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GERD and Omeprazole - sublingual v. capsule?



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At two years post op, health insurance no longer covers the sublingual version of omeprazole. The sublingual version of omeprazole successfully treated my GERD. I switched to the over the counter version because the health insurance has decided not to cover any form of omeprazole. After using the capsule for a few months, I find that the GERD is back with a vengeance.

I had GERD pre-op and I have it post-op and expect to always have it.

What are the experiences of others? Has anyone else experienced a difference in effectiveness between the sublingual version versus the capsule version of omeprazole?

I did some research on the web and found an abstract of a study that seems to suggest that the sublingual form is more effective.

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I am sorry to hear you have to deal with GERD. I thought gastric bypass is the cure for GERD...that was the reason I chose bypass for...

So I used to have GERD before my GB, but since surgery I have no symptomes. I have to take Omeprazole 20mg capsule once a day, it is standard with my surgeon to take PPI after surgery, possibly forever now. I wonder if upping your dose of PPI would help? How much do you take daily? I used to take 10mg and I had stomach ache so my doc switched me to 20mg, no pain since then...sorry I have no experience with sublingual.< /p>

Would it be very expensive just to buy the sublingual? Sorry I am in the UK and all our meds are covered here, so I don't know much about how it goes in the US. I assume you can get the meds as long as your doctor prescribes it, even if it is not covered by your insurance, but then you have to pay out of pocket. It is really a shame...

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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.
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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.
      · 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.

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