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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 am not a doctor nor do I have medical experience. So take what I say with a grain of salt. I am 3 years post-op RNY gastric bypass surgery. It seems like you have multiple conditions, so let me talk about these individually. General The three most important elements after RNY gastric bypass surgery are to meet your daily Protein, Fluid and Vitamin requirements. food is secondary because your body is converting your stored fat into the energy that drives your body. Thus you lose weight. Weight loss is achieved after surgery through volume control. You begin at 2 ounces (1/4 cup) per meal and gradually over the next year and a half increase the volume to 1 cup per meal. With this minuscule amount of food, it is next to impossible to meet your protein daily requirements by food alone, so therefore you need to rely on supplements such as Protein shakes. It looks like you have lost the weight are in the Maintenance phase. So generally your meal volume allotment is now large enough that if you concentrated on eating high protein meals, you might not need to add protein supplements (protein shakes, protein bars). I found it difficult to transition to solid foods (such as steak and chicken) after surgery so I primarily relied on softer foods such as chili and Soups. I fortified these with extra protein. I have included the recipes at the end of the following article. http://www.breadandbutterscience.com/Surgery.pdf But if you are having difficulty keeping food down, then you may have to go back to protein supplements just to ensure you get the proper amount of protein in daily. Ulcers Nausea and vomiting are the most common complaints after bariatric surgery, and they are typically associated with inappropriate diet and noncompliance with a gastroplasty diet (ie, eat undisturbed, chew meticulously, never drink with meals, and wait 2 hours before drinking after solid food is consumed). If these symptoms are associated with epigastric pain, significant dehydration, or not explained by dietary indiscretions, an alternative diagnosis must be explored. One of the most common complications causing nausea and vomiting in gastric bypass patients is anastomotic ulcers, with and without stomal stenosis. Ulceration or stenosis at the gastrojejunostomy of the gastric bypass has a reported incidence of 3% to 20%. Although no unifying explanation for the etiology of anastomotic ulcers exists, most experts agree that the pathogenesis is likely multifactorial. These ulcers are thought to be due to a combination of preserved acid secretion in the pouch, tension from the Roux limb, ischemia from the operation, nonsteroidal anti-inflammatory drug (NSAID) use, and perhaps Helicobacter pylori infection. Evidence suggests that little acid is secreted in the gastric bypass pouch; however, staple line dehiscence may lead to excessive acid bathing of the anastomosis. Treatment for both marginal ulcers and stomal ulcers should include avoidance of NSAIDs, antisecretory therapy with proton-pump inhibitors, and/or sucralfate. In addition, H pylori infection should be identified and treated, if present. So the general advice from above if I am interpreting it properly is to eat undisturbed, chew meticulously, never drink with meals, and wait 2 hours before drinking after solid food is consumed. Also avoid NSAIDs (such as Aspirin, Ibuprofen, Diclofenac, Naproxen, Meloxicam, Celecoxib, Indomethacin, Ketorolac, Ketoprofen, Nimesulide, Piroxicam, Etoricoxib, Mefenamic acid, Carprofen, Aspirin/paracetamol/caffeine, Etodolac, Loxoprofen, Nabumetone, Flurbiprofen, Salicylic acid, Aceclofenac, Sulindac, Phenylbutazone, Dexketoprofen, Lornoxicam, Tenoxicam, Diflunisal, Diclofenac/Misoprostol, Flunixin, Benzydamine, Valdecoxib, Oxaprozin, Nepafenac, Etofenamate, Ethenzamide, Naproxen sodium, Dexibuprofen, Diclofenac sodium, Bromfenac, Diclofenac potassium, Fenoprofen, Tolfenamic acid, Tolmetin, Tiaprofenic acid, Lumiracoxib, Phenazone, Salsalate, Felbinac, Hydrocodone/ibuprofen, Fenbufen] and but use proton pump inhibitors [Omeprazole, Pantoprazole, Esomeprazole, Lansoprazole, Rabeprazole, Dexlansoprazole, Rabeprazole sodium, Pantoprazole sodium, Esomeprazole magnesium, Omeprazole magnesium, Naproxen/Esomeprazole, Esomeprazole sodium, Omeprazole/Bicarbonate ion] and/or sucralfate [Carafate] antacid. After RNY gastric bypass surgery, my surgeon put me on Omeprazole [Prilosec] for a year to lessen the affects of surgery on my stomach. Passing Out The fact that you have passed out a few times might be due to a condition called Reactive Hypoglycemia. This is a low blood sugar condition that affects some RNY patients. Here is a link that describes the condition. https://www.ridgeviewmedical.org/services/bariatric-weight-loss/enewsletter-articles/reactive-hypoglycemia-postgastric-bypass

