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Hi,

It is common misconception that you malabsorb medications after the surgery.

You do malabsorb fat because the body has a special absorption mechanism

that allows fat to be absorbed across the watery surface of the gut.

You would also impair the absorption of certain vitamins and minerals for

the same reasons.

Iron and B12 are example of chemicals witch do not dissolve easily in water

and thus your body has developed special transport mechanisms to help get

more of these vital nutrients into the body.

Drugs and medications are not like this. As far as I am aware no drug

requires a special transport mechanism to be absorbed to work.

Thus all drugs are absorbed fine.

Now there is still more to the story...

Many of the medications that my patients take before surgery are no longer

needed after surgery,

Like high blood pressure medications, diabetes medications and cholesterol

medications,

So we often change a person's drug treatment after surgery but it is not

because of malabsorption.

There also some few drugs that we warn people against taking:

Tylenol, Alcohol, Aspirin, Ibuprofen, Naproxen, Motrin and similar drugs.

Other wise you should be OK.

RR

Rutledge, M.D., F.A.C.S.

The Center for Laparoscopic Obesity Surgery

4301 Ben lin Blvd.

Durham, N.C. 27704

Telephone #:

Fax #:

Email: DrR@...

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A question

> Dear Doctor Rutledge,

> I would like to know if after surgery any medications that might be needed

in

> the future are affected by the surgery. Since there will be malabsorbtion

> does that mean that if say something like an antibiotic needs to be give

for

> any reason should the dose be increased or perhaps given intravenously.

Are

> there certain medications that are not as effective after surgery as

before.

> I appreciate your help with this question.

> Thanks

> Pat Iurato

> Las Vegas () NV pre op and working on my packet

>

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Hi Shelly, I am a preop and need to lose about 150-160 so if you don't

mind fwd any answers.Thanks, Janet

>

>Reply-To: MiniGastricBypass (AT) egroups (DOT) com

>To: <MiniGastricBypass (AT) egroups (DOT) com>, <MGB-PostOp (AT) egroups (DOT) com>

>Subject: a question

>Date: Thu, 5 Oct 2000 10:57:40 -0400

>

>I have a question that I heretofore, have not asked. Have any post-ops who

>needed to lose 175-200 pounds actually lost all of that weight? My

>ultimate

>weight loss desired is 190-200 then have excess skin removed and I will be

>at my best weight for my frame. I am 5'2 " and 330 pounds. I am approved

>now

>and ready to set the date. My daughter is also seeking approval and I feel

>I must research everything especially well as it is not just affecting me.

>My concern is of course the safest surgery with the least possible short

>term and long term complications. But, I also want a surgery that will

>with

>my compliance get me down to an appropriate weight. Thanks in advance for

>your time to those who answer my question. Shelly M in Jax Fla

>

>

>

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Thanks Alan

> > > Shelly,

> > > We practicually twins, I'm 5'2 " and I weigh 335.. My bmi

is

> > 61... I'm pre-op and hoping to be going early Nov. I've been

> logging

> > on here for about 1 month (solid) and I have found out that

most

> > people have lost even more than they thought they could. In

other

> > words, if they wanted to loose down to 190 they probably lost

to

> > 150.. Hey, won't bother me none, how 'bout you?

> > > Trudy, Indiana

> > > pre-op

> > > a question

> > >

> > >

> > > I have a question that I heretofore, have not asked. Have

any

> > post-ops who

> > > needed to lose 175-200 pounds actually lost all of that

> weight?

> > My ultimate

> > > weight loss desired is 190-200 then have excess skin

removed

> and

> > I will be

> > > at my best weight for my frame. I am 5'2 " and 330 pounds.

I am

> > approved now

> > > and ready to set the date. My daughter is also seeking

> approval

> > and I feel

> > > I must research everything especially well as it is not

just

> > affecting me.

> > > My concern is of course the safest surgery with the least

> > possible short

> > > term and long term complications. But, I also want a

surgery

> > that will with

> > > my compliance get me down to an appropriate weight. Thanks

in

> > advance for

> > > your time to those who answer my question. Shelly M in Jax

Fla

> > >

> > >

> > >

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