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Required Commitment for Duodenal Switch Surgery

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There is a required commitment for Duodenal Switch surgery. Duodenal Switch is a fantastic weight loss surgery option with the highest documented results in long term excess weight loss maintenance. [51] However, the success for the patient does not end with the surgery alone. To maintain proper health patients are required to take vitamin and mineral supplements daily, have their blood work checked yearly at minimum, have bone density scans every year or two and consume about 100 g of protein a day. Some surgeons require patients to attend weekly or monthly support group meetings as part of post-op follow-up to ensure patients remember the commitment they agreed to before having surgery and the seriousness and consequences of non-compliance.

Required Commitment for All DS Patients:

1) You MUST take your vitamin and mineral supplements DAILY.
2) You MUST have blood labs drawn semi-annually or annually to check your levels and to adjust your supplements accordingly.
3) You MUST have a bone density scan done every year or two years to ensure that a good calcium blood level is not the result of your body leaching calcium from your bones.
4) You MUST consume approx 100 g of protein every day, either through food or protein supplements.

DO NOT HAVE DUODENAL SWITCH SURGERY IF YOU CAN'T COMMIT TO THE 4 ABOVE POINTS, FOR LIFE. THEY ARE NOT OPTIONAL.

If you choose to ignore the 4 points above you WILL get very sick and can suffer IRREVERSABLE damage to your body.

The information that follows on deficiencies happens. There are post-op weight loss surgery patients (this is not uniqe to DS and includes RNY patients) who lost all their teeth due to calcium and vitamin D non-compliance and others developed osteoporosis. There are patients who have permanent vision impairment and balance issues due to ignoring B1 deficiencies. There are patients that ignored B12 deficiencies and suffer very serious neurological impairment. You can't ignore your vitamins, THEY ARE NOT OPTIONAL.

Deficiencies in the Following Can Result In:

By Andrea U.

B1 or Thiamine
- irreversible neuromuscular disorders
- permanent defects in learning and short-term memory
- coma
- death

B9 or Folate (Folic Acid)
- forgetfulness
- irritability
- hostility
- paranoid behaviors

B12 or Cobalamine
- neurologic symptoms
- numbness and tingling of extremities
- difficulty walking
- memory loss
- disorientation
- megalobalstic anemia
- permanent neural impairment
- extreme delusions
- hallucinations
- overt psychois
+ Permanent damage can occur if treatment doesn't start soon enough!

Calcium
Chronic low intake creates metabolic bone disease presenting as:
- osteoporosis
- osteomalacia
- hypoparathyroidism
- combo of above
- muscle cramping
- hypotension
- bone pain

Vitamin D
- rachitic tetany
- muscle pain and spasms
- weakness
- bone pain
- decrease in daily calcium absorption
- rickets (osteomalacia)
- osteoporosis
- concentrations in blood greater than or equal to 80nmol/L, there was a 50% reduction in colorectal cancer rates
- concentrations in blood greater than or equal to 50nmol/L, there was a 50% reduced risk of prostate cancer
- risk for type 1 diabetes increased dramatically in vitamin D deficient children
- higher circulating levels of vitamin D linked to a significantly lower Multiple Schlrosis risk

Iron
- anemia
- fatigue
- hair loss
- feeling cold
- pagophagia (constant desire to eat ice -- pica)
- decreased immune function

Zinc
- decreased sense of smell
- altered taste
- poor wound healing
- poor appetite
- hair loss
- low libido
- lethargy

Vitamin A
- problems with skin and mucous membranes
- dry hair
- broken nails
- increased risk of infections
- linked to anemia and iron absorption
- ophthalmologic consequences such as night blindness

Since many doctors are not aware of Duodenal Switch and don't fully understand how malabsorption affects absorption of vitamins, minerals, protein and other nutrients in our bodies, it is advisable to educate yourself and become your own advocate to ensure you maintain proper health. Stay connected with your surgeon's office and a support group so you can share your knowledge and learn from others.



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Required Commitment for Duodenal Switch Surgery
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