Can You Do Edibles With Bariatric Surgery
Urgent concerns are surfacing within the bariatric surgery community regarding the consumption of edibles. Patients are questioning the safety and efficacy of combining cannabis-infused edibles with their post-operative dietary restrictions and altered digestive systems.
This article dissects the complexities of this emerging issue, providing essential information for those who have undergone or are considering bariatric surgery and are interested in or currently using edibles.
The Bariatric Surgery Landscape
Bariatric surgery, including procedures like gastric bypass and sleeve gastrectomy, drastically alters the digestive system. These surgeries aim to reduce stomach size or modify the digestive tract to limit food intake and nutrient absorption.
The primary goal is weight loss and the improvement of obesity-related health conditions. Successful outcomes depend heavily on adherence to strict post-operative dietary guidelines.
Edibles and Altered Digestion: A Risky Mix?
The consumption of edibles after bariatric surgery introduces significant risks due to altered absorption rates. Unlike inhaled cannabis, edibles are metabolized in the liver, resulting in a delayed and often unpredictable onset of effects.
This delayed onset can lead to overconsumption, as users may not feel the effects immediately and ingest more, potentially leading to adverse reactions. The changes made in the digestive system caused by the surgeries exacerbates this issue.
"The altered anatomy and physiology following bariatric surgery can dramatically impact how the body processes and absorbs nutrients and other substances, including the active compounds in cannabis," explains Dr. Emily Carter, a bariatric surgeon specializing in post-operative care.
Absorption Issues: A Major Concern
One of the most significant concerns is the impact on absorption. Post-bariatric surgery, the reduced surface area and altered gastric emptying can lead to unpredictable absorption of THC and other cannabinoids.
This can result in either diminished effects or, conversely, significantly amplified and prolonged intoxication. The unpredictable nature is what makes it a risk.
Studies on drug absorption post-bariatric surgery highlight the potential for both increased and decreased bioavailability depending on the specific drug and the surgical procedure. This is documented in a 2018 study published in the Obesity Surgery journal.
Potential Adverse Effects
Combining edibles with bariatric surgery can lead to a range of adverse effects. These can include severe anxiety, paranoia, nausea, vomiting, and even hospitalization in extreme cases.
The altered digestive system can also complicate the management of these adverse effects. Traditional methods of managing overconsumption, like inducing vomiting, may not be viable or safe for post-bariatric patients.
"Patients need to be aware that what used to be a manageable dose before surgery could become overwhelmingly potent afterward," warns Dr. Carter.
Nutritional Deficiencies and Edibles
Bariatric surgery patients are already at risk of nutritional deficiencies due to reduced absorption. Many edibles are high in sugar, fat, and empty calories, potentially exacerbating these deficiencies and hindering weight loss efforts.
Furthermore, the munchies induced by cannabis consumption can derail dietary compliance. This will significantly sabotage the long-term success of the surgery. This is something patients must be aware of.
Lack of Research and Guidelines
Currently, there is a significant lack of research on the specific interactions between edibles and bariatric surgery. This absence of data makes it difficult for healthcare professionals to provide evidence-based recommendations.
Most of the information available is anecdotal or based on general knowledge of drug metabolism and bariatric physiology. This leads to many assumptions.
Therefore, healthcare providers generally advise caution or complete abstinence from edibles for bariatric patients. This is primarily due to the uncertainty surrounding the risks and benefits.
Seeking Professional Guidance
It is crucial for individuals who have undergone or are considering bariatric surgery to consult with their healthcare team before using edibles. This consultation should involve a discussion of the potential risks, benefits, and alternatives.
A registered dietitian can also provide guidance on managing dietary needs and preventing nutritional deficiencies. Open communication is the key.
Patients should disclose all substance use, including cannabis, to their healthcare providers to ensure safe and effective post-operative care. Any form of recreational drugs can affect your body.
Next Steps and Ongoing Developments
Given the increasing popularity of cannabis and the growing number of bariatric surgeries performed annually, further research is urgently needed. Studies should focus on the pharmacokinetics of cannabis in post-bariatric patients and the potential long-term health effects.
Healthcare organizations are working to develop evidence-based guidelines for cannabis use in this population. This is the long-term goal.
In the interim, healthcare providers continue to emphasize the importance of informed decision-making and individualized patient care. They are working hard to help the community.
