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Well, I'm glad we all can help answer questions. Ik that the hypo controls it, but now I c that ghelin can affect the hypo as well. Thx

I've had thyroid disease for many years. I've had more than one Endocrinologist tell me "you can't blame everything on your thyroid". Like being overweight, thyroid disease does run in families so it's very likely that you could have a thyroid problem. If you're being advised to take thyroid medication by a PCP, don't take it! Go to an Endocrinologist and have your thyroid function checked. The biggest mistake people make is listening to a doctor who has no clue what they're dealing with. See a specialist. When you start toying with your thyroid function you are playing with more than just your weight. Your thyroid controls a host of functions in your body that you won't even think of. Over-medication, under-medication, and non-medication of your thyroid can causing lifelong damage to your other glands and organs. If your TSH level is between 1.5 and 5.5 and a doctor puts you on thyroid medication that doctor is a quack. That is a normal thyroid function and medication can cause your thyroid to become hyperactive, which is just as bad as hypo. In all the years I've been on thyroid medication I've not been able to lose the weight I want to lose. My thyroid function has been in normal range for many years. I lose some weight, then it just stops. I eat a healthy diet always and see my Endo every 3 months to have my TSH checked. Sorry to sound like a medical journal. My thyroid almost killed me several years ago and I hate to see anyone taking chances with theirs...I hate even worse to see doctors handing out thyroid medication.

It happened to me tonight and I thought i was very planful. Since having RNY 2 years ago I get episodes of reactive hypoglycemia. Today I had my normal Breakfast which was a Protein shake and knowing I would be going to my granddaughter's volleyball game decided to eat my lunch later than normal. I ended up having lunch at 2:30pm - I had a lunch that had great protein and veggies but also had more than normal carbs as it was a ground beef pasty. Then about 2 hours later I had a handful of almonds. I knew her game started at 6:30 and would like run until 8:30 but honestly thought i would be fine until then. Well, while on the way to the game I started to have the very low sugar crash and when it hits me, it hits me fast and it gets pretty scary. I start shaking, Sweating and getting very confused. I have learned the early signs (which come usually about 5 minutes before i end up in big trouble). Like an idiot, I did not bring anything with me. No glucose, no meter nothing.....So I looked at hubby who thankfully was driving and said you need to find either a walgreens or a gas station and find it fast. Well, we were in hicksville, USA and so the only thing we could find nearby was a gas station. I knew I needed some sugar but not alot and then i needed something with protein which would keep it from coming right back in an hour. So, I grabbed some dark chocolate and a protein bar. I ate 4 small squares of chocolate and then followed up with about 1/3 of the protein bar. Within 10 minutes I was fine and was able to hold off for a very late dinner at Stir Crazy where I had delicious chicken breast and veggie stir fry from Their fresh market bar. I really really need to be more careful with this! And going forward, a ground beef pasty clearly had more carbs than i even realized or it would not have happened to me. UGH!

I wanted to comment on your statement of, " not so fat" smh people tell me that all the time and say o you shouldn't do the surgery just exercise. Which pisses me off I do exercise but having hypo thyroids is so hard so hard to lose weight. I need a tool that can help me stick my toe in the door then I'll bum rush my way in lol . Here's me now just getting my appointments in order hoping for a may date...

My doctor called me about 48 hours after I got my lap band plus had given me his number in case I had any issues and said to call. That was several years ago. When my lap band was removed in February 2017, my current doctors office called me the following day to check on me. I appreciate the follow up and think it is very thoughtful of them to do this as I know it can be time consuming. But let's face it, there might be little things going on that we don't think anything about and by asking you a couple questions and giving you an opportunity to tell them how you feel you very well could proactively catch any post op complications before they get worse rather than wait a few days until you are miserable enough for feel justified to call them to ask if XYZ is normal. Better to be proactive rather than just reactive. 🤗 Sent from my XT1635-01 using BariatricPal mobile app

