Question:
I am SOOO tired! What is wrong with me?

I had my surgery Jan21 of this year. I have lost 45 pounds so far and I am just plain exhausted! I don't know if I am low on iron or what (I can't tolerate meat at all) even though I take SlowFe iron daily. My legs ache and I just feel almost the way you feel when you are first pregnant. I threw up last night for hours for no reason that I can see. My eyes burn like I have sand in them from being so heavy. I take two flintstones daily (although I admit sometimes I do forget) and my B12 shot monthly that does nothing at all for me. Anyone else having this problem? Any suggestions?    — Tabitha M. (posted on March 31, 2008)


March 31, 2008
Tabitha, Let's address three things that can be the cause., but most likely it is the first one, B-12. Regular vitimuns are made to slow release so you need to take vitimuns made for Bariatric Patients if you had a RNY or even a lab Band, although a Lab Band give you more time to digest the regular vitimuns then a RNY. I use Building BLock from www.bbvitamins. They only make theire products for Bariatric patients. They have chewable as well as regular B-12, but I use a spray. If it is B-12, go to your doctor, any doctor and they will give you a b-12 shot. That will help you feel better in a few days, but it will wear off in a week or so, so you have to maintain to keep feeling good, because your diet is not giving yoiu enought B-12. Next is iron. I was animic before surgery for over a year from diets, but it does not make you feel as bad a you described. I also taking 120 MG of Iron from building blocks and I am no longer animic, but when I quit or cut back to 30 MG a day as recomended, by blood test show I slip back. Last is thyroid. If you are over 40, you should have a blood telst to check Iron, B-12 and THyroid. If it is the thyroid, they give you a small pill based on the blood test that is very inexpensive called synthroid. It will correct the problem in 10 to 12 days totally, but you will be on that for the rest of your life. Thyroid is the last thing to check as it is not common from RNY surgery to just show up. B-12 is most likely the reason. I wish you the best and if you eed any other help, just write me.
   — William (Bill) wmil

March 31, 2008
Tabitha, Let's address three things that can be the cause., but most likely it is the first one, B-12. Regular vitimuns are made to slow release so you need to take vitimuns made for Bariatric Patients if you had a RNY or even a lab Band, although a Lab Band give you more time to digest the regular vitimuns then a RNY. I use Building BLock from www.bbvitamins. They only make theire products for Bariatric patients. They have chewable as well as regular B-12, but I use a spray. If it is B-12, go to your doctor, any doctor and they will give you a b-12 shot. That will help you feel better in a few days, but it will wear off in a week or so, so you have to maintain to keep feeling good, because your diet is not giving yoiu enought B-12. Next is iron. I was animic before surgery for over a year from diets, but it does not make you feel as bad a you described. I also taking 120 MG of Iron from building blocks and I am no longer animic, but when I quit or cut back to 30 MG a day as recomended, by blood test show I slip back. Last is thyroid. If you are over 40, you should have a blood telst to check Iron, B-12 and THyroid. If it is the thyroid, they give you a small pill based on the blood test that is very inexpensive called synthroid. It will correct the problem in 10 to 12 days totally, but you will be on that for the rest of your life. Thyroid is the last thing to check as it is not common from RNY surgery to just show up. B-12 is most likely the reason. I wish you the best and if you eed any other help, just write me.
   — William (Bill) wmil

March 31, 2008
If you haven't had one done already, have a blood panel done right away. Leg aches can be a sign of several things--low calcium, low protein hydration, magnesium, etc. I use a liquid vitamin so it goes to work right away. I do feel tired if I've had a busy few hours, but I don't feel tired all day. I'm 22 months post op, and it takes a few months until you feel pretty normal again. But I'm worried about the tireness, eyes burning, leg aches, etc. A blood panel should tell your doctor what may be missing.
   — Dave Chambers

March 31, 2008
Iron would also my first assumption. And not taking calcium or extra vit D? Do you use a protein supplement? You said you're not eating meat, so that would mean less B12, iron or protein than anyone is expecting. When do you get labs again? Or can you get them done, like, NOW? Slow Fe is not well absorbed by us. Any iron you take should be taken with vit C, alone together for one hour, so not with caffeine, dairy, egg, whole grain or any other vites, minerals or meds. But your iron may not be right for you and/or not enough mg for you. We're each a bit differnt.
   — vitalady

March 31, 2008
Hi Tabitha. I have been there. Got to be the vitamins. I take Shaklee Vitalizer Strips and OMG!!!! Miracle worker. I was tired and run down. I have lost over 200 pounds and am 7 years post-op. Check out Shaklee at www.shaklee.net/gonegreen4life All natural products and they have been a savior for me and my restored life. Best wishes to you and if you need any advice from and old-timer(lol) feel free to contact me.
   — Twanda S.

March 31, 2008
Its about thiamine deficiency--and what it presents as: in this case Polynureopathy http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1681565 excerpt: It is important to distinguish thiamine from B12 deficiency which may also occur in gastric bypass patients. The neurologic picture for B12 deficiency may also consist of dementia, irritability, and memory loss. For the extremities, typically the dorsal (posterior) and lateral spinal columns are affected, leading to symmetrical paresthesias and ataxia associated with loss of vibration and position sense in the lower extremities.
   — janice2007

March 31, 2008
Hi Tabitha! All of these suggestions are wonderful. You really are NOT going to know the cause until you have your labwork done. It does sound like you are not getting nearly enough vitamin/mineral-wise. (I can't tell if you had RNY or Lap Band.) Step #1 is bloodwork. This will let you know if you need to bump up your iron, protein or b12. (I personally have to take 8 times the RDA of iron - this has been OK'd by my oncologist so I would NOT do this on your own...but just giving it to you as an example of how UNDER nourished you may truly be vitamin and mineral wise.) XXXOOO!!! HUGS and get your LABS done! :0D - Melanie g. 10 months out and feelin' GOOD! You can too! Take Charge !!!
   — MAG

April 1, 2008
call your PCP and have a CBC done - complete blood work -- you could be anemic which would you make you tired roberta
   — RCassety

April 2, 2008
I had surgery on December 3, 2007 and pretty much felt what you are feeling. I didn't really start having energy or start feeling like myself til about a month ago. I was extremely tired, i couldn't even take a shower on my own, my mom had to help me. Just do what you are supposed to do and trust me, with time you will definitely feel like a new person. Just be patient. Congratulations and best wishes on your new journey.
   — eliza2378




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