Went for my first consultation with bariatric surgeon today. And he said I was a complicated patient, partly because I take several psych meds and am interested in bypass rather than sleeve because I have GERD and Type 2 diabetes. He's worried about managing drug levels after bypass. Anyone have input into this? Do they monitor levels of psych meds? Thanks.

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2 hours ago, Briswife15 said:

bypass rather than sleeve I have GERD and Type 2 diabetes.

@Briswife15

the sleeve is frowned upon if you have gerd.

Strong chance your gerd will get worse - or you might

develop gerd

I also take a few important/necessary drugs. If i would take those drugs,

they "might" not be as successful /absorption with the bypass,

I know diabetes is helped by both WLS's. Caught between a rock and a hard place?

gerd or malabsorption ?? but....covering my small asss to say, check w/NUT

or doc

good luck with surgery

kathy

I take currently 10 psych meds 4 during the day and about 8 at night some are repeats ok the only thing you have to worry about are things like extended release meds which if you work with your psych doc you can get switched to rapid release or a different med all together also enteric coated pills at first do not absorb as well so switch to something different then you can switch back several medications are in the same class and are just as effective because they have the same action mechanism in your brain for example if you take geodon you can switch to Latuda it is also a safer med should you get pregnant soon after surgery if you take lamotragine which is the generic for I think lamictal you can switch to trileptal things like klonipin have under the tongue doses for more effectiveness also seraquel can and should be swapped for trazadone the reason being seraquel has the latent weight gain possible night time eating and a chance to cause insulin resistance. If you need a sleeping agent try belsomra it works in a different area of the brain and you don’t sleep walk for migraines impulsive behavior and mood stabilizer topirimate or topamax is great it also helps with weight loss hope this helps btw my mil is a shrink so if you need advice pm me