hair loss is another thing that most (maybe all?) of us vets, in retrospect, wonder why we worried so much about. It's temporary - and for many of us, we're the only ones who notice the loss (I know some people lose a lot - a very noticeable amount - but most of us don't). It's a minor annoyance in the grand scheme of things. whether or not you need Spanx depends on where your loose skin is - and how much you have. I was apple-shaped, so I don't/didn't have much on my hips, butt, and thighs. Mine was almost all in my gut. And yes - I just tucked it into jeans or "tummy control" leggings, and always wore a slightly oversized, long-ish top. Ta da! Excess skin gone. I'm sure I was the only one who noticed it. Spanx would work, too, if you're not wearing something that it can be tucked into. as far as 500 calories, that's really just the first month or so. From about that point until maybe a year out, I was eating 600-800 calories a day, usually closer to 800. At around the year mark, I was at around 1000-1200. Now, in maintenance, I eat 1500-1700 a day. I did develop what we think was reactive hypoglycemia at about two years out, but I was told to eat something every 3-4 hours and, if I eat a carb, to be sure to pair it with a protein. That seemed to take care of it...

I have done my thinking and thought I was prepared. My appts have been done for the past 6 months which i think were definitely worth the wait. I eat and think totally different. I thought I was good before but jumping into something so quick would not have been good for anyone of us. I am preparing myself. i just have to get the endoscopy and chest xray and I will get my date. I do try my best to get protein in all the time and try to stay low card for the most part. I am down 27lbs since i started nearly 300lbs. My worst nightmare was to go over 300. I am a mom of 3 and i just turned 40. I do not want my kids to be embarrassed of me being over weight although they have never ever felt that way that i know of. they kind of brag about me to their friends for the most part. We are all pretty unhealthy in my house. I am trying to show them all what good nutrion and health look like. I have hit a plateau for the past 3 months and started exercising. still have not lost a thing. weight is still 270lbs. Body is changing a little as far as gaining strength and flexibility so i am greatful for that. I look forward to getting my sleeve dispite what my family is saying. my parents ans sibilings are against surgery for weightloss. Bad knees and diabetes run in my family. All the woman in my family for the past 3 generations are all 300lbs or more. I dont want to be like them! I watch my aunt struggle everyday with bad knees. I watch my sister take diabetes medicine. oh i also have Hypo thyroid disease so I think this may play a part in my weightloss but how does that work with Surgery???

I have had Hypo Thyroid for years with partial removal.. I was sleeved March 22. My thyroid levels were low prior to surgery, now two and a half weeks out I have only lost 13 pounds and holding. Any suggestions? I am a bit disappointed..

Sorry I hadn't noticed this post sooner. Let me start by saying, I am a very lazy person, hence the reason I got fat. My time in the gym has been ZERO. I do walk a lot with my wife. I babysit a 3 years old 5-6 days a week 12 hour days. I love skateboarding again. But as far as exercise, workouts? Nope, not my cup of tea. 95% of my weight loss has come through the kitchen. I am blessed in as much, I am now reactive hypoglycemic. I cant cheat with sweets without paying a dear price. I have gone unconscious 3 times since surgery from low blood glucose below 50. Also my appetite has been a struggle. I have to force myself to eat. Trust me I could lose more if I wanted to. I am 6'3" and 163 lbs is already skinny enough. I was a very skinny young man, and I think post op my body went back to its natural state. I was about 145 lbs into my early mid 30's. So yeah I was quite skinny. Diet wise, I was probably stricter with myself than I needed to be. I eat eggs, cheeses, meats of all types, green vegetables. Very little fruit, sugars aren't my friend. I use TESPO liquid vitamins. I'm not a good example. I enjoy the occasional chili dog. I eat the occasional chip. My portions are obviously a fraction of what they were in the past. There are much wiser, better examples of peoples disciplines and diets on here than mine. Again, I am not typical in that I have to force myself to eat. I actually seek out fattier foods now just to maintain weight. Not necessarily junk food, but not the leans foods most of us have to eat. It has taken me many months to stop losing. My doctors were starting to get worried. for my health based on how rapidly I lost and my inability to maintain. I am doing much better now though.

