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Bariatric Surgery and Alcoholism



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Title of YouTube video: Bariatric Surgery and Alcoholism

This video shows the story of Lori, a 43 year old woman that had gastric bypass in 2003. She was never a heavy drinker and stayed away from alcohol for the first year after surgery. She noticed something different about her body's reaction to the alcohol after surgery. Her tolerance level had changed dramatically and it led her drinking to spin out of control. I think all pre and post op patients should watch this short interveiw to better understand why alcohol is dangerous after surgery. Please give your viewpoint after watching because the message is slightly against weight loss surgery. You may have to cut and paste the URL, otherwise type the title in the search bar at YouTube.com

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Sorry, I cannot edit and I forgot something important. This interview was done by Dr. DeMatteo and Lori is his daughter. He mentions in the comments that it was hard to not cry during the interview. He is such a remarkable man and the information he includes with the video is very insightful and a must read. I think this is a video that could save lives.

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I cant say much about this. alls I am going to say is all my preop screening was EXTREMELY extensive. very thorough. to family history all my issues for my weight . psych evaluation , dietician..they ran me thru the ringer. and from the BEGINNING it was DO NOT DRINK ALCOHOL . It goes striaght thru the blood stream an it affects a person differantly an VERY quickly! they put the fear of alcohol in us!! the sugar from alcohol in the blood causes major insulin swings an the quicker it drops the more you want.I am not sure what to think about this. its possible that she was a self pay maybe an didnt get screened like those who depend on Ins an didnt have the proper education? I really dont no. but I can also see if a person has already a tendecy to WANT to drink (like in her genes bc of family prominates of drinking) if you already want it that small taste can take over an I mean the brain will crave more an more. I may be wrong but thats pretty much what was really instilled in us going thru our preop classes. I will be watching for others comments..:)

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I have past addiction problems, so I was sent to a bariatric psychiatrist after my psych evaluation. That was when the topic of "cross addiction" was brought up. It wasn't really explained why alcohol was so bad after surgery. I had to research that on my own.

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Anecdotal experiences of individuals are often attention-grabbing.

However, the following facts about alcohol abuse and dependence among the general population and among WLS populations offer context for the experience of the WLS patient shown in the above video.

Alcohol is the most commonly used addictive substance in the U.S. 17.6 million people, or one in every 12 adults, suffer from alcohol abuse or dependence along with several million more who engage in risky drinking patterns that could lead to alcohol problems. More than half of all adults have a family history of alcoholism or problem drinking, and more than seven million children live in a household where at least one parent is dependent or has abused alcohol.

https://ncadd.org/for-the-media/alcohol-a-drug-information

Here are the findings from one study published in 2012 about transfer alcohol addiction after WLS (in this case RnY):

In addition to the potential for weight regain, WLS patients, RYGB patients in particular, are at risk for emergence of alcohol use disorders by 2 years post-WLS, with 16.5% of patients engaging in hazardous alcohol use and nearly 10% having an alcohol use disorder [37]

http://turner-white.com/pdf/jcom_oct13_bariatric.pdf

The same study referenced these earlier study's findings:

In a large-scale longitudinal study, rates of alcohol use disorders did not differ from 1 year before to 1 year after surgery, but by 2 years post-WLS the rate of problematic alcohol use increased significantly. Specifically, drinking ≥ 4 times per week and meeting alcohol dependence criteria both increased from about 3% to 5% of patients from baseline to year 2, and any form of alcohol use disorder increased from 7.6% to 9.6% during this same time frame. Notably, the escalation of problematic alcohol use was significant only among RYGB patients, not those who underwent adjustable gastric banding.

Edited by VSGAnn2014

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My surgeon said drinking is fine. Go figure ?

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      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.

        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
      1. This update has no replies.
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