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Advice from experienced bypassers please

StephieAck

I know Ive changed!
Well, I went to my GP about my rash and he asked me which meds I thought was causing it, I said the Forceval and he clicked on the screen and said "we'll stop those" and then said to just buy some over the counter ones as he cant prescribe anything else on the NHS. He then went through my blood results and said everything is ok, though my B12 is verging on too high and I have more iron than I could ever possibly use. He has said to do bloods again in 6-12 months and then if need be we will resume the every 12 weeks injections but for now we shouldnt do them because the levels are so high. He has also stopped my iron pills completely, I said that the surgeon wants me on them for life and he said that too much iron is bad for you and my bloods show that quite obviously I dont need them right now so he isnt willing to prescribe them for me. He then went on to try to remove the Lanzaprozole and Calcichew and I said "I have to take the Lazaprozole for two years" and he argued a bit and asked if I even have problems with heartburn etc and I said "no but they are trying to prevent ulcers on the joins in my new stomach" and he scoffed a bit and said that he will leave them there. He said that he would remove the calcium but new studies are showing that long term use of Lanzaprozole can cause oesteoperosis and so that is "obviously why they have you on calcium" and so he will leave both on there.
So basically I have come away with Lanzaprozole, Calcichew and now Sanatogen A-Z Complete (I chose and bought them myself) as my post-op meds.

When I tried to explain that they put you on them as a preventative measure and that it is something that they all do he seemed to think that I wanted to have more pills than I need, to which I said "hey, the less pills to take is better to me".
I understand what he is saying about too much can be dangerous so I understand some pills stopping but if he had gotten his way then the only pills I would now be on to keep me healthy post-bypass would be regular multivitamins.
I am fine with this, I dont want to take more meds than I have to, but I dont know how much he knows about the operation and the post-op care of a bypasser, so I dont know if the guidance he is giving me is uneducated and a little blind. I dont know if I should be emailing my surgeons secretary to ask if this is all ok. Obviously because of the high B12 and iron then the B12 should be stopped and the iron either reduced or stopped, but surely they dont just put you on calcium because of the Lanzaprozole, that is just for two years, the calcium was supposed to be for life but I have a feeling that as soon as my GP can stop those two pills he will and then I am likely to be left on just regular strength mulitvits and that is it, which like I say, its fine with me, less pills to swallow, but is that safe? Is that likely to cause me problems?
What would you do? Would you sit back and do as he has said and if problems arise tell him I told you so and now fix it or would you email the surgeons secretary and ask her to ask the surgeon if he thinks that the doctors actions/treatment/advice is safe and suitable?
Steph xx
 
i would ring up your surgeon and ask them they know more about things like that then your dr would they do this day in and day out xxx
 
Hiya, I would email the surgeon's sec and ask him to send you (or your GP, copying you in) an email setting out all the medication you need and why you need it and what might happen if you don't have it. GP's seem to only respect other professionals with regards to medication especially if it has a budget implication for them. Aftercare is as important as the surgery to keep you well and your GP has to understand this. I have to say, I went to my GP and listed all that I needed and she just looked it up and prescribed it - but she knew nothing about the op and was depending on me to give her information. My surgeon isn't exactly great in sending on info to my GP so just as well!
 
The advice re post op medication varies so much from surgeon to surgeon Steph, you are probably going to get all sorts of responses.

I personally take the lansoprazole, the calcichew and a multi vit. I can totally understand your GP taking you off Iron and B12 if the levels are high, as long as you are having regular bloods to keep an eye on the levels.

As for him trying to take you off the Lansoprazole and Calcichew... Ive not heard that the lansoprazole can cause osteoporosis or calcium deficiency and I just assumed that the calcichew was for women to prevent osteoporosis after menopause. I must admit though its something I havent looked into before.

I know of people that are on lansoprazole and calcichew for life... equally I know of people that are on a multivit only.

Best bet is, as you have suggested, contact your surgeon and ask his professional opinion. If his opinion is different to that of your GP then ask him to write to you/your GP.

It sounds like perhaps you are your GP's only bypasser?
 