Here is a link to an article on reactive hypoglycemia post–gastric bypass. https://www.ridgeviewmedical.org/services/bariatric-weight-loss/enewsletter-articles/reactive-hypoglycemia-postgastric-bypass The three most important things after surgery are fluids, Vitamins and Protein. Since you said that "when I drink Protein I throw instantly", have you tried MILK. 32 ounces of 1% milk fortified with 1 cup of powdered milk will give you 56 grams of protein. You cannot drink this all at once but spreading this out throughout the day will help you meet your daily protein requirement.

The three most important elements after weight loss surgery are to meet your daily Protein, Fluid and Vitamin requirements. food is secondary because your body is converting your stored fat into the energy that drives your body. Thus you lose weight. You are at least 10 weeks post-op. If you can't keep Water down, you may have a stricture. If you are unable to meet your daily protein, fluid and vitamin requirements, you need to seek medical attention and resolve the issue. Your problems may be caused by dehydration. They may be caused by a lack of Vitamins and minerals. It may be caused by reactive hypoglycemia. The fact that you were dizzy and took soda (sugar) rested and then felt better does point towards reactive hypoglycemia but you may have a whole slew of problems to deal with.

@@cuddletime Yep, I have reactive hyperglycemia. It is manageable. Consult your surgery team.

I've read some posts about folks dealing with reactive hypoglycemia at about 1 year + out. Im a little over a year out and now struggling with it. Ive read several links explaining what it exactly is. What I'm asking with this post is what are some of your personal remedy foods and emergency Snacks? I could use some ideas. Protein pairing seems to be key.

I agree. Start as if you had surgery yesterday with the liquid diet and follow the 5 day pouch reset. That will help get a lot of the sugar toxins out of your system and it will jump start you. Then, focus on the rules: 1. No drinking anything 30 minutes before and 30 minutes after you eat. 2. Limit your beverage calories. Try to stay on Water or sugar free non carbonated beverages. Stay away from alcohol. If you can, even limit caffeine as it really does cause you to feel hunger. 3. Mindful eating, remove distractions so you can pay attention to your pouch. Your tool is still there, you just need to retrain it. 4. Eat your meals slowly chewing well in between eat bite. Put the fork down in between but do not go over 30 minutes for your meal as your pouch begins emptying at that point. 5. Drink a minimum of 64oz of water or SF non carbonated liquids. 6. Ensure you get a minimum of 1 gram of Protein for every inch you are tall. Even a little more is better. Make sure that you get that protein mostly from dense Proteins like fish, seafood, beef, chicken and pork. These foods will keep your pouch fuller longer and provide you with much needed protein grams. 7. If you have not done this recently, you should have a full Bariatric blood panel drawn to ensure you are not lacking any nutritional elements that could cause you problems. 8. Are you still taking lifelong Vitamins like B12, Calcium Citrate or any other vitamins your Bariatric Doctor put you on? If not, you will want that nutritional panel to inform those decisions. 9. No grazing.....this is where most people start to have weight gain. Eat your 3 meals a day and try to avoid snacking. If you are one of those people like me who has reactive hypoglycemia, then have 5 smaller meals. 10. Avoid sugar, potatoes, Pasta, rice and bread. Same thing with any prepackaged processed foods. Get rid of the junk and stick to good quality proteins and veggies and fruits. Once you hit goal again, then you can introduce some whole grains back into your diet slowly until you get to a good maintenance schedule. 11. Try to get some exercise even if it is just walking daily. These are the things that I will do if I ever start to regain my weight. It really is getting back to the basics.

