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Nsaids , Clomid and testosterone replacement therapy post op after gastric bypass surgery
RickM replied to LarrySm88's topic in The Guys’ Room
A couple of comments to fill things in here. It's not really a matter of steroids vs. non-steroids, but rather what a drug or class of drugs does to the stomach as a side effect, NSAIDs are merely the most common that are sited as being problematic for bypass patients. The issue is that the part of the intestine where where the stomach pouch is connected is not resistant to the stomach acid, so that anastomosis there is quite vulnerable to ulcers, so any med that can cause some stomach distress is generally to be avoided. Some of the osteoporosis drugs are avoided for this reason, too. This presumably applies to the MGB as well, as it uses a similar connection. The duodenum, the part of intestine immediately downstream of the stomach and is resistant to the acid, is bypassed along with the remnant stomach. These various meds can sometimes be used in limited times under certain circumstances under medical supervision, but it's a risk/reward trade off between doctor and patient. The sleeve based procedures are generally more tolerant as they don't have that marginal ulcer issue, but many docs still restrict them owing to their bypass experience, (and the sleeve is probably less tolerant than a normal person, while being more tolerant than a bypasser.) Your bypass can be reversed, (that is sometimes one of its "selling points" but it's not commonly done as it's a pretty complex job; not all surgeons will do it. It is usually reserved for times when there is no other option in treating some problem, rather than just buyers remorse. I have seen it done a couple of times in cases of intransigent ulcers, where no other treatment worked. It can also be revised to a duodenal switch, but that's even more complex than a reversal (they have to reverse it first, then sleeve it, and redo the intestinal rerouting. It is usually done when weight loss was inadequate or with excessive regain, or for other RNY complications such as the intransigent ulcers or bile reflux. You weren't offered the MGB as it doesn't fit the "standard of care" for WLS in the US - insurance doesn't normally cover it and the ASMBS hasn't approved it, though it has been further developed and used more commonly elsewhere. The next procedure that's likely to gain approval here is the SIPS/SADI/Loop DS -
Hi! I am in the same boat as you! I had surgery in August 2014, got to goal (8 pounds below at 142) and maintained 150-160 for 5 years. Then a neck injury, cancer diagnosis, and the year 2020 hit and I’m up to 188 at this point. It’s so damn depressing having to buy new clothes because nothing fits anymore. My doctor has put me on a BED medication called Vyvanse for the time being, and it’s really helped suppress my appetite. I’m back to exercising at least 3 days a week, and tracking what I eat. Trying to keep it protein and fiber rich foods. We will see. I feel like I’m back on the diet roller coaster/fat brain thinking from before. Seriously thinking about a revision to bypass since I have reflux anyway, but have been through so much medical crap, I don’t know if I want to deal with another surgery again. You’re not alone, friend!
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For those of you sleeved, then revised to by-pass, did you feel depressed at all? Like with the sleeve, I could eat or drink what I wanted. I'm only a week post op, but the thought of not having hot spiced wine or a mojito ever again is depressing. I'm DREAMING of a taco. With the sleeve, I couldn't eat a whole one, but a tortilla with guac, beef, pico, and cheese!! The fear of never being able to eat or drink normally again just keeps flooding my mind. Tell me I'm not alone please, lol
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Alcohol during maintenance??
Katiebal_Lecter replied to xoto2000's topic in POST-Operation Weight Loss Surgery Q&A
Anyone have alcohol intolerance after surgery? I had bypass and the few times I’ve drank vodka now (a common drink pre-surgery) I get very itchy all over my body. -
PCOS and sleeve success?
Katiebal_Lecter replied to lunadreams's topic in Gastric Sleeve Surgery Forums
I have PCOS and got bypass 3 months ago. I’m currently 223 pounds, down 32 pounds from my highest weight (255 at 5’9”) and 24 pounds since surgery (247). I believe the slower loss is due to the PCOS. My hunger has been slight to nonexistent, and I’m really hoping the loss picks up, but I worry about being a failure. I don’t feel like I’ve had huge issues with any foods or dairy. -
Hello, Just wanted someone’s input on my situation. I was banded back in 2014. I lost about 85 lbs and was doing great. Until all of a sudden it caused me grief. A lot of pain, throwing up and reflux. After6+ years I’ve since gained about 40lbs and with all the problems I’ve incurred over the years my doc and I decided on a revision to the sleeve. Well, my insurance company, BCBSIL approved removal only. So, my doc is submitting a request for the revision to the sleeve. Has anyone had this happened to them? What are the odds of them not approving the sleeve? My worry is that I do not meet the BMI requirements to get the sleeve. If anyone can shed some light on this, it will be greatly appreciated. Thanks!
