No energy

[MISTY_CEE035 26]

17 hours ago, crystaldawn81 said:

Help!!! I am 3 months post op and have no energy. I could sleep all day but I don't bc I have a job and a family to take care of but why do I feel this way? I get my Protein and take my Vitamins. Any suggestions

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Good Morning,

The best advice I can give you is get up and just do it! You have to stay mobile, remaining active is what will shed the pounds off your body. If you need to talk more I am here.

Missy

[crystaldawn81 13]

Good Morning,
The best advice I can give you is get up and just do it! You have to stay mobile, remaining active is what will shed the pounds off your body. If you need to talk more I am here.
Missy

Thank you so much!!

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[RickM 1,747]

If it is too early to get labs done for your surgeon (it's often not until six months,) talk to your surgeon or PCP about your problem and maybe get your Iron and B12 levels checked to see if either of those are your problem - a sleeve does not markedly change your B12 absorption (that's more of a bypass thing) but some people do run intrinsically low in it. Our program doesn't call for any B12 supplements for VSG or DS patients, and I never needed any.

Electrolytes were mentioned, and that is something to look into. Another area where this is a common problem is simple dietary balance. Our early diets are usually by default low in carbohydrates, and some go overboard even further in limiting them, but they are also our primary energy source - lethargy and brain fade are not uncommon side effects of low carb dieting, so there may be something that can be tried there to restore balance a bit. While I never had any real lethargy problems after the first month or so, I was running out of gas after swimming for an hour, Working with my RD, we added some complex carbohydrate to my lunch before I went to the gym, and a simple piece of toast did wonders, and broke that wall I was having at an hour. That is a simple thing one can try (I didn't add any calories, just reallocated what I was already consuming. A bit of carbohydrate for Breakfast - oatmeal perhaps - can help set the stage for more energy through the day (as opposed to late in the day.)

I have seen references to some programs that specifically want their early post op patients to do a bit of carb loading (bit of fruit juice, apple sauce, oatmeal, etc.) specifically to help maintain energy levels (nothing big, we're mostly talking about minor adjustments here.) Something else to think about.

[GreenTealael 25,336]

20 hours ago, sillykitty said:

Looking into taking a B12 supplement. Either an injection from your surgeon's office, or an oral sublingual

Also consider adding B1 (with your teams guidance) @crystaldawn81

(low levels can cause thiamine deficiency

https://www.healthline.com/nutrition/thiamine-deficiency-symptoms )

[crystaldawn81 13]

If it is too early to get labs done for your surgeon (it's often not until six months,) talk to your surgeon or PCP about your problem and maybe get your Iron and B12 levels checked to see if either of those are your problem - a sleeve does not markedly change your B12 absorption (that's more of a bypass thing) but some people do run intrinsically low in it. Our program doesn't call for any B12 supplements for VSG or DS patients, and I never needed any.
Electrolytes were mentioned, and that is something to look into. Another area where this is a common problem is simple dietary balance. Our early diets are usually by default low in carbohydrates, and some go overboard even further in limiting them, but they are also our primary energy source - lethargy and brain fade are not uncommon side effects of low carb dieting, so there may be something that can be tried there to restore balance a bit. While I never had any real lethargy problems after the first month or so, I was running out of gas after swimming for an hour, Working with my RD, we added some complex carbohydrate to my lunch before I went to the gym, and a simple piece of toast did wonders, and broke that wall I was having at an hour. That is a simple thing one can try (I didn't add any calories, just reallocated what I was already consuming. A bit of carbohydrate for Breakfast - oatmeal perhaps - can help set the stage for more energy through the day (as opposed to late in the day.)
I have seen references to some programs that specifically want their early post op patients to do a bit of carb loading (bit of fruit juice, apple sauce, oatmeal, etc.) specifically to help maintain energy levels (nothing big, we're mostly talking about minor adjustments here.) Something else to think about.

Lots of good info!!! Thank you so much! I am actually supposed to go next week for my labs. I believe my surgeon does them every 3 months for the 1st year or maybe 3 then 6, not really sure. I do not exercise much but I'm forcing myself to stay busy today so I actually do feel better.

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[crystaldawn81 13]

Also consider adding B1 (with your teams guidance) [mention=384173]crystaldawn81[/mention]
(low levels can cause thiamine deficiency
https://www.healthline.com/nutrition/thiamine-deficiency-symptoms )

Ok great!! Thanks a bunch[emoji846]

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[tarotcardreader 196]

On 9/15/2020 at 9:25 AM, crystaldawn81 said:

Ok thanks for replying!! I'm trying to be patient! I feel good just sleepy and tired.

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Me too! We got to hang in there 👍🏼💗

[tarotcardreader 196]

On 9/15/2020 at 1:22 PM, km13118 said:

I'm 3 months post ESG and average 60 grams Protein and around 700 calories daily. I too was feeling tired. I started a Water aerobics class and it has boosted my energy. It may be just from getting out of the house but it has worked for me. I did notice an increase in appetite the first several days but my appetite has returned to baseline.

I want to go do the Water zumba but covid ended that plus open wounds

[Dogmom68 135]

On 09/15/2020 at 21:47, sillykitty said:

Yes, I did really like Nascobel. My surgeon's office gave me a few samples. Unfortunately it wasn't covered by my otherwise good insurance??

GoodRx - Mail my meds option is $155.

[sillykitty 10,774]

2 minutes ago, Kaki68 said:

GoodRx - Mail my meds option is $155.

Maybe it's just me, but I'm not going to pay $155, when I can get a sublingual a $0.02/pill

[Dogmom68 135]

On 09/17/2020 at 03:46, sillykitty said:

Maybe it's just me, but I'm not going to pay $155, when I can get a sublingual a $0.02/pill

Just trying to be helpful. 🙄

[sillykitty 10,774]

1 minute ago, Kaki68 said:

Just trying to be helpful. 🙄

Didn't mean anything by my response. Just for me the slightly less convenient option is exponentially less expensive.

[Topaz_Black 45]

On 9/16/2020 at 6:39 AM, crystaldawn81 said:

Can I get that over the counter?

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Unfortunately the Nascobel is prescription only.

[Topaz_Black 45]

5 hours ago, sillykitty said:

Maybe it's just me, but I'm not going to pay $155, when I can get a sublingual a $0.02/pill

Wow! My insurance covers it 100%, I don’t even have my usual prescription co-zoster. I did not realize it was so expensive.

[jaymmee 37]

I'm 7 months post op VSG, and I'm so exhausted. I feel ok for a bit after I get a B-12 shot, and then I'm really sluggish again when it's due. Does anyone know approx when it goes away for good? Will it go and then come back?