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Also, its possible your diabetes would be better controlled if you did cut out the carbs. A lot of what you mentioned in your diet is carb based. If you aren't using appropriate insulin to counteract the carbs, then you'll never get it in control. That is true. Remember I ate what was left around the house and from when my parents were here with me but they have returned to Canada now. I really don't know how much insulin to take based on a new restricted diet. I used to take 70 units of long acting and 50 units of rapid acting in the morning and at night when I was close to 300 lbs. Now I am taking 35 units of long acting in the morning and 20 units of rapid acting at night (so I don't go hypo when I sleep) But I am reaching between 15-18 in my glucose readings by the time I take the rapid acting at night. So today I took 40 units of long acting to see if that works better

Congrats! Only 17 days! I think it really doesn't "get real" until you are in pre-op getting poked and prodded. Yes you can experience hair loss, you can attempt to reduce this by making sure your protein levels stay high through out the process, you can take Biotine supplements as well, but the sad fact is, this doesn't guarantee you won't lose hair. It's not even really "hair loss" because you aren't really losing hair... like we typically think of when we hear "hair loss" it's not generally not permanent. the loss happens because surgery causes your follicles to enter a rest phase, which is normal, but the shock causes more of them to go into rest than normal. So when they finally reactivate, they push out the hair they were holding onto, in order to grow a new strand. Since a larger than normal percentage of follicles are doing this at the same time, the appearance of "hair loss" happens. The hair generally grows back normally.

Hair loss is common, however it's not exactly "hair loss" in the normally used sense. Your hair is thinning because surgery caused your body to trigger a "rest phase" on more hair follicles than would normally be at rest. When they reactivate, they shed the hair they were holding. This appears to be "hair loss" in reality it's just a larger percentage of the normal shed process happening at once due to the surgery. Good news is, the condition is seldom permanent and re-growth typically is complete. It's just going to take some time to get all that hair back to your preferred length. I'd avoid any cosmetic tattooing for at least 6 months to a year to allow your body to get back to normal. I'd hate to hear that you had the tattooing, then your hair grew back and it looks silly or funny now.

I was about 220lb and 5'2'' prior to my MGB last September. I look fine and feel good around 150lb and since this is my 2nd go round with WLS (I had a lap-band reversal in 2016 due to malfunction- regained a bunch of weight), I knew that the weight wouldn't come off as fast or as easy. I'm also in my mid 40's. So my goal is pretty conservative. The surgeon made my pouch pretty "generous," so I can eat a relatively decent amount of food (at least a cup almost from the get-go). However, my diet needs to be something that I can live with in the long term and life with food is good for me now. I eat a healthy diet (which I never could with lap-band), avoid simple sugars (I've been having issues with reactive hypoglycemia and I'm also a "dumper") and I continue to exercise 5-6 days/week as I've done for the past 12 years. My advice is to not worry about charts and BMI's. See where you're body leads you and think of the long game. We know that dieting and restriction doesn't work in the long term and usually eventually leads to regain. You need to find a way of eating that is liveable for you.

I am more than 14 months post-op. I do not dump, which happens to approx. 30% of gastric bypass (RNY or MGB) patients typically after consuming sugar. Nor do I experience Reactive Hypoglycemia (RH), which may show up 1+ years after gastric bypass; it is low blood sugar occurring 1-3 hours following a meal. Eating too fast or not chewing food properly and then getting the foamies and/or needing to vomit is not the same thing as dumping (aka rapid gastric emptying). Make sure you’re eating small, moist portions of protein and to eat slowly, and then these incidents should abate. Good luck.

