BoredCW

I get cold all the time. I used to always run hot, but now I need a jacket or some sort of sweater to wear at night. I just figure I get to buy and wear more good looking coats and sweaters.

Awesome! Looking great! Keep up the work. Your personal goal is in sight. Great job!

9 hours ago, AZhiker said:

Sounds a bit more like paranoid schizophrenia, especially with the delusions. It's true that the surgery can rock the boat with hormone changes. This can cause moodiness, and if there is an underlying psych issue, I can see where it could come to the surface more easily. I sure hope you can get help for him. Inpatient hospitalization may be needed to ensure he is taking the meds and getting a correct diagnosis.

Bipolar Type I can have similar symptoms when in mania episode. The big difference is that there will be a crash and a deep depression at some point. Hope this helps understand more about Bipolar.

The weight loss does release a lot of stored hormones. This can cause moods to elevate and can also cause depression. So his meds might need adjusting. Talk to his Psychiatrist (PDoc) about him being off meds as well as the surgery.

For me I was on a stable set of meds before the surgery. I kept in touch with my PDoc through out the recovery as well so the meds could be adjusted as needed.

If he gets too bad, talk to the Pdoc as a small stay at a hospital might be required to get back on the meds. It wouldn’t be a bad thing, just a tool to get your husband back on track to normal.

If this is relatively new situation, I would also suggest to pick up some Bipolar books for him as well as for family members. It will help explain what is going on and what needs to be done. This is do able.

If you have any questions, feel free to ask.

I have the same issue. On my surgeons suggestion, I've been using Devrom (https://www.amazon.com/gp/product/B0045WG1P2) to help with the smell. I believe it has lessened the foul odor, but it doesn't get rid of it. Still my farts will make the dogs run under the covers and cover their noses, but its not as bad without the meds.

I take two chewable pills twice a day. It's just included in my pill case.

If you try it out, I'd be interested if it helps for you.

I donated all of my large clothes to charity. I am on my second round now and instead of donating, I've taken a few things I just bought to the tailors to be taken in. Cheaper then buying new. As I am still of a certain large size, goodwill and used clothes shops don't have my size still. I look forward to being able to shop their someday soon.

So that explains why i have discomfort sometimes in the upper right side of my abdomen. @HopefullXOXOXO thanks for posting about this.

There is a meeting of WLS patients, pre-op & post-op in San Fransisco once a month. On the 2nd Wed of the month. Several of the post-ops patients are Kaiser patients. They would better be able to talk to you about it.

San Francisco
Date: 2nd Wednesday of each month
Time: 6 PM - Simultaneous Informational Seminar and post-op meeting.
7 PM - General open meeting for both pre-op and post-op patients.
Place: Cafeteria at St. Mary's Hospital (Go in the main entrance, take elevator to B floor, follow signs for food.)
450 Stanyan Street
San Francisco, CA 94117
Additional details: Parking is available at St. Mary's Hospital parking at the corner of Stanyan and Hayes Street.
http://www.paclap.com/support/meetings-calendar.cfm

I had a stall from hell that just stopped (2 months). It started about 3 months out from surgery. I take a bunch of meds very similar to yours. But they don't help in the weight loss. Some cause weight gain, wanting to eat more, etc.. blah, blah, blah, you know all of this. Its a further challenge for us then what others may have in the weight loss process.

It seems harder with mental illness as the stress of "WTF did I do to cause this" start to jack hammer my brain, but it was just a stall and nothing I could do about it. I did a lot of food adjustments such as decrease calories, increased calories, I increased my exercise, riding my bike twice a day. The exercise didn't help with weight loss during the stall but I felt better as it helped with some of the stress.

I would just suggest to focused on other things. The weight will start to drop off.

Only thing I can say is what others told me. Hang in there, its just a stall and it will pass. Your body is losing weight and sometimes has to stop to readjust.

Your not alone in this. Many of us have been there before and you should start to lose again when your body is ready.

Feel free to reach out if you ever want to chat.

I’ve heard of this in my DS WLS Group. Not sure about it being a stopping sign though. Just a side effect from the surgery.

Let us know if you figure out if it’s a sign of some sort.

