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Interesting that you are losing hair with hyperthyroidism, I thought it was with hypothyroidism, which I have had since 1995. Hair loss was a big issue for me and as one of my major symptoms. It resolved itself quickly once I went on the Synthroid. I wonder if you have had the thyroid issue prior to your surgery, but were just unaware, as these things tend to creep up very quietly? I have read that a lot of folks have (especially) hypothyroidism, but aren't aware of it, and attribute a lot of their symptoms to other things. Did you have your levels checked prior to surgery? Might want to ask about that. My sleeve surgery was 12/3/14, and as I have had the hypothyroidism AND hyperparathyroidism (including surgery for both issues), I am checked every 3 months. I have not had any changes in either case because of the sleeve surgery. Just was checked about 2 weeks ago, all is well there. The meds they prescribe for both hyper and hypo seem to take care of the issues, from what I have experienced, and from what I have heard from others, as well. Good luck to you!

I'm also Hypo-thyroid... I'm glad I found this post. I realized that I am not alone. Few people really understand the challenges and frustrations we face.

My weight loss is so slow. I can't help but get discouraged. I am excerising, eating the recommended foods and drinking my water. I was banded 03/30/2011, my pre-op weight was 215 pds. I had a fill 04/30/2011 (not sure how much fill). My current weight is 205 pds. I am petite, so I need to lose about 90-100 pds. I know I did not gain it overnight, but hoped for more progress by now.

I had a post-op appointment today and my doc decided I was ready for a small fill. He seemed please with my 12pd weight loss in the last 8 weeks and commented his hypo-thyroid patients are slower in weight loss. It has been so hot here in Eastern, NC these last few days. Heat index has been 110 degrees this week and to be honest, I have not felt much like eating nor riding my bike or walking. Have any of you noticed weather affects the band? Just realized what the word Diet stands for, "Do I Eat Today?" Just kidding!

I was diagnosed with Graves Disease 19 years ago. Instead of having the surgery to remove my gland I had the radioactive iodine treatment. It did not work the first time so I had to go through a second time but with a higher dose. So now I have my gland but it is a dead. When I first went on thyroid medicine they gave me synthroid. It just was not controlling my thyroid levels. Then they switched me to Armour Thyroid which was great. I did so well everything even'd out. But now for the last couple years I can no longer get Armour. They say that the manufacture no longer produces it. So I am back on synthroid trying to get my thryroid level under control but they are still really high. I was told that due to my hypo thyroidism that if I lost 1 pound a week that was doing really good. I was banded on 4-28-11. So far so good but they tell me that it is probably alot of Water weight. Well I will take all the water weight loss I can get. We all know this process is really hard but the people that do not have a thyroid problem have no idea how much harder it is for us folks with a thyroid problem. So good luck to all of the other hypo thyroid bandsters. We will get there just may takes us twice as long.

yes, you can rub coconut oil on them as your described them! It is a natural antibiotic, hypo-allergenic, and promotes healing of all kinds.... I was rubbing coconut oil on them 4 days after surgery..... just do it 2-3 times per day if you can.... also eating coconut oil can contribute to the healing as well... work your way up to 3 tablespoons per day... you have to work your way up as it can be cleansing to some people and you may get some stomach aches and loose stools with too much intake initially.... it won't hurt you, just cleansing, but can be uncomfortable.... starting with one tablespoon for 3-4 days then increasing it .... it is truly amazing stuff... don't use it if you are allergic to coconut though.... not too many are, but some may be. Any more questions, let me know! Kammi in Everett, WA

My two cents for whatever it's worth. I'm only 3 years 5 months out. No regrets. I bounced back from surgery quickly. My weight came off quickly. I'm healthy and in the best shape of my life for an old fart. Maintained well for the first 2 years. 3rd year battling a 10-15 pound gain back and forth. I can gain weight quickly and it's a snail's pace to get it back off. Always a risk of complications with any surgical procedure. Statistically is seems to be a low percentage. I only have one minor issue from my sleeve procedure. I have reactive hypoglycemia/low blood sugars. It's manageable. ( I'm not in hospice care with month to live... so, life is good.) Long term data and statistics have been an interesting thing. My local surgeons office is having problems collecting data because many patients stop coming in for appointments/check ups as they get further out from surgery. I just decided I didn't want to be a statistic. I'm responsible for my own outcome and success with weight loss.