I too was 5 lbs heavier post op the day i got home from the hospital. I was so depreessed, being hypothyroid as well. I felt so defeated . i knew I lost weight on 2 week pre op. To then gain weight on sf jello and popsicles. I called the drs office in tears of course. I am 5 days post op now and am scared to get on the scale again. However, I can see weight loss in my body. Still# pts hypo scale

The three most important elements after RNY gastric bypass surgery are to meet your daily Protein, Fluid and Vitamin requirements. food is secondary because your body is converting your stored fat into the energy that drives your body. Thus you lose weight. Weight loss is achieved after surgery through volume control. You begin at 2 ounces (1/4 cup) per meal and gradually over the next year and a half increase the volume to 1 cup per meal. With this minuscule amount of food, it is next to impossible to meet your protein daily requirements by food alone, so therefore you need to rely on supplements such as Protein shakes. Back to the point of Dizziness. It might be due to several factors. For example if you were taking medication prior to surgery, they may need to be adjusted. This can especially be true for medication to control blood sugar and blood pressure. Also there is a condition called reactive hypoglycemia that some individuals encounter after weight loss surgery. Dizziness or lightheadedness is also caused by dehydration. In order to get a handle on the cause, you might want to evaluate when it occurs. For example, do you experience this first thing in the morning when you get out of bed or when you get up after sitting down. Or do you experience this a few hours after a meal? Do you experience this all the time?

Thyroid Storm can act like that. So anyone on thyroid meds have to be mindful that their body is changing quickly and adjustments need to be made to medication or they might be taking too much. As a result you could throw yourself into a storm. Please keep that in mind. Your going from hypo-to-hyper! If you take thyroid meds make sure you tell the ER. Sent from my iPhone using the BariatricPal App

It may be that you just got sick - either a virus or food poisoning. If it's a virus, you'll just have to wait it out and see if you feel better in a few days, but you also might want to change out the food/broth/whatever you're eating for a different batch (not from whatever you are currently eating/drinking - go to a different store and buy a different brand of everything) and seeing if you still get the same symptoms. If it's not food poisoning it might be a sensitivity to a specific brand of something you're eating before you get sick. It sort of sounds like some of the symptoms of reactive hyperglycemia: https://en.wikipedia.org/wiki/Reactive_hypoglycemia I'd also caution you to not lay down within 30 minutes of eating or drinking anyway as it can cause you to get reflux in the early days. It wouldn't likely be what is making you sick tho. It honestly sounds more like you caught a flu bug or something like that more than anything related to your surgery.

I have been craving sweets and carbs the last month like crazy. I was disappointed in myself and didn't understand how I suddenly couldn't resist these things. Today I decided to check my blood sugar about an hour after eating because I felt just awful. My blood sugar was at 52. I have been googling and searching to see what would cause my blood sugar to drop and me not being diabetic. In a comment in one article it stated that weight loss surgery can cause reactive hypoglycemia because the carbs go straight to the intestines. Has anyone else experienced this problem?

Hi everyone. New to the forum. I had gastric bypass in 2010. It has been six and half years. I weighed 232 pounds prior to sx. Within 9 months I weighed 145 pounds and that is pretty much where I have stayed for the past six years. I wear a size 8. I weigh every day and when I hit 150 I cut back until I am at 145 again. I still "dump" almost weekly but not as severely or as easily as in the beginning. By "dump" I mean if I eat too much sugar I feel nauseous and need to lie down for awhile. No sweating, no beating heart, just want to throw up but can't. miserable. One year after sx at my check up my labs were normal except for K was low. I did not do any more follow ups until this summer. I called my bariatric surgeons office and explained I wanted to touch base. I just left my appointment. Oh...I have a confession. Four years ago I quit taking my mult-Vitamin and Calcium. I have been religious with my B12 and VitD however. My labs were all completely normal. I did confess my lapse of the multi and calcium to the doc; to my relief he told me since my labs were normal that essentially I am absorbing what I need from my food. He told me to keep doing what I am doing and I told him he probably would not see me again unless I encountered a problem. In addition to still dumping (which I am glad I do; but he said is patients usually do not dump so far out) I have an occasional episode of reactive hypo-glycemia. If I eat clean I can avoid both situations but I still have the head that got me fat in the first place, so there you have it. Just thought some might be interested in this info from someone a ways out from sx.