Check this picture out.

(https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/bpdds-weightloss-surgery)

1. The stomach is sleeved.

2. The small intestine is mostly bypassed to the larger intestine which causes less of the food you eat to be absorbed. (Malabsorption)

You are forced to eat less due to the size of the stomach.

What you can eat, not much is able to be used by the body.

I'm not a surgeon, but I would think its possible to switch from a sleeve to a DS as you've done step 1 already. Just need to do step 2.

I'm sure others will help explain things more and cover what I missed here.

No problems. Just want to make sure that I communicated that from what I have been told and personal experience there is no dumping syndrome with DS surgery.

I did an experiment after my RNY to DS revision, I ate something that would have put me down garunteed for a half hour with dumping syndrome. Didn't happen.

I don't miss dumping syndrome. For me it was like an intense flu that came on hard and fast. Sweating, nausea, the works. Lasted for me about half and hour to a hour depending on what I ate and how much.

Now it just hurts to eat too much and the bowl thing is something I'm re-evaluating my diet and supplements to help with.

If OP is experiencing something similar to dumping syndrome, then probably should go talk to the surgeon asap.

1 hour ago, Bastian said:

Conflicting info on that, some say it is less likely and some say you don't get it. It certainly sounds like she is having dumping syndrome though.

The Question the OP asked was "Is there a drastic reaction like this on the ds?"

DS I read as Duodenal Switch and not dumping syndrome.

His wife who had the RNY is describing dumping syndrome, but the DS (duodenal switch) surgery does not have such reactions. Not that I've researched, been told by my surgeon, told by my WLS group, and experienced myself.

Hope this helps clear up the confusion.

My BP after the surgery has been normal with the medication. The Docs are afraid to take me off of the meds for fear that it would go up again. They want to wait a few months to see if it drops some more.

With my weight loss stalled, I don't think I will be getting off the BP Meds any time soon this year.

10 hours ago, CoramDeo said:

My wife had a rny about 9 years ago, and if she eats too much sugar, her blood sugar bottoms out and she gets the shakes and such. Is there a drastic reaction like this on the ds?

Duodenal Switch does not get the dumping syndrome.

I had a RNY in 2001, revision this last June to Duodenal Switch . I know what Dumping syndrome feels like and how it was easy to get used to. Only things I have found that the Duodenal Switch gets is the limitation of food intake and the pain that accompanies it when eating too much as well as the bowl movement issues.

Hope this helps.

Good Luck!! Its going to change your life for the good!

As to what you can and can't, the surgeon should of given you a list of do's and don'ts. My day before it was strictly only liquids you could see through. coffee was part of that too. It's like a colonoscopy, but allow for the red Jello.

Let us know how things go!

I'm just going to need to experiment some more with different types of cheeses.

String cheese I have no problem with, but is it considered soft or hard. Harder Cheese (especially those from the snack packs with small deli meat or nuts and fruit) are perfectly fine for me. Pepper Jack cheese which I used to love to no end, I can't eat now. Anything Hot has intensified since the surgery and I can't tolerate it.

So weird how a surgery can change the likes and dislikes of food that should be able to be tolerated with the new surgery.

I'll tell you one that is not quite WLS follow the diet related.

I can't seem to eat some soft cheeses. I was told by my wls group that fresh mozzarella would be a good source of Protein and easy to digest soon after the surgery. I can handle other lactose based foods without issue, but my body just said NOPE to this one. Once I put that cheese into my mouth and started to chew, I got the most intense gagging reflex I've ever had and spit it out. I never had this issue with any food before.

Its sad because caprese salads are my favorite.

I had the RNY in 2001. Loss 200 lbs but was still over weight. Kept the weight off for nearly a decade then gained it back. Recently I had a revision to DS. I was told by many the DS is the best for the very large to lose the weight and keep it off. So far I’ve lost 50 lbs in two and a half months.

I hope this helps. I know I don’t have much info as to the revision outcome still but so far it’s been worth it.

I don't have that that exact insurance, but part of the BC family.