Oh yeah they can happen anytime, but since you travel so much it is already less likely to hit you that way, as your system is accustomed to the changes. I would suggest maybe finding a list of band approved Dr.s world wide if possible on the Inamed site---you could carry it with you to have for the area you are going. I mean search the areas you are going, and keep those names & numbers handy. So you could be prepared. Also take the info about your band and port, so if you have to hit an ER somewhere you are armed with your info. You may also have your Dr. prescribe you something for nausea---mine gave me phenergren (sp?) so I would have it to avoid throwing up if possible. All in all, just be as proactive as you can as opposed to waiting to be reactive. I know personally if I prepare for the worst and hope for the best it usually works out, but the time I do not prepare---all hell breaks loose!!! Have fun!!!! Sounds like a great trip! Kat

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I have a bmi of 44 right now. I'm getting the sleeve done, mainly because I have reactive hypoglycemia... I suffer dumping syndrome frequently if I'm not minding what I eat, anyway, and the doc worried that it would be too hard on me to get RnY. Sleeve it is. Sent from my iPhone using the BariatricPal App

@@Wayward Traveler Hey! Thanks for the reply, I have ventured to the gym twice. The first day was just 40 minutes on the treadmill, I found medium incline and a moderate walking pace was my best bet. I definitely feel like running is a little far off, I get the feeling that the jarring motion would make the balloon... uncomfortable? I can't say I feel it specifically in my stomach, but I'm aware of the weight of it and it can move a bit. For instance, if I'm in bed and I roll onto my right side to turn off a lamp or grab my phone I can feel the balloon sort of bear down on the remainder of my stomach. It's not painful by any means, but certainly peculiar and unpleasant. I think if I were to run any great distance/duration I might get the same sensation in an up/down kind of way (I'm trying to avoid saying the balloon would 'bounce' because I feel it's pretty secure in situ, but it would definitely maybe push as I move up and down). So running, short term, maybe for a warm up or something I think would be fine, but not as a complete form of exercise. At least not for me after only one week. Today I tried my hand at the cross trainer, basically fine, though I did get a little... er, fullness (?) around the diaphragm (not heartburn, but like something was sitting low in my chest?) when I started to get a bit too high intensity, I think it was the twisting through the torso that caused that. I calmed it down by shifting my hands from the long moving grips to the short, stationary ones for a minutes or so, so that I twisted a little less. So, anyway, I was pretty happy with the outcome. Now, Krav Maga! Oh my goodness I love it! I started it last year and I have zero regrets. Not only is it a great workout, but its a useful skill to have under your belt. The practice I go to is for people 18 and above and it's pretty serious about what it does, but that works for me because no one is there to waste time. For my first class I rocked up feeling like I'd be this loser 30 YO woman, far too overweight and surrounded by hotheaded dudebros tripping on testosterone. I persevered only because I had watched a doco years ago about Krav Maga and had promised myself I'd investigate when I moved to an area that had a class. Anyway, so I was expecting some sort of quasi UFC thing: not at all what happened. People there came from so many different backgrounds and fitness levels. Young women, older women, fit guys, unfit guys... you get the point, all different and all there just to learn. The class is essentially at whatever difficultly level you require, if you're a beginner there's a grade for that and other students to work with, I progress when I am ready. Some people pick it up quickly and some don't and that's fine. You stay at your level until you are confident to move on. It also isn't really a 'martial art' as much as it is a system of self protection. You won't see people competing for belts (or at all, though there is a grading system) because in Krav Maga the best fight is the one you see coming and can avoid altogether (or with a swift knee to the groin). The warm up is typical of any fitness class, jogging in a circle, a few push ups (on your knees if you need to), sit ups, stretches. Then usually it's about learning new techniques then consolidating them with a partner and protective pads. The part that I found most challenging when I began (and still struggle with) is the confrontational nature of it. I'm not sure why (because it seems obvious in hindsight) but I was shocked in my first class to realise actual people would be attacking me (in a controlled and force-appropriate way, no one was trying to beat me or anything). I think the first thing we drilled what getting out of a front-on chokehold so there I was with a stranger trying to choke me. I learned very quickly that I freeze and panic in aggressive situations, but now that months have passed and I'm slowly teaching myself to have more reactive and useful responses to stress (not just in terms of physical violence, but in very useful situations like unexpected traffic panics, dropping things etc). So the thing that I hated about the class at first is actually the cause for one of the things I love about the class: I haven't just gotten fitter, I've become more situationally aware and better at handling pressure. As for backs and knees, my class is about working with what you've got, so if you're older or have injuries you learn to compensate and work with what you can do. Plus I'm sure you'd be able to opt out of any drills that cause pain. I'm sure all classes and teachers vary a bit. My class is affiliated with Krav Maga Global, and I know they are everywhere but it can't hurt to get in touch with the people near you and see if you can get in on an info session or beginners class. In my experience if you actually like what you're doing it won't feel so much like having to work out. For me, Krav Maga gives me those few nights a week that I can look forward to and work on myself, that fact that there's an element of fitness is just a bonus. I am so vey keen to get back to class and I'm aiming for the first week of June. @@flamingfeather_fly The balloon is a Fluid filled orb placed in the stomach to inhibit appetite and limit space. I have an Orbera but if you'd like to know more I'd suggest looking at Google.

