this post was submitted on 01 Feb 2026
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One might think "Why get this surgery then?" if it's like this. Which is a fair question. For my wife in particular she had a condition called pseudotumor cerebri where she was producing too much cerebrospinal fluid and not getting rid of it fast enough so it was compressing her brain and optic nerve much like a brain tumor (hence why it is called pseudo tumor). She was significantly overweight at the time and had this issue before. It resolved temporarily when she lost weight but due to heavy food insecurity and other trauma when she was younger she struggled to keep the weight off. So she had 2 options: Aggressive weight loss from bariatric surgery, or getting a shunt implanted in her skull to drain the fluid. She chose the bariatric surgery that gave her the best chance of not still needing the shunt, which was the DS. Since having severe OCD she knew for a fact she could keep up with the vitamin supplementation and use managing the vitamins as an adaptive outlet for the OCD.
Why specific formulations and times for vitamins? A couple reasons, one is ease of absorption. Certain formulations have to be basically digested a little first to get properly absorbed which because of the surgery her body just doesn't properly do. This is basically why she needs the supplements to begin with. Since her body only properly digests part of what she eats she doesn't actually absorb a bunch of the nutrients from it and needs to supplement the vitamins her body can't absorb well from food. The second is that certain vitamins interfere with the absorption of others, calcium inhibiting iron absorption for example.