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Bariatric Surgery/Questions Answered by Expert Jacqueline Jacques, ND
| Subject | Date Asked |
| Calcium D-glucarate | 9/6/2011 |
| Q: I have read that calcium D-glucarate can help remove excess estrogen and can be helpful in estrogen ... A: It has good research and I think it probably does help reduce some cancer risk. There are really ... | |
| hair loss post bypass | 8/17/2011 |
| Q: In april of this year I had a gastric bypass now my hair is falling out. I can't tolerate the ... A: A couple of things... 1) Hair loss after gastric bypass usually starts at about 100 days post op, ... | |
| Gastric Sleeve | 7/13/2011 |
| Q: 1.Can proteins, B12 and calcium be digested after gastric sleeve because of absence of HCl secretion ... A: The gastric sleeve is still a very new procedure with very little research on nutrition. The early ... | |
| Pain medication isn't lasting 4 hours | 6/30/2011 |
| Q: I had a gastric bypass done in 2008, and have noticed that with my pain medications for chronic back ... A: While not much is published in literature on the subject, there are definitely medications that are ... | |
| RNY Bypass | 6/27/2011 |
| Q: I'm 2 yrs out and I was wondering how drinking pop and alcohol affects your pouch? A: Contrary to popular belief, what you eat is not going to really do much to change or damage your ... | |
| Vitamins deficiencies | 5/23/2011 |
| Q: I had gastric bypass surgery 2.5 years ago, which was a total success. I have maintained my weight ... A: It is absolutely a possibility that these kinds of symptoms could be caused by a nutrient ... | |
| gastric bypass reversal | 4/5/2011 |
| Q: i had a rou ny 7 yrs ago. i am always vomiting, getting ulcers and am way too skinny. i experience ... A: Jody, While it is likely that you would regain some weight after a reversal, it is not written in ... | |
| 8 years out diarrhea | 3/25/2011 |
| Q: I am 52 years old. Had gastric bypass in june of 2004. I have developed constant watery diarrhea ... A: Because your bypass was so many years ago, it is not likely that it is the cause of your current ... | |
| BLOOD DONATION AFTER GASTRIC BYPASS | 2/10/2011 |
| Q: I RECENTLY GAVE BLOOD AND I PASSED OUT TWICE ABOUT 5 HOURS AFTER, I HAD GASTRIC BYPASS IN 2002, I ... A: Jackie, Since any one of a number of nutrients could be involved, I would strongly suggest that you ... | |
| Gastric Sleeve after Hatial Hernia Surgery | 12/13/2010 |
| Q: I visited a Bariatric Surgeon recently as I want to have the Vertical Gastric Sleeve Operation done. ... A: There are mixed opinions about this, but it is sometimes considered a contraindication to this ... | |
| Skin Issues-Care, Integrity, Breakdown | 11/4/2010 |
| Q: I am a wound nurse (RN-uncertified) in a wound clinic in Western Nebraska. The hospital I work in ... A: Unfortunately, this is really not my area of expertise either. My best thought is to contact the ... | |
| bypass nutrition and absorbtion | 10/26/2010 |
| Q: My question is in tegards to post surgery, ulcer nutrion. I'm told I'm I am losing too much weight ... A: You should pose the risk question to a surgeon like Dr Pilcher who is in this forum Nutrition ... | |
| Lap band and only 1 kidney,, | 10/25/2010 |
| Q: my doc says he would like me to do it, i am keen.. But I only have my Right Kidney.. I was only ... A: Stuart, In general, having one kidney is not at all a contraindication to Lap Band surgery. In ... | |
| NEED TO LOOSE LAST 39 LBS. | 10/19/2010 |
| Q: I HAD ROU-EN-Y SURGERY JULY 2007, I AM STUCK ON LAST 39 LBS. SHOULD I GO BACK TO PURE LIQUID DIET ... A: Can I ask where you started with your weight? It is pretty common for people who have had gastric ... | |
| Diabetes and RNY | 10/3/2010 |
| Q: I am 18 months post op from lap. RNY. I have lost 110 pounds and now I have settled out at an ideal ... A: Brandy, How and by whom were you diagnoses with diabetes? There is a more rare condition that can ... | |
| Weight Loss 5 years post op | 5/16/2010 |