I am a bypasser... had my bypass in 2015, turned 50 last year... having issues with GERD and reactive hypoglycaemia.. I live in Albury NSW Australia.

Quoted Betterthe Bean Just curious.....which doctor said this? You've stated so many times how bariatric surgeons in this country don't know anything, so how could the surgeon who doled out this little gem about hypoglycemia 30 years post op be trusted to know anything at all? Perhaps he's just as ignorant as the rest of the bariatric surgeons we used. After all, where are his YouTube videos backing up his claims? Hello...ButtertheBean, If you read my posts carefully I've NEVER said ALL US Bariatric surgeons don't know anything, I said to always question surgeons and get second opinions if necessary and ALWAYS be proactive with your own health. Regarding Hypoglycemia - Yes my older sister had stomach stapling surgery over 30 years ago when she was 24 years old, (similar to the Sleeve) and she has had part of her stomach removed as well she she developed ulcers from the stomach staples years ago. She's had those hypoglycemia attacks for many years, but not to the extreme as she is having them now. I've seen how she has lived with this surgery over the years and she's had many stomach problems and pain, however she's never had a problem so severe that required hospitalization, she did have to get her gall bladder removed years ago also. Now she has started to get scared for her life because the attacks are more frequent (daily) and it is causing her to be disabled, she gets really hot, dizzy and her blood pressure drops to almost fainting, a few weeks ago at the casino she fell over people and could not make it to the ladies room, they had to call the paramedics, long term Hypoglycemia can be deadly. She has been to several specialists and they got no answers, only to tell her to keep a strict diet, and she can't eat many carbs without feeling sick, and now have to keep candy and crackers with her at all times, to combat the severity of the attacks, this is when the Bariactric surgeon told her that this can happen with any stomach stapling surgery such as VBG, Sleeve, RNY or DS since the stapled small stomach causing rapid emptying of the stomach that can create these bad side effects, but in many they can get chronic and debilitating over the years. Many Sleeved friends of mine complain of (dumping like syndrome) which is probably Hypoglycemic as well. There are clinical trials right now being done on Bypass and Sleeve patients for long term Hypoglycemia Here are links to some of the studies. http://clinicaltrials.gov/ct2/show/NCT01581801 http://www.ncbi.nlm.nih.gov/pubmed/22773085 The primary aim of the present study is to conduct a 1-year randomized trial to compare the incidence of hypoglycemia after RYGB or SG. Condition Intervention Obesity With Complications Morbid Obesity Reactive Hypoglycemia Bariatric Surgery Procedure: Gastric Bypass Procedure: Sleeve Gastrectomy Study Type: Interventional Study Design: Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment Official Title: RANDOMIZED CLINICAL STUDY COMPARING THE EFFECT OF ROUX-en-Y GASTRIC BYPASS AND SLEEVE GASTRECTOMY ON REACTIVE HYPOGLYCEMIA Resource links provided by NLM: MedlinePlus related topics: Diabetes Medicines Hypoglycemia Obesity Weight Loss Surgery U.S. FDA Resources Further study details as provided by Catholic University of the Sacred Heart: Primary Outcome Measures: incidence reactive hypoglycemia [ Time Frame: up to 12 months ] [ Designated as safety issue: Yes ]The Primary Endpoint of the study is the incidence reactive hypoglycemia within 1 year after the bariatric surgery. Secondary Outcome Measures: insulin resistance [ Time Frame: 0,1,3,6,9, and 12 months ] [ Designated as safety issue: Yes ] Changes at 1 year of insulin sensitivity and insulin secretion measured after an OGTT. Changes at 1 year of body weight, BMI, abdominal circumference, body composition, lipid profile and cardiovascular system abnormalities. the incidence of severe hypoglycemia or related symptoms (shakiness, sweating, dizziness or light-headedness, confusion, difficulty speaking, weakness, confusion, syncope, epilepsy, seizures) within 5 years after the operation. Estimated Enrollment: 50 Study Start Date: October 2012 Estimated Study Completion Date: December 2014 Estimated Primary Completion Date: August 2014 (Final data collection date for primary outcome measure) Arms Assigned Interventions Gastric Bypass25 subjects obese subjects with complications or morbidly obese subjects will be assigned randomly to this arm to undergo gastric bypassProcedure: Gastric Bypass Roux-en-Y Gastric Bypass This laparoscopic operation includes the division of the stomach in two parts. A proximal, smaller pouch (20-25 cc volume), is connected to the rest of the gastrointestinal tract through a gastro-jejunal anastomosis, whereas the distal gastric pouch is left behind but excluded from the transit of food. An entero-entero anastomosis, with a Roux-en-Y type of reconstruction, allows the bile and pancreatic juices to mix with the nutrients at about 100-150 cm from the gastro-jejunal connection. Sleeve Gastrectomy25 subjects obese subjects with complications or morbidly obese subjects will be assigned randomly to this arm to undergo sleeve gastrectomyProcedure: Sleeve GastrectomySleeve gastrectomy Laparoscopic SG involves a longitudinal resection of the stomach on the greater curvature from the antrum starting opposite of the nerve of Latarjet up to the angle of His The final gastric volume is about 100 mL.

