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Antidepressants post RNY....do I need a different prescription ?



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Hi all. I take Wellbutrin XR (extended release) and Celexa for my depression, works very well for me.

How do I take these meds post RNY? Will they be able to absorb? I am pretty sure I should not cut or crush the extended release Wellbutrin....do I take a liquid form? Is there a liquid formula?

Is this a question for my bariatric surgeon or my prescribing psychiatrist?

How have you done with antidepressants post RNY?

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@@KristenLe : when is your date and which surgery are you having? Where? I feel like you and I have been meeting up a lot in these threads, I didn't realize you were pre-op, too!

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@@gina171 Unfortunately I'm STILL pre-op! It seems like forever! I have my pre-op appointment with my surgeon 9/14/16 and hopefully will be scheduled for Sleeve soon after. I have my Upper GI Series, EKG and labwork on 8/10/16 - hopefully all goes well with those tests and I don't end up delayed.

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@ KristenLe do you have a waiting period? Where are you getting it done?

I'm at Duke, and they have been great at booking me through pre op tests and appointments super quickly, BC I need to be back at work by 9/15. If I couldn't be recovered by then, I'd need to wait til April BC of work cycles. All I have left to do is Pre Op day on August 11, then RNY surgery August 18th.

I really can't believe all the tests they do.... I feel like I've had the most comprehensive health work up that I've ever had!

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Edited by gina171

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@@gina171 I had to go through 3 months of nutrition and psych/counseling. I was approved by insurance back in June (end of June). It took a while for my surgeon to submit the orders for the pre-op testing - apparently I'm the first person ready to go through the process at this new location and the staff weren't sure what the surgeon typically orders for pre-op testing. That finally happened last week. I go to the Miriam Hospital Weight & Wellness Center. They are a great program that has been around for years (Center of Excellence) but the site I go to just opened in March and I seem to be the guinea pig to get kinks out of the process. Hopefully things go smoothly from here out.

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I take lexapro and clonepins and i crush them or split them in half and take them. I didn't have any issues...other than the taste... But when I see my psych I'll review with him. I have found that when I don't take them, they clear my system in two days as opposed to four...not doing that anymore

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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💪
      · 0 replies
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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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      https://alluniqueguide.com/java-burn-coffee-reviews/
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