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Re: Ds Vs Rny Debate

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In a message dated 5/13/2006 7:24:23 A.M. Central Daylight Time,

moobabies@... writes:

We MUST DO OUR LABS to

stay on top of any problems...lets continue in life as healthy and

active as it is humanly possible to do!

Hugs

Jo

___________________________

Jo,

They did a serum Gastrin level on her. What is the purpose of this...We

don't get that lab do we? Hers were elevated. I did a web search and got all

kinds of results. From pancreatic cancer to pancreatitis.

Mel

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Mel

What can you do when you KNOW the person has at least looked into

her options and chooses to go the a RNY to long-limb (Distal) RNY

revision? The problem with the Distal RNY, it comes with ALL the

shortcoming of the RNY and all the shortcomings of the DS, with NONE

of the Pluses from either surgery. All you can do is wish her luck,

encourage her to continue educating herself and stay on top of her

health issues and pray she has good health. At least she is

currently seeing a doctor that is following up on the elevated PTH.

A lesson for Newbies.

With the RNY...food completely bypasses the duodenum.

With the DS...Food passes through our duodenum " stump " . (our

intestines are divided " in " the duodenum creating the two small

intestinal limbs (bilo-pancreatic limb and alimentary limb) So food

passes through only a portion of what was our duodenum.

Calcium is " primarily " absorbed in the duodenum. The rest of our

intestines can learn to take up the slack and absorb calcium...but

it isn't nearly as efficient as the duodenum. As you can see, with

the DS our absorption of Calcium is Compromised but with the RNY it

is GREATLY compromised. (Plus this same thing applies to other

nutrients like Iron).

Now lets look at a RNY patient who is already having trouble

absorbing enough Calcium...their duodenum is completely bypassed and

they are having to rely on the rest of their small intestines

to " take up the slack " in an area of the intestines that wasn't

originally meant for this function...now lets make this same RNY

patient a Long-limbed (distal) bypass..(DSers are distal bypasses

but because we are still hooked up to the stomach and the division

of intestines come later we preserve some duodenum) Anyhow this Now

Distal RNYer still has no food passing through the duodenum AND

less intestinal length to Attempt to absorb the needed

calcium....getting the picture.

Add to this...RNY doctors are not POUNDING the need to supplement

into patients heads...and/or...Patients are NOT listening! I can't

even begin to tell you how many RNY patients I have talked to that

think all they have to do is take their flintstones chewable and all

is right in the world...no clue about calcium. OR...the doctors

have them taking Viactive Calcium Chews for their calcium...problem

is that is calcium carbonate...calcium carbonate NEEDS stomach

acids...the RNY pouch doesn't provide this! This is where the whole

Carbonate vs Citrate debate came from. In the NORMAL population,

they have stomachs with stomach acid so they absorb both well. WE

still have a functioning stomach...so we should be able to handle

either form of calcium Ok.

I'm doing it again...I'm writing a book instead of a Note...sorry.

Bottom line...I want to keep US healthy. Our ability to absorb

calcium IS compromised. WE MUST DILIGENTLY SUPPLEMENT! As humans

age our ability to absorb calcium DECREASES...So me may need to

INCREASE our calcium intake as we age...plus increase the supporting

vitamins/minerals like Vit. D and Magnesium. We MUST DO OUR LABS to

stay on top of any problems...lets continue in life as healthy and

active as it is humanly possible to do!

Hugs

Jo

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Thanks, Jo! I like your books. A note just wouldn't say enough would it?

in WA

(who is out of her ADEKs and will go get some more ASAP before she is hunted

down by Jo)

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Great info Jo,

I have a friend who has Kaiser & he just found out that they are offering the

D.S. to selected patients. I told him to push hard for the D.S. & he is all for

it cause he knows of my success. How Kaiser makes its choices as to who gets the

D.S. & who gets the bypass remains to be seen.

Mike

Jo wrote:

Mel

What can you do when you KNOW the person has at least looked into

her options and chooses to go the a RNY to long-limb (Distal) RNY

revision? The problem with the Distal RNY, it comes with ALL the

shortcoming of the RNY and all the shortcomings of the DS, with NONE

of the Pluses from either surgery. All you can do is wish her luck,

encourage her to continue educating herself and stay on top of her

health issues and pray she has good health. At least she is

currently seeing a doctor that is following up on the elevated PTH.

