Re: Fw: [ossg-hungry] Effortless? I don't think so...

[Guest guest]

In a message dated 10/11/2001 2:24:55 PM Pacific Daylight Time,

jhensel@... writes:

> regained 14 lbs despite diligent exercise and careful eating

> habits...simply

> > because I can eat more and more

careful eating habits and eating more and more dont really go together. If

she was being careful she'd be watching her intake....

~*~ AJ ~*~

Age 37 5'8'' Post op 7/24/01 Open DS

self pay - Dr Baltasar -Alcoy Spain

07/24/01 BMI 64 415.1

08/24/01 BMI 58 386.5 -28.6 lbs!

09/24/01 BMI 55.8 367.1 -48.0 lbs! -37.75 inches

10/08/01 BMI 54.3 357.1 -58.0 lbs! -50.0

My profile:

http://www.obesityhelp.com/morbidobesity/profile.phtml?N=E982002956

My website:

www.wls4aj.homestead.com

[Guest guest]

Judie,

I think that 15 lbs is a reasonable weight to regain though on the

high side for the DS. Without info on the actual gastric volume and

channel lengths, it is hard to specultate. Most likely this person

is ingesting large amounts of carbohydrates.

My father in law had his fobi-RNY converted from proximal to distal

because of insufficient weight loss. He was able to loose weight,

but now he is regaining again. He started out very large (8x) and

now wears a 3x (same size as me). He drinks pepsi on a continual

basis, and this seems to be the reason for the regain.

Rembmer, you absorb sugar and startch almost 100%, so these have to

be used sparingly if you want to maintain the weight. What you don't

have to do is diet in the sense of restricting intake of healthy

foods.

No procedure is 100% succesfull, but the statistics suggest that the

DS is the best that is available today.

Hull

> Anyone have a response to this??

>

> Judie

>

>

> Re: [ossg-hungry] Effortless? I don't think so...

>

>

> > Don't speak too soon...as you have the capacity to eat more and

more (and

> yes

> > the amount you can eat does increase steadily depending on the

size of

> your

> > pouch), you will be able to eat larger quantities. I have the DS

and I

> have

> > regained 14 lbs despite diligent exercise and careful eating

> habits...simply

> > because I can eat more and more. Almost everyone I know who has

had my

> > version WLS has regained around 10% of their weight at 2-3 years

post-op,

> and

> > we have all had severe distals (10 feet) with BPD. Your best

defense is

> to

> > remain diligent about your eating habits and regular exercise.

You truly

> are

> > still in the honeymoon phase until after you hit the 2 year

mark...not so

> > much that you are still losing weight but that you still have

limitied

> food

> > intake. After that it will require a lot of work on your part to

avoid

> > weight regain.

> >

> > Betty D.

> >

> >

> >

[Guest guest]

The statistics from Hess and Rabkin don't validate her anecdotal claims.

Nick in Sage

Re: [ossg-hungry] Effortless? I don't think so...

>

>

> > Don't speak too soon...as you have the capacity to eat more and more

(and

> yes

> > the amount you can eat does increase steadily depending on the size of

> your

> > pouch), you will be able to eat larger quantities. I have the DS and I

> have

> > regained 14 lbs despite diligent exercise and careful eating

> habits...simply

> > because I can eat more and more. Almost everyone I know who has had my

> > version WLS has regained around 10% of their weight at 2-3 years

post-op,

> and

> > we have all had severe distals (10 feet) with BPD. Your best defense

is

> to

> > remain diligent about your eating habits and regular exercise. You

truly

> are

> > still in the honeymoon phase until after you hit the 2 year mark...not

so

> > much that you are still losing weight but that you still have limitied

> food

> > intake. After that it will require a lot of work on your part to avoid

> > weight regain.

> >

> > Betty D.

> >

> >

> >

[Guest guest]

I agree but this person who wrote that seems bent on making others think

weight regain is not absent in the DS and to be expected (although I do

agree if you gain 15 lbs its no big deal. we also have the bone density

thing too that contributes to higher weight with smaller size) Its not that

we could regain some of what would be expected just that this person is not

putting it all into perspective.....just that we MUST diet, we MUST watch

what we eat, we MUST excersize and do all the things that go along with

dieting which we had the surgery to get away from. I consider all the

dangers of regain to be common with the RNY and the band but not with the DS

as far as regaining what we used to weigh. That would be impossible UNLESS

one is eating nothing but sugar and carbs.

