DLCoggin

Just emailed!

Just emailed!

I'm certainly not a doctor but it seems unlikely that the carbs in three crackers would result in dumping. If it happens again with no obvious explanation, I'd call your doctor. Dumping is most definitely unpleasant but seldom serious. But it never hurts to get an opinion from the expert if you're not sure.

Dumping is often the result of eating too much sugar but it can be caused by carbs or fats as well. In my case it was a combination of sugar (soft serve ice cream) and carbs (white rice which is nothing more than simple sugars). Like I said, I was stupid. Most folks, about two-thirds of people who experience dumping, experience "early" dumping which usually occurs anywhere from 15 to 30 minutes after eating the source of sugar. I'm in the remaining one-third who experience "late" dumping which usually occurs anywhere from two to three hours (or as much as twelve hours in some cases) after eating the sugar. Late dumping is strongly linked to hypoglycemia. There are still a number of unanswered questions but the scenario is believed to go something like this - you eat too much sugar. The body signals the brain that there is a massive influx of sugar and the brain signals the pancreas to produce more insulin to process that sugar. The pancreas responds with a large amount of insulin. But since I've had a gastric bypass, the sugar passes through the pouch and into the intestine much more quickly that it would for someone who hasn't had a bypass. By the time the pancreas responds with the insulin and it makes its way into the blood, the sugar is already gone. The result is that your blood sugar, which spiked initially and then relatively quickly returned more or less to "normal", crashes in response to the big influx of insulin. Ergo hypoglycemia and the 39 reading that I got on my test meter. So by eating a small square of chocolate, the reverse happens. Eat too much sugar and you could trigger the whole scenario again. But eating just a little quickly raises the blood sugar back to "normal" and the symptoms of hypoglycemia quickly pass. The good news is that once you've experienced it, you're not anxious to do it again - ever!!

Both surgeries are safe and effective but most research gives RNY an edge over sleeve for remission of diabetes. And statistically, RNY usually results in a somewhat greater weight loss. But I think the best advice for anyone is to discuss it with your doctor. Your doctor is the only one that has your complete medical history and that is often the deciding factor. Either way, you're gonna love the new you!!

As far as I know, actually passing out from dumping is uncommon. But sudden onset of general overall fatigue and shakiness are symptoms of hypoglycemia (low blood sugar) and are a type of dumping. I have experienced it two or three times. The good news is that if what you are experiencing is hypoglycemia, eating a little something with sugar will produce dramatic improvement very quickly - usually within 15 to 30 minutes. I had a major attack of stupid one day and ate some things I shouldn't have. When the dumping hit, I checked my blood sugar and it was 39. Ate a small piece of year old chocolate and within 30 minutes, I felt fine other than feeling like a fool. Lesson learned! You might find my post "Dumping the Confusion About Dumping" helpful.

Would love to hear how you're doing got2be!

Theby you're doing absolutely great! Relax a little and trust the process and your body to find it's own way in its own time. Comparing your weight loss to mine (or anyone else's) is pointless and a sure recipe for frustration. The fact that your weight loss is different from someone else's weight loss means absolutely nothing. We're all individuals and we're all different. There are just too many variables. Focus that energy on following the protocol, getting in ALL of your Protein every day, staying active and staying away from the scales for at least a week and two would be even better. This is a journey, not a marathon. You're gonna love the new you!!

Just emailed!

Just emailed!

Thanks so much and congratulations on the great weight loss!! My wife and I started a new business and I haven't had much time lately but I try to check in every day. Have a great evening!

Just emailed!!

Mail server rejected my email as shown below... This message was created automatically by mail delivery software. A message that you sent could not be delivered to one or more of its recipients. This is a permanent error. The following address(es) failed: al70swity@gmail.com SMTP error from remote mail server after RCPT TO:<al70swity@gmail.com>: host gmail-smtp-in.l.google.com [74.125.141.27]: 550-5.1.1 The email account that you tried to reach does not exist. Please try 550-5.1.1 double-checking the recipient's email address for typos or 550-5.1.1 unnecessary spaces. Learn more at 550 5.1.1 http://support.google.com/mail/bin/answer.py?answer=6596 j9si20264433paw.67

Could be nothing but it's not something to ignore. Call your doctor. If nothing else, you'll have peace of mind when your doctor confirms it's nothing to worry about!

I've had the same thing but I'm not aware of any connection to RNY. My primary gave me a Rx for Meclizine, 12.5 MG tablets and they help - a LOT.

600 calories a day is just fine and anything that helps you get ALL of you daily protein in is a good thing. As others have mentioned, your pouch has stretch sensors which signal the brain when you're full. They are less effective immediately following surgery during the healing process. So don't be surprised if before long you start feeling full after eating less. Just keep your eye on getting all of that protein in every day. Stay focused on following the protocol, stay active and stay away from the scales. You're gonna love the new you!!