I'm a pretty solid atheist (despite my mother's best efforts), and for the first few years after making that public declaration I was pretty reactive to all "I'll pray for you" or "God bless you" or other religious-themed messaging, but I think it was residual irritation from the same feelings that made me leave religion in the first place. Basically, I stopped going to church quite young because I knew bone-deep that I did not believe any of the same things that the people around me believed, and it felt wrong to fake it or even to be silently present. It's just weird to sit in a group of adults who have gathered to profess earnest faith in something that you think is unreal, it makes you feel uncomfortable and vaguely feels like you're gently mocking them (you're NOT mocking them, but the feeling is too close to when you're playing with children who have very firm rules and opinions about a game of make-believe, and you don't want to treat religious adults like children, so everything can get pretty uncomfortable). So I think when I fixed myself solidly in the secular world, I resented it when people thoughtlessly brought their religious talk into my newly-fixed sphere. Along the lines of "hey, I respectfully didn't bring up science and the fallibility of the Bible in the spaces where you worshipped something I don't believe, so have the same respect for me in my non-religious spaces". Eventually I mellowed and decided that a lot of religious jargon is just another way for people to say "I'm thinking of you". I mean, there is a certain quality of tone - you can definitely tell the difference between an "I'm telling you that you're important to me and in my thoughts" and an "I am holy and godly and this is another way that I make myself feel good by being publicly pious you heathen" type of pray-for-you - but overall I can mostly shrug it off as a turn of phrase. Part of the mellowing may have occurred from living in areas with not just a huge variety of religions but also some non-Judeo-Christian cultures and languages sprinkled in, so you eventually get used to people just using their own heartfelt phrases to indicate that they value you and want you to know that. (I mean, I never realized that watching a couple of teenagers shout and stomp and stick their tongues out at a suited man in an airport would make me tear up with emotion, but then I was regularly exposed to hakas.) At a certain point it's all just habit, it's the intent that matters. Except for the church ladies who are engaging in holier-than-thou posturing. THEY can cram it, but then again, don't we all feel that haughty better-than-you people can cram it in general? Some people just use religion to do it.

Hey folks, I will be following here. I have had reactive hypoglycemia in my past, pancreatitis in 2015 and am the adult child of 2 diabetics, not diabetic yet another reason why I have an upcoming RnY b.s. instead letting my faulty sugar heredity catch up with me So this subject resonates with. me so hard even you can feel the vibration.

https://www.healio.com/endocrinology/diabetes/news/print/endocrine-today/{1dc23215-49dc-4ad7-90da-346ba16663d6}/post-gastric-bypass-hypoglycemia-a-serious-complication-of-bariatric-surgery Bypass people have more hospitalizations for hypoglycemia and tend to have more severe symptoms, but sleeve folks can get it, too. Research on this complication is ongoing. Of 175 eligible patients, 120 were randomized 1:1 to RYGB or SG; 117 (93%) completed the 12-month follow-up. Reactive hypoglycemia was detected in 14% and 29% of SG and RYGB patients (P = 0.079), respectively, with the effect of treatment in multivariate analysis significant at P = 0.018. Daily hypoglycemic episodes during continuous glucose monitoring did not differ between groups (P = 0.75). Four of 59 RYGB subjects (6.8%) had 1 to 3 hospitalizations for symptomatic hypoglycemia vs 0 in SG. The static β-cell glucose sensitivity index increased after both treatments (P < 0.001), but the dynamic β-cell glucose sensitivity index increased significantly in SG (P = 0.008) and decreased in RYGB (P = 0.004 for time × treatment interaction). Whole-body insulin sensitivity increased about 10-fold in both groups.

Thank you all for the kind words. I generally try to avoid being reactive and angry on these kinds of threads, but I know I was a little extra raw here. This week....wasn't my best week. Has been a bit stressful. Sorry how much that showed. In addition to the car impound/salvage yard/doctor appointments added to my schedule, I'm also taking the kiddo to and from work.....and have my inlaws as house guests for the next two weeks. (grateful to be sharing a few days with other family and friends).....and trying to find and purchase another kid car. It's a lot. On the plus side, I'm averaging about 18,000 steps a day between cleaning and chasing a million errands...and now, entertaining family, cooking, doing activities, etc. Have my period now, but am bound to have a nice weight loss at the end. That's way too much information. But yeah....this whole mess should be helpful on the scale. I'm exhausted. I'd take tomorrow off....except that it's kiddo's birthday, and her new roommate at college is ALSO coming for a visit and plans to stay the night tomorrow. And all these visitors would have been great if not for having my prep time grossly cut by the tree accident. Hubby is chipping in, but has crazy unexpected issues at work to deal with, too. It's just been nuts. Won't say I'm sorry about how I feel.....but I will say I'm sorry about my lack of tact and extreme reaction. Was extremely honest, but perhaps not my finest moment.

