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Unfortunately I think even Obama is being influenced by them because so far he has not seriously considered single payer. I think if we look objectively we can find enough good things in the countries that have single payer to make it work here. Heck, we have our own single payer systems here that work (Medicare, Medicaide, Tricare, VA, etc.) Now I know these programs aren’t perfect, but can we seriously say that private insurance companies do it better? They don’t and they have the power to deny people that really need coverage. Obviously the Insurance industry would take a big hit and that sucks for them, (dramatic pause while I shed a tear) but they have made a ton of money in a bad way if you ask me. I don’t get the whole socialized medicine BS. It is called “Single Payer” not “Single Hospital” or “Single Doctor”. I think everybody wants to be able to pick their own doctor, I see no reason why that ability couldn’t be written into the program. If you are one of those people that feels sorry for the insurance industry, don’t – they will adapt. Here’s an idea… Who’s to say we couldn’t still have supplemental insurance on top of single payer? Then, if you can afford the additional coverage you can get an upgraded plan. We all get the basic package; those that pay more get more. The good insurance companies can find a way to leverage that market and strive in the new environment. The other thing that drives me nuts is that we Americans seem to feel like we have the absolute best medical care in the world and going to single payer would endanger lives. Well I hate to break it to you folks – we don’t. If we did, we wouldn’t be ranked down in the 30s for infant mortality (Canada, the UK, and most of Europe are ahead of us) http://en.wikipedia.org/wiki/List_of_countries_by_infant_mortality_rate_(2005) . We are also 45th in life expectancy http://en.wikipedia.org/wiki/List_of_countries_by_life_expectancy . This one is interesting because it is not just about health care but it plays a major factor. If we had a system that rewards preventative medicine rather than reactive medicine I think this number would improve. Single payer could dramatically influence preventative medicine by forcing a change in this area.

I was diagnosed about 4 years ago in my second year of law school. Anxiety attacks, low energy, ridiculously slow metabolism and quite a bit of weight gain in a short time. My endocronologist believes I was probably always a bit hypo, but we never thought to check that ... Turns out in my family, too. My mom was hypo as well (diagnosed around the same age), and had a partial thyroidectomy about 3 years ago. I take 100 mcg/day, and I'm told that my dose may need to be reduced as I shrink, but I'm pretty good about going and getting checked every few months. Just be glad they caught it!

I have hypo as well. I am about 4 weeks out. About 22 lbs. just did physical and now my meds are off. Changing from 125 to 100 mcg. Doc said may or may not effect WLS. Said if i follow program should have not much of an impact. But each person is different.

Until you have a complete blood work up for Hypothyroidism, a complete work up for Adrenal function and a complete hormone level check. If your doctor fails to preform these not so basic tests, he or she could be selling you a surgery you do not need. Or a surgery that will not give you results like you expect. You need to be sure your labs include Free T4 and Free T3, Cortisol levels via saliva or urine, and hormone levels. Too much estrogen will keep weight on you as well. Look into Liver Detox, the best plan for weight loss will not work if your liver is not functioning properly. I found out I was hypothryoid. I dropped 18 lbs on medication in the first 2 months. I've slowed down to a hault. But that is the plight of hypo patients and no amount of intake restriction is going to resolve the weight gain issues of a hypothryoid person. I'm still reading, but thus far it's a no. I'm waiting for my 6 mo mark on meds to have my levels drawn, then I might get an increase in medication and drop more. At the same time I was going through my journey to dx. My bf went in for LB surgery. She lost some weight during the pre-op and 2 wk post-op and then stopped. She stopped while still on a liquid and soft diet! She has had another fill and still no more weight loss. She is in debt, depressed, and still just as fat as she was in September. She did not get the lab work ups she should have had IMO. She was sold up the river that a surgery was the answer to her problems. She still suffers from depression which is a major sign of hypothryoidism in additon to low energy and lack of weight loss. Just don't get sold up the river is all I'm saying. You have to be your own advocate for better health. Be sure you find out if you have underlying causes. Doctors usually only run the TSH thyroid test and for millions it will come back fine when in fact the main hormone tellers T3 and T4 are not fine and have not been checked. I spent almost a year finding a doctor to actually run the right tests and then he was so shocked I spent another 3 months going to another doctor who was a jack a$$ and back again to my doc. The JA would not run the thyroid antibody tests, the cortisol and adrenal tests, the hormone tests, nothing total waste of my time and money. All he saw was a fat woman w a normal TSH test, he ignorned my super low T4 and T3 levels. There is a stigma against fat -- I'm fat only b/c I over indulge or am lazy. I'm not lazy, I'm not an over indulger. And docs can't get their heads around it. I was told a doc automatically triples what a fat person tells them they eat and subtracts 3X what a fat person tells them they exercise. I'm shot down just by walking in the freakin door! Just don't get sold up the river like my bf. I feel for her, I really do. I so want her to go to a doctor and insist on the right tests.

people always look at me and when I say how much I weigh etc they are "shocked" I am same ht wt bmi as you almost. yet when I see photos or video of myself I am sick..... I am very happy at 130 so I want to be there. I feel good , look good and can wear the clothes i want. better body image. I am trying to advoid any further health issues, now I am hypo thyroid, and have joint problems.

Yes I’m learning to be very discerning of condiments it would seem I’m also experiencing the reactive hypoglycemia reaction to even minimal sugars. Though I think this might be separately more in line with what the other poster had mentioned “the protein sweats” though possibly related to needing to slow down as it occurred most noticeably with grilled chicken :) Regarding heart rate what’s interesting is my resting heart beat has dropped from mid 60s to upper 40s//low 50s (doctor said not to worry), but I haven’t checked my pulse during sweats specifically I will do that.