Sha0717 I am hypoyjroid also and just have. 50 lbs to lose. I was approved because of OA in left knee and hypo struggles and borderline diabetic.. Are you still happy with results? I have surgery in 2 days

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

Thank you everyone. I've been gone for awhile because I got busy again but I got my blood test back and my hemoglobin was low (10.6) and my fasting blood sugar was 106. ???? I still am having the strange sensations of pressure coming down from my head and being dizzy when I stand up. At first, it was just after eating food but now it's after I take my medicine and after I eat food. My PCP still isn't doing anything and my surgeon hasn't called back yet to schedule any test. I see my APRN tomorrow afternoon and I am going to talk to her about the medication and how it's affecting me. I've been on zoloft, wellbutrin, and risperidone since 2011, its not working and it's time for a change. I also took my medical symptoms into my own hands and did some research on it. It seems I really do have reactive hypoglycemia or POTS. Also, my surgeon isn't doing anything about my bleeding because its bright red blood...its not in his "medical jurisdiction". ???? It was dark red one time but that wasn't enough to worry him? I just can't figure out why no one is helping me down here other than the fact I have medicaid and they treat us badly.

This link helps to describe the condition. https://www.ridgeviewmedical.org/services/bariatric-weight-loss/enewsletter-articles/reactive-hypoglycemia-postgastric-bypass

It is called reactive hypoglycemia and I have had several episodes over the last 22 months. It usually happens if you eat too much sugar in a day and can be difficult to stop the vicious cycle. Your body starts to get used to that higher sugar level and when you don't get it, reactive hypoglycemia kicks in. I have gotten it when I start my day with cream of wheat and don't follow it with a high Protein snack. I eat a lot of fruit so that is where my usual sugar comes from and that will cause it. You have to find your happy spot where you can have some sugar in your life but not enough that your body wants more. I have talked with my Bariatric doctor about it and he suggested if I am going to have something sweet or carby like Cereal, I need to follow it with high protein snack within an hour or so. That has worked for me as I am not willing to give up the fruit I eat. I have since refrained from eating cream of wheat on a regular basis. I do have it once in a while though

Your list of symptoms included: * Extreme fatigue * Feeling dizzy upon standing * Feeling fainting when standing up too long * Feeling weak after eating. Several individuals that undergo RNY gastric bypass surgery experience a condition called Reactive Hypoglycemia. It is a form of low blood sugar. This occurs in individuals that had diabetes prior to surgery but also in those that don't. You experience a large drop in blood sugar around from 1-3 hours after a meal. It catches some people by surprise because they faint, dropping onto the floor. But it can also be corrected by recognizing the signs of low blood sugar and reacting or by modifying the way you eat. https://www.ridgeviewmedical.org/services/bariatric-weight-loss/enewsletter-articles/reactive-hypoglycemia-postgastric-bypass This link describes some of the symptoms of the condition. http://www.weightlosssurgery.ca/before-after-surgery/reactive-hypoglycaemia-post-gastric-bypass/ If this matches some of your symptoms, you might read up on the condition using the internet. I am not sure about some of the other symptoms but you are taking quite a bit of medication (vistaril, remerom, zoloft, wellburtrin) and you may have some bad interactions happening. The most important elements after RNY gastric bypass surgery is to meet your Protein, Fluid and Vitamin daily requirements. food is secondary because your body is converting stored fat into the energy that drives your body. Thus you lose weight. Weight loss is achieved by meal volume control. At 10 months post-op, this should be around 3/4 cup per meal. So back to basics, reverify that you are meeting the prescribed requirements for protein, fluids and Vitamins. This article describes my experience after RNY gastric bypass surgery. http://www.breadandbutterscience.com/Surgery.pdf Life is full of trade offs. In my case I had high blood pressure, diabetes, sleep apnea and severe acid reflux (GERD) prior to surgery. I traded my love of food for good health. At 3 years post-op, I am content with that decision. I have been able to find some pleasure in eating again. I found mixing food groups together provided some flavor. I also found that softer foods such as chili and Soups went down much easier than harder foods such as steak. I hate Protein shakes and no longer take these. But I did this by fortifying the protein that I consume in meals. "Protein First". Anyways at the end of the article, I have included some recipes if you care to try them.