Your body will level off and gain and then maintain. I am there right now. It is a difficult process but it is none the less part of this journey. Caloric intake may be a factor and keeping a 5 lb up or down goal. You may have to up your calories to not lose any more. I now weigh myself once a week and I watch the 5 lb limit. It is definitely something to get used to when all you have ever wanted was to lose weight.... I suffer from reactive Hypoglycemia and am having a terrible time with it......I am so concerned I will gain too much back because of it.... Nevertheless keep a watchful eye on it and enjoy a little bit of freedom from the opposite of trying hard to lose the weight.

Accompany your firstborn to her/his university, and then say goodbye. My heart goes out to all the parents going through these separations at this back to school time of year. Whether you are watching them walk into kindergarten or dropping them off at their dorm...it is just one more step of theirs towards independence. Which is, of course, a great thing. Anyway, suddenly my band is newborn, with a level of restriction such as I've never known. And this reminds me how our bands are so reactive! Heat, stress, cold, colds, some mention flying (that's not one of mine), our bands inhale and exhale along with us. It's something you can't know until you are banded (and something I wasn't educated on by my surgeon, but that's ok). I was just about to go get another fill but I think I'll just take advantage of this "free" restriction before facing the needle again. Hope you all are doing well and enjoying fall (if in the northern hemisphere) or spring (if below).

So I had plastic surgery 3 weeks ago tomorrow. My surgery included belt lipectomy/360 tummy tuck, and breast lift with augmentation. Recovery has been tougher than I expected due to fatigue. I went back to work (RN in a large clinic) last Monday. The fatigue was unreal. On Tuesday, one of the doctors I work with decided I should be checked for anemia. I popped over to our lab and had a quick blood draw. I had finished lunch about 45 prior to getting the blood drawn. The next day when I received my lab results, I was surprised to see my blood glucose was 59. 😲 I do not dump, so I have been eating more simple carbs and sugars to try to keep from losing more weight. I had been eating some candy on Tuesday prior to lunch. Apparently, I have reactive hypoglycemia. No more simple carbs and sugars for me, except small amounts with meals. The bummer part of this, (aside from feeling extra crappy with low blood sugars), is that I am really anxious about not losing any more weight and don’t know how I am going to keep the weight on without the extra calories. I guess I need to increase healthy fats to make sure I keep my calories up. With that said, I have lost about 3 pounds since my plastic surgery. I never thought I would be stressed about losing weight. 🙄🤷‍♀️ I have an appointment with my surgeon’s office in a week and I am looking forward to discussing this with them. My labs also show some iron deficient anemia. I was not iron deficient nor anemic prior to plastics, so this is directly related to blood loss in surgery, and fairly simple to correct with diet and iron supplements (I don’t normally take any iron supplements). Over all, I am doing very well post-plastics. My pain has really been minimal since about day 3 post-plastics. I have had a bit of trouble with my incisions separating (dehiscence) in a few small spots. My husband is a wound nurse, so we have been managing the wound care with pretty good results. I am thrilled to have breasts again after going from a 40 DD to a 34 A. 😬😬😬 Anyhow, here are bikini pics to show off my post-plastics body…swelling included. 😂

I have not been put on meds yet but I do have hashimotos which is an autoimune disease where my body is destroying my thyroid and will have to eventually be put on meds to control it. Some weeks I can tell that my levels are off becasue I am extremly tired all the time and others i am full of energy. I go every six months to have blood work done but since the tests usualy land on a day that I am feeling pretty good they come back on the low side of normal so the doc wont put me on anything. So I have allready mentaly prepared my self to be a slow looser do to the hypo weeks. Good luck with your testing, and getting the last 20 off!

