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Does the sleeve effect mood stabilizers?

busybeebug

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busybeebug    415

busybeebug
Posted

I go Monday. I never thought of this question until now. I take a mood stabilizer for bipolar disorder. I'm kinda having a freak out about all that can go wrong. From your experience or thoughts, can the sleeve effect the absorption and efficacy of the meds?

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Raynbolite    302

Raynbolite
Posted

I'm bipolar too. To be honest, I'm not sure. As far as digesting the meds, with the sleeve you still have a normal tract. Everything works the same. My dr and i aren't changing my meds for a while. My body's hormones and systems are all changing, so it's hard to see what is from what. I am checking in with my med dr once a month and she's checking in with my counselor. Just keep your support system right be hind you and take it day by day.

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cperetz3    4

cperetz3
Posted

I am bipolar and a month out from surgery, I chose the sleeve partially because I was worried about absorption issues with bypass. So far no issues, no issues with cycling. I did have to argue a. bit with the nurse at the hospital that I had to take my message. Called the doc and he agreed and they gave it to me. I never had an issue with taking the pills either

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cperetz3    4

cperetz3
Posted

I so understand that. Anytime you need to talk about it am here. One of my biggest fears going into this was maintaining my stability. I worked too hard to get there to fall apart again. So far that has not been the case

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nakole73    34

nakole73
Posted

I'm 6 weeks post op and was taking Wellbutrin for depression. I quit taking it though because all meds have to be crushed and I could not stomach crushed pills. I have an appt on Friday to see about maybe a pill that has capsules I could open up and put in applesauce or something.

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rolosmom7    740

rolosmom7
Posted

Hi - I take Lamictal, and when I found out that my nurse wouldn't give it to me the night I was in the hospital I freaked out. My mom and husband tried to talk to her - it wasn't her, but my surgeon. I take Xanax as well as 2 antidepressants and 1 sleep med. Nurse asked for Ativan since it can be given IV. He came back and offered benadryl...... it was a bad situation - I don't say this to scare you, but to share so you can cross that bridge up front. The preoperative nurse said they'd have all my meds for me, so I thought I was fine. Please ask your team - it was a rough night, as I'm sure you can imagine.

The good news!!!! I'm 4 days post op, can swallow meds (some have to be cut, and very very spaced out) and I think they fill my little stomach up as I'm struggling with protein/calories. But my mental health is fine, just the same as it was before surgery so don't worry. I also worked hard to be mentally stable, the meds are part of my weight gain, but I am good post op so wanted to share and reassure you.

Please just ask about your overnight hospital stay ❤????

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111    118

111
Posted

I take anti-depressants for depression. My surgeon said I could swallow anything the size of a pencil eraser or smaller. Ask your pharmacist if you can cut your pill(s) in half and file down any sharp edges.

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rolosmom7    740

rolosmom7
Posted

I have continued to take my Lamictal, Celexa and tramadol from day 1 without incident. Moods did not change. I crushed 1 day and hated it so took whole from day 2

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Is that all you take? Do you find you're very full after the meds? I take 15 pills, I think it's preventing me from getting other stuff in.

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heidikat72    935

heidikat72
Posted

As for the medication absorption question, that is one of the first questions I asked my surgeon when I was trying to decide between bypass and sleeve. His response was that that is one of the benefits of the sleeve - there should be no absorption issues when it comes to meds.

If your tablet is small, you shouldn't have any problems taking it whole immediately after surgery. Only large tablets need to be cut or crushed. However, if you are taking an extended release drug, DO NOT CUT OR CRUSH IT! Instead of getting a slow release of the drug into your system throughout the day you would have immediate dumping of the entire dose into your system at once. If you aren't sure if your meds are extended release or not please check with your doctor.

Many people (especially women) go through a hormone dumping phase with rapid weight loss (estrogen is stored in fat cells, when you break down the fat cells the estrogen is released). Not sure if this would affect the effectiveness of any of your meds but it might be worth asking your doctor about.

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LadyLisa 1    1

LadyLisa 1
Posted

I have continued to take my Lamictal, Celexa and tramadol from day 1 without incident. Moods did not change. I crushed 1 day and hated it so took whole from day 2

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Is that all you take? Do you find you're very full after the meds? I take 15 pills, I think it's preventing me from getting other stuff in.
My Lamictal is #1 for me. Then Celexa. I have other meds but I can spread them out during the day. I take my Lamictal 1st thing in the morning with 1 swallow of Water. Now that I am 8 months out I can take all my meds with 2.5 Oz water. It fills me to the brim but that's what I do. My mental health is #1. My blood pressure medicine is after because if my mental health is out of control my BP will be up too. I have lost 75# and I no longer have to take BP meds

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Go To Topic Listing POST-Operation Weight Loss Surgery Q&A

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    • Aunty Mamo

      Aunty Mamo

      Iʻm roughly 6 weeks post-op this morning and have begun to feel like a normal human, with a normal human body again. I started introducing solid foods and pill forms of medications/supplements a couple of weeks ago and it's really amazing to eat meals with my family again, despite the fact that my portions are so much smaller than theirs. 
      I live on the island of Oʻahu and spend a lot of time in the water- for exercise, for play,  and for spiritual & mental health. The day I had my month out appointment with my surgeon, I packed all my gear in my truck, anticipating his permission to get back in the ocean. The minute I walked out of that hospital I drove straight to the shore and got in that water. Hallelujah! My appointment was at 10 am. I didn't get home until after 5 pm. 
      I'm down 31 pounds since the day of surgery and 47 since my pre-op diet began, with that typical week long stall occurring at three weeks. I'm really starting to see some changes lately- some of my clothing is too big, some fits again. The most drastic changes I notice however are in my face. I've also noticed my endurance and flexibility increasing. I was really starting to be held up physically, and I'm so grateful that I'm seeing that turn around in such short order. 
      My general disposition lately is hopeful and motivated. The only thing that bugs me on a daily basis still is the way those supplements make my house smell. So stink! But I just bought a smell proof bag online that other people use to put their pot in. My house doesn't stink anymore. 
       
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    • BeanitoDiego

      BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
      · 0 replies
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    • BeanitoDiego

      BeanitoDiego

      Some days I feel like an infiltrator... I'm participating in society as a "thin" person. They have no idea that I haven't always been one of them! 🤣
      · 0 replies
      1. This update has no replies.
    • ChunkCat

      ChunkCat

      Thank you everyone for your well wishes! I totally forgot I wrote an update here... I'm one week post op today. I gained 15 lbs in water weight overnight because they had to give me tons of fluids to bring my BP up after surgery! I stayed one night in the hospital. Everything has been fine except I seem to have picked up a bug while I was there and I've been running a low grade fever, coughing, and a sore throat. So I've been hydrating well and sleeping a ton. So far the Covid tests are negative.
      I haven't been able to advance my diet past purees. Everything I eat other than tofu makes me choke and feels like trying to swallow rocks. They warned me it would get worse before it gets better, so lets hope this is all normal. I have my follow up on Monday so we'll see. Living on shakes and soup again is not fun. I had enough of them the first time!! LOL 
      · 0 replies
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    • BeanitoDiego

      BeanitoDiego

      Still purging all of the larger clothing. This morning, a shirt that I ADORED wearing ended up on top. Hard to let it go, but it was also hard to let go of those habits that also no longer serve my highest good. Onward and upward!
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