Several individuals develop a condition called reactive hypoglycemia after gastric bypass surgery. Here are some links: https://www.stjoes.ca/patients-visitors/patient-education/f-j/PD 7972 Reactive Hypoglycemia after Bariatric Surgery.pdf https://www.ridgeviewmedical.org/services/bariatric-weight-loss/enewsletter-articles/reactive-hypoglycemia-postgastric-bypass http://www.todaysdietitian.com/newarchives/060415p48tip.shtml https://www.bariatricpal.com/topic/194130-reactive-hypoglycemia/

I have hypothyroidism too. I can tell when doses are off. I am thinking its off now. Heart racing lately. I know the signs and symptoms of both hypo and hyper. Maybe this surgery jacks up hormones and changes occur. How long ago did you get banded?

Hi I've just been searching for this topic as I've recently realised I have just started showing symptoms of Reactive Hyplogylcemia. I'm exactly one year post-op sleeve surgery and I had no idea us sleevers could suffer these symptoms. I'm a vegetarian so trying to cut out carbs has been a huge challenge for me and must admit that recently they have come back into my diet and my weightloss has also stalled. I now find that if I try and exercise in the mornings I have a massive hypo attack, the shakes, sweating, low blood sugar, feel like I'm going to faint, need to sit down and then an urgency to eat something. I then continue to feel terrible for the rest of the day like I'm all washed out and very tired even though I've done almost nothing. This is a very worrying new complication of the sleeve surgery that I did not sign up for and I'm trying to find out as much as possible about the condition so I can learn how to manage it. I'm confused as to whether I need to cut the carbs or increase them? I've been eating about 1,000 calories a day but burning around 2,700 cals per day (I wear a BodyMedia monitor so I know exactly what I'm using). I'm now really worried about this new development.. I'm seeing my surgeon next week for my one year review, I will be asking about this as from what I've researched, it seems as though there are a lot of people post bariatric surgery complaining of the problem and not much can be done from what I know??. Mine so far has been manageable but I am very worried it might get worse and I've read some people having their Pancreases removed which seems very extreme!. Any help or advice would be gratefully received. Prior to surgery I had PCOS, under-active thyroid and had been told years ago that I was insulin resistent but I never had diabetes. I must say, had I known about this complication it would have made me consider very carefully whether I should do this? Please has anyone any advice as it is worrying me a lot??

RNY-to-sleeve revisions happen, but it's apparently mostly because of severe reactive hypoglycemia and other really weirdly specific complications. Sleeve-to-RNY is more common in part because the sleeve was eventually conceived as a safer surgery to give people with much higher BMIs, with the intention of converting them to RNY once they lost enough weight that that was a safe option for them. They started doing it as a standalone procedure when many of those patients opted not to come in for the second surgery, being successful with just the sleeve. But sleeve-to-RNY absolutely does happen, still, especially for people who have uncontrolled GERD or who can't lose enough weight with the sleeve alone. In my pre-op testing they found some small lesions in my esophagus, which might have been esophagitis or might have been a small amount of GERD. I went with the sleeve despite that, because I also have arthritis and might need to take ibuprofen and other NSAIDs again, ever, in my life. (Also, I had been taking large amounts of NSAIDs over a long period of time, and they may have been responsible for some of the damage they found.) I can't tell you how that turned out for me, since I'm only a week post-op, but I will say my doctor didn't try to sway me toward RNY at all, and given that I also had a hernia repaired, I'm pretty hopeful that it'll all turn out OK.

