Issue with fatigue... Any suggestions?

Alright Ladies!  You all have been a wealth of knowledge in the past and once again I need to tap into it.

I had a follow-up appointment with my surgeon about 3 weeks ago.  It was long overdue and I thought my labs would shed light on why I feel so tired all the time.  Well, aside from my uric acid level (which was high), all my levels were excellent according to surgeon.  When I asked him why I was so tired all the time, he stated that it was because of the extreme weight loss (according to his records, 88 lbs w/ clothes since I first saw him).  He said my fatigue level would drop and go away over time; that my body needs time to adjust to my new weight.

***HUGE SIGH***

That's great and all, but I need to get my energy up like... YESTERDAY!  I need to return to working full-time.  I need to be able to be there for my daughter's music recitals.  I really need to be able to get my exercise in.

So what do you all suggest?  On a side note, I did find out about 2 months ago now that I'm gluten intolerant.  Not that it has really limited my ability to eat anything, but it has mildly changed the dynamics of things...

Thanks in advance for any help you can provide!!!

First thing I would want to know is your actual vitamin levels. Excellent without seeing them IN writing is their opinion. As WLS patients, we need HIGH normal and while you may be there, I would find out.

Some that come to mind:

Iron level

Vitamin D

B12.

Liz

Thanks, Liz.  I'll call my surgeon's office on Wednesday and see about getting a copy of the results.

Always get a copy of your lab work regardless of who did it. It helps in spotting trends as well. You could be at a fine "normal" level on something but trending down or up by too much.

Liz

Def. get the copy of them and get a copy or previous ones as well so you can look at the trends and see what is dropping or raising. If you need help reading them post them on here many can help you. I've found my doctor's idea of "good" and mine according to research online are two different things.

I know that I started feeling normal again when I got my D3 level up.  Maybe it just happened but that was when.  Almost everyone is low even if they work outside, etc. 

I would also be sure you are getting enough fluid.  Dehydation causes tiredness and irritability.  Iron can cause you to be tired as B12 can.

Get a copy of your labs so you can see what is really going on.  What they think is ok and what we know is, can be two very different things.

I do recall my doctor saying that my B12 was "through the roof."  I have been supplementing with a sublingual B12 supplement from the time I was allowed to eat again (I had a PICC line in my right arm for about a month and was getting nutrients exclusively through IV) back in May.  I'd be very interested to see where my iron levels are really at since I have a history pre-op of iron anemia.

I watched an episode of Dr. Oz last week about a majority of people having low D3 levels.  I made the decision to go ahead and increase that after his guest went through some of the symptoms of being D3 deficient (many of which I have).  It has been a few days, but I have noticed a little improvement.  I still have a lot of work to do in the hydration department.  Even though my water bottle has ounce demarcations on it, I still have a little difficulty measuring out just how much I drink because it stays with me all the time - even beside my bed when I sleep (and I do sip on it through the night).

I will make sure to call my surgeon's office Wednesday morning when they open to see about getting a copy of the results.  Thanks again!

First off....thanks for switching to block lettering. Although  it was pretty I was having a really hard time reading your earlier posts.

Every ones right about getting your reports and keeping track. I post mine on on Excel so I can recognize changes Quickly and make corrections. 

Are you buying a good multi-vitamin, getting enough GOOD Protein in, sleep, exercise, etc,  carbs and sugar can make you tired too and sometimes they slip into our menus without a thought. 

Aside from sleep being an ongoing issue for me (something I'm working on fixing), I take a Centrum multi-vitamin twice a day along with my other vitamins, I get about 90 grams of good quality protein every day and I exercise when the fatigue isn't as bad (just not consistently as I probably should).  Even though my diabetes isn't an issue these days (my A1C level in October was at 4.4%), I still watch my carbs and sugar intake like a hawk.  Especially now with being gluten intolerant, I watch my carb intake very carefully.

Try also upping your protein. Most lightweights need an average of 100 grams or more.

Also look to any medications you take, esp prescription meds for side effects. I found out by looking at mine that one that was suppose to help me sleep also was known to keep people awake at night or have them wake up and not get back to sleep. Very minor crowd but apparently it does happen...I was one of the ones who once off it, slept FAR better. And I tried other sleep aids to help me sleep in the four months pror to that.

Now, the only thing that wakes me up is a cat walking across my kidneys unless it is morning.