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It's 20 degrees outside lol I usually walk at the gym.. I put my membership on medical hold and my dr won't give me a note to reactivate it until the 7th (not to bad) I tried walking around the mall but it's always so crowded... Can't wait for warmer weather!

not quitting smoking could be really detrimental to your surgery, so i'd honestly at least try to quit. i've seen some surgeries where people didn't stop smoking & it messes with your healing time, your skin as well as other stuff.. it's not pretty. "Smoking does two things in terms of the cardiovascular system that anesthesiologists area concerned about. First, smoking increases the amount of carbon monoxide attached to hemoglobin in the blood. This has the effect of decreasing oxygen supply. Carbon monoxide also makes the heart pump more poorly, also decreasing the amount of oxygen that is delivered to the body. Second, nicotine increases the amount of oxygen that the body needs. So, oxygen supply is being compromised at the same time that more oxygen is being utilized. Smoking obviously also affects the lungs. Among other thigns, smoking causes an increase in the amount of mucus secreted while at the same time decreasing the ability of the lungs to clear these secretions. In addition, smoking causes the small airways in the lungs to be narrowed and more prone to collapse. The end result of these effects are an increased susceptibility to infection, chronic cough and increased chance of pulmonary complications. Lastly, smokers also have increased sensitivity to stimuli and increased bronchial reactivity, increasing the chance for bronchospasm and other life threatening pulmonary processes. This is not just theory. There have been multiple studies confirming that smoking increases the incidence of pulmonary complications after an anesthetic as much as six times. Smoking has been shown to be an independent risk factor for complications ranging from complications of lung function to wound healing to cardiovascular events such as heart attack." source: http://anesthesiolog...es/12012003.php also: Q: What specifically does smoking do to inhibit healing and recovery from surgery? A: Nicotine closes the blood vessels responsible for bringing oxygenated blood to the tissues. In addition to its healing power, oxygen also fights infection and helps to keep tissue alive, as well as being instrumental in delivering important medications like antibiotics. Furthermore, smoking clogs the lungs, and thus increases risk of pulmonary infection such as pneumonia. Q: What are the worst-case scenario consequences of smoking before and after surgery? A: Smoking significantly increases the risk of severe infections, pneumonia, and tissue death. Q: Are there specific surgeries that you will refuse to perform on a smoker? A: Certain procedures which involve a lot of pulling or altering of blood supply would present more risk for a smoker. These procedures include face lifts, tummy tucks, and the use of tissue flaps as in reconstructive surgery. Q: Aside from quitting entirely, how long do you recommend patients avoid smoking before and after surgery? A: Ideally, the patient would quit altogether. However, this is obviously not going to happen with a lot of patients. Generally, it is recommended that a patient avoid smoking for at least 3 weeks before and after surgery. Source: http://plasticsurger.../smoking_PS.htm

Hi everyone. Just wondering any of you stop taking your diabetes med? Any hypo episodes? I work in a dialysis center and I walk almost 5miles a day in a 12hr shift. I been having problem with being hypo all the time. Anyone else work in a hospital and having problem? I cant eat fast during my break so i just live with a few bites and just candy every hour.

In previous posts I had mentioned being sick and feeling like garbage since November when I had the flu. I found out from my gyn that I most likely had H1N1 and some E virus. I couldn't remember what the "E" Virus was to look it up when I got home. To make a long story short I was searching Mono for a student today. While reading about it I found its medical name. You may already know it, but yes it is the mystery "E" Virus that my GYN said was acting up on me again. Okay, so I get it now. The swine flu causes lung and tummy problems, cold chills and fevers that last for weeks. The mono reactivated itself and caused even more fatigue and muscle weakness. My iron was never anemically low. I was just down from the Mono. If you have ever had mono you know there is no way for your body to be able to burn fat and now way to survive on just a few hundred calories a day when you are that sick. My cravings were truly from the food being needed to heal my body. I posted on face book and twitter a couple of weeks that I felt like I could run five miles. That was the first time I felt normally since Thanksgiving. At this point I am just glad to understand what my body has been going through and why I have stopped loosing weight As always to read more you will need to go to my blog. http://tinkrisegrind.blogspot.com/2013/02/the-long-winter.html

