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Methadone and weight loss surgery



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Hi everyone. I am new to this site. I am in the beginning stages of starting my weight loss surgery journey. I have my first appointment on the 12/29. I am 31 years old. 5'3 and have a bmi of 52 i qualify under all the areas for my insurance. I do have one big concern, and I haven't found much research or answers on this topic.. i am on a methadone maintenence program. I have been on 105mg/daily. I have been on methadone and clean from any illegal drugs for over a year now. Every aspect of my life has improved except for my weight. I feel like im in my 60s. I have horrible constant back pain, my knees are hurting. Im slow in walking, standing up, and I live in constant pain all due to my weight.

Does anyone know or have any experience around weight loss surgery and being prescribed methadone? Will i be denied by the doctor when i go? Weight loss is the final piece to finally get myself feeling happy, healthy, and myself. But my biggest fear is i will get turned away because of the methadone. Ill just keep praying that it all works out. Thank you for your help and advice

-Emma

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I'm not familiar with methadone; however I would assume the doctor who prescribes it can help guide you and your surgeon. People on this site are taking a wide variety of medications and have successful WLS. Good luck and congratulations on turning your life around in a positive direction.

Banded 10/12/16

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U will be required to stop all pills for first 2 weeks but after that u should be able to go back on your regime...talk to your surgeon and your pain doctor..they should be communicating anyway..I've taken morphine for many yrs for my constant back pain and I continue with them now but my dr required pain patch in place of pill form for the 1st 2 weeks post op

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U will be required to stop all pills for first 2 weeks but after that u should be able to go back on your regime...talk to your surgeon and your pain doctor..they should be communicating anyway..I've taken morphine for many yrs for my constant back pain and I continue with them now but my dr required pain patch in place of pill form for the 1st 2 weeks post op

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I take the liquid form of methadone, so will that be a problem? It's not a medication I can just stop, that's why I'm concerned!

Thank you for your reply!!

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I'm not familiar with methadone; however I would assume the doctor who prescribes it can help guide you and your surgeon. People on this site are taking a wide variety of medications and have successful WLS. Good luck and congratulations on turning your life around in a positive direction.

Banded 10/12/16

Thank you very much for your reply! I am meeting the 23rd with my prescribing doctor, and first appointment with surgeon is the only 29th. So i should have some answers then. But you know how minds wander until you have answers! Lol, and i thought what better way to find out then going directly to the experienced!

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You sould be good to go since its already in liquid form since they normally won't allow you to swallow pills for the first 2 weeks....you will need to report to your surgeon what meds u r on but I think u will be okay.

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Every doctor is different as far as their requirements. I myself am on several meds (all pill form) for heart failure and also a couple for diabetes/along with insulin. Last time I used insulin was the day prior to surgery. Took my reg meds before surgery and commenced taking them the day after. A couple of the larger pills were ground down the first couple days but that was it. Was in the cardiac wing after surgery for 3 days while they monitored my meds, ect. Stopped all diabetes meds within first week. As I have lost weight (down 112lbs too date) my heart failure specialist has had to adjust the dosages off most of my meds.

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My mother is on methadone for her restless leg syndrome. She was able to take it up until surgery that she had last month (we took the journey together) and only had to stop the day of surgery. The doctor approved it beginning the day after surgery and the nurses would bring her a daily pill. All surgeons are different though so just make sure to ask.

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My mother is on methadone for her restless leg syndrome. She was able to take it up until surgery that she had last month (we took the journey together) and only had to stop the day of surgery. The doctor approved it beginning the day after surgery and the nurses would bring her a daily pill. All surgeons are different though so just make sure to ask.

Thank you very much. I do take the methadone daily, but it is in liquid form, not a pill. I also suffer from restless leg syndrome (not the reason I'm on methadone) but it has done wonders! I will of course be up front and honest with all Doctors, and hope that they will communicate with eachother, so I csn have the best, and healthiest, possible outcome! That's great that you've had your mom through the whole journey. My mom had gastric bypass in 2002. And it has changed and improved so much since then! Thank you for your response

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Wondering how your surgery and methadone therapy went ? Did you have take homes when you had surgery? Did you go down on mgs after with weightloss?


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I was wondering well I be able to get bariatric surgery pain on the low dose of methadone would that be a problem

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On 12/19/2016 at 9:46 PM, lmart133 said:

U will be required to stop all pills for first 2 weeks but after that u should be able to go back on your regime...talk to your surgeon and your pain doctor..they should be communicating anyway..I've taken morphine for many yrs for my constant back pain and I continue with them now but my dr required pain patch in place of pill form for the 1st 2 weeks post op

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I think this is highly dependent on your surgeon. I woke up from surgery and was given my thyroid medication, antidepressants plus an acid reducer to swallow within the first couple of hours.

ETA: Gah, sorry. I just noticed this was a super old thread that was bumped.

Edited by colormehappy

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On 12/19/2016 at 9:46 PM, lmart133 said:

U will be required to stop all pills for first 2 weeks but after that u should be able to go back on your regime...talk to your surgeon and your pain doctor..they should be communicating anyway..I've taken morphine for many yrs for my constant back pain and I continue with them now but my dr required pain patch in place of pill form for the 1st 2 weeks post op

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Stopping pills varies by surgeon. Certainly, I continued taking my meds uninterrupted.

So OP, you will work all this out with your surgeon.

Good luck,

Tek

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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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