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Hypothyroid and Bariatric Surgery


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#1 Holly

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Posted 28 August 2010 - 02:51 PM

Hi, does anyone know if bariatric surgery in some way affects the thyroid. I have been hypothyroid for the past 14 years. It has been managed well with medication. My meds have only been adjusted a few times throughout the past 14 years. I have been on my current dose of Levothroid for the past 3 years or so. I had VSG on 7/21, and I have been doing great. I went for my post-op blood work about 2 weeks ago, and it revealed that my thyroid was low. Which means that the meds aren't working anymore. I just find it odd that my meds have not needed adjusting all of this time, and now all of a sudden just a few weeks after surgery they do! Has anyone else had this issue? Thanks!

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#2 mjune

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Posted 28 August 2010 - 05:54 PM

I've had labs drawn twice since my surgery two months ago, and my levels have stayed fairly stable. Are you being sure to wait at least 30 minutes after you take your meds in the morning before taking anything else? For me this means I take my Synthroid first thing and then my vitamins nearly an hour later after I take my shower and get ready for the day. Then, I eat breakfast another half-hour after that. Also, I had trouble some years ago when I started taking my Synthroid and my birth control at the same time.

Do you see an endocrinologist? If so, it might be worth a phone call. As we lose weight, I am told that we will need a lower dose of medication.
June


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#3 Mamacita

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Posted 28 August 2010 - 07:56 PM

I am still pre-op, I have had hypothyroid for 12 years, and have often wondered the same thing for when I am post-op. I'm not counting on it, but I would love to be totally off thyroid meds.....but like I said, i'm not holdng my breath.

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#4 Dsfast

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Posted 28 August 2010 - 08:02 PM

I am 8 months and have Hypothyroidism for the last 15 years. The only med I take now is Synthroid. My PCP did increase my dose after the surgery based on my labs. Why I need more now than before WLS I am not sure.

#5 everleigh

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Posted 28 August 2010 - 10:32 PM

I'm almost 6 months out (vsg) and have been hypothyroid for about 6 yrs (had thyroidectomy in 2005.) I take Synthroid (brand, not generic) because as with many others, the generic version of my thyroid med just makes my bloodwork come back off. My endo told me that more than likely we will have to adjust my meds post op.. and we did. In fact all of my meds (except calcium & multivitamin) have been cut in 1/2.

I take my synthroid right before I go to bed at night.. I don't have calcium or anything else that might interfere with the synthroid for 3 hrs prior (which has always helped cut off late night snacking.)

So to answer your question, yes, mine changed. Yes, I don't think it's uncommon to have to adjust. And my suggestion is go with brand name Synthroid & see how you feel and if bloodwork is any better. I also know of others who have thyroid issues who, over time, have to adjust their levels even without surgery.
everleigh "I'm not there yet, but I'm closer than I was yesterday."
highest/surgery day/lowest/current/goal
280/272/179/212/140
The Glorious first 9mos post op VSG in 2010:
MONTH 1: -26lbs APRIL* MONTH 2: -17 lbs (-43 lbs) MAY* MONTH 3: -12 lbs (-55 lbs) JUNE* MONTH 4: -13 lbs (-68 lbs) JULY* MONTH 5: -11 lbs (-77 lbs) AUG* MONTH 6: -3 lbs (-80 lbs) SEPT.*
MONTH 7: -3 lbs (-83 lbs) OCT.* MONTH 8: -7 lbs (-90 lbs) NOV.* MONTH 9: -3 lbs (-93 lbs) DEC.

ONEDERLAND: 8.23.2010-5.11.2011 :(Recovering from major depression from infertility that was discovered a year post wls.
Still trying to tap into my wls tool and get my life back.

#6 tntransplant06

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Posted 31 August 2010 - 05:25 PM

Don't count on your hypothyroidism "going away". It may improve, but won't go away. Straight from my doctors mouth.

#7 mjune

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Posted 01 September 2010 - 02:31 PM

Hypothyroid does not go away. It can be worse with weight gain (require a higher dose of meds), but it does not correct itself with weight loss. My understanding from my endo is that this is something I will have to live with and manage in some capacity for the rest of my life.
June


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#8 thinnermama

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Posted 11 September 2010 - 06:22 PM

I'm actually stable on the same Synthroid dose I was stable with when I was 70 lbs lighter. It sucks that hypothyroidism is forever, but unfortunately it is. I imagine that the symptoms that come with my thyroid issue like the high cholesterol and very heavy periods might get a bit better with weight loss, so I am hoping for that, but I've been hypothyroid at every weight.
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