Substance Abuse, and Psychological Support

Some patients may develop issues with alcohol post-surgery, particularly if they had a history of alcohol abuse before the procedure. Here are some precautions to consider:

• Avoid alcohol during the rapid weight loss period, and afterward, consume it only occasionally.
• Be aware that even small amounts of alcohol can cause intoxication more quickly than before surgery.
• Avoid driving or operating heavy machinery after consuming alcohol.
• Remember, you may feel less intoxicated than you actually are, so you might not accurately judge whether it’s safe to drive.
• Seek help if alcohol becomes a concern.

Studies indicate that a small percentage of patients (7-10%) report problems with alcohol after surgery. Sensitivity to alcohol increases after procedures like gastric bypass or sleeve gastrectomy, meaning alcohol raises blood alcohol levels higher and faster than before. Additionally, alcohol takes longer to clear from the system, so you may feel sober while still above the legal limit for driving. Given these risks, it’s important to take precautions with alcohol after weight loss surgery.

Patients with severe obesity often have higher rates of depression, anxiety, and lower self-esteem, which can improve significantly after surgery. However, studies have found a small but significant increase in suicide risk post-surgery. This could be due to undiagnosed mental health conditions or increased stress levels.

For this reason, a psychological evaluation is required before surgery, and ongoing mental health support is recommended. If you are already seeing a psychologist or psychiatrist, it’s important to continue your care with them after surgery. Comprehensive bariatric programs often include access to therapists for counseling before and after surgery to help manage these risks.