Guest guest Posted October 15, 2001 Report Share Posted October 15, 2001 Hi Tara, You sound like me before I started taking anti-depressants. I highly recommend them; teh right one(s) can make all the difference in the world! I think therapy is OK, but severe depression is usually chemical and talking about it doesn't help all that much. Kind of like the difference between dieting and WLS. I'm proud of you that you could get help! I found that when I was feeling worst, I was least able to seek help and would retreat more and more inward. I'd sleep and eat all day, going days w/o a shower unless I had to go to work. I now take much better care of myself. The house is cleaner, i usually bathe :-) and I bought myself some decent clothes--paid a small fortune for 'em!--instead of going around in rags with holes in the thighs and stains on the front. I realized I deserved to be kinder to myself. In fact part of that new treatment of myself was going for the surgery. And all this was due to my little yellow and white pills! LOL I'm pre-op and still don't go out much because of my weight, but I now WANT to go out. I don't worry about still being reclusive, because the feeling is different now. And I so look forward to my new life after surgery! I remember how much fun I used to have, and I will have it again. I'll do the things I've wanted to do for the past 15 years. I can't wait!! Feel free to email me privately at dancing@... if you wish. Chris > Hello! I am needing advise!! I belong to a local group of people that > I met off of a list on yahoo and they meet for coffee twicw a > month,problem is that while i enjoy talking to these people on line i > cant seem to bring myself to meet them in person.A big part of this > is my obesity.I hate being the biggest person in the room or haveing > no nice pants because my thighs rub together so bad that one day a > forest fires going to start! Really everything I own has holes along > the inner thighs because of this problem and buying clothes is a joke! > I know im being harder on myself then anyone else could possibly ever > be but i guess up until now i didnt realize how much obesity has > ruled my life.I dont go out,I avoide people as much as I can,I would > sleep all day if I could and honestly im never happy.I dont remember > the last time that i had a good time.Or the last time i felt good > about myself.Yet I do remember my life before obesity and it was > happy and i had fun! I have choosen to seek therapy but body > acceptance isnt going to happen.I guess that i am seeking advise on > what to do to make myself live again because right now this isnt life > or it least not the life I want to have for myself. > Tara Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 15, 2001 Report Share Posted October 15, 2001 Tara, I sent that off too soon. Forgot to mention intimacy issues like someone said. I totally agree with that. In fact, I originally gained weight on purpose to keep men away. Worked even better than I hoped! :-/ The problem was it got away from me and when I wanted to lose, I couldn't. The more I tried and failed, the more I was convinced it was all my fault, and I grew to despise myself. The meds broke that cycle. Some group recently published a study saying that a combination of therapy and meds work better than either alone. I do plan on getting therapy after surgery, as i'm sure these issues will hit me when I start interacting with people more. And when or if men start noticing me...yipes! Chris > Hello! I am needing advise!! I belong to a local group of people that > I met off of a list on yahoo and they meet for coffee twicw a > month,problem is that while i enjoy talking to these people on line i > cant seem to bring myself to meet them in person.A big part of this > is my obesity.I hate being the biggest person in the room or haveing > no nice pants because my thighs rub together so bad that one day a > forest fires going to start! Really everything I own has holes along > the inner thighs because of this problem and buying clothes is a joke! > I know im being harder on myself then anyone else could possibly ever > be but i guess up until now i didnt realize how much obesity has > ruled my life.I dont go out,I avoide people as much as I can,I would > sleep all day if I could and honestly im never happy.I dont remember > the last time that i had a good time.Or the last time i felt good > about myself.Yet I do remember my life before obesity and it was > happy and i had fun! I have choosen to seek therapy but body > acceptance isnt going to happen.I guess that i am seeking advise on > what to do to make myself live again because right now this isnt life > or it least not the life I want to have for myself. > Tara Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 15, 2001 Report Share Posted October 15, 2001 Hi I'm new to the group. This is the first time I've been in a group and I'm not quite sure how it works--so bear with me. I'm pre-op and I wanted to ask you about taking anti-depressants after the surgery. I've been on anti-depressants for six years now. I'm concerned that after the surgery my body will not be able to absorb the medication. Does anyone have experience with this? > Hi Tara, > > You sound like me before I started taking anti-depressants. I highly > recommend them; teh right one(s) can make all the difference in the > world! I think therapy is OK, but severe depression is usually > chemical and talking about it doesn't help all that much. Kind of > like the difference between dieting and WLS. > > I'm proud of you that you could get help! I found that when I was > feeling worst, I was least able to seek help and would retreat more > and more inward. I'd sleep and eat all day, going days w/o a shower > unless I had to go to work. > > I now take much better care of myself. The house is cleaner, i > usually bathe :-) and I bought myself some decent clothes--paid a > small fortune for 'em!