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Doctor insights on: Gastric Bypass Vitamins

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Salads after gastric bypass?

Salads after gastric bypass?

Yes. : Salads are fine once you are past the early post op time period designated by your surgeon's team. Just be careful of dressings, as many of them are rather high in dietary sugars. Higher amounts of dietary sugars can cause dumping syndrome. ...Read more

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Dr. Gregg Nishi
473 doctors shared insights

Gastric Bypass Surgery (Definition)

Gastric bypass surgery is a restrictive and malabsorptive procedure to help lose weight. Restrictive is in the fact that the stomach is down sized to a 2 oz pouch and malabsorptive is in bypassing part of the stomach and 100 to 150 cm of the small ...Read more


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Stomach bypass surgery safe?

Stomach bypass surgery safe?

Mostly...: Modern bariatric procedures have become more standardized and safer. However, you need to go through a complete evaluation process to determine whether it is right for you. The most important decision is perhaps picking the right program with a good record. ...Read more

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Is gastric bypass surgery good?

Is gastric bypass surgery good?

Operations: In terms of ultimate weight loss, the bypass would be #1 followed closely by sleeve. The band would be a distant third. For fixing problems like diabetes, high blood pressure, high cholesterol, sleep apnea, the ranking is the same. Sleeves are a good option for someone without diabetes or heartburn. If you have those problems or have a bmi over 50, the bypass is a better option. ...Read more

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How are gastric band operation and gastric bypass different?

How are gastric band operation and gastric bypass different?

Weight loss: The band is placed around the upper part of the stomach to restrict the amount of food you can consume. It is adjustable depending on the amount of food you can eat and weight loss. The bypass permanently changes the anatomy by re-routing the intestines. The sleeve gastrectomy permanently changes the size of the stomach. All work well for the right people. ...Read more

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Nutritional ramifications and gastric bypass surgery? What are the nutritional ramifications to gastric bypass surgery? What vitamins can't be absorbed?

Nutritional ramifications and gastric bypass surgery? What are the nutritional ramifications to gastric bypass surgery? What vitamins can't be absorbed?

There : There are many nutritional changes after bypass surgery and they can vary depending on type of bypass or band. If you are thinking of undergoing bypass surgery be sure that wherever you are thinking of having the procedure preformed there is a nutritionist as they will be an important part of your medical team. Usually, immediately following surgery, there will be strict guidelines for how much and what types of food to eat. These will loosen over time. It is important to remember that you can still gain weight and have your bypass fail if you continue with poor eating habits. While you will feel full after little food you can stretch the pouch. Avoid foods with high fat and sugar content. Remember at first to eat very slowly, stop when full, chew food well, and concentrate on protein and hydration. Over time, months, you will most likely be able to eat all the foods you used to, but much less. Most often people will eat three, small, well chewed meals per day. Because of changes in gastric acidity and the new structuring of the intestine after roux-en-y gastric bypass the absorption of several micronutrients may be affected; b12, calcium, vitamin d, folate, iron, and thiamine to name a few. Your physician will usually do blood tests at 3 months, 6 months, and then yearly to follow lipid levels, iron levels, B12 and folate levels, calcium, vitamin d and parathyroid hormone levels, and your blood count. Most recommend taking a multivitamin with minerals and iron daily, and a B12 supplement (may be oral or injected). If your iron level is low you may be instructed to take a supplement --only do this if your level is low. You may also need additional calcium or vitamin d depending on your lab work. Patients undergoing lap banding may only need a multivitamin. Above all remember to work closely with your doctor and nutritionist. Weight loss surgery takes a lifelong commitment to be successful. ...Read more

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Does gastric bypass surgery work?

Does gastric bypass surgery work?

Bypass works: Gastric bypass "works" in 95-97%. Works in three ways: 1. Small pouch makes you feel full. 2. Decreased ghrelin (hunger hormone). 3. Diverts food from lower stomach and duodenum (helps with diabetes). Must eat appropriately. Solid food, no sipping with food, no sweets, no bad snacks. Most lose 80% of excess weight at one year. Then some bounce back with total loss at 5-7 years of 70% excess wt. ...Read more

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How do gastric band, gastric bypass and a gastric balloon differ?

How do gastric band, gastric bypass and a gastric balloon differ?

Different principles: Bariatric procedures can be divided into 3 principle effects, causing malabsorption of nutrients, by restricting stomach size or a combination of both. Gastric band and balloon are restrictive, while gastric bypass is considered to be a combination of restrictive (small stomach pouch) and malabsorptive (bypassing portions of the digestive tract that absorb calories and nutrients). ...Read more

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Gastric bypass, lapband, stomach stapling, what's the difference?