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Hi, I have PCOS (as well as Type II diabetes and hypertension), with a BMI of just over 35. The surgeon recommended the sleeve for me. I hear some say bypass is better for PCOS, but I don't really want to do that, because of the risks. My fear, though, is not losing weight with the sleeve because of my PCOS, or hunger coming back to the extent that I end up going through all of this, only to gain back whatever weight I lose. Also, I've heard that most people end up losing 50% of excess weight. Does that mean initially, or after the honeymoon period when many people gain some back?
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I think you will probably get a better outcome with the bypass, I believe that you lose more weight vs. The sleeve! Oh wow, That definitely sounds daunting! You can do it though!!! I think I'll have the same plan as you....to stay super busy!! It's gonna be hard but, we got it! That's an awesome idea, I might start trying things now...I've been hearing about the bone broth and tbh it scares me! Lol. I'll need to try it soon but, ughhh. Let me know if you find items that you like, I'll have to try them out! Yes!! The premier shakes are really good! I've been drinking them for breakfast. What is ricotta bake?! Sound good! What brand of vitamins did you buy? Chewable sounds better! My doctor hasn't given and recommendation yet or anything. Sent from my SM-N960U using BariatricPal mobile app
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Calorie intake vs. calorie expenditure
LarrySm88 replied to mae7365's topic in Gastric Bypass Surgery Forums
what ever calories you consume in a day, if you burn what you consumed , and more you will lose weight. if you eat more calories than you burn you will gain weight. I'm not exactly sure if that's exactly correct for gastric bypass surgery like i had. I'm a newbee -
Nsaids , Clomid and testosterone replacement therapy post op after gastric bypass surgery
LarrySm88 replied to LarrySm88's topic in The Guys’ Room
wow that's great i don't even think mini bypass was an option for me . i initially wanted the sleeve , but my insurance only covered gastric bypass 100% was the mini out of pocket? sometimes i get depressed thinking mine can not be reversed, not that i want to reverse it, its a mind game i play with myself i guess. plus going through the surgery and diet and everything on top of trying to recover my natural testosterone is tough mentally i start thinking i cant eat, i cant drink alcohol, I have no sex drive , but I'm down 50 lbs looking good. its a crazy mind game, I'm mentally tough ill be fine. -
Nsaids , Clomid and testosterone replacement therapy post op after gastric bypass surgery
LarrySm88 replied to LarrySm88's topic in POST-Operation Weight Loss Surgery Q&A
awesome thanks for the advice, i get what your saying. My surgeon is very strict and old school and very cut and dry, but a great surgeon, i can ask someone on his team. my surgeon doesn't believe in lifting weights ever only walking for the rest of your life he told me. and my dietician said yes, you can eventually lift weights again. my surgeon is just strict too strict. men with low testosterone, even if they feel great now if they ever tried trt they would be shocked at how amazing it is. obviously before they had gastric bypass surgery its great. thanks -
Nsaids , Clomid and testosterone replacement therapy post op after gastric bypass surgery
LarrySm88 replied to LarrySm88's topic in The Guys’ Room
Sorry for the long post above lol thanks for your response , in a nutshell I'm just trying to understand how women are allowed to use clomid to become pregnant after gastric bypass ? and its a NSAID ? and i don't understand why testosterone injections of a intermuscular is not allowed ? Non Steroidal and steroidal ?? so non steroidal and steroidal are both not allowed it doesn't make sense. I guess my question is are there any seasoned gastric bypass patients that have done trt with out staple line ulcers? I see you got MINI gastric bypass ?? i never heard of that ? whats the difference between the 2 ? -
I was originally going to do the sleeve but I was recently diagnosed with Acid Reflux so my surgeon suggested the bypass to avoid any issues with it down the road. I’m both really excited and nervous! Liquid diet consists of 100 oz. of water, protein shakes, broth, sugar free popsicles/jello, sugar free beverages and 2 cups of green non starchy veggies each day. Going to try to keep myself as busy as possible, 3 weeks of this sounds so daunting lol I haven’t really stocked up for post surgery yet because I hear your taste can change. I bought genepro flavorless protein power and chewable vitamins to be prepared. Going to try the same things for the week of liquid post op and then for purées I’ll Introduce a new food at a time to see how I do. Hoping I can do Greek yogurt, ricotta bake, tuna salad, chicken salad, cottage cheese, cream of chicken soup. So far I’m liking the premier protein shakes!
