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Old 01-30-2009, 07:33 AM   #1 (permalink)
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Hi All I have a question and i was wondering if anyone else has ever heard that us as gastric bypass patients only absorb half of what we eat? true or false? i appreciate any responses
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Old 01-30-2009, 07:56 AM   #2 (permalink)
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Height:
338 lb
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Current Weight:
199 lb
Goal Weight:
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Weight Loss:
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Doc can give you the full run down but one of the purposes of the surgery is to make our body's not absorb as much of the food due to the less amount of time the food stays in the small intestine. I do not believe it is only 50% though. Doc?
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Old 01-30-2009, 08:15 AM   #3 (permalink)
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RNY gastric bypass is what is known as a restrictive-malabsorbtive procedure. In other words, it restricts your intake by creating a small pouch in the place of the football size stomach, and reduce the ability to absorb by bypassing part of the intestines where most of the abrosption takes place, from the regular route of digestion. So, limited absorption is part of how RNY works. How much malabsorbtion depends on the length of the bypassed intestine. The more the intestine is bypassed, the more the malabsorption. In the past, up to 2/3 of the intestine was bypassed, but this resulted in too much malabsorbtion in many cases, so, the present method bypasses about 1/3 of your intestines. Logically speaking, this means that your ability to absorb is reduced to 2/3 of what it was before. However, it also depends on how far out you are. The further out, the body recovers, and adapts, so some papers I've read say that in the end, you become able to absorb most of what you've eaten. Now, mind you, if you treat your pouch wtih TLC, and eat only what you should eat and only in the amount you should, then, even if you are able to absorb 90% of what you eat, you aren't in any danger of regaining your weight.

There is some catch to this, though. It's said that you recover most of the ability to absorb protein, fat and carbs, in other words, the major nutrients, but this does not alway apply to the minor nutrients--vitamins and minerals, as they are often subject to area-specific absorbtion--certain sections of the digestive route excretes cetain enzymes/intrinsict factors that are essential to the absorbtion of these nutrietents. With these cases, if the specific area is the section that is bypassed with GBS, then, the rate of malabsorbtion can be higher than 50%, actually. In these cases, you will need ample supplementation to ensure that you will get the nutrients you need.
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Old 01-30-2009, 05:32 PM   #4 (permalink)
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Current Weight:
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Thanks for the refresher for us vets, too! Good question
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Old 01-31-2009, 08:04 AM   #5 (permalink)
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280 lb
Start Weight:
154 lb
Current Weight:
150 lb
Goal Weight:
126 lb
Weight Loss:
4 lb
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Summer 2008
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I knew it was a combination of smaller tummy and malabsorption....which is why I opted away from the band....the band was restriction, RNY was restriction combined with malabsorption....it's something to remember if you are counting calories....that we may be taking in a certain amount of calories, but not actually absorbing all of them....thus the RAPID weight loss after surgery!
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Old 01-31-2009, 08:53 AM   #6 (permalink)
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Current Weight:
170 lb
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45.7618944637
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25.5415224913
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25.8455882353
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I am very glad I read this thread. Thanks hopeis4you and DocSanae for your Q/A.
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Old 01-31-2009, 01:47 PM   #7 (permalink)
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267 lb
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157 lb
Current Weight:
180 lb
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110 lb
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Quote:
Originally Posted by hopeis4you View Post
Hi All I have a question and i was wondering if anyone else has ever heard that us as gastric bypass patients only absorb half of what we eat? true or false? i appreciate any responses
Wouldn't you say, though that it varies with the patient and also how far post op they are? Some patients seem to absorb very little and others seem to absorb most. But I know some things are difficult for most patients like calcium and iron... And of course, as Doc pointed out, it has a lot to do with which procedure you had and how much small bowel they bypassed etc.
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