I read the whole post and all the responses here is what I can share and hope it helps: I had thyroid cancer so I don't have a thyroid, my TSH levels must be kept at hypo (slow) rather than normal or hyper. This has Always caused weight gain or extremely slow weight loss. I went to many seminars listening to every dr and after awhile they all sounded like used car sales people! Then I met a dr who said the band is not the cure all its not magic and if you do this you have to think of it as a marriage, you must love me and I must love you but above all that we must work as a team. 2011 June I got my lap band from then till now I am down 110 however that is a number. Not every plan works for every person, I decided to stay on weight watchers and go to weekly meetings. This kept my focus and my sanity. It also kept me eating healthy. I eat my Protein first, then my veggies last my complex carb. I only eat on a appetizer plate. I weigh and measure all my food, I take Calcium supplements. I work out, Pilates has done wonders for me. I finally after 54 years put myself first. If I'm hungry in between a meal I will eat an apple or some small fruit or yogurt. If I was in your shoes the first thing I would do is get all your medical records and see another doctor, I would then see a nutritionist. Finally I will say that I am married to a professional chef and the one thing he has taught me is every calorie is not the same. Just because your only eating 900 calories a day does not mean they are the right calories that are going to burn the fat not store the fat. Hope this helps you, please remember when you put something out there on a public forum your going to get many opinions the hope is that you can get some support where you need it. Good Luck

Consultation Thur 5/7/09 permalink I have been lurking forever perhaps years.... Wanting to have the surgery but chicken.... Now.... I am 41 with 2 kids 8 and 11... I am just over 40 BMI Hypo Thyroid Meds... High Cholesterol but the good is high too. I have been seriously battling my weight for about 16 yrs and I am currently heavier than I was 9 months pregnant with my oldest. It has really taken its toll on my health , joints, and mental state. I have Aetna , Managed Choice, I have heard that my coverage is really good. Hoping and praying this will go off without a hitch. I don't want to jump through hoops, but i will if I have too. I have some degernerative disk disease in my lower back so my Chiro wrote me a letter stating that significant weight loss would improve my well being etc. Wish me luck if you have any insight on how all this will play out please let me in on it...... thanks in advance Lor

I have a dilemma, help! I have Tufts insurance and am 2 months into the required 6 month I Can Change program. My BMI is 40.3- just over the requirement for surgery approval. In getting myself ready to go I've now discovered that my cholesterol and c-reactive proteins are high. I also have acid reflux/heartburn. While my doctor still feels that lap band surgery is the way to go, she also doesn't want me to wait 4 months to start working out and losing weight. Unfortunately, my co-morbidities are not the ones that count for Tufts in order to go down in BMI. What do I do? Has anyone else had this dilemma and if so, have you found ways to convince Tufts to approve you if you have chosen to go ahead and start dropping the weight? It's so frustrating. Heck, I know I can drop 20 pounds but that's where it all falls apart for me and I need to lose a lot more than that long term. :smile2:

That seems to vary from person to person. I was told to NEVER have carbonated beverages. Reason being, the air gets in the band, expands, and can stretch the upper pouch. If you can burp, it's probably not a big deal for you. I've never been able to get out 1 single burp since my surgery so I know it would never work for me. Just like food, it's a guessing game and you just have to find what works for you. I sure wouldn't suggest trying carbonated beverages though a week after surgery. That's really pushing it. Your stomach is very touchy and reactive to the new band around it, healing, forming scar tissue from the sutures, etc. The added stress of caffeine, carbonation probably isn't in your best interest yet.

I just went to my 6 month post op, and the NUT talked about reactive hypoglycemia. She said is is common among sleevers, and the symptoms are similar to dumping syndrome. What happens is that we eat more sugar/carbs than we are used to, and then our bodies respond by releasing extra insulin. For some reason, the body will release way more than needed, and then low blood suger happens. shakes, sweating, diarrhea, and light-headedness are some of the symptoms. Sounds like that's what happened.

I'm feeling much better day 5 compared to day 4. And somehow miraculously I'm able to drink a whole lot more liquid than I could before, although this has corresponded with significantly increased hunger and reactivity to food around me. I'm missing the honeymoon of not being hungry, but glad I'm able to get more water down, as I was worried about getting dehydrated.

Is there a list of questions for your first surgeon consult anywhere on here (I'm anal, I know-have another list for the insurance lady)? I realize that some of these may get answered at the initial seminars (been to mine already), but I still have lots of details to ask. I'm hoping the Dr. will cover most of this when I get there. Here's what I have so far, PLEASE help me add to this (going in a few weeks, thanks!): PRE-OP - Pre-Op Diet- how long, what/when? Night before-what/when? - Bowel Prep- or not, what/when? - My Meds.- continue reg. meds, Vitamins, up until when? WHICH BAND (I have a choice) - Realize- Want to see this one filled/crease concern, and the bend back lock - Lap-Band APS or APL- How much fill is in it immediately, and is this all in the port/tube (zero band fill)? See it filled. - Low profile port- Which has? option for me now or later? SURGERY/IN HOSPITAL - When does surgery get scheduled/criteria? Tentative date or wait for insurance approval? - Allergies- Mine-soaps/sheets, adhesive tape (fine with the hypo-allergenic kind), all environmental (asthma) - Anesthesia-preventatives for nausea possible (I get easily nauseated, was given 2 things for nausea by anesthesiologist last surgery)? - Catheter- used? out when? - Oxygen/IV- confirm yes- also? - