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Beni,

I was tagged because I've had neurologic issues and those can all come from bariatric surgery.

Any neurologist can figure it out. Mine eliminated a lot of things and then had that verified that she had checked everything.

Good Nutritional Control May Prevent Polyneuropathy after Bariatric Surgery
Pariwat Thaisetthawatkul, M.D.1, Maria L. Collazo-Clavell, M.D.2, Michael G. Sarr, M.D.3,
Jane E. Norell, B.S.4, and P. James B. Dyck, M.D.4

OBES SURG (2014) 24:1800–1807
DOI 10.1007/s11695-014-1376-x

Neurological Complications of Bariatric Surgery
Anne Landais

Neurological Complications of Bariatric Surgery
Anne Landais

Neurology 2004 Oct 26;63(8):1462-70.

A controlled study of peripheral neuropathy after bariatric surgery.

Thaisetthawatkul, P et all

Nutritional Neuropathy

Jasvinder Chawla, Medscape Reference

Journal of Family Community Medicine 2011 Sep-Dec; 18(3): 162-164

doi: 10.4103/2230-8229.90020

Peripheral polyneuropathy after bariatric surgery for morbid obesity

I-Ching Lin and Ying-Li Lin

Neurological Review

The Neurological Complications of Bariatric Surgery
Joseph R. Berger, MD

Archives of Neurology vol 61 August 2004

Hindawi Publishing Corporation
Journal of Obesity
Volume 2012, Article ID 608534, 8 pages
doi:10.1155/2012/608534
Review Article
The Neurological Complications of Nutritional Deficiency
following Bariatric Surgery
Danielle A. Becker,1 Laura J. Balcer,1, 2, 3 and Steven L. Galetta1, 2

for starters

Give me a shout or flag me again if I can help. I'm reading a book that just barely hit the press on Nutrition and bariatric surgery. It hasn't included a lot on specific nutrition and I'm following that up.

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I'm only 15 days it off surgery but noticed already that I am very emotional and feel as though I am slipping into a depression and having panic attacks.

I have had blood work done just 7 days out of surgery and will have it again in 15 more days from today to ensure that my Vitamins and minerals are at correct levels. So far in my first blood work that came back my alt/spgp levels were high which is your liver enzyme. Which is a sign of liver failure or hepatitis neither of which I was having before the surgery. So telling me that and telling me to wait to the end of the month for more blood work to ensure its ok our messed up that is crazy.

Did your doctor's keep an eye out for here minerals and vitamins monthly as here in Atlanta, GA?

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Depends on the doctor. Here is what I've seen: some will and some will have you do extra testing with the PCP, some will do it themselves. It just all depends. There is no rhyme or reason.

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I guess that is true every doctor is different. I guess that is why when going into this research is really important as to whom does your surgery. I know I did allot of research before signing up with a group of doctors about follow up care and what all was expected. At emory university is where I had my surgery done so far they have been great the hardest thing is they are not close to me at all so just to run to them is not always easy for me but that is why I made sure that family doctor was in on every step of this also. I follow-up with my family doctor for most of blood work and so far so good on getting the care and support I need from my doctors. Also emory offers a patient portal where you can message your doctors and they are very quick about getting back to you. The only problem I face so far is my liver enzymes being high which ain't great but just going that is due to my surgery was only 9 days when that blood work was done. Last night was the only time I felt the dumping syndrome they tell us about and it was all my fault didn't realize that someone who prepared a meal for me cooked it in processes oils and it made me very sick. But was over it within an hour and back to feeling ok. My intestines feel as though they are rolling or should say things rolling through themwhich feels weird. From time to time have severe chest pain mainly when trying to do any of the Protein Drinks or cold stuff.

Also been feeling depressed but learned a long time ago that if you can recognize it by yourself you can usually pull through it so I'm trying to get it off the house more even though my cuts arr still painful when I am very active

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Seven years ago Danish doctors didn't care too much about blood Work after bariatric surgery.
My Girlfriend had a test in the early days after, and then Again three months out, but they didn't even bother to perform a full scale tast soo...
Until 2012 the Danish Health society standard only required testing for a few Vitamin and minerals. Some doctors are now starting to talk about possible serious (neurologic) conditions due to malnutrition after bariatric surgery, but it is still very hard to find someone hwo will perform full scale blood Work - that is until you are already in a serious condition, and then damage might have been done.

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Dear dml32276

My girlfriend has been seeing neurologists for a couple of years now.
Every test performed on her showed that her left side was visibly weakened. Her vision and her

sensory abilities was in some ways malfunctioning. Anyway she’s only been told that there could be more than a dozen explanations for the matter and the advises has been to start doing some more exercises and “look at the bright sides of life”…
Only last month a German neurologist stated that her symptoms – beyond any reasonable doubt – were related to her continued malnutritional state. Next week she will start on a full screen Vitamin B infusion on a daily basis. After 14 days she will be lowered to an infusion every fortnight. All the way she will have to perform some cognitive tests and hopefully we will end up with a prove, that the cure works. J


Regarding your state of health; feeling depressed is a quite natural effect of the things you have had done to your body.
Especially your adrenals - which is responsible for a lot of your body’s production of hormones (estrogen included) – has completely changed supplies of nutrition. In popular terms your body is at the moment passing through an artificial menopause so no wonder if it’s a bit sad.

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You are most welcome. I'm very shocked and outraged that some of the Facebook groups, when confronted with how aftercare is, how some doctors are, are trying to put down the patient(s) rather than asking how they would feel in that position?

Thank you to Alex Brecher for letting us be honest about the good and bad so we can all have knowledge that helps us to make the best experience and outcome for each patient as possible!

Dear Swimbikerun.
Thank you for your links. I'll spend my sunday looking into it. :)

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Morgens,

I am glad they are finally taking the Vitamin B serious. I sincerely hope it helps. Please help her take all the Vitamins and have a high Protein diet.

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.
      · 1 reply
      1. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • 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.

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        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
      1. This update has no replies.
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