Life After Bariatric SurgeryMost bariatric surgeons say it is fine to take steroids after RNY. Someone recently posted here that her surgeon said she absolutely could not take them steroics because they would cause male hormons, but most sources I've steroids after weight loss surgery at say that short term use of steroids doesn't cause ulcers. The bottom line is, you can take whatever you want. You'll need to talk to your doctors about the risks and benefits of any drugs, just like steroids after weight loss surgery do now or should be doing now. If you want medical advice, talk to your doctor.
Can rny patients take prednisone/steroids?
Obesity is a lifelong disease and there is no operation, diet or medication that can by itself offer a permanent cure. Surgery with good aftercare and moderate lifestyle changes can give wonderful long-term results for health and weight. In the weeks after surgery, your dietitian will have a nutrition plan for you to follow..
This may include a liquid diet for a period of time followed by a progression to soft or pureed foods, and eventually more regular-textured food.
While you are healing in the first few months, it is extra hard to get enough fluid. Most patients receive a goal of 64oz or more of fluids daily to avoid dehydration, constipation, and kidney stones.
You will also need a lifelong habit with daily supplements, usually including:. Healthy lifestyle choices give the best results for health and quality of life after surgery. Protein-rich foods are important, with recommendations ranging from g of protein daily, depending on your medical conditions, type of operation and activity level. Limiting foods high in added sugar such as cookies, cakes, candy, juice or other sweets and refined carbohydrates white breads, pastas, crackers, refined cereals can improve your weight loss results.
Which vitamin and mineral supplements should I expect to take after weight-loss surgery? A chewable form is recommended, at least initially after surgery.
How long will I need to take vitamin supplements? Vitamin and mineral supplements will be a lifelong requirement. How much protein do I need daily? Most patients get grams daily, but some may require more depending on their response to surgery or their type of operation.
Your dietitian can provide more detailed information. Can I take all of the protein in one dose? Protein should be eaten at every meal and snack throughout the day. It is not known if there are additional benefits to having more than 30 grams of protein at once.
Protein is a nutrient that helps you feel fuller for longer. How should I get my protein? There are many options even for those with special dietary needs or preferences. Your dietitian can provide additional information on protein sources. Meats, eggs, dairy products, tofu, beans, and lentils are common protein sources in everyday foods.
Protein supplements made from whey and soy are commonly sold in stores and can help you meet your protein needs. As you are able to tolerate more regular foods, you get a higher portion of the requirement food sources and supplements become less necessary. The body needs additional protein during the period of rapid weight loss to maintain your muscle mass.
Protein is also required to have a healthy metabolism. Do I need to avoid caffeine after bariatric surgery? Caffeine fluids have been shown to be as good as any others for keeping you hydrated.
Still, it is a good idea to avoid caffeine for at least the first thirty days after surgery while your stomach is extra sensitive. After that point, you can ask your surgeon or dietitian about resuming caffeine. Why is fluid intake important? Dehydration is the most common reason for readmission to the hospital. Dehydration occurs when your body does not get enough fluid to keep it functioning at its best. Your body also requires fluid to burn its stored fat calories for energy. Carry a bottle of water with you all day, especially when you are away from home.
Drinking 64 ounces of fluid is a good daily goal. Signs of dehydration can be thirst, headache, hard stools or dizziness upon sitting or standing up. Many Americans with obesity have severe health problems such as diabetes, high blood pressure, elevated cholesterol and coronary heart disease.
Good health is the goal, not fewest pills. Many people actually take more pills, as they follow vitamin and mineral plans, and have better awareness of benefits. What effect does weight loss surgery have on my medications? Prescription or over-the-counter drugs may be absorbed differently after surgery, depending on the type of procedure.
Your medication therapy may be affected by this change. In the early period right after surgery, larger tablets or capsules may not be recommended by your surgeon so that pills do not become stuck. Because of this, your surgeon may recommend that you take medications different forms, such as crushed, liquid, suspension, chewable, sublingual or injectable.
Some medication may be crushed and administered with food. Sleeve gastrectomy and adjustable gastric banding tend to have little to no change in the absorption of medications.
Roux-en-Y gastric bypass and duodenal switch can have more significant changes in how medications are absorbed. Check with your surgeon and pharmacist about how you should take each of your medications. Some patients need a higher dose of anti-depressants to have the same effect.
This is not a complication, but you need to be aware of how you feel, and speak up with all your caregivers. Will my medications change after bariatric surgery? Some doses may change see the previous question.
Some medication doses may decrease as the obesity-related health conditions improve. For example, diabetic patients often require less insulin or other diabetes medications after surgery because glucose control can improve quickly. Patients who take high blood pressure and cholesterol medication can see their doses lowered if these disease states improve. Any changes in prescription medication should be overseen by your doctor; this is not something that you should do yourself.
Which medications should I avoid after weight loss surgery? Your surgeon or bariatric physician can offer guidance on this topic. Marginal ulcers can bleed or perforate. Usually they are not fatal, but they can cause a lot of months or years of misery, and are a common cause of re-operation, and even rarely reversal of gastric bypass. Some surgeons advise limiting the use of NSAIDs after sleeve gastrectomy and adjustable gastric banding as well. Corticosteroids such as prednisone can also cause ulcers and poor healing but may be necessary in some situations.
Some long-acting, extended-release, or enteric coated medications may not be absorbed as well after bariatric surgery, so it is important that you work with your surgeon and primary care physician to monitor how well your medications are working.
Your doctor may choose an immediate-release medication in some cases if the concern is high enough. Finally, some prescription medications can be associated with weight gain, so you and your doctor can weigh the risk of weight gain versus the benefit of that medication. There may be alternative medications in some cases with less weight gain as a side effect. Are there any additional prescription medications I will have to take after bariatric surgery?
Some patients may require anti-acid medications, either temporarily or indefinitely. Some surgeons prescribe a temporary medication for gallstone prevention if you still have a gallbladder. Ask your surgeon if these will be needed. Are all medications crushable? Not all medications are crushable. Whether or not a medication can be crushed would depend on the drug formulation. In general, non-coated, immediate release tablets may be crushed.
It is important that you are VERY careful with medications, so please always check with your surgeon, primary physician, or pharmacist prior to making medication decisions. Physical activity is very important for long-term weight management. Different patients may have different needs and abilities. As you progress in your fitness program, your body becomes more efficient at the same activity, which means that you tend to burn fewer calories. As you lose weight, the number of calories burned per hour tends to decrease as well.
And so, throughout time, it is necessary to gradually increase the intensity or length of your fitness activities. Your surgeon or fitness instructor may have specific recommendations for you in this regard. How much exercise should I get? Current recommendations for activity are minutes of moderate activity each week such as brisk walking, jogging, Zumba, swimming, or using exercise machines.
Please note that the ability to safely tolerate exercise differs from person to person. Please make sure that your chosen exercise and amount will be safely tolerated by you. How soon after surgery can I exercise? That depends on the type of exercise. You should begin walking while still in the hospital, unless instructed otherwise.
As you heal, begin to increase your exercise time and intensity. Your doctor will release you to increase your activity based on your progress. After surgery, exercises such as weights, sit-ups, pull-ups, or any abdominal straining should wait until you get the go-ahead from your doctor. What type of exercise should I do? Try different exercise programs to find what is right for you. Learn what is available in your community through your bariatric program, local fitness centers, and fellow patients.
Warm water exercise such as lap swimming or water aerobics is excellent for those with joint pain.