Mogens Højgaard Larsen

Morgens,
I am glad they are finally taking the Vitamin B serious. I sincerely hope it helps. Please help her take all the Vitamins and have a high Protein diet.
Good Luck

You are most welcome. I'm very shocked and outraged that some of the Facebook groups, when confronted with how aftercare is, how some doctors are, are trying to put down the patient(s) rather than asking how they would feel in that position?
Thank you to Alex Brecher for letting us be honest about the good and bad so we can all have knowledge that helps us to make the best experience and outcome for each patient as possible!

Seven years ago Danish doctors didn't care too much about blood Work after bariatric surgery.
My Girlfriend had a test in the early days after, and then Again three months out, but they didn't even bother to perform a full scale tast soo...
Until 2012 the Danish Health society standard only required testing for a few Vitamin and minerals. Some doctors are now starting to talk about possible serious (neurologic) conditions due to malnutrition after bariatric surgery, but it is still very hard to find someone hwo will perform full scale blood Work - that is until you are already in a serious condition, and then damage might have been done.

Seven years ago Danish doctors didn't care too much about blood Work after bariatric surgery.
My Girlfriend had a test in the early days after, and then Again three months out, but they didn't even bother to perform a full scale tast soo...
Until 2012 the Danish Health society standard only required testing for a few Vitamin and minerals. Some doctors are now starting to talk about possible serious (neurologic) conditions due to malnutrition after bariatric surgery, but it is still very hard to find someone hwo will perform full scale blood Work - that is until you are already in a serious condition, and then damage might have been done.

Beni,
I was tagged because I've had neurologic issues and those can all come from bariatric surgery.
Any neurologist can figure it out. Mine eliminated a lot of things and then had that verified that she had checked everything.
Good Nutritional Control May Prevent Polyneuropathy after Bariatric Surgery
Pariwat Thaisetthawatkul, M.D.1, Maria L. Collazo-Clavell, M.D.2, Michael G. Sarr, M.D.3,
Jane E. Norell, B.S.4, and P. James B. Dyck, M.D.4
OBES SURG (2014) 24:1800–1807
DOI 10.1007/s11695-014-1376-x
Neurological Complications of Bariatric Surgery
Anne Landais
Neurological Complications of Bariatric Surgery
Anne Landais
Neurology 2004 Oct 26;63(8):1462-70.
A controlled study of peripheral neuropathy after bariatric surgery.
Thaisetthawatkul, P et all
Nutritional Neuropathy
Jasvinder Chawla, Medscape Reference
Journal of Family Community Medicine 2011 Sep-Dec; 18(3): 162-164
doi: 10.4103/2230-8229.90020
Peripheral polyneuropathy after bariatric surgery for morbid obesity
I-Ching Lin and Ying-Li Lin
Neurological Review
The Neurological Complications of Bariatric Surgery
Joseph R. Berger, MD
Archives of Neurology vol 61 August 2004
Hindawi Publishing Corporation
Journal of Obesity
Volume 2012, Article ID 608534, 8 pages
doi:10.1155/2012/608534
Review Article
The Neurological Complications of Nutritional Deficiency
following Bariatric Surgery
Danielle A. Becker,1 Laura J. Balcer,1, 2, 3 and Steven L. Galetta1, 2
for starters
Give me a shout or flag me again if I can help. I'm reading a book that just barely hit the press on Nutrition and bariatric surgery. It hasn't included a lot on specific nutrition and I'm following that up.

Beni. Trust me.
We have been seeking medical advice for years now. (Medical aid is free of charge in Denmark J ) So we have been in and out of hospitals and as so has been aware of B12 defiance all the way through.

In fact, in Denmark all gb-patients gets injected with Vitamin D and B12 even before surgery and ever since, she has received B12 on a third month basis.
Twice a year her blood has also been monitored for Iron, zink, magnesium, Vitamin B D E, Calcium levels and some more. There has been some minor B12 defiance, but never anything alarming.
Since a pregnancy in 2011, she occasionally has to get iron and vitamin D intravenously though.

Still my girlfriends’ neurologic condition seems like an enigma to the doctors.