Hi forum... I am 13 years out from RNY and I am back into the cycle of insulin resistance and reactive hypo ... anyone else struggling with this? It all started about 7 years ago when I became allergic to wheat and had to switch to a rice based diet cause of my allergy... my body just pushes too much insulin out when I eat carbs... and rice really make a me spike... then crash and burn. Would love to hear from others who have struggled with this due to PCOS... that is what started he whole cycle for me. MaryJo RNY on 8/2/04 290/130/215 current

Hi Maryjo, I'm glad to hear from you. I had lap-band in 2006, did fairly well with it, but it got too tight and I had it removed last year. I tried life without it, but unfortunately gained a good portion of my weight back, so had a mini gastric bypass in September. I have PCOS and have had gestational diabetes 3 times. I'd been on metformin (long acting 1000mg) for several years to manage symptoms and as a preventative to DMII. All was going well and I was losing weight fairly steadily. However, about a month ago I started getting low readings (3.0) and was symptomatic. I went off the metformin about 3 weeks ago, but continue to have reactive lows (fasting is fine) about 2 hours after eating. I've cut out all simple sugars and am really trying hard with the protein, but still struggling. My GP thinks the metformin is still in my system. I'm trying to figure out if this is just big sensitivity to carbs and late dumping or something more significant. My GP isn't too concerned and the surgeon is across the country. I called the nurse and dietician at the surgeon's office, but they didn't seem to know much about the phenomenon. I'm thinking I'd like to discuss this with an endocrinologist. I'm pretty worried about this. Kerri MGB Sep 28/17

Reactive hypoglycaemia?

To me this is a double edged sword: damn if I do and damn if I don't. When I am experiencing insomnia, if I can't fall asleep till early morning hours, I get hungry .... dinner was at 8pm, and at 2-3am, if still awake, I get hungry, so I need to snack on something. I try to make it healthy, but still, it makes this an extra meal. So, too high a dose of Thyroxine is not good for me, even if it seems I keep losing weight or inches. When I experienced hypo stage, after my med was reduced by 50%, I was hungry lot more, I slept better but my weight stayed the same .... So, no good either I haven't sleep walked, but yes, it is scary stuff. I keep having 6 weekly blood tests, at 9 months post op. I had them done monthly till about 4 months ago. @@shedo82773 I would definitely have blood tests done again, since you said you have been on the same thyroid med dose for years.

I've had at least 4-5 Thyroxine adjustments since my surgery in March 2016. Been suffering from insomnia ever since. Still have regular, 6 weekly blood tests. 3 months ago, my Endo recommended halving my dose, from 100mcg to 50mcg. I slept OK, but got very blah, no energy, loads of allergies and hay fever and bad headaches, plus my weight loss stopped. I was told that my results were "normal", but I could see the "normal range is quite wide, and I was towards the top of the "normal" range. So, I started on a mixed dose. Worked OK, really well for few weeks, had loads more energy, now I get hyper symptoms again, not as bad as many months ago, but my insomnia got worse again, and I have been getting hot again with racing pulse. I was taking 50mcg for 4 days, then 100mcg for 3 days. Waiting for results from my latest blood test. I may need to take 50mcg for 5-6 days, and 100mcg for 1-2 days. I will know next week. My hypo was created by having RAI mid last year, as I have Graves Disease and was very hyper-thyroid. Been on Thyroxine since January 2016. I have read a lot about other thyroid meds, more natural, NDTs, but at this stage I find them very expensive here, in Australia. Hope this dose adjustment roller-coaster will stop soon, really over it by now. Good luck and best wishes to us all!

I'm a revision and I have hypo-thyroidism. I'm 4 mos post op and have lost 52 lbs total and 48 lbs to go. I don't lose as quickly as some, but I also think it's because I have less to lose. This makes a huge difference.

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.

No, you don't come on too strong. You are straight forward, and I appreciate that. My first surgeon gave me his rules: Protein shakes for 2 days after a fill, then soft foods, like soft scrambled eggs and sugar free pudding and Jello. Then I can work up to fish and soft veggies. The last doc said nothing but Water for the first day (clear liquids) no milk, then the 2nd day Protein Shakes, and the 3rd day soft foods. Told me I shouldn't be able to eat much, but I can eat an entire 12 in Subway sub (toasted ham and cheese). You are right. I have to get back to basics. I do drink when I eat. I will work on that this week. No more bread, rice or Pasta, either. What about coffee? Can I still have my coffee? The dietician said I had 3 overlapping issues with sugar. She said I may be having dumping syndrome, reactive hypoglycemia, and pre-diabetic hypoglycemia. She said that each of these things can mess up my sugar, but can be controlled. Also, when I had my gallbladder out, I get the Worst case of burping! It doesn't matter what I eat, I burp.

