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Disagreements on opinion are allowed, personal bashing and bullying of individuals is not. Everyone here is entitled to share their opinion, but if the opinion differs from your own it is no reason to become so reactive. Good day.

My mother, grandmother, and great-grandmother had Hashimoto's. I have it. Surprisingly, it skipped my daughter. You might have Hashimoto's thyroiditis. It tends to pass to females. You need a simple antibody test to confirm the diagnosis. Depending on your age, you might still be flip-flopping from hyper to hypo. You're probably in a hypo state now.

Sorry to hear about your scary episode. It is a little bit common for some individuals to experience a type of hypoglycemia called "reactive hypoglycemia". It seems a little soon because you are less than 5 months post-op. But in your case the alcohol may have played a part. I remember the first time I had a little wine post-op, it almost threw me for a loop. Here is a couple links to the condition. https://www.ridgeviewmedical.org/services/bariatric-weight-loss/enewsletter-articles/reactive-hypoglycemia-postgastric-bypass/ https://www.stjoes.ca/patients-visitors/patient-education/f-j/PD 7972 Reactive Hypoglycemia after Bariatric Surgery.pdf

The following is a list of abbreviations commonly used on this board. ACL = Anterior cruciate ligament AGB = Adjustable gastric banding AMRAP = As Many Rounds As Possible (crossfit) AT = Aspiration Therapy BB = belly button bc = because BCBS = Blue Cross/Blue Shield BDD = Body Dysmorphic Disorder BED = Binge Eating Disorder bf = best friend BM = bowel movement BMI = Body Mass Index bp = blood pressure BPD = Borderline Personality Disorder or Biliary Pancreatic Diversion bs = blood sugar btw = by the way C25K = Couch Potato to Running 5K CBT = cognitive-behavioral therapy CC = common channel c diff = clostridium difficile cos or cuz = because CPAP = continuous positive airway pressure CRNP = certified registered nurse practitioners CT = Computed Tomography (commonly called CAT Scan) cw = current weight CXR = Chest X-Ray DDD = degenerative disc disease Dr. = doctor DS = Dumping Syndrome or Duodenal Switch EBT = Endoscopic Bariatric Therapies EGD = Esophagogastroduodenoscopy EKG = Electrocardiography ER = emergency room ESG = Endoscopic Sleeve Gastroplasty ff = fat free f/u = follow up GB = gastric bypass GERD = gastroesophageal reflux disease GI = gastrointestinal GIF = Gastric Intrinsic Factor GNC = General Nutrition Corporation store GP = general practitioner or family doctor HBP = high blood pressure hr = heart rate hw = highest weight ICU = Intensive Care Unit Idk = I don’t know IGB = intragastric balloons IF = Intrinsic Factor IMHO = in my humble (honest) opinion IMO = in my opinion IUI = Intrauterine insemination LAP Band = Laparoscopic Adjustable Gastric Band LES = lower esophageal sphincter lol = laughing out loud LSG = Laparoscopic Sleeve Gastrectomy med = medicine MFP = my fitness pal MGB = Mini Gastric Bypass msg = message NAFLD = nonalcoholic fatty liver disease NASH = Nonalcoholic steatohepatitis nf = non fat NG = Nasogastric NP = nurse practitioner NSAIDS = Non-steroidal anti-inflammatory drug NSV = non-Scale victory (“scale” means “weight scale”) NUT = nutritionist OA = Overeaters Anonymous omw = on my way Onederland = a magical place or destination for those trying to lose weight. It might correspond to attaining a weight in the hundreds or losing a hundred pounds. op = operation OSA = Obstructive Sleep Apnea OTC = Over the counter Oz = Australia PB = Productive Burps PCOS = Polycystic Ovary Syndrome PCP = Primary Care Physician PICC= Peripherally Inserted Central Catheter PM = private message (email) PMS = premenstrual syndrome POSE = Primary Obesity Surgery Endolumenal postop or post–op = post-operation or post-surgery PPI = Proton Pump Inhibitors ppl = people preop or pre-op = pre-operation or pre-surgery PTSD = Post-Traumatic Stress Disorder PVC = Premature ventricular contractions RA = Rheumatoid arthritis RH = reactive hypoglycemia RN = registered nurse RNY = Roux-en-Y RTD = ready to drink Rx = Prescription medicine RYGB = Roux-en-Y gastric bypass SADI-S = single anastomosis duodeno–ileal bypass with sleeve gastrectomy s/f or sf = sugar free SG = Sleeve gastrectomy SIPS = stomach intestinal pylorus-sparing surgery smh = shaking my head, scratching my head SO = significant other SOB = shortness of breath st = stones (a unit of weight measurement) sw = weight at surgery tmi = too much information TPN = total parenteral nutrition TT = tummy tuck TTC = trying to conceive Ty = Thank you. [but according to the urban dictionary “Ty” is also an abbreviation for “a total stud with a massive carrot”.] u = You UGI = Upper Gastrointestinal VSG = Vertical Sleeve Gastrectomy Vit = vitamin wks = weeks WLS = Weight Loss Surgery WOD = Workout of the Day w/o = without wt = weight

I originally wanted a sleeve; however, the surgeon strongly recommended a mini gastric bypass owing to my history of insulin resistance (PCOS, gestational and prediabetes). I heeded his advice; however, am now dealing with significant reactive hypoglycemia. This results from carbohydrates being rapidly absorbed causing immediate high blood sugars and then rapid reactive lows. These lows can be unpleasant and sometimes scary. I'm now on a drug that slows the absorption of carbs, but I have to take it every time I eat and there are some unpleasant side effects. So while I'm generally happy with the results of my surgery (I'm within 5 pounds of my goal), in my situation I do wish I'd gone with the sleeve.