A lesson for Newbies.

With the RNY...food completely bypasses the duodenum.

With the DS...Food passes through our duodenum " stump " . (our

intestines are divided " in " the duodenum creating the two small

intestinal limbs (bilo-pancreatic limb and alimentary limb) So food

passes through only a portion of what was our duodenum.

Calcium is " primarily " absorbed in the duodenum. The rest of our

intestines can learn to take up the slack and absorb calcium...but

it isn't nearly as efficient as the duodenum. As you can see, with

the DS our absorption of Calcium is Compromised but with the RNY it

is GREATLY compromised. (Plus this same thing applies to other

nutrients like Iron).

Now lets look at a RNY patient who is already having trouble

absorbing enough Calcium...their duodenum is completely bypassed and

they are having to rely on the rest of their small intestines

to " take up the slack " in an area of the intestines that wasn't

originally meant for this function...now lets make this same RNY

patient a Long-limbed (distal) bypass..(DSers are distal bypasses

but because we are still hooked up to the stomach and the division

of intestines come later we preserve some duodenum) Anyhow this Now

Distal RNYer still has no food passing through the duodenum AND

less intestinal length to Attempt to absorb the needed

calcium....getting the picture.

Add to this...RNY doctors are not POUNDING the need to supplement

into patients heads...and/or...Patients are NOT listening! I can't

even begin to tell you how many RNY patients I have talked to that

think all they have to do is take their flintstones chewable and all

is right in the world...no clue about calcium. OR...the doctors

have them taking Viactive Calcium Chews for their calcium...problem

is that is calcium carbonate...calcium carbonate NEEDS stomach

acids...the RNY pouch doesn't provide this! This is where the whole

Carbonate vs Citrate debate came from. In the NORMAL population,

they have stomachs with stomach acid so they absorb both well. WE

still have a functioning stomach...so we should be able to handle

either form of calcium Ok.

I'm doing it again...I'm writing a book instead of a Note...sorry.

Bottom line...I want to keep US healthy. Our ability to absorb

calcium IS compromised. WE MUST DILIGENTLY SUPPLEMENT! As humans

age our ability to absorb calcium DECREASES...So me may need to

INCREASE our calcium intake as we age...plus increase the supporting

vitamins/minerals like Vit. D and Magnesium. We MUST DO OUR LABS to

stay on top of any problems...lets continue in life as healthy and

active as it is humanly possible to do!

Hugs

Jo

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> Jo,

> They did a serum Gastrin level on her. What is the purpose of

this...We

> don't get that lab do we? Hers were elevated. I did a web search

and got all

> kinds of results. From pancreatic cancer to pancreatitis.

=================================

Mel

As far as I know we are not tested for Gastrin levels (at least not

routinely). I am not a medical person but my guess would be the

Doctor is looking for signs of Marginal Ulcers.

Jo

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> in WA

> (who is out of her ADEKs and will go get some more ASAP before she

is hunted

> down by Jo)

=======================

I'm glad I don't have to go hunt you down make sure you continue

taking your supplements....but I almost wish I had to because I miss

you!

Hasn't that man of yours earned his degree and you talked him into

Returning to Bako yet??? Jim will dispatch the Monkeys to help you

pack!

Hugs

Jo

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Actually, Jo he graduates with his MSW on June 4. This week, however, we are

in the process of moving to Springfield, Oregon where my mother lives. Tom

has really been wanting to branch out a bit from the Portland area, since he

has been there for nearly two decades. His graduating and me telling my boss

(um, another story) to take this job and shove it has provided us the

opportunity. Also, my mom will be having back surgery soon and knee replacement

is

in the imminent future, so we want to be around to give her a hand. I may

make it down to Bako this summer... that remains to be seen!

in WA, soon to be OR

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Tell Tom I'm sending him a huge congrats hug! You must be very proud

of his accomplishment.

Ok...I guess you had to play the Mother Card on Mother's day no less

and I have to be gracious and accept that you won't be coming to live

in Bako this summer...lol...but Your mom will heal then you can

consider it!

Hey it don't hurt to keep planting the Idea in your head.

Hugs

Jo

>

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