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Bipolar and gastric bypass



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Getting bypass soon. Worried about my medications. I'm on several meds but 2 for bipolar disorder and depression. And one for anxiety. Will they we absorbed? Has anyone had to deal with something similar?

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I decided on the sleeve instead of bypass because I worried about the absorption of my mood stabilizer and antidepressant as well. Since then I have read many many posts on here of people on psyc meds that did fine post bypass as well. From what I have learned it is mostly the extended release medications that can cause issues post bypass and sleeve. Other than that. There are a few people that had to adjust doses up or down but I have yet to hear of anyone who says that they had to switch meds or anything like that.

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I'm having an issue right now where I've had to move from Depakote DR to Valproic Acid Oral Solution. My blood serum levels have dropped from 88 to 46 in the past 6 months (had my surgery last August, 2021.) I need to get my levels back up closer to 80, and am have headaches and mania really bad. This could be unique to me, as I am on other meds as well. Feel free to message me or post here if you want to talk more about it.

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I was wondering the same thing. I'm on 3 different medications for mental health and am worried about absorbing my meds post-surgery. I'm super stable right now.

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Like I mentioned before since hanging around here post sleeve I have seen a lot of people with bipolar who had bypass and they were just fine but now that I am possibly facing a revision to bypass I am looking to hear even more peoples experience. Especially if anyone has experience with vraylar post bypass.

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My mom has bipolar and had gastric bypass almost ten years ago. She has always done well, which is encouraging, but definitely chat to your doctor and surgeon. I’ll be getting a gastric sleeve next week and had a really long chat with my surgeon about Wellbutrin and Lexapro (I take both). The first thing he asked was weather or not I was on the Wellbutrin XR (extended release). I agree with another poster that extended release meds should be monitored differently, but only your doctor will truly know. Good luck to you!

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    • trinzic

      Hi there!  Just wanted to gain some perspective.  Out of anyone here who had the gastric bypass, can you give me info on your journey?  How much weight did you lose in the first month, 3 months, 6 months after surgery?  I'm working on getting my clearances so that I can have surgery in late summer.  My friend, who just had GB, told me "your new life doesn't start the day of your surgery, but right now, so take care of yourself!"  So, I'm trying.  But hearing what others have experienced will give me some perspective and I'm big on that kind of thing. 
      · 1 reply
      1. BabySpoons

        I lost 25 pounds in 3 months before surgery and your friend is right. Putting off losing weight till surgery date just reminded me of all the excuses I made before. I'll wait till Monday to start or after the holidays.

        I'm 8 weeks out from Gastric Bypass and lost another 25. So I'm averaging about 3 pounds a week post-surgery. That's the most I've ever lost consistently over time without regain so I'm happy. Good luck on your journey!

    • BabySpoons

      Lost 3 pounds this week. I'll take it!!!
      · 0 replies
      1. This update has no replies.
    • JenniferLilly36549

      Waiting for surgery date…still undecided sleeve vs. RNY
      · 2 replies
      1. Jodi74

        I had the sleeve 9/13/21 and just had a the sleeve to bypass revision on 5/3/23. My HW:321 (I'm 5' 8" tall)and I went down to 254 while doing my 7 nutrition appts required by my insurance company. So just changing the way I ate, I was able to get those pounds off w/o surgery. I have many Co morbidities mixed hyperlipidemia, diabetes, htn, MI due to covid. I had read and done quite a bit of research so I could choose the best surgery for myself and learned previous to my sleeve that someone as heavy as I was and all the Co morbidities I have, it was better in my situation to have the bypass but, my DR. Kept saying I would have the same results with the sleeve. Every time I would see him and say to him that I felt it would be best to just get the bypass, he just shot me down and said the sleeve would produce the same results! Why he kept asking me which surgery I wanted at each visit just to tell me the sleeve was all I needed still a mystery to me????? Let's just say, my Dr. Was wrong you see, the surgeries are both about the same price, but the sleeve is easier for the surgeon to perform so I think my DR. Just wanted the easier since he would get the same pay no matter what. After sleeve surgery I did go from 254 to 226 BUT that's just because you are healing from surgery and can't eat anyway as soon as I recovered! I was starving non-stop. I went right back up and stayed at 248. Still had to take cholesterol meds, blood pressure meds, diabetes meds etc. I'm now almost 4 weeks post op the bypass and feel great. I'm not starving all the time, went from 248 to 220 and doing great! Not only what you just read about my story, you also hear about a lot of people needing revision after the sleeve due to acid reflex like severe acid reflex all the time. So the bypass surgery is the only way to stop This reflux if you acquire this condition after sleeve surgery. The regain possibility is higher with sleeve than bypass so just think about all these factors before you make your decision. I wish I would have just had the bypass and saved myself from having to have 2 surgeries in under 2 years. The bypass surgery was also less painful for me lol! I don't know if the new surgeon was better or what but, I was home the next day. After the sleeve I had to stay an extra night due to the nausea and vomiting all night and for pain control.

      2. BabySpoons

        After doing the research between the sleeve and bypass, I chose the Gastric bypass for quite a few different reasons. Thankfully my surgeon told me I was a perfect candidate for it after he examined my health history. Oddly enough, his nurse tried talking me into getting the sleeve too. Like your doc said, she thought it was easier and just as good. But I'm not looking for easy. I'm looking for more effective. Just the reflux alone was enough for me to say no thanks.

        Sorry you had to get 2 surgeries and wishing you all the best!

    • BabySpoons

      Who knew Filet Mignon would make me so sick. Leftovers from Mother's Day.  On the upside..next day I started walking outside a little over a mile without stopping or back pain. That's a bit deal for me considering how inactive I've been for years. Woot woot!
      · 0 replies
      1. This update has no replies.
    • BabySpoons

      Five-week follow-up for gastric bypass and now on lifetime food plan. No restrictions.  In all that time I was fortunate to get sick only one time, week 1, on Easter. Chicken broth...go figure.
      · 0 replies
      1. This update has no replies.
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