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Nsaids , Clomid and testosterone replacement therapy post op after gastric bypass surgery
LarrySm88 posted a topic in The Guys’ Room
I quit Testosterone Replacement Therapy, after 2 years on it. I was not on steroids !!!! Its testosterone replacement therapy, it makes a man at 40 years old, feel great, high sex drive, etc.. It is not pills and 5 different steroids going to you stomach. Its one low dosage intermuscular injection per week. I do not drink alcohol, or smoke nicotine. I quit cold turkey, ["weaned off, TRT with very low dosage weekly shot"], 5 weeks before my successfully , gastric bypass surgery , I am still currently off TRT probably forever. I am 40 years old, ex powerlifter. I am currently 6'3" 299 lbs , i lost 48 lbs as of today in 3 weeks. I only choose gastric bypass surgery because my insurance covered it 100%, i knew it was not reversible, going in. I was told I could continue TRT for life 4 weeks after post op. but now I read No NSAIDS and no Steroids , and they are to opposite things ???? because they can? cause ulcers in the new smaller stomach, and around the staple line. That being, said I am prepared to quit TRT forever !!! But I don't understand why ? It makes no sense. I know for a fact my natural testosterone will come back in a few months, being off TRT, I am not worried about that. *****These are some things that I cant understand and it makes no sense to me , during 4 week post operation. ******* NSAIDS is an appreciation for "NONSTEROIDAL anti-inflammatory drugs" but then it says you CANNOT take Steroids' either ????? Can someone please explain to me how that makes sense ? One is NON STEROIDAL and one is STEROIDALl ?????? Now on to the Clomid brand name drug name is clomiphene , it can be taken by men or women, i have read many posts about women using Clomid post operation to get pregnant !!! there doctors said it was fine but , as I did further research Clomid is a NSAID !!!!????? how does that make sense ??? Clomid taken by men post cycle therapy off TRT will help a man boost testosterone 200% i have done it before in the past it works bringing back natural testosterone levels. The Clomid comes in crushable form pills and liquid too, obviously because , after gastric bypass surgery, your body does not absorb medication like it did before. This is a serious post for people who know what they are talking about please respond with personal stories or any knowledge or insight that you have would be appreciated thank you. -
COVID VACCINE- Did your Doctor tell you to wait a specific amount of time before getting Vaccine after surgery?
LarrySm88 replied to Tim C's topic in POST-Operation Weight Loss Surgery Q&A
I received my 1st Covid 19 Moderna vaccine a few weeks before my Gastric Bypass Surgery, my 2nd shot was scheduled for the day before my gastric bypass surgery, so i asked my surgeon and it was a new question he never encountered yet. I told him I am not risking the horrible flu like side affects , because if i showed up and the hospital with a fever and flu like symptoms they would put my surgery on delay. So I cancelled my 2nd shot until a later date, weeks after post op. It was not worth the risk. I personal know people who could not get out of bed for a week after the 2nd Covid 19 shot. -
I quit Testosterone Replacement Therapy, after 2 years on it. I was not on steroids !!!! Its testosterone replacement therapy, it makes a man at 40 years old, feel great, high sex drive, etc.. It is not pills and 5 different steroids going to you stomach. Its one low dosage intermuscular injection per week. I do not drink alcohol, or smoke nicotine. I quit cold turkey, ["weaned off, TRT with very low dosage weekly shot"], 5 weeks before my successfully , gastric bypass surgery , I am still currently off TRT probably forever. I am 40 years old, ex powerlifter. I am currently 6'3" 299 lbs , i lost 48 lbs as of today in 3 weeks. I only choose gastric bypass surgery because my insurance covered it 100%, i knew it was not