I had gastric bypass Oct 2021. I have Rheumatoid Arthritis and had to hold my biologicals, prednisone and other meds three weeks before my surgery and four weeks after. Every surgical group has their own restrictions regarding the biologicals. Yes, I was miserable for the most part. I was provided hydrocodone post-op for 2 weeks. Prior to surgery and after the hydrocodone, the rheumatologist recommended tramadol 100mg three times a day, Tylenol Arthritis three times a day and the use of heating pads or ice packs to joint and topicals like Voltaren for short-term use. I staggered the tramadol and Tylenol Arthritis so I was taking something about every three hours or so. I responded best to the ice pack over the heating pads which is unusual. The surgery did help my pain in my knees, ankles and back. Thankfully, my rheumatologist and the weight loss surgeon actually consulted with each other to determine the best approach in managing my treatments and pains. If the doctor managing your biologicals and the weight loss surgeon haven’t consulted regarding managing your pain during this period, request that they do to address your pain management needs while you’re off your biologicals.