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Gastric surgery after having total thyroidectomy

Have any if you had the surgery with thyroid problems? I've just started the process for gastric surgery. In December of 2015 I had to have my thyroid removed for large non cancerous nodules. When I met with the Dr for the first time and told him I wanted the sleeve, he pointed out that with the amount of weight the charts say I need to lose, I may not lose it all with the sleeve.

My main concerns and reasons for wanting the sleeve and not the bypass are the malabsorption and dumping syndrome. Since I'm totally dependent on Synyhroid, I'm not willing to chance those side effects. If I were to have the side effects, I wouldn't be getting adequate thyroid hormone and feel like that will totally negate any success I could have.

Does anyone have any experience with this issue? I'd greatly appreciate the input.

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I have hashimoto thyroiditis and I guess my doctors must think that the malabsorption won't affect the hormone replacement because that's the surgery I'm getting and I dont think they would it if that was an issue?

  • Author

How much weight do you have to lose?

I had a total thyroidectomy in 2014 due to Graves Disease. Had Bypass 4/2015 and have lost ~145#. I don't feel my lack of thyroid or synthroid dose affected my weight loss. I do wonder if it has anything to do with trouble losing this last 15-20#, but I don't stress over it. I'm thrilled with my results.

My endo didn't see a point in adjusting my meds with my weight loss-- my levels have been stable so I just keep in taking it. (175mcg)

My stats were/are:
High weight 337
Surgery weight 315
Current: 193
Height 5'6.6"


  • Author

Thanks for your replies. I'm so scared I will make the wrong choice

Sleeve is a good choice unless you already suffer from GERD, or have severe food addiction.

Have any if you had the surgery with thyroid problems? I've just started the process for gastric surgery. In December of 2015 I had to have my thyroid removed for large non cancerous nodules. When I met with the Dr for the first time and told him I wanted the sleeve, he pointed out that with the amount of weight the charts say I need to lose, I may not lose it all with the sleeve.
My main concerns and reasons for wanting the sleeve and not the bypass are the malabsorption and dumping syndrome. Since I'm totally dependent on Synyhroid, I'm not willing to chance those side effects. If I were to have the side effects, I wouldn't be getting adequate thyroid hormone and feel like that will totally negate any success I could have.
Does anyone have any experience with this issue? I'd greatly appreciate the input.

I had my thyroid removed in 2005. I had gastric bypass in November 2106. I'm dependent on the medicine also. I haven't had any issues however my GP said that my dose may need to be decreased as I lose weight.


  • Author

I had my thyroid removed in 2005. I had gastric bypass in November 2106. I'm dependent on the medicine also. I haven't had any issues however my GP said that my dose may need to be decreased as I lose weight.



Glad you have had success. Did you have trouble keeping your thyroid levels normal at any time...... More trouble than usual that is


I do have to say that in the past I have lost about 80 pounds on my own and started experiencing heart palpitations and extreme anxiety. Later I figured out that my dosage should have been decreased. Make sure your doctor keeps a close eye on it. I have also been wondering if the medication is able to be crushed because they said you should only take crushed pills immediately after the surgery.

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