| Q: It has been almost exactly 5 years since I had my weight loss surgery, the duodenal switch. I had ... A: Brianna, Sorry for the delayed reply - seems that not all my questions in this category were ... | |
| malabsorption | 3/8/2010 |
| Q: I am 17 months out from bariatric gastic bypass surgey. I am stuck at a loss of 120 lbs. and am ... A: There is sort of some truth and non-truth in all of this. At around 18-24 months post-op, the part ... | |
| Gastric bypass vs the sleeve | 3/3/2010 |
| Q: Today I met with my doctor. Before walking into her office I had my mind made up that I was having ... A: Sarah, I cannot possible tell you what procedure is correct for you. That should be a decision ... | |
| Long term vitamin replacement | 2/28/2010 |
| Q: Dr. Jacques, I'm currently in the preparing to have Roux en Y surgery. I'm shooting for May of ... A: Long term vitamin replacement is a necessity after bariatric surgery. Especially with a procedure ... | |
| five day pouch test | 2/28/2010 |
| Q: I read about a five day diet that goes through each stage of the post op diet for gastric bypass. ... A: You do not say what your symptoms are, but you really cannot "undo" your surgery. Things can go ... | |
| aspirin replacement | 2/26/2010 |
| Q: I am 48 years old and very near to 49.............I live a sedentary life and am a little ... A: Paul, Aspirin has special benefits for heart heath and clot risk. One option would be to ask your ... | |
| Sports Nutrition | 2/19/2010 |
| Q: I am curious your recommendations for endurance training for WLS patients. I have been running ... A: What you are experiencing is the fact that after a certain amount of time, your body has burned up ... | |
| Vitamins verses food | 1/15/2010 |
| Q: My question is since alot of the nutrients bypass you..What is sources of good nutriental food that ... A: Unless you are getting shots or IVs, all nutrients from vitamins or from food enter your body the ... | |
| Lap Band | 12/23/2009 |
| Q: I recently saw a commercial on tv for the lap band surgery, I weigh 265 so i would like to at least ... A: Brittanie, Most likely if you weigh 265 and have at least 100 pounds to lose you would qualify for ... | |
| vitamin D supplements after gastric bypass | 12/3/2009 |
| Q: I am an RD with a weight loss surgery program. Most of my research on vitamin D indicates that D3 ... A: This is a great question - I am surprised that more people don't ask it. There are some rather old ... | |
| surgery while breastfeeding | 11/24/2009 |
| Q: I'm in the process for lap band surgery. The surgery will probably be when my baby is 4 months old. ... A: Laura, Some of these questions (such as the question about painkillers) you need to ask to your ... | |
| Crohn's Disease | 11/15/2009 |
| Q: Can a person who has crohns disease get gastric bypass surgery? A: There is not a straight forward answer to this question. Since Crohn's disease can be mild or ... | |
| Endurance athletics post WLS nutrition | 9/9/2009 |
| Q: I want to be straight forward and honest with you. I found this sight through a google search on ... A: I am not really the right person to answer this question, however, it happens that I just heard an ... | |
| 11 days post op | 8/30/2009 |
| Q: i'm so hungry when will i be able to eat a salad when can i eat lettuce?, A: I do not know what surgery you have had (gastric bypass, sleeve gastrectomy, gastric band...), but I ... | |
| Kidney donation after lapband | 8/26/2009 |
| Q: I was wondering if you can donate a kidney after you have lap-band surgery? A: Denise, If you are healthy and the kidney is healthy, the answer is most likely yes. Because the ... | |
| RNY 1 week post op weight gain | 7/10/2009 |
| Q: Jacques, I had RNY surgery 7/1/09. I weighed 320 exactly the day of surgery. Due to a low H & ... A: Mary, I know that might sound distressing, but the mostly likely thing is that if you weighed in ... | |
| longterm nutritional problems | 6/17/2009 |
| Q: RNY, 6/03. Leaks, infections and ulcers, multiple hospitalizations in the 90 days postop. NOW, Vit D ... A: Terry, This is the list of surgeons who are closest to you. Anyone who has Centers of Excellence ... | |