Early on I had 'meat sweats' a few times right after eating, and the dizziness and would need to lie down. It's sounds like reactive hypoglycemia https://www.google.com/url?sa=t&source=web&rct=j&url=http://www.eigerbio.com/resources/Goldfine-2016.pdf&ved=2ahUKEwj12ZTU94niAhUNvKwKHU2qAx8QFjASegQICBAB&usg=AOvVaw3_1GW7msGkeuZlxOShhfXR

This is Reactive Hypoglycemia. I have the same experience as well with the same symptoms you have experienced. I have been dealing with this since the 18mo mark from my Sleeve surgery. I'm at the 5 yr mark and still experience it. Do some reading on this. I also spoke with the Diabetic Dietician about this as she was well versed on this issue. The solution is to eat 15 grams of carbohydrate that is easily digested and your symptoms will subside. After that, follow with protein. I now carry the glucose tablets with me just in case. Sometimes I feel like it comes out of no where now that I'm better at navigating this. Good luck, it can be very frustrating.

So I'm 3 years post-op. I got the sleeve and I'm looking into getting the bypass. I have been busting my butt working out, eating right up until the last few months because I started to give up hope. Anyhow, I have Thyroid issues that were finally diagnosed as hypo after a year and I'm struggling to lose more. I lost a total of 80lbs and it's slowly going up and down. I had acid reflux here and there but didn't think it was due to the sleeve the longest time. smh. Well, now I'm in the process of getting approved by my insurance. I should know my requirements this week. Has anyone got a sleeve to bypass revision done? If so can you share your stories, whether it was a success or fail, wins, and complications. What to expect. Anything you can share. HW - 283 LW - 208 CW - 230 GW - 160 Sleeve did on 05/26/2017

I didn't get surgery July 7th because my insurance was terminated days before my surgery.. Soooooo sad. But all I have to do is reactivate it and call my surgeon back with an effective date of my insurance and get a new date.. Anyone familiar with this happening

Are you lactose intolerant? It honestly sounds like dumping to me. I had it just last night cuz I chose to have a crappy dinner instead of my planned dinner. Sucked. It sounds exactly like reactive hypoglycemia and some of the sugar alcohols cause this same reaction in bari-patients.

I am so excited to have my surgery, but I also feel the exact same way as you do. Right now I do not have major health issues and somehow I feel that this surgery will cause a slippery slope of other problems, all in my Quest for a skinnier, albeit healthier, body. But I also realize that if I allow myself to gain more weight, then the weight-related health issues WILL start sooner or later. So for me, I view it as me being proactive rather than reactive as in the case of others who have no other choice to save their lives. I'm sure that many others had these same pre-surgery thoughts, that's why I'm glad that, at least, we have this forum to discuss our fears, our hopes, and to Celebrate with like-minded people. In the meantime, I will continue my daily prayer that I am doing the right thing and also pray that God sees me through this surgery complication-free and that I don't pick up any new ailments because of it (including losing my gallbladder!). 1. It is a lot of money. But spending it on your health is worth it. You can put your vacation on layaway after the surgery (call a travel agent LOL) 2. See above concerning being proactive rather than reactive 3. Eat Soup, take Vitamin C 4. Once your healed, you can still love food; just eat less of it. Be smart about choices. 5. Read up on Biotin and certain kinds of shampoo. There's always weave. 5b. This is one of my fears. SO ME TOO! Can someone help both of us with number 5!!!! I hope this helps..... I'm talking to myself and I talk to you because I'm scared too!

mary it sounds like you went into a hypo glycemic shock ....were you a diabetic before this ?you should start carrying some hard candies to suck on but becareful if you feel faint dont suck on it there is stuff called glucose that is a thick liquid you can but under your tounge and it will disolve you wont chock on it .... dr the dr check your sugar ..

I've had 2 bouts with reactive hypoglycemia. One was from waiting too long to eat dinner and one was from having a migraine and not eating enough before I went to bed. No fun I have apple juice in my fridge so if i have a reaction I drink an apple juice and eat a hard boiled egg. A friend of mine does apple juice and a tablespoon of Peanut Butter. I'd love to hear what other people do as well.

Congrats! I also got reactive hypoglycemia that Bothers me too with the sleeve.

