If you’re considering weight-loss Bariatric Surgery, there’s a good chance you’re getting plenty of pre- and post-op guidance from a doctor you trust. But that’s not always the case, and for many people who have this type of procedure, life after surgery can be full of surprises — the good, the bad, and even the downright embarrassing. If you’re reasoning about undergoing Bariatric Surgery, here are a few things you should know that the doctor may pretermit  to indicate.

1. You may get very depressed post-surgery.

There’s a demonstrate link between obesity and depression, and while the preponderance of patients who undergo bariatric surgery do experience an overall improvement in their well-being after surgery, feelings of depression can exacerbate  for some. Researchers from Yale University assembled a study in the Obesity Journal in which 13 percent of patients learned reported an excess in Beck Depression Inventory – a numerical rating that calculate eating disorder behavior, self-esteem, and social operating – six to 12 months after gastric bypass surgery, a time structure  that the authors conclude is an necessary period to assess for depression and associated symptoms.

2. Excess skin can be an issue — and corrective surgery is costly.

Though the post-surgery weight loss may be gradual enough that your body and skin can adjust slowly, many people are left with such an excess that it requires cosmetic surgery to fix. And unless it’s deemed medically necessary (such as a surplus of droopy skin causing a rash or infection), your insurance company will not be footing the bill. According to the American Society of Plastic Surgeons, in 2013 member surgeons performed nearly 42,000 body contouring operations — reshaping of breasts, arms, thighs, and stomachs — for patients who lost substantial amounts of weight. Body contouring operations can cost anywhere from $4,000 to much, much higher.

3. You’re going to poop more — a lot more.

About 85 percent of patients who undergo Roux-en-Y Gastric Bypass (RNYGB) surgery will experience extreme bouts of diarrhea known as dumping syndrome at some point post-surgery, according to The American Society for Metabolic and Bariatric Surgery (ASMBS). It’s usually the result of poor food choices (including refined sugars, fried foods, and some fats or dairy), and can have mild-to-severe symptoms that also include sweating, flushing, lightheadedness, desire to lie down, nausea, cramping, and active audible bowels sounds. Sound like a nightmare? Unfortunately, that’s not all: Loose stools, constipation, and embarrassing gas (or as experts refer to it, malodorus flatus) are other common bowel-related complaints after surgery.

4. It could boost your risk for alcohol use or abuse.

One study published in JAMA examined people who had gastric bypass surgery at one, three, six, and 24 months after surgery and found that patients’ risk for increased alcohol use after the procedure was significantly higher. This may be because patients have higher peak alcohol levels, and reach those levels more quickly, after bariatric surgery, although other theories do exist to explain the connection.source

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