For my pre-op blood work they did the following tests which totaled 56 results: IRON AND TOTAL IRON BINDING CAPACITY, COMPREHENSIVE METABOLIC PANEL, CBC (INCLUDES DIFF/PLT), C-REACTIVE PROTEIN, HS CRP, HEMOGLOBIN A1c, HOMOCYSTEINE, FERRITIN, FOLATE, RBC, T4, FREE, TSH, VITAMIN B12, VITAMIN D,25-OH,TOTAL,IA, HELICOBACTER PYLORI, UREA BREATH TEST, VITAMIN B1 (THIAMINE), BLOOD, LC/MS/MS, NICOTINE AND COTININE, LC/MS/MS, SERUM/PLASMA It's just to make sure they have your full baseline to compare with post-op and follow up, and to make sure you aren't already deficient in anything or have any bacteria or issues that would cause complications during surgery. Totally normal stuff!

Even if you have never had bs issues before WLS, it is common with RNY to have reactive hypoglycemia. I have read many posts on this subject. I know that some RNYers that suffer with it carry the sugar tablets with them. You really need to follow Drs orders with this because it can be quite dangerous if you get to the point that you are fainting. Would not want that to happen while driving, etc. Hopefully someone with more knowledge than I have will come along and add more information here. Good luck to you!

I understand your thinking, but dropsets are actually a very bad way to build strength. Yes, you will feel a pump from the muscle being engorged from increased blood flow, but that is not the same as building strength. Let's use squats as an example. You might be able to do 12 reps on the first set of the bench press but you should stop at 9 or 10. Stopping before muscle and nervous system fatigue will allow you to complete the full set. So lets say that you squatted 100 lbs for 12 reps, then 8, 6, and 4 for a total of 30 reps. That would give you a total volume of 3,000 lbs. However, if you dropped that to 8 reps for the entire set, you would have 32 reps for a total volume of 3,200 lbs. As you get further and further into your strength training, the disparity become even greater. All that being said, I don't do that many reps in any of my sets. Sure, I could probably do 12 reps at 185 lbs, but 3 sets of 5 reps at 245 lbs provides me with 3,675 lbs of volume work. As for the OP's question, 2 weeks post op I would focus on just walking. Your stamina is going to be very, very low. The threat of reactive hypoglycemia is very real, as is low blood pressure. Getting dizzy is common and fainting is not unheard of (as me how I know!). There is no time in your life when the weight will come off faster and easier than this point of your recovery. Capitalize on it. Once you are hitting your fluid and protein goals or more for the week, then start Pilates or resistance training. I actually liked Pilates in the beginning. Once that is no longer kicking your butt, start real weights. Squats and deadlifts are the two must important movements the we as humans need to do properly. If you are picking up small children or heavy bags, moving furniture, etc... you are using the same muscles, so start training them when you are able.

There is a type of low blood sugar problem that can occur after gastric bypass surgery. It is called reactive hypoglycemia. Here is a link to the condition. https://www.ridgeviewmedical.org/services/bariatric-weight-loss/enewsletter-articles/reactive-hypoglycemia-postgastric-bypass Generally this problem begins to occur several months after surgery. Since you are only a week after surgery, I suspect this is not the cause. These are the symptoms of hypoglycemia: An irregular heart rhythm * Fatigue * Pale skin * Shakiness * Anxiety * Sweating * Hunger * Irritability * Tingling sensation around the mouth * Crying out during sleep As hypoglycemia worsens, signs and symptoms may include: * Confusion, abnormal behavior or both, such as the inability to complete routine tasks * Visual disturbances, such as blurred vision * Seizures * Loss of consciousness If you were diabetic and taking medication for the condition, the medication might be driving your body into hypoglycemia. If so this is a sign that you need to cut back on the diabetic medicine. But if you were diabetic then you probably have a glucose meter and could test to see if your hypothesis (low blood sugar) is a correct one.

I'm three plus years post surgery & still my longest lasting complication is acid. Here's how I manage it: I take an Omeprazole in the morning & a Tums just before bed. Together that allows me to produce less acid & combat the acid my body does produce. Proactive & reactive, if you will. Good luck. You are not alone.

