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Topic: End of stall, Hormones or Metformin
Hi 
I have had PCOS for many many many years. I have been on and off Metformin over the years and have just started to take it again. I'm not IR.
I thought I was in a stall ( no loss for over 10days) but then I gained 0.2kg and with some cramps I knew AF was coming just didn't know when. I started my Met the same day I started to spot 3 days ago. I wasn't going to get on the scales but thought wth I will and I have lost 0.6kg.
Do you think I wasn't losing because I was in a stall, hormones due to AF or does Metformin help with weight loss after WLS. It never did anything for me before I had my op except help me ovulate.
Many thanks
Crystal
I have had PCOS for many many many years. I have been on and off Metformin over the years and have just started to take it again. I'm not IR.
I thought I was in a stall ( no loss for over 10days) but then I gained 0.2kg and with some cramps I knew AF was coming just didn't know when. I started my Met the same day I started to spot 3 days ago. I wasn't going to get on the scales but thought wth I will and I have lost 0.6kg.
Do you think I wasn't losing because I was in a stall, hormones due to AF or does Metformin help with weight loss after WLS. It never did anything for me before I had my op except help me ovulate.
Many thanks
Crystal
SW 113.3kg/249.8lbs (BMI 47.8)
VSG 02/24/10 with Dr Mosse
Weight lost pre-op 9.3kg/20.5lbs.
VSG 02/24/10 with Dr Mosse
Weight lost pre-op 9.3kg/20.5lbs.
Topic: slow weight loss
I just had my surgery Feb 5th i weighed 282lbs its now 2 months later (April 4th) and i'm 260. My dr. says i should be losing more by now and I should stop eating fruit etc..., I don't know if it has anything to do with my pcos or I'm just trippin? Any suggestions
Topic: RE: PCOS wow
Hi Jody!
Thanks so much :)
Losing weight with any WLS will help in some ways, but yes, the DS is the most effective WLS for PCOS. The reason is the intestinal portion (the switch part) that bypasses much of the small intestine fixes the insulin resistance issue for 99% of patients.
Check out diabetes cure rates from those with the DS. I was never diagnosed with diabetes, but tried numerous drugs for the insulin resistance. None of those are needed post-op as blood sugar is normalized. There are even some surgeons in Europe doing only the intestinal switch portion of the surgery, not the stomach sleve, to resolve diabetes in patients.
Thanks so much :)
Losing weight with any WLS will help in some ways, but yes, the DS is the most effective WLS for PCOS. The reason is the intestinal portion (the switch part) that bypasses much of the small intestine fixes the insulin resistance issue for 99% of patients.
Check out diabetes cure rates from those with the DS. I was never diagnosed with diabetes, but tried numerous drugs for the insulin resistance. None of those are needed post-op as blood sugar is normalized. There are even some surgeons in Europe doing only the intestinal switch portion of the surgery, not the stomach sleve, to resolve diabetes in patients.
Topic: RE: xpost..I need some input on a few female issues,
well u do have a lot on your plate right now.
I think the best thing is to get a second opinion BUT if you are done having your kids and if there is a risk to your overall health by trying to keep the uterus then I would let it go.
If you can, try to keep your ovaries, unless there is chronic problems..The cysts are usually underdeveloped /unreleased eggs. Make sure you discuss lots with your GYN, cuz sometimes the trauma of a hysterectomy may cause some of your cysts to be more panful or more to be produced, just due to the stress and anaesthia.
I have been avoiding a hysterectomy but it is due to fibroids..I can usually work hard with my naturopath and shrink them, so going to keep waiting as longas I can.. Surgery and I do not get along very well- (scared for WLS)
if u remove the ovaries, u will experience menopause post-op and with 3 little ones..u will need some extra help
also the cervix- depends on the gyn and your particular situation
if there is any family history of any female reproductive cancer then they may consider removing it all
good luck to you and I really hope you can get some extra help, you will need some rest post op
I think the best thing is to get a second opinion BUT if you are done having your kids and if there is a risk to your overall health by trying to keep the uterus then I would let it go.
If you can, try to keep your ovaries, unless there is chronic problems..The cysts are usually underdeveloped /unreleased eggs. Make sure you discuss lots with your GYN, cuz sometimes the trauma of a hysterectomy may cause some of your cysts to be more panful or more to be produced, just due to the stress and anaesthia.
I have been avoiding a hysterectomy but it is due to fibroids..I can usually work hard with my naturopath and shrink them, so going to keep waiting as longas I can.. Surgery and I do not get along very well- (scared for WLS)
if u remove the ovaries, u will experience menopause post-op and with 3 little ones..u will need some extra help
also the cervix- depends on the gyn and your particular situation
if there is any family history of any female reproductive cancer then they may consider removing it all
good luck to you and I really hope you can get some extra help, you will need some rest post op
Topic: RE: PCOS wow
CONGRATS on your success
? for u- is the DS better for PCOS patients, if so, why?
I am hoping for WLS this year and sometimes the PCOS symptoms seem to just intensify all my other health related issues..since having my kids, my cycles are regular but I seem to have the insulin resistant problems
here's hoping the WLS will help with some of those symptoms
? for u- is the DS better for PCOS patients, if so, why?
I am hoping for WLS this year and sometimes the PCOS symptoms seem to just intensify all my other health related issues..since having my kids, my cycles are regular but I seem to have the insulin resistant problems
here's hoping the WLS will help with some of those symptoms
Topic: RE: PCOS??? I'm going to see my Dr on Monday.
