We know all the side effects from painkillers( IBUPROFEN, TRAMADOL, ect) , they are hard on our bodies , After my banding my Doc OK'ED me to continue taking my pain meds ... Tell your Doc about your pain. I know what you are going through I have osteoarthristis my knees hurt bad without my med ...Happy to report that after even a small weightloss I have cut my med in half. I am expecting after I get more weight off the knees I will be able to stop taking my meds for pain. But now you must focus on your new eating habits not pain....... Just my opinion................Please consult your Doctor good luck