Guest guest Posted March 17, 2003 Report Share Posted March 17, 2003 You are exactly right Les. That's why our docs don't measure the bypassed part, because that doesn't tell you anything but how much is bypassed. They measure the " working " part of the intestine...so we are all the same basically if we are proxy or distal. I have 5 feet of working intestine... has much less. But at least we KNOW. No variables here that I can see, anyway. Regards~ Jacque Distal RNY, 5/30/00 Drs. Fox and Oh 310~127 Beginning BMI 50.0 Current BMI 20.4 > there's an average length of intestine that > most of us have, but my guess is that it's probably never exactly the > same person to person. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 17, 2003 Report Share Posted March 17, 2003 You are exactly right Les. That's why our docs don't measure the bypassed part, because that doesn't tell you anything but how much is bypassed. They measure the " working " part of the intestine...so we are all the same basically if we are proxy or distal. I have 5 feet of working intestine... has much less. But at least we KNOW. No variables here that I can see, anyway. Regards~ Jacque Distal RNY, 5/30/00 Drs. Fox and Oh 310~127 Beginning BMI 50.0 Current BMI 20.4 > there's an average length of intestine that > most of us have, but my guess is that it's probably never exactly the > same person to person. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 17, 2003 Report Share Posted March 17, 2003 I would like to see people state whether they are Distal or Proximal when giving advice on vitamins and proteins. Distal paitents have much more malabsorption of nutrients than proximal and what they do is not necessarily advisable or necessary in a proximal paitent. I am proximal and I have asked questions at our support groups with our surgeons based on info. given here and a couple of times they have said that the quantities of protein and the need of other nutrients are more appropriate for distal paitents than for us. I think there should be a better distinction when giving advice. Has anyone else found this to be true also? WLS 06/2000 155 lost Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 17, 2003 Report Share Posted March 17, 2003 I would like to see people state whether they are Distal or Proximal when giving advice on vitamins and proteins. Distal paitents have much more malabsorption of nutrients than proximal and what they do is not necessarily advisable or necessary in a proximal paitent. I am proximal and I have asked questions at our support groups with our surgeons based on info. given here and a couple of times they have said that the quantities of protein and the need of other nutrients are more appropriate for distal paitents than for us. I think there should be a better distinction when giving advice. Has anyone else found this to be true also? WLS 06/2000 155 lost Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 17, 2003 Report Share Posted March 17, 2003 Yes and No. Yes, it might be useful information; yes, potentially both RNY groups have different nutritional needs, and NO, I think most surgeons give useless or flat-out wrong information when it comes to nutrition (and I run a support group for folks that have used over 15 surgeons; almost all of them have given some bad advice! I think most surgeons think we need less protein than we really do; poorer-quality vitamins (kids' chewables) than we really do, and the biggest tragedy of all, many of them still think we'll be just fine if we take calcium carbonate. And I say " we " deliberately generically; once you bypass the duodenum, as almost all of us have had done, I think we all need at least 60 grams of predigested protein each day, at least one high-quality adult multi-vite, and at least 1000 mg of calcium citrate. That's what I've seen work for the long-term success stories in our group. Ultimately, you have to watch your labs and how you feel and adjust accordingly. I don't think there's any magic formula for any of us. Ziobro Open RNY 09/17/01 125 cm medial 310/130 Request I would like to see people state whether they are Distal or Proximal when giving advice on vitamins and proteins. Distal paitents have much more malabsorption of nutrients than proximal and what they do is not necessarily advisable or necessary in a proximal paitent. I am proximal and I have asked questions at our support groups with our surgeons based on info. given here and a couple of times they have said that the quantities of protein and the need of other nutrients are more appropriate for distal paitents than for us. I think there should be a better distinction when giving advice. Has anyone else found this to be true also? WLS 06/2000 155 lost Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 17, 2003 Report Share Posted March 17, 2003 Yes and No. Yes, it might be useful information; yes, potentially both RNY groups have different nutritional needs, and NO, I think most surgeons give useless or flat-out wrong information when it comes to nutrition (and I run a support group for folks that have used over 15 surgeons; almost all of them have given some bad advice! I think most surgeons think we need less protein than we really do; poorer-quality vitamins (kids' chewables) than we really do, and the biggest tragedy of all, many of them still think we'll be just fine if we take calcium carbonate. And I say " we " deliberately