I have been struggling for weeks with severe fatigue. I can barely do anything and if I do it just wipes me out. Bounced back and forth from doctor to doctor (the good old pass the patient game) and heard everything from depression, to malabsorption of antidepressants, lack of calories, lack of water/dehydration. Today after 10 or 11 hours of sleep I woke up just as tired as I went to bed and my boyfriend put his foot down - You're going to the ER. So now about six hours after I went to the ER I am home drank a high protein shake and looked at my test results the doctor said were fine. I came across many abnormal readings. The concerning ones were the ALT and AST from my blood work were both high... is liver issues a problem after surgery usually? And the urinalysis had three test high including RBC, Calcium Oxalate Crystals (GREAT just what I need now - kidney stones) and Ketones. Has anyone else had test results like this? Or really high fatigue? Any ideas? I will start the doctor phone calls again in the morning and see what idea they come up with this time. I just want a little energy again!

Sorry you’ve not been given any straight answers. Yes, any blood tests results related to liver function are often higher. Weight loss is hard on your liver and many of us experience these higher than normal results. Once your weight loss slows or your weight stabilises these results will drop again. High ketones levels indicate you are burning fat which is what you want to be happening at the moment. This might be why the doctors said your blood work is fine i.e. it isn’t unusual after weight loss surgery though they should have explained this to you.

High calcium oxalate could be related to being dehydrated. Are you hitting your fluid goals? It is important to work at getting your fluids in as dehydration is a concern for us all after surgery especially in the first weeks. To boost your energy levels add an electrolyte drink or mix your own. (These can be sweet so dilute them to make them more tolerable.) Sip, sip, sip during the day and night. Six years out & I still have water by my bed and drink throughout the night.

Out of curiosity what were your iron levels like? Anaemia isn’t uncommon either.

Have you spoken with your surgeon or their team? Maybe check in with your dietician to review what you’re eating as well to be sure you’re not missing anything which is easy to do in the beginning.

I would still do follow ups with your PC doctor as well. May be a scan to check your kidneys wouldn’t hurt if only to check there aren’t any stones forming. I can’t recall anyone mentioning developing kidney stones on the forum. Gall stones are quite common though.

All the best.

13 hours ago, Arabesque said:

Sorry you’ve not been given any straight answers. Yes, any blood tests results related to liver function are often higher. Weight loss is hard on your liver and many of us experience these higher than normal results. Once your weight loss slows or your weight stabilises these results will drop again. High ketones levels indicate you are burning fat which is what you want to be happening at the moment. This might be why the doctors said your blood work is fine i.e. it isn’t unusual after weight loss surgery though they should have explained this to you.

High calcium oxalate could be related to being dehydrated. Are you hitting your fluid goals? It is important to work at getting your fluids in as dehydration is a concern for us all after surgery especially in the first weeks. To boost your energy levels add an electrolyte drink or mix your own. (These can be sweet so dilute them to make them more tolerable.) Sip, sip, sip during the day and night. Six years out & I still have water by my bed and drink throughout the night.

Out of curiosity what were your iron levels like? Anaemia isn’t uncommon either.

Have you spoken with your surgeon or their team? Maybe check in with your dietician to review what you’re eating as well to be sure you’re not missing anything which is easy to do in the beginning.

I would still do follow ups with your PC doctor as well. May be a scan to check your kidneys wouldn’t hurt if only to check there aren’t any stones forming. I can’t recall anyone mentioning developing kidney stones on the forum. Gall stones are quite common though.

All the best.

I have calls out to all my doctors of course it may be tomorrow before I hear back from them all. I did hear back from one already though and scheduled an appointment with her. I did not see any results for Iron on the blood tests run, unless it is disguised by another name. I am really disappointed by the dismissive attitude from the doctor I saw in the ER... got the strong feeling he was not a fan of the gastric sleeve procedure.

I do have a touch more energy today but am still so tired and a persistent headache. Just wish I felt one doctor, any doctor was listening!

Thank you so much @Arabesque for your comment and support!