So I've been on the forums lately about not losing any weight since my sleeve - in fact I've gained 2 pounds. Well I think I may have an idea. My surgeon discontinued my Metformin which I have been on for years cold turkey the day before my surgery. As an RN I wasn't comfortable with this but followed his orders. I questioned him about it at my 2 week post op visit and he asked me if I had been checking my sugars. I reminded him AGAIN that I don't even own a glucometer because my HbA1C has been 5.8% on Metformin. He just laughed and said see I cured you - he hasn'd done any labs or glucometer checks of my sugar. My PCP prescribed my Metformin. So I've put in a call requsting to restart my Metformin. I don't feel well , my metabolism is out if whack and frankly I have no confidence in him at all. He was the only Bariatric surgeon in my area on Lynne insurance plan. My NUT just trys to sell me vitamins and protein powder when I go that's it. I think I may just follow up with my PCP The surgeon only wants to see me one more time at 3 months anyway. Can you believe he didn't even examine my wound's until I insisted!!

HbA1C has been 5.8% on Metformin.

@@lynneanne

WARNING, WARNING, WARNING

long post, grab a glass of Water

sorry you've haven't lost weight since WLS

I do relate to how you must feel

not that this helps much, but there are other people in similar situations

not loosing weight (even gaining)

might take longer than you like, but hopefully you will see improvement sooner than later

"God GIVE ME PATIENCE, JUST HURRY UP ABOUT IT!!"

YOU are the RN, so what i say is from a laymen who is 3+ years WLS.

2+ years GOAL maintaining 105 lb weight loss (little fluctuation)

One very healthy, happy camper!!

"don't feel well , metabolism out if whack and no confidence in him at all (surgeon)"

I'm not the RN like you, (not being sarcastic) but i don't think the metformin in this case is the culprit of how you feel

your tummy has gone through major surgery

surgery also would/can effect your whole body making it sore/tired

PCP told me to stop taking my diabetes meds (avandia), high blood pressure meds and using my CPAP one day after surgery

I also questioned how could we do this so quickly.

he said something like these problems should improve quickly after surgery

continued no more CPAP

in two weeks - follow up appt - blood pressure considerably down

finger stick # lower than i have ever seen, and i hadn't been wearing my CPAP

i saw him 2 weeks later after blood work (I was due for another A1C)

A1C was down to 5.1 - blood pressure was good too

no problems at night without CPAP

as far as your surgeon...............

IMO - he doesn't sound good to me

earlier post you said he didn't want to check your incision area til you pushed him

you asked in an earlier post if you should just see your PCP only - i vote YES

if there is a question that only a surgeon needs to help you with - of course call him

you/me/others should/need to have confidence in their surgeon, be comfortable

feel better

don't give in/up

you can do this

and will be "less" of a person

hopefully things will improve soon

good luck

kathy

HbA1C has been 5.8% on Metformin.

@@lynneanne

WARNING, WARNING, WARNING

long post, grab a glass of Water

sorry you've haven't lost weight since WLS

I do relate to how you must feel

not that this helps much, but there are other people in similar situations

not loosing weight (even gaining)

YOU are the RN, so what i say is from a laymen who is 3+ years WLS.

2+ years GOAL maintaining 105 lb weight loss (little fluctuation)

One very healthy, happy camper!!

"don't feel well , metabolism out if whack and no confidence in him at all (surgeon)"

I'm not the RN like you, (not being sarcastic) but i don't think the metformin in this case is the culprit of how you feel

your tummy has gone through major surgery

surgery also would/can effect your whole body making it sore/tired

My A1C was a little lower pre-op than yours

PCP told me to stop taking my diabetes meds (avadian), high blood pressure meds and using my CPAP one day after surgery

I also questioned how could we do this so quickly.

he said something like these problems should improve quickly after surgery

in two weeks - follow up appt - blood pressure considerably down

finger stick # lower than i have ever seen, and i hadn't been wearing my CPAP

i saw him 2 weeks later after blood work

A1C was down to 5.1 - blood pressure was good too

no problems at night without CPAP

another follow-up two weeks later - blood pressure was down further

testing sugars - they continued to be great,

wasn't missing CPAP

as far as your surgeon...............

he doesn't sound good to me

earlier post you said he didn't want to check your incision area til you pushed him

if there is a question that a surgeon needs to help you with - of course call him

you asked in an earlier post if you should just see your PCP only - i vote YES

you/me/others should/need to have confidence in their surgeon, be comfortable

feel better

don't give in/up

hopefully things will improve soon

good luck

kathy

Thanks so much!!

I called my surgeons office and his receptionist called le back - that's right not even the nurse with the message " go ahead and take your Metformin". So I am. No labs, no consult, no rational from WLS. I have gone to my PCP for 20 years. I believe he can handle my concerns that aren't specifically surgical complication related from here on out.

I think you know your body, but keep in mind your "new body". I think you should get a glucometer, because your intake is different from what it was preop; your dosage may need to be adjusted if you resume your meds. Taking your levels may not be a bad idea for a while. The best to you!

gone to PCP 20 years. he can handle my concerns that aren't specifically surgical complication related from here on out.

@@lynneanne

wise decision even though i helped you come to that conclusion

I'm happy that you sound much happier, more confident etc.

3 weeks PO - still dealing with these problems

things should hopefully start to improve

Your PCP sounds aces

continue follow-up

continue with your liquids and stuff

you are doing everything right

eating (drinking) as little as you do

there is no way your weight won't eventually go south

Patience is very important, essential!!!

continued good luck

kathy