Hi,

I previously wrote a post in the Bypass forum, asking about malabsorbtion with antidepressant medications. As I am not 100% sure on which method of bariatric surgery I will have yet, Im interested in hearing about anyone's experience with the sleeve, malabsorbtion and antidepressants.

Kind regards,

Ashley Menhennett

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Hmmm...I think malabsorption is only an issue with RNY not sleeve since nothing is being rerouted.

Had lapband surgery 10/12/16

With the sleeve, you shouldn't have malabsorption. However with the reduced intake of food, you may not get all the nutrients you need, hence the Vitamins and supplements. I don't think you'll have a problem with medication with the sleeve. This is a great question for your doctor. I talked to mine about this specifically because I plan on getting pregnant and I didn't want issues with malabsorption so the sleeve was the best option and not the RNY or bypass.

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I also take anti-depressants for anxiety and my surgeon did not mention any absorption problems (he's been doing the sleeve for forever). The only meds he mentioned for adjustment is my depo shot as I lose weight.

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There are no true malabsorption problems with the sleeve. The malabsorption occurs with the RNY and the DS. As others have stated, reduced intake and sometimes diet changes can cause you to not take in enough nutrients, which is why they strongly recommend Multivitamins after sleeve surgery. There are no digestive changes for the sleeve, so medications are usually continued as before. Of course, you'll need to discuss your specific situation with your surgeon. The only thing I have noticed is that food seems to go through my sleeve a little faster than it did through my old stomach, but it's not so much faster that it will affect medication absorption, most of which actually happens in the upper part of the intestines anyway. Some medications have to have dosages adjusted, particularly seizure medications and anything that is dosed based on weight, but it's not an absorption problem.

There are no true malabsorption problems with the sleeve. The malabsorption occurs with the RNY and the DS. As others have stated, reduced intake and sometimes diet changes can cause you to not take in enough nutrients, which is why they strongly recommend multivitamins after sleeve surgery. There are no digestive changes for the sleeve, so medications are usually continued as before. Of course, you'll need to discuss your specific situation with your surgeon. The only thing I have noticed is that food seems to go through my sleeve a little faster than it did through my old stomach, but it's not so much faster that it will affect medication absorption, most of which actually happens in the upper part of the intestines anyway. Some medications have to have dosages adjusted, particularly seizure medications and anything that is dosed based on weight, but it's not an absorption problem.

Also, if your gall bladder is removed during surgery, you can have some negative bowel effects if you eat food that is too fatty.

Thanks so much Guys!

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I had a sleeve 9-27 and no problem with my Elavil.

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