Hi Stephanie,
Yes, I'm definitely going to ask my doctor on Monday about this. If she is clueless about PCOS. I will be sure to find a OBGYN and/or ENDOCRINOLOGIST to help me.
You look really beautiful in your avatar picture.
Thanks for your advice and input.
Virgie Tschirhart
Lap Band - 2008, Sleeve - 2009, RYN - 2017
Started Program Weight July 13, 2017 - 194.2
Before Surgery Weight December 27, 2017 - 185.0
Current Weight - February 2018 - 161.0
Topic: RE: so much pain
I was put on progesterone and got some cramps, but that's it. Sorry there's not more advise here for you 
Stephanie
http://watchstephlose.blogspot.com/
Topic: RE: PCOS??? I'm going to see my Dr on Monday.
One of the descriptive factors of PCOS is that you carry most of your weight in your belly. I would say it sounds like it is very likely that you have PCOS.
I was on Metformin/Glucophage (sp?) and it gave me terrible diarrhea. I was put on the MetXR, which is the extended release metformin and that did help a lot with the sickness. Part of the reason the metformin can make you sick is if you do eat sugars or simple carbs...so if you limit your intake of those then the metformin won't make you as sick. Personally, it didn't do much for me.
PCOS is complicated in that doing 1 thing won't work. You have to have a combination of medication, good nutrition, and exercise. My NP (who also has pcos) told me that I can take all the meds I want, at the highest dosage and it'll do nothing w/o the other 2 elements.
PCOS effects everyone slightly differently...so see what other people post and get a lot of perspective...but ultimately, you just need to talk to your Dr. PLEASE find a Dr. who KNOWS about PCOS...my first 2 didn't and couldn't help me at all and gave me useless information that had nothing to do with PCOS.
I was on Metformin/Glucophage (sp?) and it gave me terrible diarrhea. I was put on the MetXR, which is the extended release metformin and that did help a lot with the sickness. Part of the reason the metformin can make you sick is if you do eat sugars or simple carbs...so if you limit your intake of those then the metformin won't make you as sick. Personally, it didn't do much for me.
PCOS is complicated in that doing 1 thing won't work. You have to have a combination of medication, good nutrition, and exercise. My NP (who also has pcos) told me that I can take all the meds I want, at the highest dosage and it'll do nothing w/o the other 2 elements.
PCOS effects everyone slightly differently...so see what other people post and get a lot of perspective...but ultimately, you just need to talk to your Dr. PLEASE find a Dr. who KNOWS about PCOS...my first 2 didn't and couldn't help me at all and gave me useless information that had nothing to do with PCOS.
Stephanie
http://watchstephlose.blogspot.com/
Topic: RE: PCOS Patient *****gained weight after RNY
I know that you posted this a while ago, but wanted to share my story with you. I was diagnoised w/ PCOS about 10 yrs before I had RNY. Immediately after my surgery, my bariatric surgeon took me off Metformin & indicated that the RNY shoudl resolve the PCOS completely.
At a little more than 3 yrs post-op, I had extensive bloodwork done, which showed that I had active PCOS (crazy cortisol & testosterone levels). I am back on Metformin & my PCP (who is an endocrinologist) says it will likely be a lifetime maintenance drug for me. I have since lost 30 lbs that I had regained since my surgery & am at my lowest post-op weight (and have been for the past 4 months). I definately made some dietary adjustments in addition to the glucophage, but I do think that it helped.
I understand that you do nto do well on Metformin, but there are other medications that improve insulin resistance and PCOS symptoms. Go talk to your OBGYN or an endocrinologist & they should be able to verify whether your PCOS is back (via labwork) & can help you find an appropriate treatment plan.
At a little more than 3 yrs post-op, I had extensive bloodwork done, which showed that I had active PCOS (crazy cortisol & testosterone levels). I am back on Metformin & my PCP (who is an endocrinologist) says it will likely be a lifetime maintenance drug for me. I have since lost 30 lbs that I had regained since my surgery & am at my lowest post-op weight (and have been for the past 4 months). I definately made some dietary adjustments in addition to the glucophage, but I do think that it helped.
I understand that you do nto do well on Metformin, but there are other medications that improve insulin resistance and PCOS symptoms. Go talk to your OBGYN or an endocrinologist & they should be able to verify whether your PCOS is back (via labwork) & can help you find an appropriate treatment plan.
Topic: RE: PCOS and Metformin Question
My surgeon took me off the metfromin the day of my surgery. At a little more than 3 yrs post-op, my pcp did extensive bloodwork, which showed that my testosterone & cortisol levels were completely out of whack (in line with PCOS), so I have been back on the Metformin for the past 13 months. My doc thinks that metformin will be a lifelong maintenance drug for me.
When you are rapidly losing wieght, your hormones (including cortisol & testosterone) go a bit haywire, but I think that once your weight stabalizes post-op that there is new/growing thought in the medical community that insulin resistance/PCOS can recur. It is easy enough to check with a blood test, so if you have any doubts and/or it would give you peace of mind, I'd ask your doctor to do some labwork.
When you are rapidly losing wieght, your hormones (including cortisol & testosterone) go a bit haywire, but I think that once your weight stabalizes post-op that there is new/growing thought in the medical community that insulin resistance/PCOS can recur. It is easy enough to check with a blood test, so if you have any doubts and/or it would give you peace of mind, I'd ask your doctor to do some labwork.
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