I'm glad I found this thread. I have Hashimoto's and fully expect to not lose weight as fast as some others when I finally get the surgery. I was diagnosed with hypo about 18 years ago, and diagnosed with Hashi's about 7 years ago. Finally everything made sense, ya know? Nice to connect with others going through the same.

@ - Not good. When you are waking up exhausted and taking two anti-depressants, well "Huston we have a problem." (Check out crazymeds.org - best site for really monitoring the effect of these drugs). There is an art and a science of medicine. The science is "appendix burst, take it out"). The art is how to do it without creating more problems. The meds you are on are really on the art side. You have to work with the docs and tell them how it is working. You have to know how long does it take before this stuff should have an effect. For instance...I take Welbutrin. It takes a month before I should expect any changes. I marked on my calendar. You need to write this down so you have real info to give to your doc. This is a partnership. Please take it that seriously. If I seem to be over reactive, well I am with this stuff. It's not like eating a piece of pizza, it can be really bad.

No regrets whatsoever. Even while I was readmitted to the hospital after being home 6 days. Had an infection which caused my body to created a reactive Fluid which collected around my left lung (plural effusion). Spent 2 weeks on med-surg unit and then a week in physical rehab (3 weeks total in hospital). I was the minute exception who had a post-surgical complication. Still no regrets

First, a 70 in the morning isn't really "too low". When it drops into the 60's, then it is considered a hypo. Are you on medications or insulin for diabetes? If so, you may need to talk to your Endo regarding cutting back on meds. I am still on insulin, but I only use it for basal now, and I've lowered my amounts once already. I've woken up with some blood sugars in the 70's, but until it is consistent, I won't lower again yet. Surgery does help blood sugars to fall in place for diabetics. That is why the bypass surgery is highly recommended to Type 2 diabetics. I would just keep your eye on your blood sugars right now. If you see it going too low, make sure you have something to raise it quickly. Glucose tabs should not cause dumping. I'd also have some gel, or Fluid glucose on hand.

@@Renkoss I learned my lesson that day with the glucose tabs. My sugar was too low, I couldn't find them and I don't keep juice in my home. I literally tore the cabinet apart and found them and then even struggled to open the container because I was shaking so bad. Now, they sit right on my end table. They are opened and ready to use. I do not use Protein powder at all. Because I have kidney problems I have to be careful not to have more than 70 grams of protein per day. I get that between my one premier Protein shake that I have every morning religiously and my other meals. I have oatmeal or cream of wheat very rarely when I have a craving for it and have learned that I just need to make sure I get that protein snack between. I have found that if you let more carbs into your diet on a regular basis the chance of you developing reactive hypoglycemia is much higher. I try not to let that happen but there are days I simply want something besides protein and veggies. I eat a lot of fresh fruit, dehydrated apple chips and once per day I have a starch in one of my meals. My nut believes in a balanced approach vs. just protein and veggies and so far it has worked for me. Thankfully I only experience that reactive hypoglycemia on occasion. The bad part is when it happens you can actually cause it to go on all day. I have learned to stop it as soon as it happens.

Just deactivated all of my social media accounts with the exception of this group! I'm ready to start phase 2 of my WL journey. When I reactivate my account I'll be 50 pounds or more lighter!!!! I'm planning on having a big makeover and a full body profile pic as opposed to just headshots. Wish me luck, hold me accountable, whose ready to join my "Big Reveal Adventure"? Let's do this!!! Workouts start in the morning. Excited, no longer will food nor fat control Me!