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Depression after surgery?



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Hi all, three weeks post-op here and everything food-wise seems to be going fine. I also anticipated crazy hormones, but I didn't expect it to manifest as depression. I mean, we ramp up for months or years for this surgery, we finally get it, the weight is coming off, and ... the blues set in? That's my experience the past two weeks. My family is noticing it more and more and starting to worry. I'm on Effexor XR for anxiety and mild depression and have been for years. Could it be the XR isn't absorbing correctly with my sleeve? I haven't had any withdrawal symptoms so I assumed there were no issues.

Anyone else very BLAH after surgery?

I'm hoping things improve when I return to work next week.

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6 minutes ago, GreenThumb said:

Hi all, three weeks post-op here and everything food-wise seems to be going fine. I also anticipated crazy hormones, but I didn't expect it to manifest as depression. I mean, we ramp up for months or years for this surgery, we finally get it, the weight is coming off, and ... the blues set in? That's my experience the past two weeks. My family is noticing it more and more and starting to worry. I'm on Effexor XR for anxiety and mild depression and have been for years. Could it be the XR isn't absorbing correctly with my sleeve? I haven't had any withdrawal symptoms so I assumed there were no issues.

Anyone else very BLAH after surgery?

I'm hoping things improve when I return to work next week.

Haven’t had my surgery yet , my mom has and she went through this as well. It will change once you go back to work but I will tell you what I told her . Once you accept this as your new normal you’ll be fine. We get so stuck our ways that when change comes its like woahhhh! You’ll be fine! Enjoy the new you that’s coming

Edited by JustJazzy

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Yes, I've found this. Everyone's different, but my depression increased after surgery. My overeating was driven in large part by stress and depression and I knew that losing weight wouldn't make me feel "happier" but felt that it would make my life easier. I didn't expect the depression to be worse after the op, but it is. I think it's because the comfort eating was fairly effective at distracting from/damping down my depression and that coping strategy has gone. I'm 4 months post-op and still unsure what to do about it - I take a very low dose of anti anxiety medicine and am reluctant to take anti-depressants proper, but may have to go to my doctor if things don't improve. Good luck with your journey.

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3 hours ago, Deb9386 said:

Yes, I've found this. Everyone's different, but my depression increased after surgery. My overeating was driven in large part by stress and depression and I knew that losing weight wouldn't make me feel "happier" but felt that it would make my life easier. I didn't expect the depression to be worse after the op, but it is. I think it's because the comfort eating was fairly effective at distracting from/damping down my depression and that coping strategy has gone. I'm 4 months post-op and still unsure what to do about it - I take a very low dose of anti anxiety medicine and am reluctant to take anti-depressants proper, but may have to go to my doctor if things don't improve. Good luck with your journey.

You may be on to something there about that particular coping strategy being gone. I've not really battled depression since my daughter was little (post-partum) so this was a surprise. I think it also centers around not being able to sit with my family at the dinner table and partake with them - one of my favorite ways to connect. I know this is temporary and that I'll eventually be able to enjoy meals with them (just in much smaller portions) plus spring is coming. Getting outside is one of my MAJOR coping mechanisms. I always say gardening is my therapy.

I hope you find something to lift you out of this, too.

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I think there's a certain amount of sadness in realizing that certain foods are never gonna be the same. We made food so freaking IMPORTANT in our lives that a change in the relationship can feel like something you're grieving. Does that make sense? It's a little like a divorce, maybe. You know it's for the best, you know you need to do something different to be healthier...but you do remember the good times, and can get sad and nostalgic. Also, it's an eye opener to confront your feelings without being able to medicate them with food. Losing a coping mechanism can be hard. Gotta find a new one that is healthier. But yeah....it's easy to miss food's comfort and nostalgia...and that can feel sad and weird.

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Exercise is one of the least prescibed and most effective treatments for depression and anxiety.

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mood swings and other hormone-related weirdnesses are pretty common after WLS. It's supposedly due to estrogen being released from your fat cells (where it's stored). It'll level out and stabilize after a few weeks or months (hopefully weeks, though!)

bypass patients have issues with extended release meds, but I don't think sleeve patients do. But they may need to play around with your dosage or have you switch to a different brand if this one is no longer working.

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Due to COVID we just don’t get to socialize like normal and it has taken a toll. It is a tough time to give up a best friend, food. I had and continue to have depression and take meds for it. My mood swings were radical the first 4 months or so post-op...just ask my husband 😆 Things are definitely more stable now, but I have to exercise a lot to maintain my mood. If I skip two days in a row, I definitely get into a blue funk. Talk to your doc about how you are feeling and tweak your meds if you need to. Try some gentle exercise like walking. Hang in there! 💕

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30 minutes ago, WishMeSmaller said:

Due to COVID we just don’t get to socialize like normal and it has taken a toll. It is a tough time to give up a best friend, food. I had and continue to have depression and take meds for it. My mood swings were radical the first 4 months or so post-op...just ask my husband 😆 Things are definitely more stable now, but I have to exercise a lot to maintain my mood. If I skip two days in a row, I definitely get into a blue funk. Talk to your doc about how you are feeling and tweak your meds if you need to. Try some gentle exercise like walking. Hang in there! 💕

See, I was expecting mood swings! This is more pervasive. I'm not upset, not all over the place, not having more anxiety. Just down. So looking forward to being able to exercise more (darn deep stitch is still sore).

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