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Answered in 15 hours by:
12/15/2010
Dr. Dan, Bariatric Physician (MD)
Category: Bariatrics
Satisfied Customers: 393
Experience: ASMBS Centers of Excellence Bariatric Surgeon
VerifiedHello,
Vitamin D and vitamin B6 deficiency are relatively common after gastric bypass surgery. Many of the mineral vitamins in our diet are absorbed from the part of your small intestine that is bypassed during surgery.
As far as return of hypertension is concerned, yes that can happen sometimes in patients several years out from gastric bypass. Hypertension can be attributed to several causes, and you should go through the workup of a new hypertensive patient (lab tests, ultrasound of kidneys and renal arteries, etc). Return of diabetes in a patient that has maintained a normal body weight is less common, however. If you are showing signs of hyperglycemia, and you have limited simple sugars/refined sugars in your diet, then that should be investigated further. If, on the other hand, you still eat sweets and refined starches, and rely on the bypass to keep your weight off, then that could certainly lead to increased insulin resistance and type 2 diabetes. After 2-3 years, the small intestine beyond the bypass develops the ability to absorb simple sugars and fats, almost as well as the bypassed bowel used to. It is one of the most common reasons patients gain weight back after surgery.
Good luck!
Dr. Dan
Vitamin D and vitamin B6 deficiency are relatively common after gastric bypass surgery. Many of the mineral vitamins in our diet are absorbed from the part of your small intestine that is bypassed during surgery.
As far as return of hypertension is concerned, yes that can happen sometimes in patients several years out from gastric bypass. Hypertension can be attributed to several causes, and you should go through the workup of a new hypertensive patient (lab tests, ultrasound of kidneys and renal arteries, etc). Return of diabetes in a patient that has maintained a normal body weight is less common, however. If you are showing signs of hyperglycemia, and you have limited simple sugars/refined sugars in your diet, then that should be investigated further. If, on the other hand, you still eat sweets and refined starches, and rely on the bypass to keep your weight off, then that could certainly lead to increased insulin resistance and type 2 diabetes. After 2-3 years, the small intestine beyond the bypass develops the ability to absorb simple sugars and fats, almost as well as the bypassed bowel used to. It is one of the most common reasons patients gain weight back after surgery.
Good luck!
Dr. Dan
Dr. Dan, Bariatric Physician (MD)
Category: Bariatrics
Satisfied Customers: 393
Experience: ASMBS Centers of Excellence Bariatric Surgeon
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