Smoking anything (cigarettes, marijuana) after gastric bypass surgery is highly irritating to the new stomach "pouch" that is created during the surgery. This irritation can cause an ulcer in the stomach, which is almost unbearably painful and prevents the patient from eating or drinking. The other risk of smoking pot after the surgery is the munchies. Immediately after surgery (for the first month or so) your food intake is limited to a couple tablespoons to 1/2 cup of food per meal, and exceeding this amount of food will make you extremely sick, and can also result in death if the staple line in the new stomach is ruptured because it is overfilled. Later, overeating (or eating the wrong foods) will have a profound affect on your ability to lose weight or maintain your weight loss.
To improve on the above, marijuana is used to TREAT ulcers!
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Smoking can kill you any time - no matter what you're smoking. You're breathing smoke into your lungs. Also, drugs like marijuana do have an effect on your heart. So don't smoke - and especially not after you've just had surgery to correct a heart problem!