Hello Everyone! I just created my bariatricpal account. I am 5'2 and 1/2. I'm curious if they will base my BMI off of 5'2 or 5'3. I'm also right around the 200lb mark, give or take a few pounds. I am hoping to get approved for the surgery because I am 35 and already on medicine for high blood pressure and I'm hypo thyroid which makes it a b*itch to get the weight off. I'm getting mixed reactions from my family about deciding to meet with a weight loss surgeon. I just really want to be healthy for years to come. I don't want to follow my father's path and end up having heart issues in my later years. I just wanted to say hello and I look forward to being involved with this group. I want to thank each and everyone one of you for being on here to get support and provide support! You are my friend!

well guys, I've been recording on My Fitness Pal, most days I don't even make the calorie count the app assigned, well yesterday was screwy, no I didn't binge, I just didn't eat my vegie, protein and salad like I usually Dom Replaced 2 meals with shakes,and that lowered it down. I think they had planned to review a months worth, well they'll get 3 and half weeks and they'd better like it. I didn't get around to reactivating it until May 1st. Didn't even do it,on this smartphone. Now don't laugh too bad, this sounds silly, but I've forgotten the password for this one so did it on my Samsung instead. Remember how everyone made fun of President,Imelda Marcos of the Philippines for having closet after closet of shoes. Well, I'm like that with cellphones and each one has a name. That way when I update my contact list you might think I have a lot of friends, nope 4 of them are phones. If I'm weird it's an interesting weird, isn't it? This one is Malachy, because that means messenger, the one My Fitness Pal is on is registered as DF Magee, although I usually call it Moon Cat for the cute wallpaper theme, then I have a Nought Android( the latest currently available) that's Antonio Sanchez and an older Lollipop called Toto Ferguson. My son only has two, an aged ,well a couple years old and in electronic land that's practically senile named Fernando after the Abba song, he keeps saying he's going,to retire it but it has his songs from Google Play on it and as long as poor old Fernando can still call out he hates to do it. When I got Moon Cat he wanted a new one too, its contact,name is Eugene Throckmorten and it has a Moon Panda motif, he just still keeps old Fernando active too. So Frustr8 and her mini me son, we are phone weird! Did I give you a little chuckle❓😝

Before anyone says to me "this isn't a diabetes site" I totally understand. Not trying to get diabetic support!! But, my main health concern is my diabetes (type 2). Just wanted some input from fellow-diabetic weight loss surgery champions. I am still in the decision making process, haven't even had my first consult with a nutritionist yet. My BF of 20 years is a double amputee (type 1) so I've seen the end result. My BGs are good, but I'm aware that the older I get the more difficult that will be to control. I'm about willing to do most anything to bring that under more permanent control. My A1C started at 13.11. I'm now controlling it at 6.4. Haven't been over 7 for 3 years. I've was diagnosed about 3.5 years ago. I've been able to drop 60 pounds in that same period but have plateaued, with 60 - 80 pounds to go. Actually moved back up the scale this past cold winter. Nephropathy started for me about 3 months ago. My pharmacist daughter said I won't get that because I'm so controlled. Well, my disease proved her wrong. I think if I can get my weight to a healthier level for me I might be able to escape some of the horrors of the diabetic disease. A diabetic coworker had weight loss surgery 10 years ago, dropped most of her excess weight. She rebounded and has regained plus. It's very sad. I spoke with her briefly this week and she said that they don't tell you that you can't ever eat carbs again. She said every time she eats carbs she gains weight. I do not know what surgery process she did. I'm concerned about her story as I have a strong tendency to go hypo if I don't eat at least 100 carbs a day. I know my body pretty well now as it concerns my diet. Kind of a science experiment some days!! Has it been easier for you to control your BGs after your weight loss surgery? Have you been able to get off some of these horrific meds (I'm on Metformin and Victoza)? Does the stricter carb diet make you go Hypoglycemic more often? How many carbs are allowed in your diets (I eat about 130 to 150 per day)? You all have so many success stories here. I'm an information gatherer and here seems the best place to ask these questions. I appreciate the time you take to help me out!

My hypothyroid is under control, hypo makes u gain weight by slowing your metabolism. I do look for stevia. Consulted a family friend who is Batiatric surgeon , he said there are certain ppl genetically such that this surgery will not benefit and we cannot test for those genes yet ☹️☹️☹️ I hope I’m not one of them. I’m doing my weights n getting steps in ! I’ll cut all carbs for two weeks n see if my weight changes.

Be careful with doing everything "sugarfree". See what the sugarfree substitute is and what is the fat content, etc. Sometimes they make up for the lack of sugar by adding things that actually work against you. I try to stick to things that have Truvia (stevia) as the substitute, everything else sugarfree I stay away from. Also i'm weary of metformin it made me extremely ill, my doctor switched me to Januvia, I have a copay but its worth every penny. I'm presurgery but this is just my experience from losing in the past. Is hypothyroidism the one that makes you gain weight? I get hypo and hyper confused, but you may need to see if they need to change your thyroid meds since your surgery.