Dumping is really rare with the sleeve even though some report it. Considering only 30% of RNY'ers dump, the % is even lower for VSG'ers. However, I developed lactose intolerance and your symptoms sound more like lactose issue rather than dumping. I was able to eat cheese and yogurt, but milk would do me in every time. Reactive hypoglycemia can also be common with the sleeve especially further out, when you have heavy fat or sugar foods after months of not consuming those foods. The lactose intolerance lasted for about a year for me post-op, and I still couldn't drink a lot of milk, but at least I could have some. Around the 3rd month of my pregnancy, it's back in full swing.

I do not have reactive hypoglycemia . . . I am a full-blown diabetic . . . and for that reason alone, I should not have tried drinking chocolate milk (I had a serious moment of weakness!). My blood sugar was high for a couple of hours after that episode . . . But it's interesting that what some people mistake for dumping does have another possible cause.

I had reactive hypoglycemia pre op. I pretty much new I'd be sick as a dog if I had any sort of carbs at breakfast or lunch. I always got sick between 2:30 pm and 4pm and would have to eat something or I would pass out. Since surgery two weeks ago I have not had any symptoms of hypoglycemia at all.

While I do have both a dog and a cat, most of my animals are a bit more cold-blooded. In addition to the dog and cat (and chinchillas), I have 10 cornsnakes, two boas, two geckos and a bearded dragon. Although in fairness, one of the geckos and the beardie belong to my daughter (but she's 10, so I help a bit with them) Pictured are Maya (dog), Boo (cat), Cupid (hypo Honduran boa), and Toothless (pastel bearded dragon)