That approach works for me; it is pro-active instead of being merely reactive. I was proactive, too. I weighed in at 195 and I paid to have the band installed; this has been a largely positive experience. I was able to overcome the gluttony which kept me married to my plate. And to take the time away from this in order to do some research as to what would make for healthy little snacks for someone who despised cooking. lol

Thank you Paige and Mel! I actually have Harvard pilgrim ppo, hopefully I’ll find someone. I know this sounds odd but going through the website and seeing which doctors I can see, all of their names sound old. I don’t want an old person. Anyways I currently have some kind of respiratory infection/cold/flu from an animal that’s supposed to be nice, or whatever, and I have found that the band seems tighter after a major coughing fit, and it just tighter in general as opposed to when I didn’t have a cold. So… for people who haven’t had a cold yet… keep that in your back pocket. Paige, just as an aside, after the last meeting I reactivated my face book account and blame you for the time I spent at work on there. If I get fired, you better be able to support me. Oh! Here’s a fun story. When I was in college I was in a co-ed fraternity. I know, I know, I definitely seem the frat guy type don’t I? Well the point is I was in one. And I lost touch with the people I was in with, mainly because after college you don’t necessarily want to be reminded of all the stupid stuff you did in college (like joining a fraternity on a whim). So anyway I’m perusing face book and this girl that was in the frat I lost touch with after she moved to nyc to be a standup comedian. I’m watching her stuff on you tube and notice she has some more videos, I look them over and find out that she made these lap band videos documenting her process, much like the ones I watched before I had the surgery. So I immediately face book messaged her and then she called me and we talked for about an hour all about the band (she had hers last june) and that’s my fun story about the band. Ok, maybe this story wasn’t fun at all, but who cares, it was an entertaining read wasn’t it? I know the month is young but is anyone going to either of the support groups this month?

People that don't take their medicine drive me crazy! I don't see how she can function when she isn't on meds. I've been on Synthroid (hypo) since 1992. I went w/o meds for one week years ago. I was dragging so badly that I could barely function; it was awful. Additionally, my dingbat uncle has very high BP. He would take his meds for a while, get to feeling better, and then stop. ARE YOU KIDDING ME? His BP was so high that it's amazing he didn't have a stroke. Ig-nernt. Jaime - pls pop your friend in the back of the head for me. Think how low her metabolism is w/o meds, sigh.

I have hypEr thyroidism, not hypO thyroidism. Hyper is low levels, which can effect weight loss. People with hypo have high levels, which is usually found in skinnier folks- high levels can cause someone to be thin. There are people who go between both types and there are bigger folks that have hypO thyroid conditions. I am on synthroid for mine and get checked periodically.

Is there any diabetic on this site? I'm going for my surgery June 3rd so right now I'm on SlimFast Optima. It's day 5 for me. The surgery is new here and I'm the first one to go under the knife if I may say so. I have a question and I would appreciate if someone could help. During that time, can I do exercice and not have hypos? Right now my blood sugars are high and my endo. told me it was normal. My body is trying to adjust to what I'm doing to him...no food, no coffee only SlimFast. He said to be carefull because it's going to drop but don't know when. So I'm scared to do some exercices. If someone went through the same thing, would you please reply and give me an idea what to do?:mad: I'm so excited about that surgery. I'm doing everthing I can to help. I haven't cheated yet and I'm not planning on. God is good. He knows how I am. Right now, my Mom, my sister and someone at school are on SlimFast too because they want to support me. This Monday, at work, other teachers, the principal even the vice-principal (how's a man) are going to have SlimFast for lunch. Some even have the idea of staying on it for a couple of days. My Mom and sister are going to do it all the way. Talking about support, I can't ask for more.:thumbup: clempier