I have read a LOT of Google stuff about it all. Lately I found a diagnosis – Wernickes encephalopathy – that fits quite well on (some of ) her symptoms, but what also occurs to me is that her condition might not be that rare at all..?
Meaning: My girlfriend is not aware of her condition. She cannot remember that she was ever any different from today and does not remember her “absence attacks” either. She recognizes her spelling and memory issues but does not notice that her very personality has changed. She used to be a very “tidy” person –hence her house was always clean and things were always in place, she always kept her appointments and never spend more that budget. These days she is all but different, her house and her financial situation being a mess. (Even her mother says, that she doesn’t recognize her own daughter anymore)

We are members of a local gby forum and what strikes me is that a few of our gby acquaintances are dealing with (some of) the same issues. Some has lost their capability of spelling or their handwriting has gone horrible, some tend to forget words, names or appointments, some can’t find their ways, some occasionally has a “numb” sensation or deals with cold/hot/wet/dry issues.
Only they are not striken as bad as my girlfriend – or at least not yet, and this is my reason for writing to Bariatric Pal. See: In Denmark we didn’t perform gastric bypasses before 2006, so if neurologic complications doesn’t show before after say 6 years or more, we won’t have that many experiences yet.

And I am well aware that this might be one out of a thousand that has to deal with these issues.
In Denmark that would be only a few dozens of individuals, so there wouldn’t be any statistic relevance to state a case upon. But to save my own family I really need to know, if anybody out there has any experiences on this matter and especially if anybody knows a cure…

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MsUjima: There is quite a few research articles about vitamin B and E defiance. Most related to alcohol abuse though, but the symptoms are alike those of my girlfriends (who hasn’t tasted alcohol for 20 years)

My gf had the gby in 2007.
I soon noticed that something more than her digestion had changed.
She in a way became more "absent". Hard to explain but her personality changed: Not keen on life around her as before. Not as strong in her mind and will as before...
In months things got worse. She started to loose focus; could stop in the middle of a conversation not remembering what we were talking about. Started to loose her way on familiar roads. Started to slip things out of her hand, while carrying it.
After a year or so I noticed that her mathematic sense hat gone bad. Also her handwriting - which had earlier been one of the best - changed to "doctors writing", say hard to read at all.
In 2010 she started to faint, or... In the middle of a conversation she could flip to absense. Like she wasn't there at all, and it could last for only seconds but also for minutes or even for hours. Sometimes she fell to the ground, other times she just sat down and stayed absent until the attac had gone.
At this point I started to keep book on the "events". When did she drop Things? When did she have vision disturbances? When did she loose track on time?
Also she developed sensory distrubances. She lost capability og figuring out weather something was warm or cold, humid or dry.
Today my gf can't spell. She very often has a hard time remembering simple words and she can hardly finish a conversation about the weather.
Often her vision is bad, like she turns blind on her left eye. Daily she has the shakes like an old drug adict. Minor events like loud noises makes her really scared and on top of it all: her hair and skin has turned 30 years older in those 7 years past surgery.
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As you (hence my spelling) might have guessed, I'm from abroad. In europe NO ONE hardly ever discuss the late complications after gastric surgery. Possibly because of the big money involved (?) but I really would like to ask if anyone else has noticed neurologic changes after the surgery?
It is a well known fact that gby can cause neutritional defiancies, and it's an other well known fact that just 20 days of Vitamin B defiancy can cause irreversible neurological defects. Still, it seems like it's the mistery of all times that gby could cause any symptomes like those of my girlfriends.
.
Most important might be to stress, that my gf has almost no feelenig of all those issues I mention above... Sure she agrees that her skin and hair has changed, and eventually she get frustrated that she can't find the Words in a conversation or her own way home after a short walk, but all in all she just doesn't remember, that she was ever any different!

But how about you? Have any of you any experience of neurologic disabilities? Did someone near you change personality after surgery?
.
Please excuse for my bad spelling, but let me know, if any of you have any experience - and even better; if anyone knows how to stop Things from getting even worse.
.
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Kind regards Mogens