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Bariatric Surgery/Hypothyroid results with WLS comparable to those with normal thyroid function?
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Question
I am 35, 5'4 and 240 pounds, with severe sleep apnea and hypertension. I am currently looking at either RNY or the Lap Band as a tool to help in my weight loss. I am hypothyroid, controlled through medication. Would I have the same results with surgery that those with normal thyroid function have? Is one surgery better then the other for hypothyroid patients?
Tracy,
I believe that, as long as your hypothyroid status is properly treated, it should not have any impact on your success after bariatric surgery.
I don't know of an advantage for Band or Gastric Bypass in reference to thyroid therapy. In either case, your thyroid levels should be re-checked at 3-6 months after surgery, with adjustment of thyroid dosing as needed.
Best of luck!
Dr JP
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Answers by Expert:
John Pilcher, MD
Expertise
I can answer medically oriented questions about bariatric surgery including: patient selection, preparation for surgery, differences between types of bariatric surgery, aftercare following bariatric surgery. I can answer detailed questions about gastric bypass, Lap-Band, gastric sleeve, and revision bariatric surgery. I am only somewhat familiar with Biliopancreatic diversion. I am not prepared to answer insurance or other financial questions related to bariatric surgery.
Experience
I have been a practicing bariatric surgeon since 1995. About 85% of my current practice consists of bariatric surgery, including all of the above procedures except biliopancreatic diversion. I am the senior surgeon of a 5-surgeon group. I am recognized among surgeons and other medical professionals as the most experienced bariatric surgeon in my region.
Organizations
Fellow of American College of Surgeons
Member, American Society for Bariatric Surgery
Education/Credentials
BA in Biochemistry - University of Virginia
Medical Degree - University of Virginia
Surgical Residency - University of Virginia
Awards and Honors
Alpha Omega Alpha
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