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Anyone w Psoriatic Arthritis? Take Embrel?



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I was recently told that because I have psoriatic arthritis and take Embrel that my VGS would be "more complicated"

Anyone have VGS and take Embrel?

I've had moderate to severe psoriatic arthritis for 7 years now. I am 29. When I was first investigating WLS a couple years ago, the doctor said I couldn't not have RNY because of the arthritis and that I was taking Remicade. More prone to infection and ulcers. He then suggested VGS.

I took Remicade for 6 years, then switched to Humira which only made my PsA worse. I was in so much pain and certainly put on weight during this time. I found a new rheumatologist that would listen and am finally on Embrel which has been a life saver. I am weary of the complications that this may cause and would love any feedback.

I am meeting w my doctor again this week to discuss it further but would love more information from all of you. Thank you!

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Hi there....

I have psoriatic arthiritis and had my surgery on 8/5/13. I don't take Embrel, but was taking Indomethecine, Tramodol and Methotrexate. I had to go off of the Indomethecine before surgery because it's an anit inflammatory and there was the fear that it could cause irritation of my new little tummy or ulcers. My rheumatologist was one of my biggest advocates in getting this done. Yes, I am enjoying being a smaller size and fitting into smaller clothing, but I had the surgery because for the last 5 years I was getting increasingly immobile. Even worse when I had flares. We are in the process of reducing my methotrexate, which has to be done by taking a lower dose a month at at time.

Today, I'm down a total of 82 pounds and I no longer hurt. No, the arthritis won't go away and I still have some occassional aching, but the pain itself is gone. I'm no longer using my walker or cane and am actually back on the dance floor (I shag and line dance). I missed that more than anything. I can walk a lot further and longer than I have in years. I was getting stress fractures in my feet from limping so badly, and off course, the arthritis then sets in on those joints too. I still need to build up more stamina from being so sedintary for so long, but it's the best thing I could have done. I will probably still need knee surgery eventually, but I've bought myself a lot of time and hopefully, will be even smaller when I have to have it done. good luck!!!!

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
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    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
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      1. This update has no replies.
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      https://alluniqueguide.com/java-burn-coffee-reviews/
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