Malabsorption of Medicine
Have you ever tried an elliptical machine? I really screwed up my knees on a treadmill; walking became difficult and painful at times. I've been useing an elliptical for over a year now. The pain in my knees is gone which I think is pretty amazing because at one point I was certain I was a candidate for knee surgery. It did take a long time but the exercise and some strength training threopy seemed to do it for me.
Yeah. I tried it and didn't like it. I don't like treadmills either. I really prefer to be outside. I need for the scenery to change to keep me from being bored silly. Luckily I live in a part of the world where you can be outside the huge majority of the time. Although I'll admit that during the summer you better get your walking in before 10am or you'll be suffering mightily. I really would rather get my knee cleaned up and working right than go with some alternative exercise. I had my ankle scoped several years ago and it works perfectly now.
The free man owns himself. He can damage himself with either eating or drinking....... If he does he is certainly a damn fool, and he might possibly be a damned soul; but if he may not, he is not a free man any more than a dog.
> Now if I can just figure out what to do about my hips, they really don't like all this walking.
My right hip started acting up a month or so before my RNY surgery, helped along by my new daily regimen of walking. I finally had so much trouble walking a significant distance without severe pain, not to mention pain while climbing stairs, that I saw an orthopedist last month. One look at an X-ray of my hip, and he said: "Don't bother with canes, or physical therapy or exercise for the hip--your hip is shot; there's no cartilage left, and it's bone-on-bone". Of course, it had to have been close to being shot even years ago, but it just didn't become symptomati****il recently.
I saw an orthopedic surgeon this week, and I'm supposed to hear back about a surgery date for a hip replacement. Groan... And I'm just a month out from being 52!
If I'd known that voting for Carter would have gotten me in the predicament, I'd never have done it!
/Steve
I got through to my bariatric doc's office. Talked to the nutritionist. She says that malabsorption of medicine is not much of an issue. Rather that probably because of lost weight my meds are out of whack for what my body needs. So I guess I'll go see my pcp next week and she'll probably refer me to the cardiologist and...........................
Oh well. I read a post on here when I was about a week post-op that cautioned us against getting our hopes up that wls would solve all of our problems.
The free man owns himself. He can damage himself with either eating or drinking....... If he does he is certainly a damn fool, and he might possibly be a damned soul; but if he may not, he is not a free man any more than a dog.
> I almost always take them on top of a meal so that
> they'll have a chance to stay in the stomach as long as possible.
???
Some drugs are better absorbed with food, others on an empty stomach, and with others, it just doesn't matter. In all cases, the time spent in the stomach (if you mean the anatomical stomach, or pouch) is irrelevant. What suggested this to you?
Most antihypertensive drugs are immediate release. The only ones I can think of off-hand which are timed-release are two calcium channel blockers: nifedipine (Adalat, Procardia) and diltiazem (Cartia, Cardizem, Tiazac). As you know, timed-release medications aren't recommended post RNY because the length of the gut is shorter, so there's less time for the drug to traverse the small intestine.
The only alternate dosage form I know of is the transdermal patch, and the only antihypertensive drug that also comes as a patch is clonidine (Catapres TTS). It's not used very frequently these days, mainly because it causes so many side effects, but it can be helpful for people whose blood pressure can't be controlled with other drugs. (I wouldn't put you into this category yet, given your successful history with BP meds.)
I'd be interested to know what you've been prescribed, if you'd care to share it. Your elevated BP might just be an example of the drugs you're on "pooping out". That happened to me a month before my surgery. It may be simply a matter of tweaking your current dosage, OR trying different meds. Luckily, there are now dozens of very effective BP meds that work by various different mechanisms, and most of the new ones have side effect profiles indistinguishable from sugar pills.
/Steve
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