generically; once you bypass the duodenum, as almost all of us have had done, I think we all need at least 60 grams of predigested protein each day, at least one high-quality adult multi-vite, and at least 1000 mg of calcium citrate. That's what I've seen work for the long-term success stories in our group. Ultimately, you have to watch your labs and how you feel and adjust accordingly. I don't think there's any magic formula for any of us. Ziobro Open RNY 09/17/01 125 cm medial 310/130 Request I would like to see people state whether they are Distal or Proximal when giving advice on vitamins and proteins. Distal paitents have much more malabsorption of nutrients than proximal and what they do is not necessarily advisable or necessary in a proximal paitent. I am proximal and I have asked questions at our support groups with our surgeons based on info. given here and a couple of times they have said that the quantities of protein and the need of other nutrients are more appropriate for distal paitents than for us. I think there should be a better distinction when giving advice. Has anyone else found this to be true also? WLS 06/2000 155 lost Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 17, 2003 Report Share Posted March 17, 2003 Not a bad idea. Will add it to my signature. NOT that I ever give advice on vitamins....mostly I just sit here and commiserate with everyone and every issue...cause I think I have them ALL! Debbie in Gig Harbor (medial)(leave it to me to be a fence sitter LOLOL) ladybostons@... http://www.cafeshops.com/copsstore Request I would like to see people state whether they are Distal or Proximal when giving advice on vitamins and proteins. Distal paitents have much more malabsorption of nutrients than proximal and what they do is not necessarily advisable or necessary in a proximal paitent. I am proximal and I have asked questions at our support groups with our surgeons based on info. given here and a couple of times they have said that the quantities of protein and the need of other nutrients are more appropriate for distal paitents than for us. I think there should be a better distinction when giving advice. Has anyone else found this to be true also? WLS 06/2000 155 lost Homepage: http://groups.yahoo.com/group/Graduate-OSSG Unsubscribe: mailto:Graduate-OSSG-unsubscribe Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 17, 2003 Report Share Posted March 17, 2003 Not a bad idea. Will add it to my signature. NOT that I ever give advice on vitamins....mostly I just sit here and commiserate with everyone and every issue...cause I think I have them ALL! Debbie in Gig Harbor (medial)(leave it to me to be a fence sitter LOLOL) ladybostons@... http://www.cafeshops.com/copsstore Request I would like to see people state whether they are Distal or Proximal when giving advice on vitamins and proteins. Distal paitents have much more malabsorption of nutrients than proximal and what they do is not necessarily advisable or necessary in a proximal paitent. I am proximal and I have asked questions at our support groups with our surgeons based on info. given here and a couple of times they have said that the quantities of protein and the need of other nutrients are more appropriate for distal paitents than for us. I think there should be a better distinction when giving advice. Has anyone else found this to be true also? WLS 06/2000 155 lost Homepage: http://groups.yahoo.com/group/Graduate-OSSG Unsubscribe: mailto:Graduate-OSSG-unsubscribe Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 17, 2003 Report Share Posted March 17, 2003 You absolutely must go by your own labs. We are all individual, all different. The best example of this is many years ago, I remember a new post-op saying that when her surgeon went in to do her open RNY, he found she only had a total of 4 feet of small intestine. So, her proximal might have the same affect as someone else's WAY distal, if that makes sense. IOW, there's an average length of intestine that most of us have, but my guess is that it's probably never exactly the same person to person. Hence, my absorption or lack thereof would be slightly, or even greatly, different than yours. That may be why some short proxy's on here say they can really feel the difference when they do 5-8 protein shakes a day, and some are just fine on 1 or 2. There's no right or wrong, better or worse (except not supplementing at all), we all live by trial and error until we find our niche. The bottom line is what your labs show and how you feel. You must listen to your body, and when it talks, respond. ) JMHO, in NJ ************************** > So then do longer proxies lean towards to prox way of life or do they look to their distal cousins or do they go by their own labs and adjust accordingly? > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 17, 2003 Report Share Posted March 17, 2003 You absolutely must go by your own labs. We are all individual, all different. The best example of this is many years ago, I remember a new post-op saying that when her surgeon went in to do her open RNY, he found she only had a total of 4 feet of small intestine. So, her proximal might have the same affect as someone else's WAY distal, if that makes sense. IOW, there's an average length of intestine that most of us have, but my guess is that it's probably never exactly the same person to person. Hence, my absorption or lack