I relied so heavily on this forum and others in the months leading up to my procedure that I promised myself I would provide a 12 month update, FAQ and experience summary for others planning the same thing for the same reasons. I recently posted this to Reddit and bariatricpal rounds out the plan. My story is positive – overwhelmingly positive – but I think most importantly my story is not emotional. I don’t have a psychological problem with food. I was never tormented or made to suffer for my weight (beyond finding flights uncomfortable and shirts being too short). I made this choice on statistical grounds – it would extend my life on average and go a long way to improving my diabetes. I wanted to provide a vanilla story to remind everyone this pretty survivable and the majority of people have non-descript and unexciting recoveries. My lift is pretty much the same - I just eat a lot less, dont shoot insulin and hopefully will live longer. Forums tend to have an over representation of negative outcomes - that makes perfect sense and it's absolutely fine for people to use them to get some reassurance and communicate with people in the same situation. For everyone else - just remember you're less likely to jump on a forum and tell your story if nothing went wrong or it wasn't any different from other people and as a result it can seem like a higher proportion of people are suffering than maybe is the case. I was a lower-BMI diabetic, not quite type 1 or type 2, but insulin dependent nonetheless. My BMI was 31, my surgeryweight was 126kg (277lbs) and I’m 196cm tall (6’5). I was diagnosed at 100kg (220lbs) but assumed type 1 as I wasn’t visually overweight. However in the 5 years since diagnosis I’ve continued to produce some insulin suggesting I’m not a pure type 1 or 2 - but closer to type 2. I gained 26kg in a year after diagnosis once i started on insulin. I’m broad shouldered/chesty with skinny legs - like an apple jammed on some chopsticks. Maybe like the fat Mr Incredible. My intention for having the bypass was not solely weight loss – I suspected that my diabetes was closer to type 2. I suspected the improvements people see immediately in diabetes management post bypass may apply to me. It was a gamble that paid off, My decision making process was quite straight forward – I had a young daughter at the time (now have a son too) and had lost my father to a heart attack when I was 7. He was fit and not diabetic but had a heart condition. I new statistically I was due for a similar fate carrying excess weight plus diabetes onboard. This was the best way to knock out one of those (the weight side) and hopefully improve the diabetes. I went from 126kg to 83kg (180lb), my BMI is low end of healthy. My biggest positive is my immediate cessation of insulin shots and a current HBA1c of 5.8 with oral meds only. It took about 6 months to get to my goal weight of 90kg. I'm still slowly losing and need to stop. Lead-up and Prep I was not obese to look at visually. The majority of healthcare professionals I spoke to did not think surgery, let alone Gastric Bypass, was necessary. In the end – my PCP, endo and surgeon all agreed that, while not essential, bypass was a prudent decision with potentially long-term benefits. The surgeon did not want me to bother with a gastric sleeve – if the endgame was diabetes improvement then the gold standard was a bypass. In Australia you need to be over 35 BMI or over 30 with a comorbidity to be eligible. I had slightly elevated Blood Pressure - that plus the diabetes made me eligible. I paid $2000 out of pocket, my private health insurance paid the rest. No psych required, I had a few meetings with a nutritionist and everything was greenlit. From first enquiry to surgery was four months. The fee I paid includes lifetime consults with the surgeon. I did not need a pre-op diet as i was not that overweight and my liver was not a concern. Surgery My procedure was in June 2018. My anaesthetic recovery was rough, but otherwise the process was fine. The most discomfort was immediately in the 12 hours following – in part due to surgical site pain but mostly because the bed could not accommodate my height so I was forever crossing my legs or scrunching them up, only to have a nurse slap them and wake me up for fear of DVT. Nurses kept promising to find a bed extender - eventually I lashed out in a post-anaesthetic haze at a nurse who slapped my feet - she took the end off the bed with a flourish. My feet shot out, I cried in relief, apologised profusely and slept for eight hours. Day two was stiff and sore but i was mobile, able to shower and sipping fine. I went home the morning of day three. I had PHENOMENAL life ruining headaches from day two. I went home with some serious opiates because I lived 90 minuts from my surgeon and couldn’t drive to get a script if they hit again. On day four my dietician cleared me for coffee and it immediately wiped out the headache – turns out I’d been in caffeine withdrawal. So I really recommend you taper that off in advance if you have a problem with coffee like i do. If you're diabetic then buy a freestyle libre glucose monitor for the procedure if you dont have a CGM. They want hourly blood glucoses, instead of being woken and pin pricked every hour I could just show them how to use the scanner and they'd take it while i slept. I had some minor aches 6 weeks out and one of the surgery sites oozed a little clear fluid. It subsided immediately. I was home for two weeks. I could have gone back at one week. I'm an accountant though and my starting weight was comparatively low so i was mobile quick. I completely understand if you're starting form a heavier weight then you should plan to take the full time. Food/Eating The normal progression of foods was fine and unremarkable from what is described on most forms. I graduated to solids a little earlier than I should have. I cheated like mad and was feeling fine, it was only when I snuck a tiny piece of casserole beef and vomited violently did I start to behave myself. I was vomiting once or twice a week from eating too much or too fast. Savoury ricotta bake, hearty soups and coconut water were my saviors. The vomiting subsided, 18 months out I vomit maybe once every two or three months and only when I do something stupid. My problem before surgery was eating very fast and taking large bites – that has been hard to deal with post surgery. In fact I tend to still eat large bites and then sit unable to eat for extended periods. I was very sensitive