Guest guest Posted September 1, 2001 Report Share Posted September 1, 2001 In a message dated 8/31/01 11:05:37 PM, duodenalswitch writes: << Also, on all the RNY sites I visited when I first started looking into wls said " protein first, protein first, always! " Is the aftercare for DS *really* any more complex? >> Yes, Alyssa: The RNY folk must focus on protein but to a much less degree. They also must take supplements but don't face the potential for *as serious* nutritional risks overall (yes, this is a general statement and really depends on a case by case basis. But, if you took one RNY and on DS post-op and each ate about 40 gms/protein a day, chances are the post-op DS --- or Distal RNY -- will eventually end up with a more severe protein deficiency). Both groups are susceptible to osteoporisis (perhaps RNY folk a little more b/c lack of duodenum but once again this depends on how much calcium/vit D supplementation is taken, how regularly, the person's genetic predisposition and bone density, etc.). The RNY post-op can face B-12 deficiency whereas this is very rare for a post-op DS. However, we face the fat soluable vitamin deficiencies (A, D, E, K) which can take time to develop and can be quite severe when the symptoms are finally noted. Both groups can suffer from anemia (lack of iron) and this can be serious. So, yes - both groups involve aftercare and supplementation. HOwever, the malnutrition of the DS (or Distal RNY) can be more severe than that of the proximal RNY. This is the risk that people are referring to, I think. all the best, lap ds with gallbladder removal January 25, 2001 Dr. Gagner/Mt. Sinai/NYC seven months post-op and still feelin' fabu! preop: 307 lbs/bmi 45 now: 224 Quote Link to comment Share on other sites More sharing options...
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