You'll be fine. Take a friend and make a day of it Mine and DH's are Feather/Down too. Mine has a hypo-allergenic cover (which is great at stopping "poke-through"), but maybe we have a feather-fungus of some sort? I understand the legacy thing, my quilts were handmade by the various women in my family. I remember waking in the feather bed at my great-aunts cabin and how my nose was nearly numb from the cold room. Inside the bed was as cozy and weightless as a hot bath. Sticking your toes out and reaching for the floor was an act of courage. You should at least wash the pillow and dry it on high with a clean shoe. I use a small plastic bottle glued shut and filled with split peas. I read a statistic once that said most of a pillows weight after 5 years was not good stuff. I think it said that they double in weight. Please don't ask what the stuff is, OK? *gagging sounds*

Why haven't you made any plans for Christmas with your kids? Why don't you have a celebration with them before the actual day and do something really fun. I mean since you waited this long to make your own plans your husband beat you to the punch line. The only plan you've made is to not let your kids go out of state with your ex. Start acting proactively instead of reactively. Thats my 2 cents.

Hi all- I just received an apology from Persistance, saying she did not mean to come across to hard on our WonderMom here. When responding to her, I realized, I too had handled it wrong. While she was harsh in the way she said things, she too is honestly looking out for Wonders safety. She deals personally with abusive relationships, and has seen the worst happen. NONE of us want that for Wonder, we all have different ways of voiceing that, and advising her. Some of us wish we could just go pull her out of the house, and fix it all for her!!! We can't. Dammit! Anyway--please know wonder, that we all just want the best for you, we worry about you. Many of us have been where you are, and know it can go from bad to worse very quickly, and we just want you to be proactive rather than reactive to things he says and does. Keep in contact with your attorney, and with us---even when we say things you don't like it is done, hoping to help you. I really do not believe anyone is trying to be unsupportive, we all just show it in different ways. Tough love is afterall still love---just wrapped up differently. Hang in there Wonder---we're all here! Kat

My doc said that as a precaution you should try to avoid putting lotion on the incision sites until you are a month out. He said if you must put lotion on it, try to use fragrance free, hypo allergenic lotion. He also said I could use aloe vera, which has worked out well. So, I use regular lotion on the non-incision parts of my stomach and aloe vera on the incisions. Oh, and he said that if the reason you want to put lotion on them is because they itch (as opposed to generally wanting to lotion your body), then you should use the aloe vera because it means your incisions are still trying to heal.

It could be due to a number of factors. If your blood sugar gets too low or if your blood pressure gets too low, fainting can result. 1. If you were diabetic prior to surgery and taking medicine for it, the amount that you take for this condition might need to be reduced or eliminated. The same may apply to those taking prescription medicine for high blood pressure. 2. Some individuals (irrespective of whether they had diabetes prior to surgery) get a condition called reactive hypoglycemia. Here is a couple links. https://www.mayoclinic.org/diseases-conditions/diabetes/expert-answers/reactive-hypoglycemia/faq-20057778 https://www.verywell.com/what-to-know-about-reactive-hypoglycemia-1087744 3. It can also be due to dehydration or an electrolyte imbalance. Possible triggers of orthostatic hypotension include: dehydration – if you're dehydrated, the amount of fluid in your blood will be reduced and your blood pressure will decrease; this makes it harder for your nervous system to stabilise your blood pressure and increases your risk of fainting. https://www.medicalnewstoday.com/articles/182524.php Generally, electrolyte disturbance symptoms depend on which electrolytes are affected and the severity of the imbalance. Most electrolyte problems involve abnormal levels of sodium, potassium, or calcium. Typical mild symptoms of an electrolyte disturbance include dizziness and muscles cramps or weakness. https://draxe.com/electrolyte-imbalance/ It is important to drive this one to ground. Consult your surgeon's office. If you have a blood pressure monitor and a blood sugar monitor at home, you might be able to localize the cause immediately after your next episode.