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For post WLS patients the hypoglycemia after booze would be reactive, and it can cause you to pass out. Alcohol is extremely carb-dense, and its liquid so it will be absorbed very quickly, your body will respond in kind by releasing tons of insulin into the bloodstream. The booze will past through your digestive tract extremely quickly and the insulin will lower the glucose in your bloodstream by far more than you can handle. This problem gets compounded if you haven't had much to eat or drink, as in water, not booze, in the prior few hours. At any decent concert one can be there for hours.. even worse if they're burning off energy standing, walking, moshing, etc., and not sitting, out in the heat, it only gets worse. Sometimes people need to learn the hard way that their bodies can't take much post-op.

This is common even for those who were not diabetic prior to surgery. It is called Reactive Hypoglycemia. Here is a link. https://www.ridgeviewmedical.org/services/bariatric-weight-loss/enewsletter-articles/reactive-hypoglycemia-postgastric-bypass

Had my surgery dec 16 and dropped the weight quite quick. I was 85kgs now 65kgs. With high BP and medicated with two lots of meds and hypothyroidism.. Off one lot of bp meds and halved the other bp med. hypo hasn't changed still on 200 micros a day Unfortunately I have developed reflux after the op which is ****...

Here is a list of some of the abbreviations used on this website. ACL = Anterior cruciate ligament AGB = Adjustable gastric banding 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 DDD = degenerative disc disease 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 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 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 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 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

3 years out. I feel like I eat small to normal size meals now. I still take a long time to eat a meal and usually just take leftovers home and eat in "chapters" as my other WLS friends say. The amount of restriction varies, sometimes I can only get down a few bites and sometimes I can eat almost a full meal. I've only had actual dumping once or twice. If I eat a few bites too much or something too carb heavy I will feel a little bit sick for maybe half an hour. It's nothing serious, but it's enough to make me think twice about taking that last bite of something. My biggest challenge is protein intake and blood sugar management. I don't eat meat much anymore, so I try to eat a lot of legumes. I have some instances of hypoglycemia and I have more frequent occurrences of reactive hypoglycemia after I eat. My body still makes too much insulin and drops my blood sugar. I keep a lot of juice boxes and small snacks around.

Does having no thyroid at all = hypo? I've wondered about that. I'm losing pretty well so far on pre-op diet. 9lbs in 10 days. But thats on all liquids except a lean dinner. 9lbs is a big deal since it would normally take a year to lose 5 just to gain back 15. The struggle is real with no metabolism. I gained 70 my first year after having it removed. I'd give anything if modern medicine would figure out how to do a transplant.

I was hypo and I never wanted to take Synthroid, I didn't want to put my thyroid to sleep. Now I'm 10 weeks pOP and I'm thyroid healthy, don't be fooled by taking synthroid, especially when you're overweight and that's causing it. Went from 5.9 to 3.9.

I'm hypo as well and take 200 micros of thyroxine a day. Reduce on weekends now though due to my weight loss after vsg. I had no issues losing and was nearly at goal weight around 2-2.5 months after my op. Being a low BMIer. But have been stuck for ages at my current weight. Sleeved 5/ dec 16. Thyroid getting tested again this week

Keep your head up and stay positive. I experienced a couple of setbacks too. I started my quest for wls in March of last year. I was recovering from sudden cardiac arrest that I suffered in October 2015. I had an emergency tracheostomy while in ICU which I had several setbacks to have removed months after being discharged from the hospital. I had to have surgery to remove scar tissue around my vocal cords. Also had a DVT which left me on blood thinners temporarily. By June, I had all my requirements completed to have weight loss surgery and was waiting for medical clearance. My second setback occurred my employer switched insurance companies from Blue Cross Blue Shield to Aetna. Aetna's requirements were different from Blue Cross Blue Shield and I had to start the whole process all over again and this time I had to do the documented weigh-ins which with Blue Cross Blue Shield I did not have to do. My third setback occurred this past October. I completed everything that was required of me by Aetna. By that time I had medical clearance and had my surgery date set for early November. I then received the worst news of all, I was told the policy that my employer provided did not cover bariatric surgery even after I was told that they did when they first changed to Aetna. As you can imagine I was really upset even after Aetna covered the visits I had with the dietitian and surgeon. I also lost money with those visits as I had to pay a $50 copay for three visits with the dietitian and my surgeon. While I was very frustrated, I stayed focused and determine to have my surgery. I dropped in during open enrollment switch back to Blue Cross Blue Shield. I had to wait until January for of the new policy to go in effect. This time I made sure that the policy I had chosen covered bariatric surgery. Luckily for me all the lab work that I had done and October was good for 6 months. My chart with my surgeon was reactivated and I just had minor documentation that needed to be submitted to Blue Cross Blue Shield and I was approved surgery. After 13 months of starting my weight-loss Journey, I had gastric bypass surgery on April 11th and I'm out a week out from surgery. So I'm here to tell you to keep your head up because sometimes obstacles do get in your way but you have to stay focused in order to reach your goal.