to sugar post-op and frequently had dumping. That subsided in a month with changes in eating, changes in my appetite and better food/liquid rules. I currently only get dumping in the morning, and only if I eat something sugary. I do get nauseous easily in the morning too – it’s something I’m working with my nutritionist on to find out why. Otherwise I can eat whatever I want within reason. I don’t drink soda, but had quit it before my procedure. Milky protein makes me nauseous too (any type of creamy protein really) so I use a water protein additive from costpricesupplements. This helps me hit 2L fluids daily. I can eat about a cup and a half food. Liquidy foods – stews, soups, casseroles – I can eat a lot more than that. Tougher foods like steak or dry chicken much less. I gulp liquids. I had a sensitive stomach before the surgery and took Metamucil religiously to keep my gut regular. I have not had any issues post op with flatulence but have had looser bowels. Metamucil still helps – but no worse or in any way less manageable than pre-op. Diabetes I went off insulin immediately after my surgery. It wasn’t a cure – I’m still diabetic – but metformin and trajenta keep me in an aggressively managed hba1c. I have a so-so diet – I eat too much sugary junk food and carbs. I could go without diabetic meds I believe but my diet would be depressing so ive truck a compromise. On this basis alone this was the best decision I could have made for my physical wellbeing. My blood pressure is fine, my cholesterol is non-existent and I'm able to even job a moderate distance without discomfort. Random observations • I’m cold. So cold. It’s 35 degree outside where I am (90’s Fahrenheit) but as soon as I go into any office I need a sweater. I really became dependant on sweaters, long johns and socks this last winter. Im not cooler in summer – just as hot and bothered as before. Maybe a better way to describe it is that I feel the temperature more in general, like I lost my insulation. • I am too skinny. Clothes don’t fit that great – most men this tall have a bit more chest/gut on them. Australia has limited/no tall clothing ranges domestically so I’m importing loads of stuff from the UK/USA. i still think i look fat when i look in the mirror. • My bum is bony and I need cushions to sit comfortably. I also had a cyst on a butt cheek I didn’t know about – now im so bony there I’ll need to get it removed so I can sit on kitchen chairs comfortably again. • I gained about 1.5” of penis length. It was a welcome addition. I needed to learn how to be more gentle and patient using it. With a young family and little sleep it's yet to be fully road tested – but I’ll be ready when we start to sleep again. • I have a little loose skin. nothing dramatic. mostly around the gut and love handles. • I am very sensitive to meds and drugs. I'm not much of a drinker but i like weed edibles - what would give me a mild buzz before gets me quite high now. I sober up quicker now too. I take xanax on flights to help sleep - i take a quarter of the dose now. • I drink red wine socially and now cannot really get drunk. I sober up quite fast but get a mild buzz pretty quickly too. • Dumping sucks but it should not be a discouraging factor. Its not life ruining – anyone who’s had a hypo as a diabetic it’s a bit like that with some gastro thrown in. It resolves pretty fast (30ish minutes for me) and is a self-reinforcing feedback loop for shitty food behaviours. For this reason alone I consider the bypass as the better choice for me. • I’ve lost a fair bit of muscle tone and will need to somehow up my protein and start some weight training to recover it. This needs to be balanced with not losing for further weight. • I have to remind myself to eat. Not just because of low appetite, but because once my pouch shrinks for a day then eating again can be uncomfortable and time consuming. As long as I eat fairly frequently my pouch is all good and I can eat quite a lot pretty fast – forget about it for 2 or 4 hours and I’ll need to take some time to eat a bit and get my appetite back. • I was hungry for 33 years and bordered on a pathological inability to waste food. I ate my meal and anything my wife or kid didn’t eat. I’d eat a meal out, go home and have a sandwich. We ate at bars and pubs because the servings were larger. I would eat until I was very uncomfortable if the portion was large enough. Now I still can’t bring myself to leave food – so I have this silly aversion to ordering anything more than something off the appetisers list. I don’t like asking for to-go containers (it’s an Australian thing – it’s really stupid because we pay so much for food out we should keep every bloody morsel) but have started to now order what I actually want instead of what I think I can finish. It’s funny – I went from ordering what I thought would be the biggest portion so I didn’t feel hungry (instead of what I thought looked good) to ordering what I thought I could finish and not waste. Regrets? None to speak of specifically. In a very minor way travel is less fun. I looooove travelling to southeast asia and the USA and love eating all the different things. My appetite is so low now, and eating can be so inconvenient, that I don’t get to eat anywhere near as much variety when I travel. I was recently in SE Asia and looking forward to a huge array of currys. I ate only two in five days as I had no appetite at all. I just need to travel differently now - actually plan to stop for meals instead of just charging all over a city and snacking on the way. I wish id been more sensitive to my wife's emotional processing of the scenario. She's gone from having the tall, chubby guy that was the physical build she was attracted to, to having a skinny beanpole. This was while she was having our second kid and all the very natural weight gain associated. She's not overweight and is, objectively i reckon, absolutely gorgeous but definitely feels marginalised by the process and is quick to colour me as vain or obsessed with my image now I am buying new clothes. I think i could have been more mindful of what I said or did. She was overwhelmingly supportive though and agrees this was worthwhile. Closing thoughts If you are considering this process and maybe you're on the margins of eligibility my experience would say go for it. my hope here was to give a vanilla experience to the mix, unique only in my taking the more permanent bypass on despite my lower starting weight. Sent from my SM-A705YN using BariatricPal mobile app

