I certenly have less energy, my age (75) might have something to do with it  but I should have more.

Yes, I never have the energy now that I had before the jpouch.

I was very sick before my surgery. Weak as a kitten. Sick for a year. It took me a full year to regain my pre-illness energy levels. It takes a long time to built up what was lost.

Jan

I have less energy come the evening and need a nap in the afternoon. My GI says his pouch patients have all complained of a lack of energy and cannot explain why, all the bloods appear to be good so he is at loss to the cause. He's head of department at a top Barcelona hospital so has plenty of experience.

Paul 

I've been saying it for years.

I am natually very high energy but find that with the pouch I have 'highs' and "lows".

Whenever home I need an afternoon nap, no matter how much or little I slept the night before. 

Hubby nicknamed me 'sleepy' when we started dating...I would just go and curl up on the sofa and drift off of be out of breath climbing a flight (not my natural state).

I figured out 3 things. First I need water and lots of it...tons of fluids of all sorts or I wilt. After 2 glasses of water I perk right up.

Next, iron levels. I was very low.  Took some time but once I got them back up I had more pep.

3. Probiotics...I probably had very low grade pouchitis for a while (set off by long term antibiotic use) ...I did a couple runs of 60 days on chewable probiotics (the only way that I seem to absorb them correctly) and things improved. I went from emptying my pouch 12xs/day or more down to 8 and seem to have gained in energy.

Do not discount the pre-op illness (as Jan said) and the post op recovery time (about 12 months to be back up to full speed)...if after 12 month you are still exhausted then I would have the doctor do bloodwork to check your levels and for underlying infection or inflamation.

Sharon