Trt - testosterone replacement therapy

[roses4rome 2]

Hi guys!

I'm pre op and currently on trt prescribed by endocrinologist with legal stuff bought from pharmacy.

Anybody has experience with it and bariatric surgery. I hope testosterone will help me prevent muscle mass loss, before I was fat I've spend decent amount of time in the gym a any my lean mass is slightly above average. Trt was a lifetime decision so I intend to keep it that way. I will obviously consult it with endo and surgeon, but just curious if you have any experience.

Have a great day!

[The Greater Fool 1,844]

Which surgery are you having?

The Sleeve doesn't change any digestive plumbing so if the T is in a pill form it shouldn't be an issue.

Gastric Bypass does change the plumbing. The pyloric valve is bypassed and everything you eat or drink drops straight into your intestines, a small amount of which are bypassed. This creates a malabsorption of some things, like calories, and can impact how well some time-released meds work. My experience is some time-released meds work well enough and others not so much. It's largely trial and error. Some more critical meds my Doc doesn't take the chance and I take some pills multiple times per day.

Things that are injected or are dermally absorbed wouldn't be affected by WLS at all.

Early on most people can't eat a lot of calories and many post-op diets run a severe calorie deficit which will result in loss of fat and muscle. Us fatso's had extra bone and muscle to support all that fat. I imagine T and the gym could reduce the muscle loss. Your current knowledge would apply still post-op.

I did dermally applied prescription T pre-op and asked about it when I was having surgery. Being dermally applied there was no issue, but pills follow the caution included above re: malabsorption and time-release.

Good luck,

Tek

Edited July 11, 2022 by The Greater Fool

[ShoppGirl 3,226]

I don’t know much about TRT but the greater fool has a point of it is in pill form you may want to consider sleeve because that causes much less issues with absorption. That’s why I chose it, in fact. Because according to my team some people have issues with meds that aren’t even extended release with bypass. It’s far less common but if you have meds that you know you need and no other medical reason to choose one surgery over the other, as was my case, then the sleeve is the more conservative option.

[ShoppGirl 3,226]

So sorry to reply to this in the guys room. I was in recent topics and did not realize it was guys only. 🙊

[The Greater Fool 1,844]

34 minutes ago, ShoppGirl said:

So sorry to reply to this in the guys room. I was in recent topics and did not realize it was guys only. 🙊

It's funny, I got chewed out by a member for posting in the Women's only forum, because I too mostly go by the recent threads and didn't look for where it was started. I pointed her to the Men's forum where virtually every post has responses by women.

It's not the end of the world, IMHO. Your information was appropriate to the topic. Life goes on.

And, to add confirmation to your original post, on meds where I can feel an effect, like pain meds, I noticed since surgery they don't last as long. I've noted it also on other meds.

It is a consideration, though I wouldn't change surgeries over it myself. There are ways to compensate.

Good luck,

Tek

Edited July 11, 2022 by The Greater Fool

[ShoppGirl 3,226]

1 minute ago, The Greater Fool said:

It's funny, I got chewed out by a member for posting in the Women's only forum, because I too mostly go by the recent threads and didn't look for where it was started. I pointed her to the Men's forum where virtually every post has responses by women.

It's not the end of the world, IMHO. Your information was appropriate to the topic. Life goes on.

And, to add confirmation to your original post, on meds where I can feel an effect, like pain meds, I noticed since surgery they don't last as long. I've noted it also on other meds also.

It is a consideration, though I wouldn't change surgeries over it myself. There are ways to compensate.

Good luck,

Tek

Well they changed the Home Screen I think. At least for The version you get on your phone and I can’t seem to find the old page that lists the forums first and then the threads. I hope they change it back. I just have to be more careful in the mean time.

[roses4rome 2]

Testosterone is injectable, no issues here, if anything I'm thinking about hormonal differences after the procedure, as many metabolic factors will change.

I have a lot of others pills to swallow, so it will be sleeve for sure.

I know some muscle mass reduction is inevitable and I'm cool with that, but whatever I can retain I will be happy.

@ShoppGirl not a problem for me 😊

Edited July 11, 2022 by roses4rome