| longterm nutritional problems | 6/16/2009 |
| Q: RNY, 6/03. Leaks, infections and ulcers, multiple hospitalizations in the 90 days postop. NOW, Vit D ... A: Terry, Do you have a bariatric surgeon who is helping with your care? Even if you are uninsured, ... | |
| reversal of bariatric surgery | 6/15/2009 |
| Q: My daughter is 28 yrs old and hospitalized 8 times in the last 10 months for perforated ulcer, other ... A: Sue, The first thing I would consider is getting a second opinion with another bariatric surgeon. ... | |
| Gastric bypass and exercise | 3/24/2009 |
| Q: I had Rny August 2007. I started at 341. The scale showed 158 this morning. My goal is 135-140. My ... A: Sorry for the delay in replying to this. There is not a perfect answer to your question. We do ... | |
| B12 Five years after WLS | 2/19/2009 |
| Q: I had RNY Gastric Bypass in 2003. I am concerned regarding the decline in my B12 scores over the ... A: After Gastric Bypass, I consider it important to keep your B12 levels above 500 to prevent nerve ... | |
| the Rose precudure | 2/9/2009 |
| Q: I had the gastric bypass surgery 20 years ago. I live in Mississippi. We had no doctors in the ... A: Gloria, I am assuming that what you are trying to find is someone who can do a revision of some ... | |
| anemia | 1/29/2009 |
| Q: I am 5 years out of having gastric bypass surgery. Lately I have been found anemic. I have had ... A: Linda, It is always a good idea to keep your bariatric surgeon in the loop. In this case, I would ... | |
| 11 yrs post RNY problems | 1/28/2009 |
| Q: I am a 41 year old female. I have a question, but let me give you some backround.. I had a gastric ... A: Kelly, I am really very happy to help. The bone pain you describe should be investigated ... | |
| 11 yrs post RNY problems | 1/28/2009 |
| Q: I am a 41 year old female. I have a question, but let me give you some backround.. I had a gastric ... A: Often, when I get an email like this through About.com, I would check the option that allows me to ... | |
| Gastric Bypass & the Ostomy Patient | 1/7/2009 |
| Q: I am a patient with a colostomy stemming from rectal cancer, diagnosed in 2002. I have been in ... A: Shanna, Given your history, you might find that some bariatric surgeons do not want to operate on ... | |
| Tests after Bariatric Surgery | 1/2/2009 |
| Q: I am 1 year post-op from gastric bypass surgery. I am 5'4 and on my surgery date I weighed 245. I am ... A: First - congratulations on your success! At 5'4" and 135 pounds you must look and feel great! I am ... | |
| Gastric bypass- addiction transfer-alcohol | 12/6/2008 |
| Q: My 42 year old "NORMAL GIRL" sister had bypass surgery 2 years ago and lost 110 lbs. Since then, ... A: Maryjane, There are several outstanding programs in Baltimore, which I tink is rather close? (I am ... | |
| Gastric bypass- addiction transfer-alcohol | 12/2/2008 |
| Q: My 42 year old "NORMAL GIRL" sister had bypass surgery 2 years ago and lost 110 lbs. Since then, ... A: I am sure you are deeply concerned about your sister and I can't blame you. Gastric bypass does ... | |
| Correlations between gastric bypass and rheumatoid arthritis | 11/15/2008 |
| Q: I had bypass surgery 7 years ago and have been diagnosed with both osteoarthritis and rheumatoid ... A: Judi, As I am an nutrition expert, I am really not the best person to answer this question. I do ... | |
| fat absorption after RNY | 11/10/2008 |
| Q: I am about 16 months post lap-rny and I was wondering how much fat is absorbed. I had a 110 cm ... A: With the length of your bypass, you likely have some fat malabsorption, but I do not think anyone ... | |
| Bariatric Surgery | 11/4/2008 |
| Q: .. I was wondering if you could have Bariatric Surgery even though you have a thyroid problem. MY ... A: Nory, In no way does having thyroid disease prevent anyone from qualifying for bariatric surgery. ... | |
| Alcohol Cnsumption | 11/1/2008 |