I think I emailed to everyone. Please let me know if you didn't receive! Everyone have a great day!

It isn't a question of easy. The question is what is effective. Obesity is a progressive, degenerative disease that is the number two cause of preventable death in the U.S. So again, the question is what is effective. And the answer to that question is that bariatric surgery is the most effective treatment known to medical science for the treatment of obesity. AND more than 20 obesity related co-morbidities including type 2 diabetes, hypertension, sleep apnea and heart disease. Those who see the surgery as the easy way out usually, sooner or later, get around to the whole "diet and exercise" thing. Especially when you're talking to a person that has never suffered from obesity. They believe "eat less, move more" is the answer because it works for them. But the fact is that the statistical failure rate of diet and exercise for anyone with a BMI of 30 or greater is almost 100%. It does not work. It never has. People who care about us are worried. Not only perfectly understandable but a great expression of caring. Our challenge is to help them understand that the surgery is safer and more effective than any other option. And that includes doing nothing which, in the long run, is a sure formula for disaster.

It isn't uncommon for folks to expect to lose unrealistically large amounts of weight very quickly following surgery. We often see posts from frustrated patients because they've "only" lost five pounds a week and they're four weeks post-op. Can you lose 100% of excess weight - absolutely you can! Can you do it in a few months - probably not. And certainly not in a healthy and safe way. In my case, it took almost a year. So I always try to encourage everyone to expect reach their goal - but understand that it won't happen overnight. I can certainly appreciate your feelings. It may have been a somewhat misguided attempt to help you avoid frustration down the road that can sometimes sabotage people in their journey. Healthcare professionals sometimes get a little insensitive "in the heat of battle". You surely sound to me like a person that has made the commitment to achieve your goal. Like my signature says, "Persistence, along with absolute belief, can never be defeated." Looking forward to reading about all of the amazing success stories you are about to experience!!

Malabsorption is a legitimate concern with gastric bypass but easily controlled with Vitamin supplements. My brother is 14 years post-op and I once asked him what he can eat. His reply was "I eat anything I want to eat." I just had my one year anniversary on Saturday and I can say with absolute honesty that I can eat almost anything I want to eat. I have to be a little careful about sugar. I've exprienced dumping three times in the past year, all related to sugar. But as others have noted, some experience dumping in response to other types of food. And some never experience dumping at all. Everyone is different and as far as I know, it's impossible to predict who will dump and who won't - just too many variables. Does that mean that I can never have sugar? Absolutely not. I've had an occasional cookie, half a piece of apple pie and any number of other things. It's about control, not denial. Last night, I had two small slices of pizza. The first pizza I've had in about a year and a half. I enjoyed it tremendously and had no problems. So yes, you absolutely will be able to indulge on occasions. It's all about lifestyle changes. All about control, not denial. Many folks have the exact same concerns that you do. Completely understandable but for the most part, completely unfounded. With very few exceptions, you will eventually be able to eat anything you want to eat. And there may be no exceptions at all. Regardless, it's a very, very small price to pay for the truly astounding rewards you will experience. You're gonna love the new you!!

Statistically speaking, average weight loss for gastric bypass patients is 80% of excess weight. Can't be specific without your height but lets say that you are 160 pounds over your ideal weight (BMI under 25). 80% of that 160 pounds would be 128 pounds. But...remember that 80% is the average weight loss. So that tells us that some people lose less and some lose more. I've been fortunate enough (and determined enough) to lose 100% of my excess weight (BMI currently 23.4). Bottom line is that the only limit to what you can lose is any limit that you might put on it. The surgery doesn't care what your current weight is or what your goal weight is. It's all about lifestyle changes and that's the power of the surgery. Putting you in control of making those changes. Trust the process. There is absolutely no doubt that it works. Commit to achieving your ideal weight and don't settle for anything more than that. But at the same time, make sure that your expectations are realistic. It doesn't happen overnight. Patience is not only a virtue, it's a necessity. It's a journey, not a marathon. Follow the post-op protocol as closely to the letter as you possibly can, stay active, and stay away from the scales. You're gonna love the new you!!

Not uncommon at all to have a weight gain - especially so close to your surgery date. Focus on following the protocol, stay active, and stay away from the scales for at least a week and two would be better. Try to relax and let you body find its own way in its own time. Trust the process. There is no question that it works. You're gonna love the new you!!

Very, very common for all of the great reasons that folks have stated. The good news is that it usually passes quickly and then the fun begins! Stay focused on following the protocol, stay active, and stay away from the scales for a week or two. You're gonna love the new you!!

Nicely said BBdoodle!! I couldn't agree more!

That's a great question and one that I've never read a really good answer to. But you might find some ideas for dealing with hunger in general in my post "Managing Hunger" - http://www.rnytalk.com/topic/1493-managing-hunger/page__fromsearch__1 .