I can't comment after surgery but I can after weight loss (which obviously I regained). I reached a weight I was happy at, not in the healthy weight range for BMI, but I was curvy and fitted a size 12 (Australian). Losing the weight gave me the confidence to put myself back out there, as it were. I put a profile on a dating site, had some contacts, didn't meet too many, but there was one who I was quite taken with...we were together for about nine years. That relationship finished up March last year. With the weight loss and improved self confidence, I was happy to wear fitted clothes in lovely colours not the baggy shapeless clothes in dark or dreary I tended to wear. I know there are plenty of people with the confidence to put themselves out there regardless of what they weigh, not me, I practically become a recluse. For the period of time I kept most of the weight off I was quite confident and social. I wish I had that confidence, that self believe in myself regardless of what a number on the scales say. I think confidence is an attractive trait and people respond to it in a positive way. With confidence we stand tall, we smile at strangers, most strangers (including service staff such as shop workers) reactive positively to people who smile, who don't slouch etc. And to be fair to the opposite sex, there are plenty of men who love a confident (or not) woman regardless of what she weighs. Sorry for waffle!

I wonder if I'm having a form of reactive hypoglycemia. From what I read, it's all lumped together but reactive hypoglycemia has a drop in blood sugar too. I'm still in the pre-diabetic range but my Dr isn't concerned nor has advised me to test sugar. Just one of those things I wonder about. But the bottom line is always 'don't eat that'. I wish it was that easy! Sent from my XT1254 using BariatricPal mobile app

I hear ya, Redmaxx. Avoiding/delaying the onset of DMII was also my main reason for having this surgery. I was on metformin for PCOS and prediabetes prior to surgery. I was able to come off the metformin briefly after surgery, but then started having significant issues with reactive hypoglycemia. Now I'm on two meds to help control this and my diet is even more restricted than if I had diabetes!! Very frustrated and leading me to question my choice. However, in your case it demonstrates that weight isn't the only factor in DMII. Hang in there!

I will be four years out from sleeve surgery this June. Maintained at 130's first two years easily. My third year I had a gain 10 to 15 pounds. I got it back down. Maintaining for me is chasing the same 10 pounds up and down the scale. My health is fantastic, Type one pre surgery my a1c is in the non diabetic range. I'm in the best shape of my life, I am making up for lost time. Only one small complication. Reactive hypoglycemia ( Low blood sugars ) Its manageable with food. I've been managing my blood sugars all my life so this is nothing new.

My personal experience with Smart Shape wasn't the greatest. This was my first foray into private health care and I wasn't super impressed. Pre-op everything went ok; however, on the day of my surgery, the surgeon came in to see me just prior and said, "So we have you booked for a gastric sleeve..." I was for a mini gastric bypass, so this was a little unnerving that he had me down for the wrong surgery in his notes, but I guess it's good he checked! The surgery itself went alright which I guess is the main thing. However, post-op care was not spectacular. I found pain management to be an issue as they prescribed dilaudid IV push every 4 hours for the first 24 hours. Push drugs work for immediate relief, but they also wear off really fast, so it didn't hold me for 4 hours. They never offered pain relief on a regular basis, so I felt like I was badgering them for it. Nobody wears an ID tag, so I wasn't sure if they were actually RN's or LPN's and I found it strange that when I mentioned I was experiencing a some urinary retention/hesitation (ie. "a sleepy bladder") post op, the nurse didn't seem to know what I was talking about. This is a very common complication after a general anesthetic (up to 70% of patients). I didn't have a proper call bell and I had to let them know that my oxygen tank and IV bags were empty (these should be monitored). Months later, I began to experience significant reactive hypoglycemia and sought guidance from Smart Shape nurses and nutritionists. However, they really didn't know much about this and weren't very helpful. I requested a consult with my surgeon to discuss it and was told by the nurse that I needed to follow up with my own GP (who knows little about bariatric surgery). Eventually, I was referred to an endochrinologist who tells me that this is a well known and potentially serious complication of gastric bypass. I'm disappointed that this possibility was not part of the "informed consent" that I gave for the procedure. I'm a health care professional, so perhaps my standards are high, but I think we all should have high standards when considering our health and safety. And for many of us, it's a hell of a lot of money. So, if I had to do it all again, I'd go with a different organization. Best, Kerri

You will probably need to reduce your meds as your weight comes down so best see your GP and discuss! Might be you can step down to just the metformin initially which should not cause hypos.