For my surgery proof of past weight loss attempts included the following:

• Nutritionist Notes
• Some sort of weight loss program/Calorie counting (I captured all my food intake with LoseIt for 6 months. I was able to make a PDF of the food diary I kept for that time.) I think they also accept weight watchers.
• Medical documentation of weight at that time and activities of attempts to lose weight. I requested medical records from the doctors offices that showed my weight and what I talked to the Doctor about me losing weight.

Also you should ask your surgeon as to what they look for as they deal with the Ins all the time and should know what they require.

Hope this helps.

Good Luck!

3 hours ago, omhernandez010@gmail.com said:

Having a hard time drinking all ten Water required. How have you managed?

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At first.. I didn't.

Just do your best. When you can increase do it. But don't hurt yourself. You're probably in enough pain. Hang in there, it all gets easier and less painful.

Had one recently.. Hope all goes well.

They gave me insulin in the hospital after surgery. Never had to take it before as I was pre-diabetic, but apparently my sugar was high enough they felt it was needed. After a day or two they didn't have to continue that as my levels dropped off.

As i was supposed to be off metformin for the surgery, I stayed off of it afterwards. I setup an appt with my GP to have my blood tested and see if it could be permanently removed from my med list.

It was. No longer on the med.

As others say, hang in there... focus on resting and doing your breathing exercise, going to the bathroom when needed, and walking when able.

3 hours ago, EdenDesired said:

I had 15 rounds of ects

EdenDesired, Thank you for sharing that. I considered ECT about a year ago.

Does 15 rounds also include maintenance?

Did it help you? If so how soon?

Did you have to do the rounds one after another? Did they help immediately?

How are you now?

On 5/3/2019 at 3:31 PM, _kimGA_ said:

I’ve searched everywhere but I haven’t found any information regarding treatment Resistant Depression & the ECT therapy.

•Is it possible to do electroconvulsive therapy & surgery??? Has you done ECT AFTER surgery? / BEFORE surgery?

•Has anyone had experience or success as a bipolar candidate? /// What did your surgeon think or say in the matter?

•Has anyone had electroconvulsive therapy ( ECT) and Bariatric surgery??

I know this is old post, but it was brought back up by EdenDesired's reply. I thought I'd reply just in case someone else runs across this and has the same questions.

I have bipolar type II. I've been diagnosed for over 20 years and have tried pretty much all drugs that was for BP/Depression or even thought to have a benefit for BP's. There was some cocktails that worked and would work for a good while. Other cocktails would make things worse. But such is the life of BP.

I've had two bariatric surgeries. RNY in 2001. I lost 200 pounds and was stable for about 15 years. I gained it back due to what ever reason, divorce, having to take over the complete care of my father, depression/stress from work, etc... ya know Life. I had revision surgery on June 28th, 2019 from RNY to DS.

I was able to go forward with this new surgery only because I had a Pdoc that knew about new drugs that are working now and was willing to work with me to adjust things till we got to the right recipe. There is one main new med, and then re-adding some oldie but goodies that i have tried in the past, but are working better with the one new med. It stabilized me more than usual. Didn't stop being depressed/manic, but it limited the cycles in a major way.

As to what my Surgeon and Pdoc thought. Pdoc thought I was stable on the meds and had been for a year, so it was a good idea, but told me I should expect to adjust everything as I shrink. Surgeon didn't have an issue as long as I passed the Psych eval.

As to the surgery and the meds, I took all my meds all the way up to the morning of the surgery. I was off of some of them while in the hospital, but as soon as I could swallow pills, I was released from the hospital and I was to continue my meds as normal. 1st surgery, they gave me liquid versions of the medication when I went home for a time. The liquid versions don't taste good.

When I was having issues and the cocktail wasn't adjusted well, I looked into ECT and a bunch of other things. ECT was one of my choices if other things didn't work out.

Have you considered Ketamine Treatments? It is being used for Resistant Depression and you don't need hospital stay for it. Its doing wonders for many. https://www.health.harvard.edu/blog/ketamine-for-major-depression-new-tool-new-questions-2019052216673

Be mindful though when finding a Doctor that provides the treatment. Several clinics are setup by non-psychiatric physicians.

_kimga_ I hope you're doing well and you are able to move forward with the surgery.

Any questions, feel free to ask.