reversible, going in. I was told I could continue TRT for life 4 weeks after post op. but now I read No NSAIDS and no Steroids , and they are to opposite things ???? because they can? cause ulcers in the new smaller stomach, and around the staple line. That being, said I am prepared to quit TRT forever !!! But I don't understand why ? It makes no sense. I know for a fact my natural testosterone will come back in a few months, being off TRT, I am not worried about that. *****These are some things that I cant understand and it makes no sense to me , during 4 week post operation. ******* NSAIDS is an appreciation for "NONSTEROIDAL anti-inflammatory drugs" but then it says you CANNOT take Steroids' either ????? Can someone please explain to me how that makes sense ? One is NON STEROIDAL and one is STEROIDALl ?????? Now on to the Clomid brand name drug name is clomiphene , it can be taken by men or women, i have read many posts about women using Clomid post operation to get pregnant !!! there doctors said it was fine but , as I did further research Clomid is a NSAID !!!!????? how does that make sense ??? Clomid taken by men post cycle therapy off TRT will help a man boost testosterone 200% i have done it before in the past it works bringing back natural testosterone levels. The Clomid comes in crushable form pills and liquid too, obviously because , after gastric bypass surgery, your body does not absorb medication like it did before. This is a serious post for people who know what they are talking about please respond with personal stories or any knowledge or insight that you have would be appreciated thank you.
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Ok , so here the deal ....... I quit Testosterone Replacement Therapy, after 2 years on it. I was not on steroids !!!! Its testosterone replacement therapy, it makes a man at 40 years old, feel great, high sex drive, etc.. It is not pills and 5 different steroids going to you stomach. Its one low dosage intermuscular injection per week. I do not drink alcohol, or smoke nicotine. I quit cold turkey, ["weaned off, TRT with very low dosage weekly shot"], 5 weeks before my successfully , gastric bypass surgery , I am still currently off TRT probably forever. I am 40 years old, ex powerlifter. I am currently 6'3" 299 lbs , i lost 48 lbs as of today in 3 weeks. I only choose gastric bypass surgery because my insurance covered it 100%, i knew it was not reversible, going in. I was told I could continue TRT for life 4 weeks after post op. but now I read No NSAIDS and no Steroids , and they are to opposite things ???? because they can? cause ulcers in the new smaller stomach, and around the staple line. That being, said I am prepared to quit TRT forever !!! But I don't understand why ? It makes no sense. I know for a fact my natural testosterone will come back in a few months, being off TRT, I am not worried about that. *****These are some things that I cant understand and it makes no sense to me , during 4 week post operation. ******* NSAIDS is an appreciation for "NONSTEROIDAL anti-inflammatory drugs" but then it says you CANNOT take Steroids' either ????? Can someone please explain to me how that makes sense ? One is NON STEROIDAL and one is STEROIDALl ?????? Now on to the Clomid brand name drug name is clomiphene , it can be taken by men or women, i have read many posts about women using Clomid post operation to get pregnant !!! there doctors said it was fine but , as I did further research Clomid is a NSAID !!!!????? how does that make sense ??? Clomid taken by men post cycle therapy off TRT will help a man boost testosterone 200% i have done it before in the past it works bringing back natural testosterone levels. The Clomid comes in crushable form pills and liquid too, obviously because , after gastric bypass surgery, your body does not absorb medication like it did before. This is a serious post for people who know what they are talking about please respond with personal stories or any knowledge or insight that you have would be appreciated thank you.
