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Steroids Before Bypass Surgery



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I have been on Steroid threrapy for almost a year and my suregry is coming up really soon has anyone else had this situation they are wening me off by cutting dosage day by day in three day intrevals I guess I want to know will this interfere with me having surgery once my suregry date is here I will be on 5mgs any thoughts or wisdom is greatly apreciated.

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2 minutes ago, RosesForDays63 said:

I have been on Steroid threrapy for almost a year and my suregry is coming up really soon has anyone else had this situation they are wening me off by cutting dosage day by day in three day intrevals I guess I want to know will this interfere with me having surgery once my suregry date is here I will be on 5mgs any thoughts or wisdom is greatly apreciated.

You should discuss this with your surgeon.

I know people hate that answer, but it is a medical question that really only he/she can answer.

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I agree with @kcusker83 - you should talk to your surgeon.

Mine went over my meds with me at the pre-op appointment when we scheduled my surgery and gave me a timeline of what I needed to discontinue and then I had a call a few days before where they confirmed what I was taking and when I had stopped certain medication and Vitamins.

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Once upon a time, I was on long term, moderate to high dose, daily steroid therapy. I even had to have an open surgery while taking moderate doses of steroids. I will spare everyone the long, drawn out details, lol.

But if you plan on being down to 5 mg, you shouldn't have these issues. I haven't been on steroids for years, but prior to deciding on revision to bypass, I was on Celebrex for years. When I decided to move forward with revision, I stopped Celebrex and gave myself several months to make sure I could function without them, because I knew I would have to stop them since they're a very strong NSAID.

And I agree with the others, this is something you need to have a very, very detailed discussion with your surgeon about, and do it as soon as possible and don't wait until the day of surgery.

But my question to you is, after your bypass surgery, will you continue steroid therapy or is your doctor planning to wean you off of them for good? They're know to cause ulcers post gastric bypass, along with inhibiting weight loss, and my surgeon said absolutely no oral NSAIDs after surgery, so if I ever do need them it will have to be very infrequently and by injection only.

Best wishes!

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There seems to be some confusion in this thread and it's not clear from the original poster, what's meant by "Steroids". There are 4 things I suppose you might mean, so we should probably clear that up:

  1. Testosterone Replacement Therapy: Since the OP is female, I doubt you are on this, as it's typically prescribed for older males with low testosterone.
  2. Anabolic Steroids: I also doubt the OP means this as these are highly controlled drugs and only prescribed in very limited circumstances. That said, a lot of bodybuilders abuse these. (Ever hear of "Roid Rage"?)
  3. Corticosteroids: These are commonly used medications typically prescribed for inflammation. The most common oral example would be prednisone. It would be rare (but not unheard of), to be on this long term as the side effects can be worse than the inflammation it purports to treat.
  4. NON-Steroidal Anti-Inflammatories: As the name implies, these are NOT steroids, or even related to steroids. They got this name because they were originally developed as an alternative to corticosteroids. Common examples include the over the counter medications ibuprofen (Advil) and Naproxen (Aleve), as well as the prescription drugs meloxicam (Mobic) and Celecoxib (Celebrex). Typically this is a class of medications that doctors like you to be off of for bariatric surgery because they can cause stomach ulcers.

I'm assuming the OP meant one of the latter two, but don't know for sure?

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My money is on corticosteroids.

OP is female, so that rules out TRT and almost with absolute certainty rules out anabolics, due to OP attempting to lose weight. And you don't have to wean off of NSAIDs.

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

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