I don't know how many are "many" (there is something called "adverse selection" that is common in online forums, where negatives outnumber positives because everyone with a complaint will post about it, but those with nothing to complain about are largely silent, so things tend to seem worse than they are,) but it does happen for a few reasons. The sleeve is predisposed do reflux problems due to its geometry and physiology. The volume of the stomach is reduced much more than the acid producing potential, so it takes a while for the body to adapt, and sometimes it doesn't. Also, the sleeve is considered to be a "high pressure" system in that the stomach is often closed off by the pyloric valve at the bottom, so excess gas, fluids or solids have no place to go other than back up; the bypass is a "low pressure" system as there is no pyloric valve in the system, so excess gas can vent down into the intestines. In contrast, the RNY due to its geometry and physiology is predisposed to dumping, marginal ulcers, reactive hypoglycemia and bile reflux. With either procedure, this does not mean that everyone will experience these problems, just that this is the natural result of the anatomical changes that have been made. Another compounding factor with the sleeve is the relative experience level of the profession - in the US, the sleeve has been routinely approved by insurance for about the past 6-8 years, while the bypass has been routine for around 40 years. This means that there has been some revisions needed due to inexperience in some of those early sleeves - the surgeons may have been well experienced doing bypasses and bands, but a new procedure, even a straightforward one such as the sleeve, brings along its own subtleties and nuances that take practice to master. Resultant shaping issues can promote or exacerbate the reflux problem. In the US, most bariatric surgeons are now far enough up the learning curve that most are now making routinely making functionally competent sleeves (one should always seek out a surgeon who has several hundred of whatever procedure one is interested in under his belt.) However, now the problem is, as it has been since early on, is that many are not very experienced in correcting any problems that may crop up with a sleeve, so the natural inclination is to stick within their comfort zone and revise to a bypass when a problem occurs, rather than correct the sleeve. So yes, the OP is correct in some respects that there are some unnecessary revisions being done, though not necessarily just for the sake of charging for two procedures. As time marches on and the industry gets more experience with sleeves, I would expect that the revision rate will decline as both the sleeves will be made better overall, and the surgeons learn how to repair them when necessary rather than revise them, much as the bypass has matured over time and some of its predisposed problems are less common as they have learned how to mitigate them to the extent they can (bile reflux isn't too common anymore as they have worked out techniques to minimize its occurrence, for instance.) Another factor that may skew the impressions some is that the bypass is a difficult procedure to revise - it is something of a dead end surgically speaking. If poor weight loss performance or regain is experienced, there is little point in reversing it and revising it to a sleeve as they are both so similar in performance that there isn't much to be gained. There are minor tweaks that are offered - tightening of the stoma or intalling a band over the bypass - but overall results are generally pretty poor. Revising it to a DS, which can offer improved weight loss and regain resistance, as well as diabetes remission, is a very complex procedure that only a handful of surgeons are capable of performing. So, we don't see a lot of bypasses revised for that reason, though sometimes they are reversed if there are significant complications that can't otherwise be resolved, though that isn't a trivial option, either.

Several individuals that undergo bariatric surgery experience a type of low blood sugar after the surgery. It is known as reactive hypoglycemia. This is independent of whether you were diabetic prior to surgery. Here are a couple links to the condition: https://www.ridgeviewmedical.org/services/bariatric-weight-loss/enewsletter-articles/reactive-hypoglycemia-postgastric-bypass https://www.mayoclinic.org/diseases-conditions/diabetes/expert-answers/reactive-hypoglycemia/faq-20057778

The regulation of type I and type 2 will differ as yours is autoimmune and mine is metabolic. You do not have any information on your profile so not seeing how much you currently weigh. I am still very large at 265 lbs. As my weight comes down my BG will also change as it has already changed due to weight loss. I am taking a lot less insulin now than 5 weeks ago. The ultimate goal is NO insulin resulting from a large weight loss. I know its possible. When my BG gets to 5 I start to feel hypo. Everyone is different I really wish that I could just 'go back' to protein shakes. Very early post op i could not eat or drink much. But the hunger I am experiencing NOW is what is throwing me off and I am trying to satiate myself. I did not get to almost 300 lbs because I decided I could just not eat. Said no morbidly obese person. LOL that is funny. I am going to check with my doctor in Mexico if they will allow me to take an appetite suppressant since my blood pressure is now very good

I would test before Breakfast and 1 hour after dinner. You want to take advantage of what little info you are able to gain. What is your typical fasting blood glucose level? Those are exactly the times that I test. Post surgery my BS is about 12 for fasting. I purposely do not take a lot of insulin at night because I live alone and if I go hypo there is no one here to help me get glucose or shake out of it if I am sleeping. I am happy with 8-10 for fasting levels right now I was a completely out of control diabetic. I only started to reign it in about 4 months ago when I had my ah ha moment. In my out of control days I was regularly at 26-31 at night and fasting levels of 18-23. Crazy numbers

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❓😝