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Is it okay to take Phentermine while on the liquid diet?



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Good morning,

That, my friend is a question for your bariatric team to answer. Give them a call and let them guide you.

Keep posting and letting us know how your journey is going. I hope it will be a joyful one.

Prayers going up. :)

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Is it okay to take Phentermine(for lose of appetite) while on the liquid diet?

I seriously doubt it, but definitely talk to your surgeon.

Why would you want to? In my opinion, you need to be as healthy as possible going into surgery.

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UGH, I just HATE the sanctimonious hate for phentermine around here! ESPECIALLY from people who had to resort to major surgery to be used as a tool to aid in the fight against obesity. It's just another TOOL.

But I digress. Ask your surgeon before taking ANY medication before a major surgery!

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Definitely ask your team. I had to stop taking it at least 24 hours before surgery. You are also supposed to wean yourself off of it instead of stopping cold turkey so keep that in mind

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Well it can affect your heart...not sure I'd want to take a chance going into surgery about that but your doctors may not allow it anyway so soon before surgery but they would definitely be the ones to ask.

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Check with your surgeon but.... A dear friend was having surgery (totally unrelated to weight loss) and when the doc found out she's been taking phentermine he postponed the urgent procedure until she's been off it for 2 weeks. Apparently it doesn't mix well with the anesthesia and can cause major complications. Check with your surgeon!

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UGH, I just HATE the sanctimonious hate for phentermine around here! ESPECIALLY from people who had to resort to major surgery to be used as a tool to aid in the fight against obesity. It's just another TOOL.

But I digress. Ask your surgeon before taking ANY medication before a major surgery!

Sorry if I sound sanctimonious. It is a tool, yes, But, it is a dangerous one.

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UGH, I just HATE the sanctimonious hate for phentermine around here! ESPECIALLY from people who had to resort to major surgery to be used as a tool to aid in the fight against obesity. It's just another TOOL.

But I digress. Ask your surgeon before taking ANY medication before a major surgery!

Sorry if I sound sanctimonious. It is a tool, yes, But, it is a dangerous one.

All medications have risks. It's up to the doctor and patient to weigh the benefits vs risks in a particular case and make an educated decision together.

Sanctimonious is trying to make that decision for someone else.

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UGH, I just HATE the sanctimonious hate for phentermine around here! ESPECIALLY from people who had to resort to major surgery to be used as a tool to aid in the fight against obesity. It's just another TOOL.

But I digress. Ask your surgeon before taking ANY medication before a major surgery!

Sorry if I sound sanctimonious. It is a tool, yes, But, it is a dangerous one.
All medications have risks. It's up to the doctor and patient to weigh the benefits vs risks in a particular case and make an educated decision together.

Sanctimonious is trying to make that decision for someone else.

I certainly don't make decisions for other people. I share my experience and opinions. I actually suggested that the OP talk to their surgeon.

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How long have you been on your liquid diet? After day 3-4 I was no longer hungry or having cravings. You may not even need it to suppress your appetite :)

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I understand the desire to take it, but it isn't safe. I briefly took a low dose of phentermine in my early 20s, and had to stop taking it before having my wisdom teeth removed because of concerns it could negatively interact with anesthesia. There was a medical paper published that same year about a woman who had a hypertensive crisis during surgery, and it was believed to have been due to her use of phentermine.

http://www.ncbi.nlm.nih.gov/pubmed/16119498

We describe the case of a woman who had two penroperative hypertensive crises that may have been due to her use of phentermine, a little-known sympathomimetic anti-obesity medication. The currently available anti-obesity medications are discussed: phentermine, diethylpropion, and sibutramine; all of which are sympathomimetics possessing noradrenaline and serotonin reuptake inhibitor activity. These medications should be discontinued one week preoperatively and have potential interactions with tramadol and antidepressants. The drug orlistat inhibits gastrointestinal lipase and may lead to fat soluble Vitamin (A, D, E, and K) deficiency, so consideration should be given to checking coagulation status preoperatively.

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UGH, I just HATE the sanctimonious hate for phentermine around here! ESPECIALLY from people who had to resort to major surgery to be used as a tool to aid in the fight against obesity. It's just another TOOL.

But I digress. Ask your surgeon before taking ANY medication before a major surgery!

Sorry if I sound sanctimonious. It is a tool, yes, But, it is a dangerous one.
All medications have risks. It's up to the doctor and patient to weigh the benefits vs risks in a particular case and make an educated decision together.

Sanctimonious is trying to make that decision for someone else.

I certainly don't make decisions for other people. I share my experience and opinions. I actually suggested that the OP talk to their surgeon.

You're right my word choice poor--and I apologize. It's just that calling it a dangerous tool is judgmental though, it's coming to a conclusion about the risks vs benefits that should be left to the physician, in my not so humble opinion.

So many people label it dangerous... Yeah of course it has risks. So does surgery. Surgery has MORE risks.

Many other medications have but can be life saving. Why isn't this one of those?

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You're right my word choice poor--and I apologize. It's just that calling it a dangerous tool is judgmental though, it's coming to a conclusion about the risks vs benefits that should be left to the physician, in my not so humble opinion.

So many people label it dangerous... Yeah of course it has risks. So does surgery. Surgery has MORE risks.

Many other medications have but can be life saving. Why isn't this one of those?

No, phentermine is not a life saving medication. Opinions aren't "judgmental" - they are shared opinions in response to someone asking a question. Our opinion is that phentermine is dangerous - that's not being sanctimonious. If people don't want others opinions then please don't ask. Phentermine can cause significant complications during surgery. As everyone said - of course discuss with the surgeon.

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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💪
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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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