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Use of Alli/Xenical/Orlistat post surgery?



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Just my personal opinion: Our livers are tasked double time during the rapid weight loss phase, with the liver issues warnings from the FDA on these drugs, I would not be willing to take it.

http://www.fda.gov/Drugs/DrugSafety/PostmarketDrugSafetyInformationforPatientsandProviders/ucm213038.htm

I honestly don't think it's necessary. We eat such little fat, and the whole side effect of anal leakage is one thing that would keep me from taking these drugs. I mean it's bad enough post-op to follow the whole "never trust a fart" mindset, but to add a drug that causes fat evacuation via our bowels is a bit too much for me. Our bodies need fat to function properly. I think a lot of times people can't really believe that we'll be successful with just the surgery tool until we really see it for ourselves. I thought I would have to "diet" for the rest of my life, or even to maintain, but it's been very effortless for me.

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unsure.gifOh boy, I have to be honest with you I would stay away from any of those if they worked none of us would have gotten sleeved or be in the process. I have a huge problem with weight loss pharmaceuticals are the prey on woman's low self esteem and fear. I don't know your situation on whether you have been sleeved yet or not but if you have you need to trust yourself and the decision you made. I have tried everything including foreign substances that claim to tell your brain that you are full and all I got from it was tachycardia, save your heart, your liver and your kidneys. Seriously.

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I was wondering if it's viable to use any of the above medicines post weight loss surgery?

This medication simply reduces the efficiency of fat absorption in the small intestine and therefore helps with weight loss because you don't absorb fat and therefore have fat in your stool hence the smelly oily discharge they speak of during the disclaimers at the end of the TV ad. The long-term weight loss statistics on this drug are very poor and they can cause problems also with Vitamin deficiencies of the fat soluble vitamins: A,D,E and K. With a good plication you shouldn't need these medications.

Orlistat is the generic name of this drug.

Xenical is the brand name of the prescription strength of this drug.

Alli is the brand name of the over-the-counter, lower strength version of this drug.

Brad Watkins MD

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I was wondering if it's viable to use any of the above medicines post weight loss surgery?

Why would you want -- or need -- to?? :blink:

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    • Aunty Mamo

      Iʻm roughly 6 weeks post-op this morning and have begun to feel like a normal human, with a normal human body again. I started introducing solid foods and pill forms of medications/supplements a couple of weeks ago and it's really amazing to eat meals with my family again, despite the fact that my portions are so much smaller than theirs. 
      I live on the island of Oʻahu and spend a lot of time in the water- for exercise, for play,  and for spiritual & mental health. The day I had my month out appointment with my surgeon, I packed all my gear in my truck, anticipating his permission to get back in the ocean. The minute I walked out of that hospital I drove straight to the shore and got in that water. Hallelujah! My appointment was at 10 am. I didn't get home until after 5 pm. 
      I'm down 31 pounds since the day of surgery and 47 since my pre-op diet began, with that typical week long stall occurring at three weeks. I'm really starting to see some changes lately- some of my clothing is too big, some fits again. The most drastic changes I notice however are in my face. I've also noticed my endurance and flexibility increasing. I was really starting to be held up physically, and I'm so grateful that I'm seeing that turn around in such short order. 
      My general disposition lately is hopeful and motivated. The only thing that bugs me on a daily basis still is the way those supplements make my house smell. So stink! But I just bought a smell proof bag online that other people use to put their pot in. My house doesn't stink anymore. 
       
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    • BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
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    • BeanitoDiego

      Some days I feel like an infiltrator... I'm participating in society as a "thin" person. They have no idea that I haven't always been one of them! 🤣
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    • ChunkCat

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    • BeanitoDiego

      Still purging all of the larger clothing. This morning, a shirt that I ADORED wearing ended up on top. Hard to let it go, but it was also hard to let go of those habits that also no longer serve my highest good. Onward and upward!
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