sharoncarrie

Extreme fatigue

14 posts in this topic

I'm 3 1/2 weeks out & I've never been so fatigued in all my life. It is all I can do to drag myself out of the bed. I have no energy at all. It is beginning to get me depressed. Not sleepy just fatigued. Any advice?

Edited by sharoncarrie

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Poor you! Your body and mind have been through a lot in the past month so it could be you just need rest to adjust.

Also, try to keep your liquids up and get fresh air. And of course, protein protein protein.

Good luck! It gets better as it gets farther away from surgery.

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Are you getting enough B12? I know that can help a lot with energy. Any issues with iron? I was anemic pre-RNY and by 2 months post-surgery my hemoglobin was 6 (low end of normal should be 12), so I had no energy at all. There were days I couldn't physically get out of bed.

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I'm not sure about my levels. Should I contact my dr's office to have them tested?

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If you aren't feeling good, I would contact your surgeon. I knew before my surgery I was anemic and my iron absorption post-surgery is basically zero, so I have iron infusions to keep my levels up. I know my surgeon originally told me B12 twice a week and my nutrionist actually upped me to daily B12 to help with my energy levels. Hope you get to feeling better :)

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Thank you Lissa! I am going to call my surgeon's office Monday

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One thing I can recommend is using a B-50 complex. If you can't get a B-50, get a B-100 and half the dose.

The asmbs.org actually suggest it as an option - I'd recommend it to everyone, at least early post-op. Table 5 of this document: http://s3.amazonaws.com/publicASMBS/GuidelinesStatements/Guidelines/bgs_final.pdf

Just make sure that you get one with all 8 B vitamins - you're looking for something that'll give you 50mg of each vitamin:

Vitamin B1 (thiamine)

Vitamin B2 (riboflavin)

Vitamin B3 (niacin or niacinamide)

Vitamin B5 (pantothenic acid)

Vitamin B6 (pyridoxine, pyridoxal, or pyridoxamine, or pyridoxine hydrochloride)

Vitamin B7 (biotin)

Vitamin B9 (folic acid)

Vitamin B12 (various cobalamins; commonly cyanocobalamin in vitamin supplements).

TWINLAB® Super B Complex – Cherry Flavor is a good one - I believe GNC stock it but it's widely available online. My choice for stuff like that is vitacost - they're worth checking out for all supplements and protein powders:

http://www.vitacost.com/twinlab-bariatric-support-super-b-complex

http://www.vitacost.com/twinlab-liquid-super-b-complex

http://www.vitacost.com/vitacost-b-complex-liquid-with-vitamin-c

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I was suffering with severe fatigue and feeling so awful I regretted the surgery but kept up my vitamins and pushed myself to do 15mins of solid walking twice a day and within a week I was a different person.

Vit B12 sublingual was the vitamin that turned my life around, so I take it daily along with Berocca and Centrum. I may add other vitamins here and there, but they are my staples and if I don't take daily I go downhill after a few days as your body doesn't retain Vit B so needs to be taken daily.

I never thought it would get better, but it does! Just focus on being kind to your body, feed it nutritious foods so it can heal and let it take it's own time. It took me a solid 5wks but everyone is different :)

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One thing I can recommend is using a B-50 complex. If you can't get a B-50, get a B-100 and half the dose.

The asmbs.org actually suggest it as an option - I'd recommend it to everyone, at least early post-op. Table 5 of this document: http://s3.amazonaws....s/bgs_final.pdf

Just make sure that you get one with all 8 B vitamins - you're looking for something that'll give you 50mg of each vitamin:

Vitamin B1 (thiamine)

Vitamin B2 (riboflavin)

Vitamin B3 (niacin or niacinamide)

Vitamin B5 (pantothenic acid)

Vitamin B6 (pyridoxine, pyridoxal, or pyridoxamine, or pyridoxine hydrochloride)

Vitamin B7 (biotin)

Vitamin B9 (folic acid)

Vitamin B12 (various cobalamins; commonly cyanocobalamin in vitamin supplements).

TWINLAB® Super B Complex – Cherry Flavor is a good one - I believe GNC stock it but it's widely available online. My choice for stuff like that is vitacost - they're worth checking out for all supplements and protein powders:

http://www.vitacost....super-b-complex

http://www.vitacost....super-b-complex

http://www.vitacost....-with-vitamin-c

Would you take the B-50 in addition to sublingual B12?

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Cindy...I take B1 in addition to my B12 sublingually. I think if you get more than you need, your boday will rid of most of whats not needed anyway.

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I take B12 and a B Complex. The B Complex made a HUGE difference for me as far as my energy level.

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Would you take the B-50 in addition to sublingual B12?

I do!

In a B-50, the "50" is an indication of the dose. There's sometimes a little variance but 50mcg of B12 is very small considering the usual recommendation is 1,000mcg/day for gastric bypass patients.

AND - if take a B12 in a capsule/tablet form, gastric bypass patients aren't likely to get much benefit from it anyway.

It's worth pointing out that intrinsic factor (and/or decreased gastric acid secretion) is essential for the uptake of vitamin B12 in a bypassed patient. Intrinsic factor secreting parietal cells are located in the stomach lining - without that, we run the risk of B12 deficiency unless we take on B12 in another form - sublingually, nasal spray, patch or injection.

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Thanks for the post. Off to take my B12.

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The advice about the protein and vitamins is good, and it's very important to take those things seriously. My levels were checked and were ok, but I remember being really tired at that stage of the game also, and falling asleep without really trying. I seemed to need naps just about every day. It felt a lot like being pregnant, esp. with the nausea and hypersensitivity to smells.

Your body is making so many adjustments right now- it's recovering from the stress of surgery, dealing with a serious restriction in fuel, and trying to process all of the hormones that are released from the large stores of fat that are being burned up rapidly. Your mind needs to make adjustments as well, to cope with the new relationship you have with food and with your body. It's all very exhausting. If you're doing everything according to plan, including vitamins, protein, fluids, and exercise (start slow with walking, but def. do something), it will pass.

I am now 4 months out and have more energy than I've had in years. But for the first few months, I really felt like something had gone wrong and I would never have the energy to do anything again. I was jealous of all the people who posted that they were running, or could suddenly play with the kids.

Good luck to you!

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