Has anyone who had bariatric surgery go on Prolia?

@dlc1953
Bone loss is a concern for bariatric patients due to malabsorption and if postmenopausal you may be at even higher risk. The following article explains some of the factors of bone loss in both obese and post bariatric surgery. It is an older study (2015) but is still relevant. It does not discuss Prolia.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4467779/
The literature on Prolia does mention you should tell your doctor about all of your medical conditions, including if you have been told you have trouble absorbing minerals in your stomach or intestines. Seeing you have had surgery, you should definitely mention it to your provider.

You may want to check the following discussions in the Osteoporosis & Bone Health to find out about others experiences with Prolia.

Success With Prolia
https://connect.mayoclinic.org/discussion/success-with-prolia/
Thoughts on Prolia
https://connect.mayoclinic.org/discussion/thoughts-on-prolia/
Are you currently on any medication for osteoporosis, or is this the first one your provider is recommending?

Thanks for your input. I did discuss it at length with my Dr. before I started Prolia. She didn’t seem concerned. I met with her again last week about going off Prolia, and again, I felt like she had her own agenda. I’m very upfront about my Malabsorption problem. I just feel that some Drs. aren’t as educated in some aspects of Bariatric Surgery. For years I had stomach issues and consulted a GI Dr. all she was concerned about is what I was eating. I gave up dairy, artificial sweeteners, white flour and nothing worked. Changed Drs. And within 45 minutes he had me diagnosed. It turns out that Bariatric Patients can suffer from BAM. I’m on a new medication and been doing well ever since. They tend to be prolific only in their own specialty. Everyone has to be proactive and be their own advocate in their health care.

I haven't had the Roux N Y surgery yet, and I would like to know what you mean by BAM? I'm trying to learn as much as I can about what effects I may have after surgery. Thanks

@joysmiley64
I was not familiar with BAM either, it stands for bile acid malabsorption. It is a gastrointestinal disease that can cause chronic diarrhea. BAM occurs when bile acids aren't properly absorbed in the intestines, causing them to build up and disrupt the chemical balance. Excess bile acids in the colon trigger the colon to secrete extra water, which leads to watery stools.

It is a good question for your surgeon if your at higher risk for bile acid malabsorption after surgery.

It does stand for Bile Acid Malabsorption. It caused me issues for so many years, thinking that it was just a bad side effect that I had to endure. It was awful. Like I mentioned I found a wonderful GI Dr. who had me diagnosed in 45 minutes. He also drew me a diagram showing me what is happening. I also, had my Gall Bladder out years ago, which was a double whammy. Believe it or not, I was put on a Cholesterol pill that solved the issue.

Can you provide the name of the cholesterol pill you are taking for BAM. I have only heard of the powder. I'd much prefer a pill if available.

I take colestipol - it is a pill. If anyone else takes this, I am wondering if you've had to adjust the dose or the timing in order for it to work most effectively

I take Colistopol. I started out with 2 pills daily. I now only take 1 pill daily, along with 2 Immodium. Doing this, gave me my life back. Good luck.

Originally I was taking 2 pills/a.m. and 2 pills/pm. I am down to 1 pill everyday only. If, things flare up I’ll take an additional pill, but, not together. It’s a game changer. I’ve been on them for about 2 years now.

My Dr. gave me this too. I am now in process of trying to figure out the best dose for me.