Frost, old gentleman, not old fartSan , TX, 60 years oldSurgery 11/29/00 by Dr. Welker Lateral Gastrectomy with Duodenal Switch340 starting weight, currently 241http://www.duodenalswitch.com/Patients/Joe/joe.html Looking for a doctor > Hello Everyone!> > I am new to the list. I am almost 28 years old, a> friend of my just had a Lap RNY and I spent some time> with her over the weekend. We chatted about why she> went through with the surgery and I just couldnt> remember why it was that I wasn't willing to do it> anymore. I had always said, oh well that is for the> people that don't want to do the work, that is for the> ones who wont/can't excersize, I am just being lazy. > And then it occured to me when I started to TRY to> excercise the way I had before, the Tae Bo tapes, the> brisk walking, the line dancing, that I can't do what> I used to be able to. And it occured to me that I was> out of control, and that I had become one of those> people that probably need it. Soooo, here I am. I> did ALL kinds of research, and it seems hands down> that DS is the way to go. You don't have what I> consider the negative side effects that I have heard> with the Lap RNY. I have a couple questions though.> > 1) Can you get DS done LAP?> > 2) Why are there so Few Doctors? I live in Chicago> there is one of everything in Chicago but no doctors> willing to do DS? Why is that? I have to admit that> makes me nervous.> > 3) What have you all found that are negative side> effects? Not that it doesnt by FAR make it worth it. > But Something akin to the Dumping syndrom, or the> limited food portions, there has to be something that> happens, its not magic. So, I want to know the good> with the bad. Anyone that can help I would> appreciate.> > 4) If I get a referral from my PCP to a doctor that> only does RNY, do I have a choice? Or do I have to> self pay all of it? Anyone with experience? I caught> the tail end of part of a conversation regarding that,> and was wondering if you could contact me to let me> know how you went about your fight. But this may be a> moot point depending on the answers from number 2.> > 5) Whats the catch? Reading up on this, it seems> hands down DS is the way to go. Almost too good. Do> you have the problems with not being able to eat> certain foods? Not that that is necissarily an issue,> but if you eat a piece of wedding cake on your wedding> day are you gonna be in the bathroom for the next 3> hours? Can you handle meats? Etc. Anyway, I know> you probably get these questions a million times a> day. I would appreciate any input you have.> > > > > __________________________________________________> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 15, 2001 Report Share Posted May 15, 2001 : You'll get lots of answers as this is just the type of post we all love to sink our teeth into. By that I mean that you are asking questions we can answer. 1) Can you get DS done LAP? Absolutely. Sometimes. From some surgeons. How's that for being specific? Seriously, there are a number of surgeons who do it lap but not all do. Go to www.duodenalswitch.com and click on surgeons. The ones who do it lap are noted. But even those who usually do it lap will not do it lap on some patients who do not qualify because of being super-morbidly obese (BMI over 50) or who have had previous abdominal surgery and may have adhesions. So if that is really important to you find a surgeon and discuss it with them for you. 2) Why are there so Few Doctors? I live in Chicago there is one of everything in Chicago but no doctors willing to do DS? Why is that? I have to admit that makes me nervous. I live in San and there are at least four MAJOR medical centers and no DS surgeons in the entire state. There are several reasons. First, the DS is more complicated than the RNY. And the RNY is a pretty good weight loss surgery. It's quicker and easier for the surgeon to do. But as you probably know it doesn't have the success rate or the quality of life for the patient. So most surgeons do the simpler surgery for which there is more demand than supply. If they can make the money running the RNYs through they just don't have to do the more complicated surgery. And they defend themselves by saying that the RNY is "the gold standard of WLS." Excuse me while I vomit. (That's a technical term.) 3) What have you all found that are negative side effects? Not that it doesn't by FAR make it worth it. But Something akin to the Dumping syndrome, or the limited food portions, there has to be something that happens, its not magic. So, I want to know the good with the bad. Anyone that can help I would appreciate. There are two. First are the surgical complications which can occur. Second there are the long term complications. Obviously with any major abdominal surgery involving a general anesthetic there is a mortality rate. With the DS it is about 1%. That apparently is about average for all major abdominal surgeries as well. Short of that you can get leaks in the suture or staple lines, leaks in the stomach wall (that's what I had), twisted intestines, healing problems, fissures, blood clots, and any number of other complications. Fortunately these complications are rare. But not unheard of I am here to testify. Long term