Fw: hypertrophy

[Guest guest]

This is my amateur explanation:

Leaving out the bands of all kinds (no offense, ), the rest of us have

a common channel, be we RNY, DS, BPD (no DS) or MGB. Whatever it is in

length is what it WAS day of surgery. It doesn't last.

The intestine was designed to absorb & transport food. We agree? OK, and it

has vilii in it, tiny hairs or fingers that do the work, help the

peristalsis along, suck the nutrition out of the food. That is, ONCE the

food has been made digestible by passing through the lower stomach and

duodenum. The DS people have pylorus, and some bit of digestion, but the

rest of us don't have that.

So, we've all lost the basic 8 (nutritional elements) in the lower stomach &

missing duodenum. Then would come the intestine. And while we're all

configured a little differently NOW, the original equipment had the jejunum

(first 12 " or so) doing most of the absorption of those basic 8 elements.

Hence the need for supplementation of those 8, plus whatever else your body

requests via nice black & white lab work (no guessing required).

But for these procedures, in essence, the food takes the high road and the

digestive cocktail takes the low road and where they finally meet is the

common channel, where all elements mingle together. Proximals have way more

common channel, so more mingling time. Distals have way less common channel,

where the food & gastric juices get a handshake and move on out.

We ALL absorb sugar, 100%, except for some of us, who absorb it at about

150%, lips to hips, no digestion required. Or in my case, rub it on my arm

and watch me plump up.

The common channel is now doing the job that the entire intestine used to

do, as well as part of what the lower stomach + duodenum once did. It is not

built to do it well. As we know, the body will do EVERYTHING it can to

normalize. Everything. So, the common channel grows more vilii (hairs) AND

thickens AND elongates, in order to do the triple job we're asking it to do.

We all know the pouch stretches, and we assume it's from eating larger

volume, but ALSO, it would do this on its own, because it is trying to

normalize.

If we are malnourished (not enough supplementation, too pukey to get it in,

bad choices-whatever), it will happen to a greater extent. My doc keeps

reminding me this will happen, but I keep saying that my common channel is

never going to KNOW it is missing anything, because I am burying it in

nutrition! LOL!

So, part of the 2 year/3 year wall for ALL of us, is that body trying to

normalize. The other contributing factors are, of course, getting sloppy

about supplementation, water, sugars, volume, grazing--all that stuff. But

the underlying thing that befuddles us is that the stuff we " usta be able to

get away with " , well, now we pay the piper and are wondering why.

Hypertrophy (getting over-compensated in the common channel) is one reason

that we have to work a little harder down the road.

It's so clear in my head, so please tell me if I was unable to spit it out

so it makes sense, 'K?

Thanks,

www.vitalady.com

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