--instead of going around in rags with holes in > the thighs and stains on the front. I realized I deserved to be > kinder to myself. In fact part of that new treatment of myself was > going for the surgery. And all this was due to my little yellow and > white pills! LOL > > I'm pre-op and still don't go out much because of my weight, but I > now WANT to go out. I don't worry about still being reclusive, > because the feeling is different now. And I so look forward to my new > life after surgery! I remember how much fun I used to have, and I > will have it again. I'll do the things I've wanted to do for the past > 15 years. I can't wait!! > > Feel free to email me privately at dancing@b... if you wish. > > Chris > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 15, 2001 Report Share Posted October 15, 2001 Hi , This is something I'll discuss w/my surgeon if I ever get one! LOL But my understanding is that time-released meds are not good because they're absorbed in the intestine, but regular are OK because they're absorbed in the stomach; and the opposite is true for RNY. I'm sure a post-op can enlighten us on this. I will be pleasantly surprised if I no longer need the anti-d's after surgery, but I doubt that in my case it will make much difference. Depression has affected me nearly my whole life. Chris > Hi > > I'm new to the group. This is the first time I've been in a group > and I'm not quite sure how it works--so bear with me. I'm pre-op and > I wanted to ask you about taking anti-depressants after the surgery. > I've been on anti-depressants for six years now. I'm concerned that > after the surgery my body will not be able to absorb the medication. > Does anyone have experience with this? > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 15, 2001 Report Share Posted October 15, 2001 At 4:43 PM +0000 10/15/01, msnoaccess@... wrote: >Hi , > >This is something I'll discuss w/my surgeon if I ever get one! LOL >But my understanding is that time-released meds are not good because >they're absorbed in the intestine, but regular are OK because they're >absorbed in the stomach .... My understanding is somewhat different, namely that there may not be sufficient " transit " time before you excrete some of the timed-release meds because your intestine is shortened. Whoosh! Now you see it; now you don't. But, that's just my [often imperfect] understanding. --Steve -- Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 16, 2001 Report Share Posted October 16, 2001 Post ops continue to take their antidepressants and they continue to be effective. Just prepare yourself for bad information trying to convince you that the long acting ones won't work after surgery. That's not true. I recommend that you talk with your surgeon about taking one as late a possible pre op and getting back on them ASAP post op. Most folk are on SSRIs or other antidepressants that can cause a nasty withdrawal syndrome if they go off them suddenly. Good luck and may this be a wonderful adventure for you > Hi > > I'm new to the group. This is the first time I've been in a group > and I'm not quite sure how it works--so bear with me. I'm pre-op and > I wanted to ask you about taking anti-depressants after the surgery. > I've been on anti-depressants for six years now. I'm concerned that > after the surgery my body will not be able to absorb the medication. > Does anyone have experience with this? > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 16, 2001 Report Share Posted October 16, 2001 Long acting antidepressants are absorbed just the same way as the short acting ones are. Very few things hang around in your gut long enough for them to be long acting. It is the way they are formulated and often due to the process that has to to with the way the liver converts them. Everything is absorbed in the intestines. The stomach absorbs nothing, It only starts the process of smooshing and churning the food and starting to break down the coating of the medications. in Seattle > Hi , > > This is something I'll discuss w/my surgeon if I ever get one! LOL > But my understanding is that time-released meds are not good because > they're absorbed in the intestine, but regular are OK because they're > absorbed in the stomach; and the opposite is true for RNY. I'm sure a > post-op can enlighten us on this. I will be pleasantly surprised if I > no longer need the anti-d's after surgery, but I doubt that in my > case it will make much difference. Depression has affected me nearly > my whole life. > > Chris Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 16, 2001 Report Share Posted October 16, 2001 > Everything is absorbed in the intestines. The stomach absorbs > nothing, If I remember my physiology class corectly, Alcohol is directly absorbed by the gastric mucosa (sp?.) There are some drugs that are absorbed also, asprin comes to mind. That's why enteric coated aspin is used for intestinal absorbtion. Bob Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 16, 2001 Report Share Posted October 16, 2001 So Steve, you think the transit time is the important factor? Now think about Prozac that lasts 7 days.... LOL , Seattle --- In duodenalswitch@y..., Steve Goldstein <steve-goldstein@c...> > My understanding is somewhat different, namely that there may not be > sufficient " transit " time before you excrete some of the > timed-release meds because your intestine is shortened. Whoosh! Now > you see it; now you don't. > > But, that's just my [often imperfect] understanding. > > --Steve Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 16, 2001 Report Share Posted October 16, 2001 Gee, I apologize if I gave bad information! I was told that at Dr. Rabkin's office. Chris > > Hi > > > > I'm new to the group. This is the first time I've been in a group > > and I'm not quite sure how it works--so bear with me. I'm pre-op > and > > I wanted to ask you about taking anti-depressants after the > surgery. > > I've been on anti-depressants for six years now. I'm concerned > that > > after the surgery my body will not be able to absorb the > medication. > > Does anyone have experience with this? > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 16, 2001 Report Share Posted October 16, 2001 The enteric coating just keeps the caustic stuff from coming in contact with the stomach lining. A small amount may be absorbed there, but very little. Most is absorbed in the intestines. You are right that a very small percent of alcohol may be absorbed from the stomach by diffusion. However, most is absorbed through the intestines. With the much smaller stomach size, there is even less exposure to the stomach lining and absorption in the DS stomach is little or none. Medications are made to be absorbed in the intestines. in Seattle > > > Everything is absorbed in the intestines. The stomach absorbs > > nothing, > > If I remember my physiology class corectly, Alcohol is directly absorbed by > the gastric mucosa (sp?.) > There are some drugs that are absorbed also, asprin comes to mind. That's > why enteric coated aspin is used for intestinal absorbtion. > > Bob Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 17, 2001 Report Share Posted October 17, 2001 At 3:17 AM +0000 10/17/01, marym@... wrote: >So Steve, you think the transit time is the important factor? Now >think about Prozac that lasts 7 days.... LOL Well, MM, I really know very little about psychotropic drugs. I have never taken any except when I get dosed by the staff folk before a procedure like a colonoscopy (or, 20 years ago, in brownies!). My wild-ass guess about transit time referred to the coating, namely, if the drug passes through before the coating is all dissolved, how can it be absorbed? But, note that I added: > > But, that's just my [often imperfect] understanding. Your faithful pupil, Steve -- Quote Link to comment Share on other sites More sharing options...
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