thereof would be slightly, or even greatly, different than yours. That may be why some short proxy's on here say they can really feel the difference when they do 5-8 protein shakes a day, and some are just fine on 1 or 2. There's no right or wrong, better or worse (except not supplementing at all), we all live by trial and error until we find our niche. The bottom line is what your labs show and how you feel. You must listen to your body, and when it talks, respond. ) JMHO, in NJ ************************** > So then do longer proxies lean towards to prox way of life or do they look to their distal cousins or do they go by their own labs and adjust accordingly? > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 17, 2003 Report Share Posted March 17, 2003 Hey , I had the SRVG done. When I ask for information on this site, I realize that I will have to adjust the quantities based on my surgery. There are a couple of things I have learned in the last 2 years, each of us are individuals with differing needs and most of us are not medical people. I always double check information out with a couple of different sources, including my physician, and ultimately do what is best for me. It is the same thing I would recommend to a newbie. I also provide as much information as possible when asking questions about quantities. It is rather funny, I generally ask for that same information before making suggestions. I want to know what surgery they had, how far along they are, what kinds of things have worked in the past, what are their labs like, etc. I also include my surgery type in my signature because I tend to be a little absent minded some times and forget to add it. Lori Owen - Denton, Texas CHF 4/14/01 479 lbs. SRVG 7/16/01 401 lbs. Current Weight 335 Dr. Ritter/Dr. Bryce On Mon, 17 Mar 2003 21:06:52 -0000 " miche333 " writes: > I would like to see people state whether they are Distal or Proximal > > when giving advice on vitamins and proteins. Distal paitents have > much more malabsorption of nutrients than proximal and what they do > > is not necessarily advisable or necessary in a proximal paitent. > > I am proximal and I have asked questions at our support groups with > > our surgeons based on info. given here and a couple of times they > have said that the quantities of protein and the need of other > nutrients are more appropriate for distal paitents than for us. > > I think there should be a better distinction when giving advice. > > Has anyone else found this to be true also? > > > WLS 06/2000 > 155 lost > > > Homepage: http://groups.yahoo.com/group/Graduate-OSSG > > Unsubscribe: mailto:Graduate-OSSG-unsubscribe > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 17, 2003 Report Share Posted March 17, 2003 Hey , I had the SRVG done. When I ask for information on this site, I realize that I will have to adjust the quantities based on my surgery. There are a couple of things I have learned in the last 2 years, each of us are individuals with differing needs and most of us are not medical people. I always double check information out with a couple of different sources, including my physician, and ultimately do what is best for me. It is the same thing I would recommend to a newbie. I also provide as much information as possible when asking questions about quantities. It is rather funny, I generally ask for that same information before making suggestions. I want to know what surgery they had, how far along they are, what kinds of things have worked in the past, what are their labs like, etc. I also include my surgery type in my signature because I tend to be a little absent minded some times and forget to add it. Lori Owen - Denton, Texas CHF 4/14/01 479 lbs. SRVG 7/16/01 401 lbs. Current Weight 335 Dr. Ritter/Dr. Bryce On Mon, 17 Mar 2003 21:06:52 -0000 " miche333 " writes: > I would like to see people state whether they are Distal or Proximal > > when giving advice on vitamins and proteins. Distal paitents have > much more malabsorption of nutrients than proximal and what they do > > is not necessarily advisable or necessary in a proximal paitent. > > I am proximal and I have asked questions at our support groups with > > our surgeons based on info. given here and a couple of times they > have said that the quantities of protein and the need of other > nutrients are more appropriate for distal paitents than for us. > > I think there should be a better distinction when giving advice. > > Has anyone else found this to be true also? > > > WLS 06/2000 > 155 lost > > > Homepage: http://groups.yahoo.com/group/Graduate-OSSG > > Unsubscribe: mailto:Graduate-OSSG-unsubscribe > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 17, 2003 Report Share Posted March 17, 2003 I hate to sound overly ignorant, but what's an SRVG? Re: Request Hey , I had the SRVG done. When I ask for information on this site, I realize that I will have to adjust the quantities based on my surgery. There are a couple of things I have learned in the last 2 years, each of us are individuals with differing needs and most of us are not medical people. I always double check information out with a couple of different sources, including my physician, and ultimately do what is best for me. It is the same thing I would recommend to a newbie. I also provide as much information as possible when asking questions about quantities. It is rather funny, I generally ask for that same information