| Q: Jaques, I had one glass of wine and when I breathed into the breathalizer, the reading was .08. I ... A: Monica. The band itself does not change the way you process alcohol or respond to a breath test ... | |
| post surgery feeling | 9/8/2008 |
| Q: I had my surgery 2 weeks ago. I currently am on my 2 week liquid diet w/protein shakes. I am walking ... A: Jenn, If you are only two weeks post-op you and are having uncomfortable symptoms, please call your ... | |
| Why am I having such trouble losing weight after my RNY? | 7/22/2008 |
| Q: I had RNY on 2/25/08. I took a six month health/surgery educationclass with Kaiser to qualify for ... A: Sheryl, The sort term failure after gastric bypass is very small - meaning that most people do lose ... | |
| is AchievOne protein ok for me? | 6/29/2008 |
| Q: I have heard great things about AchievOne protein, and have found great prices at ... A: Most bariatric surgeons would really prefer that you stay away from caffeine - especially early on ... | |
| had by-pass now want lap band | 5/20/2008 |
| Q: my name is andrea.on may of 2000 i had gastric bypass surgery. i lost 157lbs total. oves the years i ... A: There are some surgeons who will put a gastric band over a gastric bypass, but usually before this ... | |
| Can Weight Watchers work for post gastric bypass patients? | 4/22/2008 |
| Q: Dr. Jacques: I am 4 1/2 years post gastric bypass roux n y, I have lost 95 pounds and was ... A: Jill, Anything that teaches you good habits can be beneficial. But first, let me back up and say ... | |
| animia low iron | 4/18/2008 |
| Q: i'm 5 yrs from having a Roux-en Y no problem untill recently. my iron level is 9 and i have tred ... A: It is not at all uncommon for iron levels to plunge around 5 years post-op from a gastric bypass. ... | |
| bypass surgery approval by AMA | 4/10/2008 |
| Q: We have a patient that is being denied any bariatric surgery (gastric bypass) because of it being ... A: There has not been an approval of bariatric surgery by the AMA, but it was granted Medicare ... | |
| bodyfat percentages | 4/9/2008 |
| Q: I am a 55 year old man. On those bodyfat percentage scales I see on the internet, can you tell me ... A: You raise a really great question - one that health professionals have long disagreed on. Many ... | |
| I hate my body! | 3/29/2008 |
| Q: I am 16 yrs old and a mother of two I am 5 ft tall and weigh 285lbs I am so tired of all this weight ... A: I think you are both brave and smart to be thinking about weight loss surgery at such a young age. ... | |
| donating blood after gastric bypass | 3/21/2008 |
| Q: I donated blood this past Tuesday and early Thursday morning I woke up extremely dizzy and nausia. ... A: Bonnie, In 5 years I never had this question - then twice this week... Usually, before you donate ... | |
| obese child | 3/14/2008 |
| Q: i have a 15 yr old son, and he weighs around 78 kg and is greatly obese. he is only about 5,4" tall ... A: Helen, Let me talk to a few of my colleagues in Australia and get back to you. It might take me a ... | |
| obese child | 3/14/2008 |
| Q: i have a 15 yr old son, and he weighs around 78 kg and is greatly obese. he is only about 5,4" tall ... A: Helen, I have been working on some place for you you to get information. Here is what I have so ... | |
| obese child | 3/13/2008 |
| Q: i have a 15 yr old son, and he weighs around 78 kg and is greatly obese. he is only about 5,4" tall ... A: At his current size, your son is significantly overweight, but not yet at the level of being obese. ... | |
| Almost 4yrs post-op | 3/13/2008 |
| Q: I had gastric bypass surgery approx 4yrs ago this August and with having a full management career, 3 ... A: For busy people like yourself, it is often hard to stick with the program required after weight loss ... | |
| hello | 2/10/2008 |
| Q: hi im 19 years old do i qualify for a bariatric surgery A: Since you are considered by medicine to be an adult, age is not technically a concern for you in ... | |
| risks | 2/4/2008 |
