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I can't really answer your specific question....but the one thing my surgeon stressed was the difference in procedures and your body's ability to absorb meds post op. Because the rny results in malabsorption often times people with psych meds struggle....the meds need adjusted more frequently and the dosages may need to be higher b/c your system isn't absorbing everything right. with the sleeve there are no malabsorption that results from the surgery...its a restrictive procedure. As a result people have a tendency to be more stable with their drugs. When i had my chat with my surgeon...she indicated that she wouldn't do the rny b/c of my bipolar situations and my use of psych drugs.... and with either...if you're taking anything with extended release those will need to be reevaluated.....sooo....can't really comment on your exact question but thought i'd throw in what i've learned so far......best of luck with your research and on your decision!!
stephanie
They are just looking out for things that could hurt you later with WLS. Like, if someone does you wrong and hurts your feeling and you don't say anything, they might think you handle things internally rather than externally and there's supposedly proof out there that you are more successful if you talk to people about your feelings and stuff...that you'd use your support system.
That's just one example, but hopefully it'll just give you an idea.
I am in the same dilemma, interested to see what the posts say 
Referral Feb 2012, Orientation at Guelph Nov. 29/12, RN, SW and NUT Feb. 13/12, 2nd RN, SW and NUT April 26/13, Dr. Agarwal May 7/13, SW May 22/13. HW 334lbs, CW 269 lbs. Post-op nutrition course August 1/13, Dr. Jules Foute Nelong Sept 9/13, PATTS Oct 9/13, Opti Oct 16/13, Surgery Oct 30/13.
Hi all,
I've got an appointment with a surgeon I really like this week for a "let's talk about your specific situation and see what kind of surgery might be best for you." (I chatted with the doc briefly at an info seminar a few weeks ago.) I'm trying to do my homework and get my questions down in advance.
One thing I'm trying to research are the pro's and con's of the sleeve versus the bypass for someone whose weight gain has been caused by psych meds. From what I've seen, the sleeve has a much greater reduction in ghrelin than the bypass-- but does that affect drug weight?
If anyone has any resources or experiences, I'd love to hear them. Thanks so much! :)
Hi Stephanie,
I would suggest talking to the doctor that prescribes your mental health medications. Maybe he/she can help you figure out what is going on. It would be best to check with him/her in case it is a full depressive episode coming on. This way if it is, it can be nipped in the butt before it gets worse and if it is not there are no worries. Hope this helps and that things start to get better for you :)
Referral Feb 2012, Orientation at Guelph Nov. 29/12, RN, SW and NUT Feb. 13/12, 2nd RN, SW and NUT April 26/13, Dr. Agarwal May 7/13, SW May 22/13. HW 334lbs, CW 269 lbs. Post-op nutrition course August 1/13, Dr. Jules Foute Nelong Sept 9/13, PATTS Oct 9/13, Opti Oct 16/13, Surgery Oct 30/13.
I was hospitalized in May for depression. I had ECT treatments and they made a big difference. This past month I have been feeling down and depressed again. SO I don't know if the ECT treatments have worn off or if it is because of a med change. I had a hysterectomy on July 24 and I stopped taking my Topamax on July 27. I was on Topamax originially because they thought I had seizures, but they figured out that I didn't. What I do have are myclonic jerks (it's where I just jerk when I am awake and in my sleep.) I know Topamax is sometimes used as an antidepressant. So I started taking the Topamax again, but know it will take awhile to get into my system. But I'm scared as to what if that is not the reason I am feeling depressed. I do not want to ever get back to the low of where I was in May. But I feel I am headed there. I don't know what to do. Any suggestions?
Stephanie E
Please give yourself more time. You are one month out, talk to your surgeon-he/she may want to divide your medicine for depression. you do not say which procedure you had. I dont know if you should be feeling a lot of joy right now-you still have a lot of adjustments to go through. This surgery is not only physical, but emotional, and hormonal as well. I had multiple complications during surgery ( i was in the hospital for 22 days, had 2surgeries-etc.) I have regained a lot of wt and have suffered from depression for years. i do not regret haing my surgery.
I replied to the survey. i would like to make a suggestion; at the end have translations available. I do not read polish so i do not know if i filed it correctly.
Omgoodness thank you! Nice to know someone else with similar experience that has made it through the process.
Hi. I wouldn't be too worried. WLS centers/physicians expect that most patients will not come in with a "spotless record" of mental health. There could be lots of reasons why they are making you met with their psych. It may be that anyone who has had a particular diagnosis is automatically referred to the psych, or they may be overly cautious. Some programs also have a requirement that all patients going in for WLS must see the psych.
I had a similar experience. I was approved for surgery despite having a history of major depressive disorder and PTSD. I was also seeing a therapist and on anti-depressants at the time of my evaluation and surgery. The docs really just want to make sure that you can handle the stress of surgery, you're not having surgery for the wrong reasons, etc.
Good luck!
