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Hypothyroidism and gastric bypass surgery



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I was diagnosed hypo back in 2014 when my daughter turned 3 months old. I haven’t had my 100mcg of Levo since surgery 11/16/20. I struggled to eat and drink for the first 6 weeks or so, and adding ground up pills was even worse. It made me so sick. So when i asked my doctor for a thyroid panel around 9w post op (since my surgeon didn’t) they discovered that i most likely have hashimoto’s. I had an ultrasound done and it showed that i was riddled with nodules, goiters on both sides, and possibly an adenemoa on my left side. I’m finally seeing an endocrinologist but it will be the end of March before i get in. We are limited in specialists in my area so i have to wait or go to the bigger town 2 hours away.

my TSH has gotten much better since surgery, though. So I’m just thankful for that because it could be way worse! I’m down exactly 40lbs today and an 12w post op. Hopefully things get better for me. Oddly i feel normal. I used to be so tired before surgery so I’m happy that I’m not exhausted 24/7. 🤣

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On 1/16/2021 at 4:54 PM, Castrad01 said:

Hello I am looking to connect with people who has hypothyroidism and have had the gastric bypass surgery.

I share this issue. The formal diagnosis and treatment for hypothyroidism came over 25 years after a goiter was first noted. Fat people are often un treated or under treated for this condition.

You can absolutely have long term success. It will take longer. The myth of rapid weight loss immediately after surgery will be dispelled.

However, at an average weight loss of 0.34lbs per week, I reached my goal over 17 frustrating months. You may gain weight while being faithful to your program then start losing weight again. The metabolically challenged (my surgeons term) will be successful over time.

With multiple metabolic complications, I've lost the fat and maintained my desired weight. Twelve years post op I've been able to beat down each incidence of re gain.

Stay on program and research healthy alternatives to boosting your metabolism. While your doctor's plan is your primary guide, a little tweaking may be needed over time.

You Can succeed. You WILL succeed.

EDIT: After reading all replies written before mine, I have a suggestion for everyone.

-Make a chart of all medications and supplements with their interactions. Apps and web sites with this information are abundant.

-Prepare a doseing plan to ensure each item is taken timely and correctly. Include each dose for anything taken multiple times daily. Include the strength and form for every medication be it Rx or OTC. Include the brand and form for all supplements. Include items taken only as needed and those on a schedule other than daily.

WHY?

-You will maximize the benefits from your thyroid medications and avoid cancelling the effects of your supplements.

-You will learn how best to take everything you use. Your goal is to minimize side effects and maximize benefits.

-You will have details at your fingertips for your weight loss support team to review if needed.

-In case of a medical emergency, you have this vital information on hand.

While it seems like a lot to do, you already have the information. It is likely your pharmacy's app can do this for you with its doseing reminder service.

(My intention is to be helpful based on the original post. Therefore, I've supplied no backgroud. Castrad01 posted for support not my autobiography.)

Edited by MSWDiet
additional information

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I have hypothyroidism and had bypass surgery Feb 2. My surgeon suggested I see an endocrinologist but still waiting for the referral. Down 8 since surgery but stalled. I am not sure if that is my thyroid or normal. Still plugging along.

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I was diagnosed with hypo at 10 years old. Weight has been a struggle all my life. I've been on Synthyroid (levo), Cytomel (lio), Armour and a combo of Synthyroid and Cytomel (best imo). In 2019, I had been on only Cytomel for 3 years and had heart, liver and kidney failure caused by Cytomel (lio) toxicity. It had been eating away muscle including my heart. When I was taken to the ER, my heart rate was 20 and they couldn't get a temperature because I had hypothermia. I was in my 30's, btw with no prior health concerns other than hypothyroidism. I believe it was made worse because I thought I had a virus for 3 days but my heart was failing. I went into a myxadema coma.

After 11 days in ICU and 3 weeks in the hospital, I couldn't lose weight to save my life. After trying to lose for 8 months, my Endocrinologist recommend sleeve surgery.

My loss has not been as fast as many on this board. I had surgery in July and my pre-surgery weight was 208 at 5'5". Pre-surgery diet was only a week long and I may have lost a few pounds. Since surgery I have lost about 56 pounds.

My surgeon is fine with my loss. He says to hit Protein and Water goals but don't go below 1200 calories and eat whatever you want (after post-surgery diet, of course). I suppose I feel that surgery is pointless if I have to starve and restrict. I've done that most my life. I know many don't agree with that and I understand why. I found my tastebuds changed and sweets aren't as important as they were pre-surgery.

I hope to meet my goal by 1 year. My periods have been lasting 2+ weeks and are super heavy so now I'm anemic and I'm sure it hasn't helped my weight loss. I am having a DNC soon to see if there is an underlying reason for all the blood. I can't be on normal birth control due to my heart. I went for an echocardiogram this past week and it came back normal! Considering I had cardiomyopathy, a temporary pacemaker, kidney dialysis, and liver failure less than 2 years ago (in my 30s lol), I am happy with my progress. I think having surgery with hypothyroidism is worth it.

Edited by outofusernames
Needed paragraphs for this novella

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On 1/16/2021 at 4:54 PM, Castrad01 said:

Hello I am looking to connect with people who has hypothyroidism and have had the gastric bypass surgery.

I had the surgery on 8/24/20, and its the best thing I could have done. I am still hypothyroid, and on levothyroxine. Pre op I was taking 150mcg, and my doc lowered it 137 mcg 2 weeks ago.

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On 2/13/2021 at 7:52 AM, MSWDiet said:

I share this issue. The formal diagnosis and treatment for hypothyroidism came over 25 years after a goiter was first noted. Fat people are often un treated or under treated for this condition.

You can absolutely have long term success. It will take longer. The myth of rapid weight loss immediately after surgery will be dispelled.

However, at an average weight loss of 0.34lbs per week, I reached my goal over 17 frustrating months. You may gain weight while being faithful to your program then start losing weight again. The metabolically challenged (my surgeons term) will be successful over time.

With multiple metabolic complications, I've lost the fat and maintained my desired weight. Twelve years post op I've been able to beat down each incidence of re gain.

Stay on program and research healthy alternatives to boosting your metabolism. While your doctor's plan is your primary guide, a little tweaking may be needed over time.

You Can succeed. You WILL succeed.

EDIT: After reading all replies written before mine, I have a suggestion for everyone.

-Make a chart of all medications and supplements with their interactions. Apps and web sites with this information are abundant.

-Prepare a doseing plan to ensure each item is taken timely and correctly. Include each dose for anything taken multiple times daily. Include the strength and form for every medication be it Rx or OTC. Include the brand and form for all supplements. Include items taken only as needed and those on a schedule other than daily.

WHY?

-You will maximize the benefits from your thyroid medications and avoid cancelling the effects of your supplements.

-You will learn how best to take everything you use. Your goal is to minimize side effects and maximize benefits.

-You will have details at your fingertips for your weight loss support team to review if needed.

-In case of a medical emergency, you have this vital information on hand.

While it seems like a lot to do, you already have the information. It is likely your pharmacy's app can do this for you with its doseing reminder service.

(My intention is to be helpful based on the original post. Therefore, I've supplied no backgroud. Castrad01 posted for support not my autobiography.)

Thank you for posting this. It is really reassuring to hear of long term results, especially those with hypothyroidism. I plan on making a chart and plan this weekend to help me after surgery.

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