Helpful Dos and Don'ts

For gastric bypass patients

  • Refer to RD for erratic blood sugars
  • Add an H2 blocker or proton pump inhibitor if prednisone is needed
  • Include our recommendations for repleting vitamin deficiencies. Patients can develop deficiencies in Vitamin A, E, K, B1, B6, copper and Zinc when more than 2 years out.
  • Take NSAIDs or aspirin
  • Smoke tobacco or marijuana. These are the most common causes of GJ ulcers
  • Consume alcohol. This can lead to gastrointestinal distress, expedite liver disease/cirrhosis and has unpredictable absorption. 

For gastric sleeve patients:

  • Know that dumping syndrome and erratic blood sugars are much less common
  • Know that there are no medication contraindications beyond the 6-week postop period.
  • Smoke tobacco or marijuana. These substances can cause inflammation and strictures.
  • Consume alcohol. This can lead to GI distress and expedites liver diseases/cirrhosis 

For all weight loss patients:

  • Biliary colic is common, and we are happy to see patients back for this diagnosis
  • There is a lot of support for weight loss patients, medical and surgical, if our help is needed with weight maintenance, weight regain, or post-surgical complications.