gpmed wrote This is interesting. I'm not currently having any trouble, but this sparked a question. I'm 19 months out from RNY and I've had to deal with reactive hypoglycemia. I find it helps me to eat smaller amounts throughout the day instead of three meals and no Snacks. So what's the difference between this and grazing? Or how does one do this without falling into the pitfalls grazing presents? Grazing is more akin to snacking. Consuming 5 smaller meals a day is not grazing.

This is interesting. I'm not currently having any trouble, but this sparked a question. I'm 19 months out from RNY and I've had to deal with reactive hypoglycemia. I find it helps me to eat smaller amounts throughout the day instead of three meals and no snacks. So what's the difference between this and grazing? Or how does one do this without falling into the pitfalls grazing presents?

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..

Sleepiness after eating is one of the signs of reactive hypoglycemia in bariatric surgery patients. Reactive hypoglycemia (postprandial hypoglycemia) refers to low blood sugar that occurs after a meal — usually within four hours after eating. This is different from low blood sugar (hypoglycemia) that occurs while fasting. Signs and symptoms of reactive hypoglycemia may include hunger, weakness, shakiness, sleepiness, sweating, lightheadedness and anxiety. http://www.mayoclinic.org/diseases-conditions/diabetes/expert-answers/reactive-hypoglycemia/faq-20057778

Hi. I found this thread through another thread. Can I just be super blunt here? From reading all of these comments in sounds to me that eating very little is what needs to happen for anyone to loose the weight (Hypo, Hashi, AF myself). If the point is to starve yourself then why bother to get a major surgery and risk complications? Starvation is the ONLY way I have ever lost weight in the past. I am not trying to be sassy but just being real. Comments? Thoughts? Contemplation? I have reached a breaking point with my body's failure to cooperate with trying to get the weight off with lots of exercise and calorie counting plus clean eating.

The long term complications I've read about after gastric bypass and/or sleeve gastrectomy are nerve issues, dental problems (resulting in root canals, implants, dentures), reactive hypoglycemia, strictures, fibromyalgia, ulcers, fainting spells, chronic anemia, osteoporosis, etc. I don't know if MGB has the same issues as these other weight loss surgeries as there's a lot less info available online. One thought is the perception of risk could be skewed if more people that have issues post their experiences than people that don't have these issues. So I could be getting scared about possible outcomes that are very low risk. It's a conundrum I need to work through.

Okay, so I suffer from anxiety, after the surgery my anxiety got worse. After I reached the 1 year mark, I became unbearable. I lashed out at my family that they weren't supportive of my job and choices, and even cut them all off and quit talking to them (we are very close!!) I was so angry and shaky and anxiety driven ALL THE TIME. My anxiety medication didn't help a bit. What was worse is I KNEW they didn't do anything wrong, I was overreacting...but I was so angry all the time! It wasn't until a particularly bad night that I realized what was wrong with me: I had become hypoglycemic. My insulin drops quickly soon after I eat. It's an uncommon side effect, but not particularly rare. Hypoglycemia (or even low blood sugar) causes anxiety, shakiness, sweating, nightmares...everything I had been experiencing. I saw my doctor, am now taking my blood sugar level throughout the day, and am back to my regular self. Yes, my family forgave me! Lol! There is a difference between Reactive Hypoglycemia and low blood sugar, but as I said, simply having regular low blood sugar would do it. I thought I was going to have to be put in a looney bin. I'm so happy I found out what my body was experiencing. Lastly, it could that her blood levels are perfect, and she's simply feeling very insecure about herself and her choices. That's not an excuse to lash out at you; just give perspective. If it's hurting you, tell her you need some time to take care of yourself, and give your friendship a break. You need to be taken care of, and frankly she's going through so much stress and change that she can't be there for you. You need to be there for you and take care of yourself. I'm afraid to say that it's really no one's fault; just the worse timing for both of your needs to be met. Take a break and take care yourself, hon. And tell her to check her blood sugar, just in case....