complications are even less common. I'm not including here the long term results of the surgical complications which some people have. The longer term complication that is by far the most common is mal-nourishment. This is caused by the malabsorption facet of this surgery. You need to commit to blood tests FOR THE REST OF YOUR LIFE, at least on a yearly basis. It's fairly easy to have your calcium, protein, iron and other levels get too low. The good news is that if it hasn't gone too far it's simply a matter of taking some supplement pills. If you don't catch it quickly it still isn't too tough for the doctors to get your levels back up. But you MUST check it to know what the levels are. The primary long term component of the surgery is the shortening of the short intestine to limit the absorption. This is usually made between 80 and 100 cm long. That could be too short or too long for you. There is the possibility, unusual but possible, that you could have to have your "common channel" lengthened or shortened. It usually needs to be shortened as the surgeons tend to be conservative. This is another surgery but a pretty simple one and no where as complex as the DS itself. Most surgeons remove the gall bladder and many remove the appendix as a matter of course. This can cause some problems though many surgeons feel it solves many more problems than it causes. You can have diarrhea, sometimes big time, usually bad for a month or two and then going back to normal. You can and usually will have bad odors from your bowel movements and gas. This as well doesn't usually last all that long. And there are medicines you can take which will help. You can have hair loss. I have heard surgeons say that it is absolutely the anesthetic and others say it is absolutely the protein loss, and others say it is absolutely the weight loss. I suspect it is a combination of all of the above. This is almost always temporary. My hair has thinned a LOT. I am 5 months out. I'm told it will come back but if it doesn't it is no big deal. I'm sure I'm forgetting some things but rest assured you'll hear all about it. 5) Whats the catch? Reading up on this, it seems hands down DS is the way to go. Almost too good. Do you have the problems with not being able to eat certain foods? Not that that is necissarily an issue, but if you eat a piece of wedding cake on your wedding day are you gonna be in the bathroom for the next 3 hours? Can you handle meats? Etc. Anyway, I know you probably get these questions a million times a day. I would appreciate any input you have. In summary, there is no catch. The surgery being more complicated takes longer under the anesthetic. That is a risk. There is one additional "hookup" and consequently one more thing that can go wrong with the DS than with the RNY. Beyond that, nothing. You have NO limitations on foods. You should take it real easy for the first few months. But the day I got home from the hospital, two months after I went in, I had a pepperoni pizza. My tastes changed somewhat for a while but now I like everything that I liked before surgery. And I can eat it all, just not very much of it. And I don't absorb much of what I eat. I eat sweets - like wedding cake. I bought a box of donut holes this last week. The box lasted 6 days. It had never lasted a full day before. No dumping normally. Some do report something akin to it early after the surgery but you eat what you want and if you don't feel good don't eat it again for a few weeks or months. Can you handle meats? Certainly. In fact, getting enough protein can be an early problem so eating lots of meat is a very good thing. Softer meats go down easier at first but now I eat all the heavy meats I want. Sometimes if I haven't gotten enough meat for a day or two I will make a protein shake in the mid-afternoon. As I said, I'm sure you'll get lots of answers. Welcome to the group and I hope you find all the answers you need here. Feel free to ask any more questions that occur to you. Regards. Joe Frost, old gentleman, not old fartSan , TX, 60 years oldSurgery 11/29/00 by Dr. Welker Lateral Gastrectomy with Duodenal Switch340 starting weight, currently 241http://www.duodenalswitch.com/Patients/Joe/joe.html Looking for a doctor > Hello Everyone!> > I am new to the list. I am almost 28 years old, a> friend of my just had a Lap RNY and I spent some time> with her over the weekend. We chatted about why she> went through with the surgery and I just couldnt> remember why it was that I wasn't willing to do it> anymore. I had always said, oh well that is for the> people that don't want to do the work, that is for the> ones who wont/can't excersize, I am just being lazy. > And then it occured to me when I started to TRY to> excercise the way I had before, the Tae Bo tapes, the> brisk walking, the line dancing, that I can't do what> I used to be able to. And it occured to me that I was> out of control, and that I had become one of those> people that probably need it. Soooo, here I am. I> did ALL kinds of research, and it seems hands down> that DS is the way to go. You don't have what I> consider the negative side effects that I have heard> with the Lap RNY. I have a couple questions though.> > 1) Can you get DS done LAP?