| Q: i would like to know the death rate of gastric bypass patients A: It is always good to be thinking about the complications of a serious operation. In general, ... | |
| Protein Shakes | 12/28/2007 |
| Q: Good Morning and Happy Holidays to you! I recently had gastric bypass surgery and have been ... A: I love when people ask good questions like this! A Meal Replacement is a very specific thing ... | |
| Dumping Syndrome | 12/9/2007 |
| Q: On Nov 7th I had gastric bypass surgery and my surgeon bypassed 150 cm of my intestines. Over the ... A: I have two thoughts for you: 1) make sure that what your surgeon called a "distal bypass" was not ... | |
| credentials | 11/15/2007 |
| Q: what does ND stand for shouldn't a registered dietitian be the nutrition resource? A: The Bariatric Surgery area of AllExperts is for people looking for information on all aspects of ... | |
| 1920's | 9/9/2007 |
| Q: please what was the average size of a womens bust hips and waist in the 1920's? help A: Kristine, This is not at all my area of expertise, but I was curious, so I went and looked it up. ... | |
| thinking outside the box | 9/4/2007 |
| Q: I read your answer about only using USA surgeons for lapband surgery but I found an MD in Mexico who ... A: You are right that I have encouraged US patients to try to have surgery in US facilities. While ... | |
| B 6 | 7/6/2007 |
| Q: I am seeing a chirpractor and wanted me to get off tylenol and take Ultra Cal-m. It has been ... A: First, let me say that the issue of what to do in arthritis pain for gastric bypass patients is not ... | |
| Removal of LapBand and doing RounY Gastric Bypass | 7/3/2007 |
| Q: I recently had to have my lap band removed due to 2 surgeries to have it put back in place after it ... A: Cathy, This is really an insurance question and we just don't have anyone on our category who ... | |
| My Husband had a full gastric bypass: can he have lap band? | 6/22/2007 |
| Q: My husband had a full gastric bypass in 1997. He was close to 500 pounds. He lost down to 225 in ... A: I will try to give you some information, but this is really a better question for John Pilcher - he ... | |
| Lap band surgery overseas. | 5/31/2007 |
| Q: I am 58, 6’0”, and weigh about 230. I’ve tried eating less and exercise to lose weight for years ... A: You are facing a few issues. First is your weight. At 6 feet tall and 230 pounds, you do not meet ... | |
| 18 months post op (RNY) | 1/11/2007 |
| Q: I lost 150lbs the first year as I started at 415lbs but have stuck at the same weight for the last 6 ... A: Let me start by saying a few words about plateaus. Everyone will plateau with their weight at some ... | |
| Bypass Nutrition | 1/4/2007 |
| Q: I had an MGB (Mini Gastric Bypass) in September and am doing well. If you are not familiar with the ... A: Cheryl, I am going to be really honest and tell you that there is nothing sure-fire to ensure that ... | |
| lap band procedure | 8/4/2006 |
| Q: My name is Bekky. I'm 24 and my BMI is 48. I'm 5'2. Anyway my question is after the surgery do ... A: Bekky, First of all, congratulations on your decision to have surgery. I am really glad to see ... | |
| leg lift | 7/9/2006 |
| Q: I've always had heavy legs and after losing weight I have lots of loose skin that looks unsightly. I ... A: Actually many people who have lost massive weight after bariatric surgery seek to have excess skin ... | |
Bariatric Surgery
Answers by Expert:
Jacqueline Jacques, ND
Top Expert on this page
Expertise
My expertise is in nutrition and weight loss surgery. I can answer questions related to nutritional care, vitamins, deficiencies, diagnosis, treatment and management. I can answer nutrition questions related to any procedure: gastric bypass (RNY), duodenal switch, lap-band, etc
Experience
I have spent seven years working almost exclusinvely in the area of weight loss surgery and nutrition.
Publications
Bariatric Times, Beyond Change Obesity, WLS Lifestyles, Nutrition and the MD, OH Magazine
Awards and Honors
Health Professional of the Year 2004 - Bariatric Support Centers International
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