Problem with pain med mal-absorption?

Hi
Thanks for the reply. Yes the Mylan patch is the best but could no pharmacies here in San Diego that carried the 50 mcg. ones. So I got the insurance to pay for 20 patches of 25 mcg per month. I am wearing two, but change the oldest one every 48 hours and my max for breakthru is 3 lortab 10/500. Right now I am in a good place---very active,

After 8 years post op I found a new gastro. doctor. I told her I didn't have post-surgery follow up except for the first 6 months. She checked my vitamin levels and found I was deficient in B1, Calcium, and D. B12 I have shots and I get iron infusions (iron sucrose) about once a year for 10 doses. With my B1 and D (Rx'd the D) I am feeling so much better! I think our pain gets worse when we are tired and push our unmwilling bodies around!

Take care and yes MYLAN patches are the best!!

What is your vitamin D level?  RX d is useless.  It is D2 and it is in oil and we can't absorb anything in oil.  We need dry D3 which is watersoluable.  The dosage is the same - Dry D3 from vitalady.com at 50,000 units, depending on your levels is how often you take it.  IF you are taking prescription D, I tend to think you level is very low and will need to take the Dry D quite often at first to get your level up. The range on lab report says 30-100 but we really need it to be between 80 and 100.  This gives us protection from various forms of cancer and osteoporosis.  Low levels of D will put you at risk for osteoporosis and since we malabsorb, you need your levels higher than most. 

How much B1 are you taking? I was deficient in B1 and was told by my NUT to take 100mg 3 times per day.  This got my levels back to normal and I continue at this level to maintain.

I really suggest that you find a NUT that specializes in WLS.  It is imperitive that you have some type of follow up.  Many Endocrinologists have NUTs with WLS background.

Here is a list of labs that I get every 3 months.

CBC, Comprehesive Metabolic Panel, Iron, TIBC, Iron Sat %, Ferritin, B12, Folate, Vitamin D (25 - 25 Hydroxy), Phosporus, Calcium, PTH, Vitamin A, Vitamin E, Vitamin K, Lipid Panel, Zinc, Magnesium, Selenium, Copper, Vitamin B1 (Whole Blood), TSH and T3, HemA1C

 OMG......I have similar problems my spine and knees and hands and knuckles HURT. I take ultram and darvocet and i am MISERABLE. I have a baby but someone else has to care forher because i am in so much pain. The dr's don't understand that the pain meds wear off withing 2 hours or so. I see a pain management dr but since i am only 21 i have that working against me because they think i have like problems or something. NO I"M IN PAIN.....I HURT!!! I have fibromyalgia that sucks too. I take Lyrica too. My email is [email protected] if that article is still available maybe i can show it to my dr. My surgeon isn't around either so thats not an option.