Gastric bypass, lapband, stomach stapling, what's the difference?

Bariatric surgery: It's gastric bypass, lap band, and sleeve gastrectomy. Stomach stapling can mean a lot of different things. Not enough room to answer your question here. Look on the web, like http://www.Realize.Com to read about the various operations. ...Read more

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Roux-en-y gastric bypass weight loss surgery, how effective is this?

Roux-en-y gastric bypass weight loss surgery, how effective is this?

Gastric bypass: Very effective. In fact, it is the most effective weight loss operation when compared to the lap band and sleeve gastrectomy. In addition, it has nearly a 90% cure rate for type 2 diabetes. Most people lose between 65-70% of their excess body weight. So if you are 100lbs overweight, that's about 65-70lbs of weight loss at a year to 18 months. ...Read more

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Which vitamins can someone with gastric bypass take?

Which vitamins can someone with gastric bypass take?

Vitamins: Vitamin supplementation is extremely important after gastric bypass and there is a handful of comercially available vitamins specially formulated for bariatric patients. ...Read more

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Does smoking affect gastric bypass surgery?

Does smoking affect gastric bypass surgery?

Snesthesia specific: Patient's who qualify for bariatric surgery are already at risk for sleep apnea and collapsed lungs. Why make things worse by triggering constriction of airways? I know of many bariatric surgeons who refuse surgery on smokers. Remember, post-surgical instructions are very strict so you have to demonstrate the ability to change unhealthy behaviors prior to surgery. ...Read more

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Will bariatric surgey (gastric bypass) help with diabetes? Thanks!

Will bariatric surgey (gastric bypass) help with diabetes? Thanks!

Yes: Bariatric surgery will often resolve many medical issues along with successful weight loss. Some of the most significant health conditions that can be improved or resolved with bariatric surgery include, type 2 diabetes ( previously described as adult onset or non Insulin dependent ) , sleep apnea , high blood presssure , gastroesophageal reflux disease, and osteoarthritis. ...Read more

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How come digestive enzymes are reduced after gastric bypass surgery?

How come digestive enzymes are reduced after gastric bypass surgery?

Loss of physiology: Food normally is mixed with acid and mechanically broken down in the upper stomach. Small amounts are released through the antrum of the stomach, which goes through the duodenum and proximal jejunum. Various substances stimulate secretion of gut hormones and enzymes. In gastric bypass operations, the antrum, duodenum and proximal jejunum are bypassed and reduce levels of these hormones. ...Read more

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Do gastric sleeve or gastric bypass work better for losing weight?

Both similar: The sleeve and bypass work in almost all patients. Our experience is to expect about an 80% excess body weight loss with the bypass and 70% with the sleeve. So if you weigh 250 and you are supposed to weigh 150, then you have an excess weight of 100 lbs. Most patients make their decision based on side effects or risks. Both are great. ...Read more

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Why no alcohol after gastric bypass surgery?

Why no alcohol after gastric bypass surgery?

Alcohol ; bypass: You can have alcohol after a bypass but in moderation. Keep in mind that sweet drinks can cause dumping syndrome. Also, your tolerance will be much less than before so be careful. Lastly, alcoholic drinks (like beer and wine) can contain a lot of calories and you can gain weight from drinking too much. ...Read more

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Can I take baby aspirin with gastric bypass rny?

Can I take baby aspirin with gastric bypass rny?

Yes, if:: The surgery was long enough ago that there is no risk of bleeding, there is no allergy or hypersensitivity issues, and your vitamin levels are normal. Lack of vitamin k can cause bleeding which Aspirin would then make worse. ...Read more

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Can a gastric bypass patient take correctol laxitive?

Can a gastric bypass patient take correctol laxitive?

Short term : Constipation is fairly common after gastric bypass. Correctal laxative is ok for a short course. Long term constipation is best managed with fiber or miralax (polyethylene glycol). ...Read more

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Which is the most effective: lap band, gastric bypass or gastric sleeve?

Which is the most effective: lap band, gastric bypass or gastric sleeve?

Operations: In terms of ultimate weight loss, the bypass would be #1 followed closely by sleeve. The band would be a distant third. For fixing problems like diabetes, high blood pressure, high cholesterol, sleep apnea, the ranking is the same. Sleeves are a good option for someone without diabetes or heartburn. If you have those problems or have a bmi over 50, the bypass is a better option. ...Read more

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How is the gastric sleeve and the gastric bypass procedure done?

How is the gastric sleeve and the gastric bypass procedure done?

Laparoscopic: More steps involved with bypass. The current picture shows bypass. The last question i answered for you has the picture of sleeve. ...Read more

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Gastric (Definition)

This refers to something that is ...Read more