Duodenal Switch Fact or Fiction? - Supplementation Facts

[BevAlbi]

It's not complete fiction... I had a duodenal switch about seven years ago and I nearly died of malnutrition and dehydration a couple of months later... I had to be fed vital vitamins and proteins via a Hickman line (tube sewn in to my neck) for 4 weeks. My immune system is still screwed 7 years later :(

[Grace88Anderson]

Holy cow, that seems so excessive, but I guess with the DS it probably isnt

[DraggzXD]

My eamil is rooseynmax@yahoo.com, please let me know if you think this is good with some alcohol later, saw you were wine lover...just curious

[dallasdaisymae]

I am havin DS surgery on Feb. 16 this is a very informative tool for others who don't know the commitment life long to keepin your supplements organized. My grandma had Roux en Y 14 months ago and is on a heavy supplement regimen as well. Thank you for your videos!

[dina81]

Great vid... you look absolutely fantastic! I'm a pre-op and plan on having the DS sometime next year. I'm just wondering... did you ever supplement with Biotin at all to prevent hair loss? You have a great head of hair, so it sure doesn't look like you need to.

[winelover215]

@dina81 I never lost hair and never did biotin. Always had this thick mess o mine :) Thanks and good luck!

[boernecheryl]

Thnx for the info; it helps. I'm in pre-op research mode. I was wondering if one could have a compounding pharmacist mix your supplements for you so you wouldn't have to swallow as many pills. Is that an option?

[finniksa]

Have you looked into the supplements made for Bariatric surgery patients, like bariatric advantage and building blocks, etc? I am just pre-op DS so I am still learning about them.

[winelover215]

They do not provide the vitamin levels a DS patient requires. As a DS'r your also always getting your labs done and tweeking a specific vitamin. Can't do that if your only taking a bunch of multi's from BA.

[finniksa]

Oh yeah - that's a good point. I have only just heard about them, so I wasn't sure if they had anything for DS folks. I guess it makes sense from a business perspective since RNY is still so common.

I also didn't think about it at the time, but if you need to take your calcium at a different time than your iron, maybe that's why RNYers who only take the multivitamins have a greater incidence of vitamin deficiency / anemia?

I am really glad I found your video! (and channel!!)

=)

[webdeb808]

I am considering the DS for WLS. Thank you for providing such great and realistic information!  Please tell me, how much do you spend on supplements monthly?

[lilheaven74]

do you ever have a problem swallowing all those pills, many people have warned me about taking pills verses taking the chewable.

[winelover215]

No problems. I actually take them by the handful 4 times a day. Not pill by pill.  Since with the DS you maintain your pyloric valve you don't have to do chewable pills and make sure things stay real small food wise. Whatever size you can do pre op you can do post op since you have a normally functioning stomach it's just made smaller.

[jenniferhenry35]

NO NOT THE DOPEMAN, VITAMAN IS YOU

[drmamalou]

This video really helps! Thank you.xxoo

[postop11]

Good video. You do need to be incred. organ. as a DSer. My dr. said it helps to be anal.

I'm 3 3/4 yrs. out. I take > 40 vits/mineral/day, too. But as we all say, "You signed up for it."

As time passes you often have to suppl. more. Sometimes you don't & they change constantly after the bloods.

While my suppl. are somewhat diff. than winelover (we all are diff. in how we malabsorb)they are tweaked every 6 mos. aft. bloods.

Good luck with it, winelover.

[fatgirlslimin08]

dude! WTF???? I only take a multi vitamin 2X per day and B12 sublingually 2X p/day. I don't know if I could take all of those. Many props to you. I opted out of the actigal(sp) since it's not really proven if it works and I pretty much hate pills.

[winelover215]

Holy crap ... no Calcium?  Really?

[fatgirlslimin08]

nope, no mention of needing to take anything other than multi. Then after my 3 month I was told to take B12 since I was a little low. Perhaps when I go again for 6 month I'll be adding some new stuff :)

[bratlee2u]

Great video! "Favorited" I will do some response videos to some if you keep them up. The song is very apropos. Merry Christmas, Tom. <3

[sparklepinklady]

Thanks for the video, inspiring ! Makes me want to be more diligent in taking mine. I really don't like to take pills... You don't have much room for food after you take all those pills and drink water do you? lol, Merry Christmas, Lori

[winelover215]

Well my stomach is bigger then a RNY pouch so I don't have any problems :) Thanks.