> > 2) Why are there so Few Doctors? I live in Chicago> there is one of everything in Chicago but no doctors> willing to do DS? Why is that? I have to admit that> makes me nervous.> > 3) What have you all found that are negative side> effects? Not that it doesnt by FAR make it worth it. > But Something akin to the Dumping syndrom, or the> limited food portions, there has to be something that> happens, its not magic. So, I want to know the good> with the bad. Anyone that can help I would> appreciate.> > 4) If I get a referral from my PCP to a doctor that> only does RNY, do I have a choice? Or do I have to> self pay all of it? Anyone with experience? I caught> the tail end of part of a conversation regarding that,> and was wondering if you could contact me to let me> know how you went about your fight. But this may be a> moot point depending on the answers from number 2.> > 5) Whats the catch? Reading up on this, it seems> hands down DS is the way to go. Almost too good. Do> you have the problems with not being able to eat> certain foods? Not that that is necissarily an issue,> but if you eat a piece of wedding cake on your wedding> day are you gonna be in the bathroom for the next 3> hours? Can you handle meats? Etc. Anyway, I know> you probably get these questions a million times a> day. I would appreciate any input you have.> > > > > __________________________________________________> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 15, 2001 Report Share Posted May 15, 2001 Hi : Congratulations on choosing the best surgery there is! > 1) Can you get DS done LAP? Yes. Check this link, and look for the docs with the * by their names. http://www.duodenalswitch.com/Surgeons/surgeons.html> Just curious, why do you want lap, rather than open? Dr. Baltazar, who performs both open and lap versions, says this about the difference: " Laparoscopic surgery gives better cosmetic results, less pain and discomfort, almost no hernias post-op but IT IS NOT EASIER NOR SAFER than the open techniques. Long-term good results should be the aim of Obesity Surgery, measure by the % EWL (percentage of excess weight loss), good QOL (Quality of Life) and cure of the co-morbidities. " http://www.duodenalswitch.com/Surgeons/Surgical_Scars/surgical_scars. html> > 2) Why are there so Few Doctors? I live in Chicago > there is one of everything in Chicago but no doctors > willing to do DS? Why is that? The DS is a technically difficult surgery to perform. Most weight loss surgeons simply don't have the skill, qualifications, and experience to perform it safely. Don't let this turn you off though. For the most part, the surgeons who DO perform the DS are among the finest surgeons in the world, IMHO. Look at it this way, your chances of being messed up by an average surgeon performing a more simple operation are probably much higher than your chances of being messed up by an excellent surgeon performing a difficult surgery. > 3) What have you all found that are negative side > effects? The biggies are nasty gas and stinky feces. But, there are things you can do and/or products you can take to control both of these. Too many carbohydrates will contribute to the gas and the smell, and can also slow down your weight loss. Too much fat will give you diarrhea, but can speed up your weight loss. You have to be willing to take vitamins (and any other supplements your particular doc orders in your particular case) faithfully. You have to eat a lot of protein. You have to get off your duff and exercise, (walking will do), after the surgery or you could get a pulmonary embolism. (This is true of the aftermath of any surgery, particularly for very heavy people.) > 4) If I get a referral from my PCP to a doctor that > only does RNY, do I have a choice? Or do I have to > self pay all of it? Get a new PCP! Get out your insurance company booklet and start dialing until you find one who is willing to work with you, rather than against you. > 5) Whats the catch? Reading up on this, it seems > hands down DS is the way to go. Yep, it is. Check out these links to see why: http://www.surgery.usc.edu/foregut/bariatric/> http://www.drbaltasar.com/i_default.html> http://www.pacificsurgery.com/Obesity_Surgery/DGBDS_Surgery/dgbds_sur gery.html> http://www.mini-surg.com/duodenal_switch1.htm> Remember, most weight loss surgeons just aren't qualified to do this surgery, even if they would never admit it. And, since they do perform other surgeries, and make their livelihood thusly, they have a vested interest in talking down the DS. > ... if you eat a piece of wedding cake on your wedding > day are you gonna be in the bathroom for the next 3 > hours? No, but you might be sending your hubby out for a gas mask. (Sugar makes a lot of us VERY gassy.) > Can you handle meats? The more the better! I cooked myself a half a pound of bacon for breakfast this morning. YUMMY! Remember, after the DS, you have very limited capacity to absorb fat, so the higher the percentage of fat in your diet, the better, (provided it doesn't give you killer diarrhea, that is). Hope this helps, Tom Open DS, Dr. Anthone, 03/30/2001 41 pounds down as of 05/14/2001 Quote Link to comment Share on other sites More sharing options...
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