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Re: malabsorption rate

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Thanks Theresa!!

I find Dr. Rabkin's comments very interesting also.. thanks for

passing them along. I hate to admit, but yes I have had some sugar..

not very much but sometimes a piece of regular gum, a mint for my

breath (I love onions and garlic..lol) or something else will creep

into my diet. I justify this by telling myself that its no where

close to what I used to consume preop, and I usually only have fruit

aside from the mint or gum, so at least it has some vitamins. I dont

know how much this is slowing me down because I cant find a scale to

weigh me yet.. I'll try this afternoon, but I think Ive lost about 35

or 40 pounds since surgery.. :o) Have a great day!!

Love,

Sue

Post op 9/11/01

Dr. Warden

Ocean Sps, MS

> > Hi all,

> > Does anyone know about or have ever heard approximately how many

> > calories we absorb postop (DS) vs. how many we actually consume?

> Say

> > for instance if I consume 800 calories a day, I know I wont absorb

> > them all.. maybe 1/2 or 3/4? So that then means that its the same

> as

> > consuming 400 to 600 instead? I'd love to hear your thoughts on

> this.

> > Love,

> > Sue

> > Post op 9/11/01

> > Dr. Warden

> > Ocean Sps, MS

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HI Judie!

He said 2500 calories a day???? OMG!! I am SO far into heaven! Bring

on the filet mignon and veal scaloppini!!! *VERY BIG GRIN*.. Thanks

for answering my question by the way..

Love,

Sue

Post op 9/11/01

Dr. Warden

Ocean Sps, MS

> Sue......

>

> Dr Welker said by the time you are a year out you should be eating

2500

> calories a day and only absorbing half of that!

>

> Judie

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Hey Sue!

Remember, with the DS you do NOT count calories anymore! Those days are

gone forever. (If you had the RNY then yes, you should be quaking over the

calories lol)

Today we are going to town so will have a large chef salad LOADED with

turkey, roast beef, ham and 3 different cheeses with thousand island

dressing and sunflower seeds and croutons.....and before I hit the lettuce I

will have all the protein out of the way.......before surgery I would have

to count those calories in order to get anywhere diet wise!

Then tonight its fillet mignon.......with half baked potato and butter and

sour cream with chives and some broccoli.....

doesnt get much better than this!

Yes! 2500 calories a day and absorbing half of that! Im already there!

Hugs, Judie

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Sue,

I'll tell you, I really expect to eat as normally as I can once i

meet my protein requirements. I do not plan on dieting with the DS.

i will, however try to maximize my window of opportunity and, if i

have sweet tooth, i am gonna have something small but sweet. The

only other option is to deny myself up and until i binge!!!

Laughing. The bottom line is not how fast you lose, but how much you

lose. Be good to yourself and when i start panicking, please remind

me of what I said!

Hugs,

Theresa

> > > Hi all,

> > > Does anyone know about or have ever heard approximately how

many

> > > calories we absorb postop (DS) vs. how many we actually

consume?

> > Say

> > > for instance if I consume 800 calories a day, I know I wont

absorb

> > > them all.. maybe 1/2 or 3/4? So that then means that its the

same

> > as

> > > consuming 400 to 600 instead? I'd love to hear your thoughts on

> > this.

> > > Love,

> > > Sue

> > > Post op 9/11/01

> > > Dr. Warden

> > > Ocean Sps, MS

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> Sue......

>

> Dr Welker said by the time you are a year out you should be eating

2500

> calories a day and only absorbing half of that!

>

> Judie

Hi Judie,

Did you hear him say that or were you told that he said that? It's

just so hard to fathom that many calories being ingested and

bypassed.

Thanks,

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Judie,

I am confused also. Both Dr. Rabkin and Dr. Anthone seem to agree

that there is no way of knowing how much malabsorption one has.

Anway you could check with your Doc and ask him what he bases that

opinion on, please?

Thanks and Hugs,

Theresa

> > Sue......

> >

> > Dr Welker said by the time you are a year out you should be

eating

> 2500

> > calories a day and only absorbing half of that!

> >

> > Judie

>

> Hi Judie,

>

> Did you hear him say that or were you told that he said that? It's

> just so hard to fathom that many calories being ingested and

> bypassed.

>

> Thanks,

>

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Great abstract. There is a table (Table 1) showing a controlled

study of absorbtion rates of fats, sugars etc. How the absorption

rates differ from the BPD to the BPD/DS would be the important

question. Overall, it seems about 2/3 of caloric intake in general

is absorbed. This would of course be influenced by the caloric mix.

Thanks for the info and if you have an opinion regarding the

differences in absorption between the two surgeries, I would be

interested on your take!

Hugs,

Theresa

> > I asked that exact question of Dr. Rabkin at his seminar because

I

> > had seen so many percentages of malabsorption thrown about. His

> > answer was very interesting. He said, " NO ONE KNOWS " .

>

>

> Thank you, Theresa! LOL. I have also found it amusing when people

give

> exact percentages of absorption, since I have never, ever read any

study

> to back up these statements. But as you said (sort of) the proof is

in

> the pooping. :)

>

> Dr. Scopinaro did do some studies on his BPD patients and found that

> there is an apparent maximum absorption rate.

>

> Look under the " WEIGHT MAINTENANCE " at the following URL: and you

can

> read about it:

>

> http://www.duodenalswitch.com/Procedure/1998BPD/1998bpd.html#7

>

> Read that section. It's long and dry to read, but the text and the

> tables illustrate clearly how this procedure works and works well,

and

> is not easy to defeat.

>

> 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@t...

>

>

> _________________________________________________________

>

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