[halfofmegone]

Your vitamin video reminds me of the Bionic Man...."they can rebuild him"....but this time with vitamins!....This video shows your true dedication to the aftercare of wls. Oh and I love your music selection.... you have a song for everything!

[winelover215]

Thanks for watching!

[nneeson]

not sure i could afford this or be able to gag them down or remember...........but a good video

[atomx71]

Hey Tom! So you take Mag Cit daily? Really? Does that "help"

[winelover215]

A low dose Mag cit pill is not the high does bottle of liquid used for bowel prep :) Mag citrate can be used for leg and foot cramping. It does have a mild laxative effect but remember how much iron I take? It all equals out and I'm always "regular"

[Fabydee]

I use one of those pill organizers too, I probably would not be as dilligent if I didn't it just makes things that much easier. Good video thanks for the info... Fab

[winelover215]

Oh there is no way I could stay organized without it! Thanks Fab

[dmerkle5]

great video hun! thanks!!!....thats alot of vitamins?..i thought i took alot for my bypass, lol!./XOXOXO

[kirbybl]

Very informative. I have one question, what does a month worth of all those pills cost? Thanks, Tom.

[winelover215]

About $100. per month or so. A small price to pay to stay healthy and fit!

[bbolam72]

thanks for sharing, this opened my eyes to other wl surgeries,

-barry

[ShilohMN]

Very informative. Thanks

[MissJanieHere]

this was a great video! thanks for sharing it with us, Tom! Look how skinny you are looking! btw, thanks for talking about the podcast for c25k...my santa hubby gave me ishuffle, i downladed, and so am using it til i get the 10k one bought...it really is awesome!

[imaswtgrl]

Both CVS and Walmart carry the organizer also. As for 44 pills a day being excessive, I would rather take 44 supplemtents than 44 prescriptions due to Medical issues from the excessive weight! This was a very informative video, you are now the Fact or Fiction man!

[winelover215]

All the places I have seen don't carry this large version. They have the smaller size that will not fit my 44 pills :) Most carry the 6 7/8" x 4 1/2" x 7/8" version ... this one is 9 5/16" x 6 3/4" x 1 1/8"

[mia2292]

I love your sense of humor! What a great approach. :) Great detailed information and tips on organizing and managing supplementation, and DS Surgery. I think you could host your own tv show. :)

[Journey2betrhealth]

Oh yeah, and you may want to up your B12-I think you are having some brain function issues, hehe!

Luv ya!

Donna:)

[winelover215]

Nice ... :) I knew there was something wrong with me!

[Journey2betrhealth]

You're not just supplement crazy you are plain crazy...it has nothing to do with DS! :D Great information to the DSers out there.

Donna:)

[clbroadway]

wow...loading the pill boxes up for a month at a time...VERY SMART! Now I need to go buy 3 more!

[winelover215]

It does save some time! Happy Holidays

[autumnpromise91]

tom, do u know of any studies that have been done on geriatric patients?

[winelover215]

Meaning any WLS on geriatric patients? I do know there are some effectiveness studies that has results broken out in age groups. None specifically about geriatric patients. I can dig around though on pubmed.

[p1xiefairy]

Thanks Tom for posting this, am just a few days out from DS and starting to get my vitamins in already, looking forward to the other videoes you mentioned =) have a happy holiday

[winelover215]

Thanks Nichole. Congrats on your DS!!! Your going to love it though it may be hard for a week or so. Hang in there. If you have any questions please let me know. Tom

[allforliving]

wow! now that's some vitamins! wow! You are lookin so great Tom!

[winelover215]

Thanks!

[mark45acp]

very informative tom. the DS sure is workin' for ya!! Man you're getting so skinny!!!

[winelover215]

hehe ... just call me bones :)  No really I am feeling bones I have not felt in 20 years! Thanks Mark.

[need2dosomething]

Holy cow! You can swallow those? Those are meals! LOL When I have good restriction I can not even eat that amount! LOL

[winelover215]

I swallow each group by the handful with a swig of drink. No stoma here. Nothing can get stuck with the DS and I can eat a pretty good size these days :) See why I'm always so happy! Cheers. Tom P.S. Thanks so much for the Christmas card Deb!!!