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I "snuck" having WLS
BayougirlMrsS replied to chiquitatummy's topic in POST-Operation Weight Loss Surgery Q&A
Well I have been on both sides of this fence. In 2009 when I had the lapband placed at 232lbs (5'2") I told my (now) x husband (we were married 26 years), my two sons, daughter in law and a couple of co workers that i thought i could trust. Well my x went and told a few friends after they made comments that "chris's looking good". He said and i quote.... Well she's only losing weight because she had SX.....then, of course, others started to ask and I would say from diet and exercise... Which was true. But when i found out what he said and turns out the co works were saying the same things..... I had a person say.... Well i heard you had WLS.... So after that i was open about it. I found some support and a lot of judgment. Grant you it was back with WLS wasn't as well accepted as it is now. Awful comments from my x, x-friends, x-co workers.... and people in general...... Too skinny, i looked sick, i was lazy for having WLS, i thought i was better than them cuz i was skinny now, how people died from WLS, that i would lose all my hair....i could go on and on. So in 2017 my band slipped and was removed. I went on FB and told everyone. Six months later I moved out of state to where no one knew me except my husband and four of his co workers. When i moved here i was 143lbs.... over the next 2.5 years i put on 30lbs. So i decided to do a revision.......It was not covered by insurance. I was going to crossfit 4 days a week and trying to lose for pending wedding in Sept, 2019. So i laid the groundwork....... Told my co workers i had a hernia (true, Hiatal) and it needed to be fixed (still truth). The weight loss started and they just thought it was from dieting for the wedding (still true). I went in on Wednesday and was back at work on Monday. Still, the only person that knows is my husband. Didn't tell sons, family, friends (not even best), or co workers....... THIS IS 100% BETTER. No comments, no snarky looks, no having to explain anything. Now i'm 120lbs and you know NOT ONE PERSON has said.... You look sick, you are too thin, you are lazy, .... etc. Not one person said i would die from hernia sx..... I'm 100% team.... keep your mouth shut....... Even if you tell just one "friend".... it will get out, especially if its a girl. Us bi*ches like to gossip. -
Surgery twins! I’m having RNY bypass, how about you? Today is day 1 of my 3 week pre-op liquid diet.
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My sleeve surgery scheduled for 4/8 also! What kind of surgery are you having (sleeve, bypass, duoswitch). I haven't started any pre-op diet yet, I go to my drs on 4/1 to get those instructions. What about you? Sent from my SM-N960U using BariatricPal mobile app
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I had the stomach stapling in 1984. It was the Vertically Banded Gastroplasty. On the 15th of February I had it revised to a Gastric Bypass and I am doing splendidly. I never had any symptoms like you describe but I did gain my weight back after the 1984 proceedure. The good thing about the Bypass is it is harder to gain weight back. My surgeon was Dr. Stephen Boyce in Knoxville TN. He was the only surgeon in the state I could find who would tackle my revision. No one else wanted to touch me. I highly recommend him. I'm sure you could fine someone to do a revision for you but for some reason the old surgeries seem to cause most surgeons to shy away. Good luck.
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Hi everyone, I had a gastric bypass on March 1st and I have been struggling. I have Noticed that any dairy products I try, my body rejects them. I usually vomit and only the dairy that's all. has anyone experience this?
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@Rosie_flipswe are almost surgery sisters! I'm feeling a bit nervous, but not terribly. Pre op is liquids for 2 weeks before surgery. What procedure are you having? I'm having bypass. Good luck!
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I had lower body lift and both arms done last Aug 25. It was tough for the first few days, The arms were painful but the lower part not so much...I had a nerve block for that. I only used one dose of narcotic once I got home. The combo of gabapentin and robaxin on a round the clock schedule is being used more and more post op for pain control and has been effective for me after my RNY, my hip replacement and now plastic surgery. I was in surgery for 12 hrs for all 3 procedures and spent 2 nights in the hospital. I recovered at home alone except for my brother would come over every day at lunch time and bring me food and change my arm dressings. The first 2 weeks I didn't do much except sit in my recliner with my arms elevated. After that, recovery became much easier. I had 4 drains for my LBL and I managed them myself and even was able to wrap my own arms and then get into my compression garments once I got them. My brother drove me to my first post op appointment but after that I drove myself to my weekly appointments. I have now scheduled my next surgery, breast lift and back lift and scar revision on left arm, for Aug 2. I'd love to do it sooner but that's when I could get enough time off from work. My third surgery will be a thigh lift and scar revision on right arm, hopefully in January (depends on work schedule). I wouldn't change anything other than wishing I had done it all sooner! My arms are 10 inches smaller and my hips are 33 inches! I wear a size 2P and will probably be a size 0P after I get my thighs done. I never dreamed I'd have this kind of success when I was at my highest weight a few years ago! Good luck with whatever decision you make and you can do it alone with a lot of planning and determination!
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I’ve lost 33 pounds in my first two months lost bypass. I’m pretty happy with this although for some reason I thought it would be faster. The doctor said it’s really going to slow down - I didn’t realize this. Any thoughts or comments? I have 65 pounds to go!
