Unless you’ve had the DS, your duodenum is bypassed and part of the ilium.
The duodenum is where the basic 8 is pretty much digested and made ready for
absorption - and in some cases, absorbed.

The basic 8 are

Protein

Calcium

B12

Zinc

A

D

E

Iron

And since the food hits the digestive area a lot further along than it does
if it goes through the tummy, it has a lot less time to be in contact with
digestive enzymes, so we don’t get the benefit of the fat soluable vitamins,
like A,D, E and K. So, we "malabsorb" these necessary food elements.
That’s why se supplement. If you check the files on the website, you’ll
find a photo of what is absorbed where in the body.

At the ASBS (American Society of Bariatric Surgeons) conference for the past
2 years, they’ve been talking about Thiamine, or B1 deficiencies showing up.
I think it’s saying that even though we’ve known about the basic 8, there
are others that are probably being missed.

Sometimes you can get away with missing things for several years, if you’ve
got a good supply in the blood. Sometimes, you will show the effects almost
immediately. The only way to protect yourself is to get copies of all your
labs and put them in charts and follow them. Your doc will only look to see
if your labs fall within the "normal" range, and they won’t notice that
you’ve dropped consistently from high normal to low normal. Surgeons are
good "cutters" but are not always the best nutritionists - and there are no
programs for nutritionists specializing in gastric bypass surgery - even if
your doc has one in his practice. They are almost all trained in "normies"
and continue to treat us that way, even though our plumbing is rearranged
and we can’t be treated that way.

HTH, and if you have other questions, let me know.

Pam in Niceville

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Was reading old messages and came across that word, can someone
explain what that is….and Monday the doc is doing a scope to make
the hold bigger so when dumping will be easier…thanks Amanda

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