Judie

[Guest guest]

Judy, the fact that she's had a small amount of regain is not

surprising. She doesn't mention her starting weight, nor what her low

weight was before the regain, so it's hard to put it into perspective

without all that info. Nevertheless, if you look at the clinical data,

it's not unusual at all for DS patients to reach their low weight, then

have a slight regain before finally leveling off at the weight that

" sticks " . The real story is in the LONG long term stats, which are

showing consistently stable weights all the way back to Hess' first

patients who were operated beginning in 1988. The larger stomach

capacity may be responsible for the regain, but it could also have to do

with food choices as well. As we all know, simple sugars are fully

absorbed, and too much of those could result in less-than-optimal weight

loss results. I can say that I've been in close touch with DS patients

from all over for about two-and-a-half years now, and I've only known of

one post-op who had a regain that resulted in a revision. The few other

revisions I know of were due to too much weight loss, and in a very few

cases, not enough weight loss (not a regain issue). Overall, my sense is

that regain of any significance is very uncommon after DS. Everyone is

different though, and we all have to figure out what's best for us. I

have been incredibly fortunate in that it indeed has been effortless so

far. Time will tell if this remains the case.

M.

---

in Valrico, FL, age 39

Lap DGB/DS by Dr. Rabkin 10/19/99

Starting weight 299, now 155

Starting BMI 49.7, now 25.8

Starting size 26/28, now 10/12

http://www.duodenalswitch.com/Patients/_M_/melanie_m_.html

Direct replies: mailto:melanie@...

> Fw: [ossg-hungry] Effortless? I

> don't think so...

>

>

> Anyone have a response to this??

>

> Judie

_________________________________________________________

[Guest guest]

> Judy,

Judie, forgive me for misspelling your name! Must've had a momentary

brain lock!

[Guest guest]

thanks ,

her email didnt disturb me at all, I was just taken aback at the tone of the

email which was to try and convince us that the DS is in the same category

as the rest of them and we had to really be careful of what we ate. Im not

the least bit worried though.

I think food choices are very important but we both know that occasional

piece of pie or cake or ice cream is not going to hurt us over the long run.

It is unbelievable the amount of panic on the ossg hungry group.....mostly

made up of RNYers. If we are only absorbing half of the calories we eat and

we are eating right we have nothing to fear.

Hugs, Judie

[Guest guest]

Having read the Marceau study I understand that 80% of the ds pateints

he studied maintained their recommended weight. 20% gained back up to

20% of the weight they initially lost. I will not shed a single tear

if I end up a size 12 instead of a size 10. We also know that the

inestines can grow back a bit and the increased intestinal growth will

lead to increased caloric absorption.

This whole thing is appears to taken out of context. The idea that one

will be healthy simply thru high protein and taking supplements is

pure fallacy. Our bodies need excercise rather we want to do it or

not. We need weight bearing excercises to build and maintain our

bones. Our hearts need excercise to continue to function within normal

parameters. To make use of all of the protein that we are getting in

we have to excercise if we wish to convert that to muscle.

The best thing to do is talk to your surgeon and your nutritionist

they will give you realistic long term post-op outcomes and provide

with guidelines on modifying your lifestyle to include healthy food

choices and increasing excercise.

I know that this will not be a popular opinion but I have to look at

the people who I know who are healthy physically and emotionally and

most of them excercise regularly. Look at EMME the fashion model who

excercises every day and looks beautiful and has a lot of muscle mass.

That said you the odds of a post-op RNY gaining back part or all of

their weight is somewhere in the 50% rate. The odds are certainly not

in their favor.

> Re: [ossg-hungry] Effortless? I don't think so...

>

>

> > Don't speak too soon...as you have the capacity to eat more and

more (and

> yes

> > the amount you can eat does increase steadily depending on the

size of

> your

> > pouch), you will be able to eat larger quantities. I have the DS

and I

> have

> > regained 14 lbs despite diligent exercise and careful eating

> habits...simply

> > because I can eat more and more. Almost everyone I know who has

had my

> > version WLS has regained around 10% of their weight at 2-3 years

post-op,

> and

> > we have all had severe distals (10 feet) with BPD. Your best

defense is

> to

> > remain diligent about your eating habits and regular exercise.

You truly

> are

> > still in the honeymoon phase until after you hit the 2 year

mark...not so

> > much that you are still losing weight but that you still have

limitied

> food

> > intake. After that it will require a lot of work on your part to

avoid

> > weight regain.

> >

> > Betty D.

> >

> >

> >