before making suggestions. I want to know what surgery they had, how far along they are, what kinds of things have worked in the past, what are their labs like, etc. I also include my surgery type in my signature because I tend to be a little absent minded some times and forget to add it. Lori Owen - Denton, Texas CHF 4/14/01 479 lbs. SRVG 7/16/01 401 lbs. Current Weight 335 Dr. Ritter/Dr. Bryce On Mon, 17 Mar 2003 21:06:52 -0000 " miche333 " writes: > I would like to see people state whether they are Distal or Proximal > > when giving advice on vitamins and proteins. Distal paitents have > much more malabsorption of nutrients than proximal and what they do > > is not necessarily advisable or necessary in a proximal paitent. > > I am proximal and I have asked questions at our support groups with > > our surgeons based on info. given here and a couple of times they > have said that the quantities of protein and the need of other > nutrients are more appropriate for distal paitents than for us. > > I think there should be a better distinction when giving advice. > > Has anyone else found this to be true also? > > > WLS 06/2000 > 155 lost > > > Homepage: http://groups.yahoo.com/group/Graduate-OSSG > > Unsubscribe: mailto:Graduate-OSSG-unsubscribe > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 17, 2003 Report Share Posted March 17, 2003 I hate to sound overly ignorant, but what's an SRVG? Re: Request Hey , I had the SRVG done. When I ask for information on this site, I realize that I will have to adjust the quantities based on my surgery. There are a couple of things I have learned in the last 2 years, each of us are individuals with differing needs and most of us are not medical people. I always double check information out with a couple of different sources, including my physician, and ultimately do what is best for me. It is the same thing I would recommend to a newbie. I also provide as much information as possible when asking questions about quantities. It is rather funny, I generally ask for that same information before making suggestions. I want to know what surgery they had, how far along they are, what kinds of things have worked in the past, what are their labs like, etc. I also include my surgery type in my signature because I tend to be a little absent minded some times and forget to add it. Lori Owen - Denton, Texas CHF 4/14/01 479 lbs. SRVG 7/16/01 401 lbs. Current Weight 335 Dr. Ritter/Dr. Bryce On Mon, 17 Mar 2003 21:06:52 -0000 " miche333 " writes: > I would like to see people state whether they are Distal or Proximal > > when giving advice on vitamins and proteins. Distal paitents have > much more malabsorption of nutrients than proximal and what they do > > is not necessarily advisable or necessary in a proximal paitent. > > I am proximal and I have asked questions at our support groups with > > our surgeons based on info. given here and a couple of times they > have said that the quantities of protein and the need of other > nutrients are more appropriate for distal paitents than for us. > > I think there should be a better distinction when giving advice. > > Has anyone else found this to be true also? > > > WLS 06/2000 > 155 lost > > > Homepage: http://groups.yahoo.com/group/Graduate-OSSG > > Unsubscribe: mailto:Graduate-OSSG-unsubscribe > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 17, 2003 Report Share Posted March 17, 2003 It is a silastic ring vertical gastroplasty (VBG). And it's not an ignorant question. I still haven't figured out the distal and proximal thing yet. Lori Owen - Denton, Texas CHF 4/14/01 479 lbs. SRVG 7/16/01 401 lbs. Current Weight 335 Dr. Ritter/Dr. Bryce On Mon, 17 Mar 2003 16:40:22 -0800 " Barbara " writes: > I hate to sound overly ignorant, but what's an SRVG? > Re: Request > > > Hey , > I had the SRVG done. When I ask for information on this > site, I > realize that I will have to adjust the quantities based on my > surgery. > There are a couple of things I have learned in the last 2 years, > each of > us are individuals with differing needs and most of us are not > medical > people. I always double check information out with a couple of > different > sources, including my physician, and ultimately do what is best > for me. > It is the same thing I would recommend to a newbie. I also > provide as > much information as possible when asking questions about > quantities. It > is rather funny, I generally ask for that same information before > making > suggestions. I want to know what surgery they had, how far along > they > are, what kinds of things have worked in the past, what are their > labs > like, etc. I also include my surgery type in my signature because > I tend > to be a little absent minded some times and forget to add it. > Lori Owen - Denton, Texas > CHF 4/14/01 479 lbs. > SRVG 7/16/01 401 lbs. > Current Weight 335 > Dr. Ritter/Dr. Bryce > > On Mon, 17 Mar 2003 21:06:52 -0000 " miche333 " > > writes: > > I would like to see people state whether they are Distal or > Proximal > > > > when giving advice on vitamins and proteins. Distal paitents > have > > much more malabsorption of nutrients than proximal and what they > do > > > > is not necessarily advisable or necessary in a proximal paitent. > > > > > I am proximal and I have asked questions at our support groups > with > > > > our surgeons based on info. given here and a couple of times > they > > have said that the