Dexa Scan, must have test before surgery....

Kathy S.
on 11/2/16 8:46 am - InTheBurbs, XX
RNY on 08/29/04 with

The article on the home page reminded me to remind pre ops the importance of having a DEXA scan done before surgery.  There is a potential for bone loss after WLS and you need this test for a base line.  I lost about 17% of my bone mass a year after surgery.  While that was upsetting since I had the test before we knew exactly what I had lost and started shots.  Not only have I stopped the loss but have increased my bone density.

Talk to your surgeon about having one and it's a very easy test to have done.  

 

DEXA SCAN

 

HW:330 - GW:150 - MW:118-125

RW:190 - CW:130

Grim_Traveller
on 11/2/16 9:47 am
RNY on 08/21/12

I second this. A lot of people don't think they need one, maybe because they are younger, etc. But bone loss is real. Get the baseline scan done before surgery. It's a five minute xray, and totally painless.

6'3" tall, male.

Highest weight was 475. RNY on 08/21/12. Current weight: 198.

M1 -24; M2 -21; M3 -19; M4 -21; M5 -13; M6 -21; M7 -10; M8 -16; M9 -10; M10 -8; M11 -6; M12 -5.

pr31
on 11/2/16 12:10 pm

This was never brought up to me pre-op.  I have my six-month follow-up at the end of this month and will be sure to ask about it.  

Surgery Date June 3, 2016

HW: 329 W at first consult 290. SW 238, LW 128, CW 139

Gwen M.
on 11/4/16 7:24 am
VSG on 03/13/14

It's worth noting that bone density is actually better for obese people because bone is built in response to trauma.  More weight = more trauma.  So there is the risk of bone loss due to mineral deficiency, but we're also out of luck because our bones are being exposed to less trauma due to our decreased weight.  This is why it's VERY important for all of us to include weight bearing exercises in our new lifestyles - anything with impact is good.  Running, walking, apparently line dancing is the best, and, if those aren't options, crushing cans with your feet has been shown to promote bone health.  

VSG with Dr. Salameh - 3/13/2014
Diagnosed with Binge Eating Disorder and started Vyvanse - 7/22/2016
Reconstructive Surgeries with Dr. Michaels - 6/5/2017 (LBL & brachioplasty), 8/14/2017 (UBL & mastopexy), 11/6/2017 (medial leg lift)

Age 42 Height 5'4" HW 319 (1/3/2014) SW 293 (3/13/2014) CW 149 (7/16/2017)
Next Goal 145 - normal BMI | Total Weight Lost 170

TrendWeight | Food Blog (sort of functional) | Journal (down for maintenance)

Deanna798
on 11/4/16 7:32 am
RNY on 08/04/15

I wanted one to get a baseline for my bone density, but my PCP told me he wouldn't order one because of my age.  I was lucky enough to find a place near me that does them for a very reasonable cost.  I had one on my birthday last year and plan to have another in the next few months.  

Age: 44 | Height: 5' 3" | Starting January 2015: 291 | RNY 8/4/15 with Dr. Arthur Carlin| Goal: 150

Listen to advice and accept discipline, and at the end you will be counted among the wise. ~Proverbs 19:20

Kathy S.
on 11/4/16 8:29 am - InTheBurbs, XX
RNY on 08/29/04 with

Seriously?  I understand as I have had to educate every PCP I have had.  I am so glad you had the test.   Not everyone has this happen but it's important to see the earliest changes and up your calcium, foods you eat and if necessary shots.  LOL we are all headed to "older" age and I have seen the littlest break devastate the elderly's quality of life!

 

HW:330 - GW:150 - MW:118-125

RW:190 - CW:130

sp1209
on 11/26/16 8:23 pm, edited 11/26/16 12:24 pm - AL

Kathy, which shot are you taking? How often do you take it? Have you had any bad side effects? I took Actonel for years but insurance stopped covering it so I have been taking generic fosamax for a year. I'm so afraid it will cause ulcers. Thanks for any info 

Susan

forgot to add that I have osteopenia 

Kathy S.
on 11/26/16 8:33 pm - InTheBurbs, XX
RNY on 08/29/04 with

I take a prolia shot once every 6 months. No side affects  Insurance should pay if not let me know I get assistance with mine. My insurance pays a small portion. 

HW:330 - GW:150 - MW:118-125

RW:190 - CW:130

sp1209
on 11/27/16 3:40 pm - AL

Thank you! I'm going to talk to my dr about it.

NYMom222
on 11/27/16 7:35 am
RNY on 07/23/14

I will remind you I tried to have one pre-surgery but was over the machines weight limit.... So not always possible and was very embarrassing....I was literally on the table ready to go when she realized I was too heavy.

Usually because of carrying around the excess weight you do have dense bones pre-surg.... it is just after that the changes come. I have had one now...but couldn't then.

Cynthia 5'11" RNY 7/23/2014

Goal reached 17 months. 220lb Weight Loss
Plastic Surgery Dr. Joseph Michaels - LBL and Hernia Repair 2/29/16, Arm Lift, BL, 5/2/16, Leg Lift 7/25/16

#lifeisanadventure #fightthegoodfight #noregrets

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