Saxenda Injections After Gastric Bypass?

A few things.

It is unlikely Medicaid will cover Saxenda. It's insanely expensive at $1,500 and hasn't been approved for very long yet for use in weight loss. I have amazing insurance and even they will not cover it. Your Doctor may be able to get sample month prescription though so ask if you can get a trial of it. It's an injection pen that you give yourself and works on curbing appetite by slowing the emptying of the stomach. There's also a few medical conditions that if you have them would prevent you from using it. I'm in the process of trying the sample. So far I can say that it does curb my appetite, but it also makes me very thirsty, I've had a few headaches and some stomach cramps. I'm not sure that I'm liking the side effects and have not seen the scale move yet.

Do you follow up with your Bariatric Surgeon every year?

Have you adhered to the protein first, then veg, no drinking while eating WLS diet? If not, have you tried going back to the basics to see if you can lose the extra weight?

What would you say is the reason why you have gained the weight back? Are you hungry all the time?

If you are hungry all the time, what I would do if I was you is pursue a possible revision to your bypass. It means starting all over again so you would need to contact the Surgeon's office to see how you can go about scheduling an appointment. They will do an endoscope to take a look at your pouch and stoma to see if there is a reason why you are hungry. If you stoma is on the larger side or your pouch is bigger, you may qualify to get a revision to make it a bit smaller. If you go that route, just don't expect it to be easy. Since they are only removing a small portion of what is left of the stomach, the weight comes off much slower and it takes work to do it.

Maybe related to malabsorption and side effect potential? Contraindications/Cautions show caution in Severe GI disease, Severe gastroparesis, or pancreatitis risk.

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Common adverse reactions: nausea, diarrhea, constipation, vomiting, headache, appetite decrease, dyspepsia, fatigue, dizziness, abdominal pain, abdominal distension/flatulence, GERD, gastroenteritis, eructation (belching), UTI, cholelithiasis, lipase increase, injection site reaction, insomnia, xerostomia (dry mouth), asthenia, anxiety, tachycardia.

Serious Reactions: Tyroid C-cell tumor (animal studies), medullary thyroid carcinoma risk, papillary thyroid carcinoma, colorectal malignancy, AV block-first degree, hypersensistivity reaction, anaphylaxis, nephrotoxicity, pancreatitis, cholelithiasis, cholecystitis, suicidal ideation.

I had my gastric bypass surgery in 2011 I lost over 100 pounds and kept it off for 5 years. Then almost overnight I started gaining and gaining. I was terrified of gaining all my weight back. I was given a sample pen of saxenda and in one week I lost 13 pounds in on one week. I am shocked but if this continues this drug will be a miracle. I have never faulted from my post surgery diet I eat protein with very few carbs but for some reason I just started gaining weight I don't eat any sugar and I drink tons of water. My portion size has and has been the same since 6 weeks post op This drug has been a miracle for me

Nic,

i am 10 years out from gastric bypass. I lost 150 pounds and kept it off for 8 years... the last two had seen 30 pounds creep back. I followed all rules for my "tool", increased exercise- journaled- with no progress. My metabolic dr started me on saxenda oct 1. I am currently down 17 pounds- and no side effects. I have heard this drug works twice as well on people who have not had surgery- but I am very happy with the boost it has provided. I continue to journal and exercise- and will continue with saxe da till I meet my goal. At that point I will wean off it and rely on journal and discipline to stay exactly on same track. Please let me know if you ha e any questions.- happy to share.