[Punkyswhip]

Tom either that chair is getting bigger or your shrinking, and I mean that in a good way honey..You are looking Hot Honey....Go Tom GO

Hugs...

Paula Eve

[winelover215]

Ha! That's a great idea when I stop losing I'll just keep getting smaller chairs to sit in. haha!

[Opendoors08]

Your soo damn organized buster!! LOL love the pointer!! TOO FUNNY!! :)Amy

[winelover215]

Pampered Chef citrus peeler baby!

[Opendoors08]

LOL-LOVE PAMPERED CHEF!!

[katiejuly]

I'll never complain about my 14 pills a day again!! Hope you do more of these vids - there's so little representation for the DS in the community!

[winelover215]

Um yeah 14 is squat! hehe. But just be sure your getting what you need :) Thanks Katie

[hrzstarr]

Tom this vid is great but I take nothing compared to you. Can you send me a list of what you take and where you get each vitamin from? I am having trouble taking 7 pills! Help!

[winelover215]

You have the vitalady list right? We need to one on one soon to go over vites and youtube! After the holiday OK. I'll share my vitamin sources with ya!

[MoodyBlueEyes]

You're rubbermaid tub? What do you use that for? Sounds kinky. 8^)

[winelover215]

Your so bad! It's to hold all my supplements :)

[lorindablack]

TOM! It's WONDERFUL!! Our vits schedules are similar, I don't think you take too much at all! I'd rather take too much and find out I didn't need it, than to not take enough and find out that I did! You're doing awesome! Thanks for paying it forward in this great youtube video!!!

Lori

[winelover215]

Thanks for commenting Lori :) Great to see ya here on YT. I feel the same way ... I'd rather go toxic then deficient! Toxic is rare ... deficient in common. Cheers! Tom

[watchmegetskinny]

I am going to get that pill organizer right now! Tom, you are the greatest!

[winelover215]

It's great but you may only need the smaller version. Link for this one is in the info box.

[BigLozer08]

Very Good Video Tom! Your Vitamin schedule is pretty much the same as mine. I am taking an extra two doses of calcium a day and less vitamin A. But obviously I havn't had any labs drawn yet. So I gotta wait for that! But great video to pay it forward! I'm looking forward to more videos like these!

[winelover215]

Glad you liked it Brok! I'm excited to see what my 6 mo labs show. I'll be sure to update everyone in January.

[gastricRose]

How Diff. is RNY from D.S. good video and can't wait for the next one..love rosemary

[winelover215]

Very different! Read over the dsfacts website I mentioned and you will see some comparisons. Thanks

[YogiUToo]

I would have loved to have the DS but my surgeon doesn't do it, nor would my insurance cover it unless I was over 50 BMI. Very interesting info, and thanks for telling me how to get one of those daily pill holders! I need one er some ... Hugs, Cami

[winelover215]

I chose my surgery first then my surgeon. The BMI requirement by some insurance companies can be appealed. It's done every day and people win due to the DS stats and studies that can back it up. You will do great with your RNY Cami ... don't worry :) I didn't want to diet or count calories for the rest of my life so the DS was a better fit for me.

[rockybabes1234]

very interesting video here tom...having surgery is'nt as 'easy' as many may think..do u have to take these for the rest of ur life...take care,annie x x

[winelover215]

Nope surgery is not the easy way at all! It's the only proven solution to morbid obesity though :)

[retta2587]

i do wonder about the switch and what you eat and how much you eat...are you restricted by volume at all like the bypass? awesome video tom! keep rockin!

[winelover215]

Restriction is not as much as a pouch and will grow with time. The DS is the same as the VSG plus the switch.  The malabsorption is what helps keep the weight off long term.

[molawed]

This is a great video. Very, very informative. My potential surgeon doesn't do the DS, but if he did I'd consider it.

[winelover215]

Oooh I chose my surgery type before the surgeon. You have to live with your surgery choice forever so research them all before you make a choice! Good luck.

[molawed]

Yeah, unfortunately I'm on school insurance, which is an HMO, which means I only have one option! Thanks again!

[virginiann1975]

Excellent video Tom. Very informative, very interesting. I would have to crush/open/cut/smash, etc all those pills to take them! Yikes! You are looking very good my friend! Keep it up!

[winelover215]

I can throw them in by the handful thanks to maintaining my pyloric valve with the DS. Thanks for watching V!