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Autoimmune disorders and wls



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Oh, forgot to add... and you probably already know... RNY and lapband were not options for me because I do need to be able to occasionally take NSAIDs and steroids. for RNY and lapband, the contraindication is pretty much absolute. Lots of doctors will say no NSAIDs/steroids with VSG, but the contraindication is a relative one, not an absolute one. It's a risk/benefit analysis your team does. I'm allowed to take NSAIDs when needed, as long as I stay on a PPI. My rheumy hates steroids, but if I were in a bad enough flare she'd do a short run of them. I have a history of mild/moderate reflux, which was a minor concern with the VSG, but it had always been manageable with diet/meds so we went ahead with the VSG. I haven't had any reflux problems with it, but of course I'm on a PPI forever anyway. :)

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Yes I understand about the steroids and nsaids and you're right the Vsg is the plan.The batriatric clinic Ive been going to since November (6 months required by insurance) You see nurse practioners.Ill see the surgeon I chose the first week of next month and Im really hoping its not gonna be a hassel.Ive not had axreally bad flare now for about 7 years.

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I have "non-specific connective tissue autoimmune disase", i.e. they don't know exactly what's wrong with me. I take Methotrexate, Celebrex and Lyrica. You can't take immune suppressants before or directly after surgery because it would inhibit your healing. But my surgeon said it was fine to resume my Lyrica the next day after surgery. I did have to wait 2 weeks to restart the Celebrex (NSAID.) I had no problems. Following the diet and dropping weight makes you feel so much better, it means less muscle and joint pain for me, tho I still have flare ups. It is now known that fat creates inflammation, which is a major factor in my level of pain. I'm getting back on track after regaining 30 lbs, and I have noticed that the extra pounds creates SO much more joint pain than what I was feeling before regaining. I really think that weight loss (fat loss) will help just about anybody's overall health including inflammatory autoimmune diseases.

Edited by Catahoula Mom

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I have Hashimoto's, Non specified Connective Tissue Disease and Chronic Fatigue syndrome as well as a slew of other random diagnoses. I'm only 3 weeks out of surgery but I have lost 25 lbs. My joint pain is better. I have been able to take my pills as of day 1.

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Rheumatoid arthritis, hashimotos, and spondylitis. Sleeved on 11/4. Best decision of my life. I haven't had a flair up since before surgery and that's even with going off of my RA meds for 9 weeks. I'm now taking meds every other week instead of weekly. I am walking, jogging, working out. I have energy. I have my life back! I just can't believe what a difference it made for me.

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    • 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.
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    • BeanitoDiego

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    • ChunkCat

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