Today I am officially one year out and I have a normal BMI. I just saw my nutritionist and she didn't recognize me at first. Which is funny and really nice. She also said she is very proud of me. Even though I developed Reactive Hypoglycemia which only 2% of Gastric Bypass patients get I wouldn't change a thing about having this surgery. The pluses out way the minus of getting this. It's been an educational journey which I will continue to take from this day forward. I wish all of you great success on your journeys too. Thank you for reading this.

I am seventeen months out and I do not count calories. Never have. I eat Protein first and then veggies followed by my carb whatever that is. Breakfast I eat Raisin Bran with 2% milk. I find it keeps me regular. After 1/2 hour I drink a tea with 2% milk in it and take my morning pills and Vitamins. Noon I always eat a 1/2 sandwich with real meat and cheese on it. Sometimes I eat a salad with wheat hearts or legumes. Or crackers with hummus..I make sure they are complex carbs..As they are much better for you. I then take some more vitamins and at three o'clock I have a second tea and take more of my vitamins with that. Meanwhile I drink 1/2 bottle of G2 Gatorade mixed 1/2 and 1/2 with Water. That is 32 oz of water right there. I get that down before early afternoon and I fill up my 32 oz container with water again. This time with lemon water or just plain water. I then eat dinner and have protein of some sort. I love fish and chicken but will make lamb too..I eat a lot of Beans and seeds and wild rice...I always try to make my meals pretty and interesting so that even though I am not eating a lot I feel like it is special. Dinner has always been my favorite meal. After dinner I wait and at nine or 10 I have a few nuts and seeds or fruit depending on my mood. Sometimes I have a hot chocolate and ( diet one ) make sure I finish all the water for the day. Before bed I take the rest of my pills with orange juice like clock work because the Iron works better with orange juice. There are things I love to eat and others not so much. I will eat a Smart for Life bar instead of lunch if I am on the road going somewhere. The days I work out I eat added to the list above a 1/2 larabar before workout and 1/2 after. My daughter makes them for me and they are so good. I am very, very picky now when it comes to quality. I deserve quality. So I make sure I have it. I hardly ever weigh myself. I think it is harmful to our minds because we become obsessed with the numbers instead of what we need to concentrate on. And that is our need to change how we feel about food. Fix the brain, we fix the body. Working out has caused a problem for me as I now have reactive Hypoglycemia. It came on hard and fast. So now I have to change my program to accommodate that lovely problem. So added to what I said above I started today after talking to my dietitian, a snack at 11:00 and a snack at 3:30....one cheese the other yogurt or nuts protein of some sort. I believe that we can tell how we are doing by the clothes we wear. I think once I hit maintenance then I will weigh myself more and be concerned if I gain and lose 5-10 lbs. One thing you need to know is that if you are not eating enough your body will shut you down. It will protect itself so you have to be careful how you treat it. This is not a race this is a change of life a learning experience and one that did not happen over night and will not be repaired in a few months. Hope this answered some things.

Carol, you're hungry because the band around your stomach does not yet restrict the flow of food from the little pouch at the top to the stomach below yet. As you work toward restriction with adjustments, you will have incremental improvement until you reach your sweet spot. Until then--yes, it is like dieting. But it will be the LAST time you are hungry in the name of weight loss! Wildabeast, can you post a typical day's worth of eating for us? Even if you've tested negative for hypoglycemia, you can be experiencing reactive episodes, and tweaking your intake can make a huge difference. (Oh--and 29 pounds since April, before having restriction? That's a great loss!) Peachpuffabilly--"fills" are adjustments of the band. The band is placed around the stomach to create a pouch. There is tubing to a port that is placed under the surface of the skin. For a period of months after the surgery (and periodically after that), your surgeon will access the port with a needle to inject saline into the tubing, which adjusts the pressure placed on the stomach by the band. This reduces the size of the stoma (hole) between the upper pouch and bottom portion of the stomach, slowing down the rate at which food leaves the pouch (and making you feel satisfied longer). (I hope that made sense!0

Wildabeast, I can't see anything there, other than the saltines, that would cause reactive hypoglycemia. Does your doctor offer any possible explanation? Has s/he suggested you journal your intake on a site such as fitday.com so that you can better assess how you're meeting your nutrient needs? Sometimes, it's helpful to see how many grams of Protein, etc., you're getting, because it can help you tweak things a bit. My doctor recommends 65 grams of protein/day. I have to tell you, I'd be a shaky mess if I stuck to that level--I aim for 100, and then I'm fine (even though I eat very low carb).