Weigh loss surgery can affect your blood sugar levels. Some individuals experience a condition called reactive hypoglycemia. The symptoms of hypoglycemia are: blurry vision rapid heartbeat sudden mood changes sudden nervousness unexplained fatigue pale skin headache hunger shaking dizziness sweating difficulty sleeping skin tingling trouble thinking clearly or concentrating loss of consciousness If this is the cause, it sounds like you only have a mild version at this point. But it is something to keep an eye on.

In reviewing my discharge instructions. One of the criteria for calling your surgeon's office is "New onset of upper back or left shoulder pain." As you lose weight the fat that cushions your bone joints disappears, therefore some patients report bone joint pain after weight loss. But in your case 3 weeks post op is a little too soon to experience this. Getting tired after doing light housework could be caused by a number of things. Top on the list is that your body is still in a major heal mode. But other things might be starting to show up. For example if you were taking prescription medicine prior to surgery, the dosage rate of this medicine might need to be adjusted. Not meeting daily Vitamins, Protein, fluids levels might also come into play. If you experience dizziness and fainting combined with the weakness, it might point to reactive hypoglycemia.

Hey yall! I've been hovering in the background for a few weeks now. But, today's the day the journey starts, so I figured it was time to post. I've battled with weight issues my entire life, but didn't pack on the pounds until my freshman year in college, where I gained over 100lbs my first year. After that I've been steadily gaining ever since, with my peak weight being a few months ago at 370lbs. My ex Husband passed away suddenly in August, and as terrible as that was, I think it was the wake up call I needed. Since then, I've managed to lose about 15lbs on my own, but have stalled since then. I met with my surgeon this past Friday to start the 6 months supervised weight loss, and am looking at September or October for surgery. Today we start the weight loss program the surgeon suggested. 1200 calories a day. Wow. My concerns are more with excess skin and hair loss. My hair is super thin, so I'm worried about losing all of it after surgery. So, just dropped like $75 on Biotin, Vitamin e with collagen cream, Multivitamins etc. Does anyone have any suggestions on the Protein drinks? There are so many options I don't even know how to pick the right one!!! Any suggestions on preventing hair loss and excess skin? I'd like to be proactive rather than reactive on these issues if possible!

These are some of the Abbreviations commonly used on this site. ACL = Anterior cruciate ligament AGB = Adjustable gastric banding 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 DDD = degenerative disc disease 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 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 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 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 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 was worried about the procedure itself and if I could do it. I was/am worried I would fail too. Those fears are there and can help us to rise above. Stumbling block/stepping stone. I'm trying to use this thinking to help me. My biggest fear was and is still long term issues. I did a lot of research on complications in the long run. Things like vitamin deficiencies (my step mom and dad who both had rny deal with this), And reactive hypoglycemia (my dad developed this), Mostly so I could know what to look for, what to do and when possible prevent issues. Not to be an alarmist, but to be prepared and know as much as I could. Won't know everything but knowing helps me face my fears. I wish you all the best in facing those fears. You can do more than you know. Sent from my SAMSUNG-SM-G930A using the BariatricPal App

were you hypo?

In general, the three most important elements after RNY gastric bypass surgery are to meet your daily protein, fluid and vitamin requirements. So a problem in any of these areas could cause your symptoms. For example, a lack of B12 can cause this. But since you got your labs back and they were good, that indicates that this may not be the problem area. Another type of problem that could cause this is reactive hypoglycemia. Here is a link that describes this condition. https://www.ridgeviewmedical.org/services/bariatric-weight-loss/enewsletter-articles/reactive-hypoglycemia-postgastric-bypass/

I've had this for many years, but it's gotten worse with age. But it is manageable and I don't have extreme issues if I eat properly. Before LB surgery I was pre-diabetic; my sugar was a bit out of the normal range. After I dropped weight the numbers normalized. Though I still have RA, my tested sugar and A1C is totally normal. Here is some info I found online. http://www.mayoclinic.org/diseases-conditions/diabetes/expert-answers/reactive-hypoglycemia/faq-20057778

I'm considering a Lapband/plication to RNY revision and combing through the various posts online for info. I'm reading a lot about reactive hypoglycemia, and how many start having it anywhere from 6 months to several years post-op. I'm concerned because I already deal with RA, but I'm able to control it with diet. It sounds like it can become a runaway train and very tricky to control after this surgery. I think this scares me more than anything else because I've dealt with it for years; long before band/plication surgery. I'm interested to hear from anyone dealing with blood sugar issues since their bypass.