Day 16 and I ain't got a clue I really think my doctors have failed me with information being dibetic to everyday hypos and they expect me to inject my self with insulin which I refuse I dunno if I should of had surgery now I'm clueless the nhs is a big con system ???? Sent from my SM-N910F using the BariatricPal App

I feel like shit I barley eat anything , I feel very weak and now I'm having trouble with very low sugars I don't no if I should of had this surgery I'm having dibetic hypos on a daily basis I'm just lost for words really no support out here where I live I feel all alone I'm off to the hospital for a suspected blood clot to can things get any worse ???????? Sent from my SM-N910F using the BariatricPal App

I want to clarify something here for those that are following along at home. A random blood sugar test can be used to indicate diabetes, but just because your blood sugar is less than 200 mg/dL, does not mean that you don't have diabetes. An analogy would be this: if you weigh over 600 pounds, you are definitely obese. Just because you weigh less than 600 pounds does not mean you are not obese. I'm diabetic, but my blood sugar was never over 200 mg/dL any time I checked. As I mentioned, it's much more common to use A1C and fasting blood glucose tests to diagnose diabetes. Fasting is good because blood sugar fluctuates throughout the day. It should be at its lowest point after an 8 to 10 hour fast, so for most people, this is first thing in the morning. The other common test most diabetics are asked to do is "postprandial". This means after a meal. Now timing after that meal is subject to some debate, but typically 2 hours after eating is used as the "standard" for diabetics. For everyone, even non-diabetics, your blood sugar will start going up roughly 10 minutes after starting to eat. While this is heavily dependent on what and how much you ate, in a non-diabetic, your postprandial blood sugar should peak within about an hour of eating and should be back to normal in 2 to 3 hours. For diabetics, this normally does not happen as fast, so the peak blood sugar concentration is typically closer to 2 hours after eating. In short, most type 2 diabetics are asked to take a postprandial reading 2 hours after eating. Both fasting and postprandial readings are used to determine how well the disease is managed. For example, a high fasting blood glucose test might indicate that your diabetes medication needs to be adjusted. Another example might be if the post prandial reading is actually lower than the fasting number. If this is a consistent trend, it might indicate reactive hypoglycemia.

The following Abbreviations are commonly used on this discussion board: ACL = Anterior cruciate ligament AMRAP = As Many Rounds As Possible (crossfit) BB = belly button bc = because BCBS = Blue Cross/Blue Shield 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 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 cw = current weight CXR = Chest X-Ray Dr. = doctor DS = Dumping Syndrome or Duodenal Switch EGD = Esophagogastroduodenoscopy EKG = Electrocardiography ff = fat free GERD = gastroesophageal reflux disease GI = gastrointestinal 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 IMHO = in my humble (honest) opinion IMO = in my opinion IUI = Intrauterine insemination LAP Band = Laparoscopic Adjustable Gastric Band lol = laughing out loud LSG = Laparoscopic Sleeve Gastrectomy med = medicine MFP = my fitness pal msg = message 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 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 Oz = Australia PB = Productive Burps PCOS = Polycystic Ovary Syndrome PCP = Primary Care Physician 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 SADI-S = single anastomosis duodeno–ileal bypass with sleeve gastrectomy s/f or sf = sugar free SIPS = stomach intestinal pylorus-sparing surgery smh = shaking my head, scratching my head SO = significant other SOB = shortness of breath 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 or :-) = = smiley face or :-( = = sad face

Hi Forestcat Yes, I was definitely getting hungry by my first follow up appt w/the surgeon! Increasing your protein:carb ratio should help decrease your risk of reactive low blood sugars. I've had intermittent problems like that before too. To be honest, Forestcat, I was able to tolerate regular food a few wks after surgery just as long as I chewed it well. It was easier for me to get in Protein that way. That first appt took maybe 1-1.5 hrs. Not too long. I don't think they were expecting any records, but you do fill out a sheet which asks details about how much Fluid, protein, calories you are taking in, and symptoms. The dietitian reviews it w/you. There was one other person there who also had a band; we met w/the dietitian at the same time. I had my first experience w/PBs tonight! Not pleasant. Went to Red Lobster and had salmon, which was a little dry. I didn't puke, but it really felt stuck and I wanted to throw up but couldn't and didn't (thank goodness!). I got up and walked to the bathroom and stood in a stall for a while, burped as much as I can. I can definitely tell I had a fill this time, unlike the first fill! Not hungry for Breakfast anymore (Ben Meir said this would happen b/c the band is most tight in the morning). So I'm back to coffee w.protein powder only (was eating Cereal before the fill). Was warned that turkey frequently gets stuck too...will have to be careful! Happy Thanksgiving!