Thanks guys xx
I have just emailed his secretary to ask her to ask him about it all, so we shall see what is said.
My GP is quite infamous for running his practice like a business, hell, he changed me from Ferrous Sulphate to Ferrous Fumerate simply "because it is a cheaper medication to prescribe", he has been known to muck about with peoples medications over the years to try to cut down on money, he even mucked about with my dads asthma medications which led to my dad becoming a bit unwell and he had to eventually put him back on the ones he was already on, so I know that mostly he is trying to save some money, that is no good to me if he is jeapordising my health for the sake of his budget though.
So we shall see what Mr Li has to say about it
Steph xx
 
Wow, the lady is a quick worker, she has already emailed me back lol
Mr Li is out of the country until the end of next week but she will make sure to liase with him about the situation and will let me know what happens from there.
She sounds so nice in that email too.
Steph xx
 
Now this may make you laugh but when I was a little girl I overdosed on my mum's iron tablets:eek::eek::eek:, they had a lovely sugery coating, poor deprived child.:cry::cry::cry:

I was taken to the doctors as I had a very bad red rash and was just told that the rash will go when the iron wore out of my body and they didnt do anything else. Perhaps the iron was causing a rash.:rolleyes::rolleyes:
 
Awww bless ya, poor deprived little un hehe
Thanks for that, well both the Forceval and the iron have been stopped so either way the rash should go now, if it takes a while I will be inclined to think that it is the iron as I should imagine that it takes longer to exit my body than the Forceval does.
Thanks xx
Steph xx
 
Hi there,

The most common deficiencies after a by-pass are protein, calcium, iron, vit D & B12. Clearly your iron & B12 are OK, so it may be prudent to come off them for a while, as they are high...possibly even the Forceval as it appears you are obviously taking great care in your post-op diet!!!!!
However, I would do exactly what everyone else says about the rest....speak to your consultant before stopping any other medication. GP's almost always do not have the specialist knowledge about after-care for a by-pass patient...and this could be critical in your long-term care. As for the calcium tabs...I personally would not stop them because research in this area is quite clear...women who have had a by-pass area have an increased risk of bones fractures and osteoporosis...the more calcium the better!
I have quite a nice research paper on nutritional deficiencies in patients who have had a by-pass...if anyone is interested?!!!!! (or that bored?!!!)
Anyway, speaking to your consultant is deffo the best thing, but don't worry in the mean time. Let us know how you get on xxxx
 
Thanks xx
When the surgeon returns to the country and his secretary talks to him I will see what she says. If he instructs her to get me to tell my GP anything I will be asking him nicely to draft an informative letter to my GP to explain what I need to be on and why and what the ramifications could be if he refuses to give me what I need.
What worries me a little is that after two years I am in the hands of my GP and will no longer have contact with my surgeon or any medical professionals in the bariatric field, so I will be at their mercy and if they want to muck me around I will have noone to refer to for help with it, so I have to get it all sorted. Im actually on the lookout for a new nice GP I think.
But he cant exactly poo poo what a surgeon that specialises in the matter says can he, though he did actually say to me today "well I AM only your family doctor"!!! felt like punching him at that point and telling him to pick up the toys he threw out of the pram hahaha
Steph xx
 
lol...quite right !!!! A consultant letter to the GP sounds like just the job...and at least your GP recognises his failings!!!!...you seem like a very sensible lady so I am sure all will work out fine xxxxx
 
Hi Steph,

I am in the same boat with the iron. Haven't needed it (aside from for a few weeks at the end of my pregnancy) for over a year now.
 
Sorry to hijack the thread but is calcium given as a standard after bypass? I've not been told to have any or been given any and I was just wondering if I need to take some?
 
From the research I have been doing, calcium supplements should definitely be prescribed as a post-operative supplement....women have a much greater risk of bone fractures/osteoporosis (low bone density) than women who have not had bariatric surgery. That said, it does appear that this varies from PCT to PCT.....I would suggest drinking anything with calcium in it, if it happens to pass your way...!!!!....forever.....
 
Congrats on that Shel, its great that you dont need it.
Angie...I am a milk fan, be it drinking it or eating it in cheese, I get plenty of it and love love love it so that wont be hard.
Steph xx
 
Wow, I'm a bit suprised by his attitude.

You definitely need the lanzoprazole, Mr. Ammori prescribes 2 per day for 6 months then 1 a day for life. The barriatric nurse at Spire told me that any good quality multi-vit was a good alternative to Forceval when I was having problems with it and she recommended the Sanatogen too.

Why don't you ask your surgical people about the rash too in case it's something they know about.

x
 
although still a baby bypasser, my team at St Richards said I shouldn't need any post op extra vits or suppliments as I should get everything I require from a well balanced diet... apart from the obligatory 8 week course of Lansoprazole immediately post op
 
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