quantities of protein and the need of other > > nutrients are more appropriate for distal paitents than for us. > > > > I think there should be a better distinction when giving > advice. > > > > Has anyone else found this to be true also? > > > > > > WLS 06/2000 > > 155 lost > > > > > > Homepage: http://groups.yahoo.com/group/Graduate-OSSG > > > > Unsubscribe: mailto:Graduate-OSSG-unsubscribe > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 17, 2003 Report Share Posted March 17, 2003 It is a silastic ring vertical gastroplasty (VBG). And it's not an ignorant question. I still haven't figured out the distal and proximal thing yet. Lori Owen - Denton, Texas CHF 4/14/01 479 lbs. SRVG 7/16/01 401 lbs. Current Weight 335 Dr. Ritter/Dr. Bryce On Mon, 17 Mar 2003 16:40:22 -0800 " Barbara " writes: > I hate to sound overly ignorant, but what's an SRVG? > Re: Request > > > Hey , > I had the SRVG done. When I ask for information on this > site, I > realize that I will have to adjust the quantities based on my > surgery. > There are a couple of things I have learned in the last 2 years, > each of > us are individuals with differing needs and most of us are not > medical > people. I always double check information out with a couple of > different > sources, including my physician, and ultimately do what is best > for me. > It is the same thing I would recommend to a newbie. I also > provide as > much information as possible when asking questions about > quantities. It > is rather funny, I generally ask for that same information before > making > suggestions. I want to know what surgery they had, how far along > they > are, what kinds of things have worked in the past, what are their > labs > like, etc. I also include my surgery type in my signature because > I tend > to be a little absent minded some times and forget to add it. > Lori Owen - Denton, Texas > CHF 4/14/01 479 lbs. > SRVG 7/16/01 401 lbs. > Current Weight 335 > Dr. Ritter/Dr. Bryce > > On Mon, 17 Mar 2003 21:06:52 -0000 " miche333 " > > writes: > > I would like to see people state whether they are Distal or > Proximal > > > > when giving advice on vitamins and proteins. Distal paitents > have > > much more malabsorption of nutrients than proximal and what they > do > > > > is not necessarily advisable or necessary in a proximal paitent. > > > > > I am proximal and I have asked questions at our support groups > with > > > > our surgeons based on info. given here and a couple of times > they > > have said that the quantities of protein and the need of other > > nutrients are more appropriate for distal paitents than for us. > > > > I think there should be a better distinction when giving > advice. > > > > Has anyone else found this to be true also? > > > > > > WLS 06/2000 > > 155 lost > > > > > > Homepage: http://groups.yahoo.com/group/Graduate-OSSG > > > > Unsubscribe: mailto:Graduate-OSSG-unsubscribe > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 17, 2003 Report Share Posted March 17, 2003 Makes sense to me! in NJ ****************** > You are exactly right Les. That's why our docs don't measure the bypassed part, because that doesn't tell you anything but how much is bypassed. They measure the " working " part of the intestine...so we are all the same basically if we are proxy or distal. I have 5 feet of working intestine... has much less. But at least we KNOW. No variables here that I can see, anyway. > > Regards~ > Jacque > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 17, 2003 Report Share Posted March 17, 2003 Makes sense to me! in NJ ****************** > You are exactly right Les. That's why our docs don't measure the bypassed part, because that doesn't tell you anything but how much is bypassed. They measure the " working " part of the intestine...so we are all the same basically if we are proxy or distal. I have 5 feet of working intestine... has much less. But at least we KNOW. No variables here that I can see, anyway. > > Regards~ > Jacque > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 18, 2003 Report Share Posted March 18, 2003 Oh, but MY doc does NOT measure what is left. He measures the by-passed part. Which is why I know that I am 170cm by-passed. I once asked him how much was left and he said he didn't know. That we all have a different amount of intestine. Debbie in Gig Harbor (170cm medial) ladybostons@... http://www.cafeshops.com/copsstore -----Original Message----- From: jacquemil@... You are exactly right Les. That's why our docs don't measure the bypassed part, because that doesn't tell you anything but how much is bypassed. They measure the " working " part of the intestine... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 18, 2003 Report Share Posted March 18, 2003 Oh, but MY doc does NOT measure what is left. He measures the by-passed part. Which is why I know that I am 170cm by-passed. I once asked him how much was left and he said he didn't know. That we all have a different amount of intestine. Debbie in Gig Harbor (170cm medial) ladybostons@... http://www.cafeshops.com/copsstore -----Original Message----- From: jacquemil@... You are exactly right Les. That's why our docs don't measure the bypassed part, because that doesn't tell you anything but how much is bypassed. They measure the " working " part of the intestine... Quote Link to comment Share on other sites More sharing options...
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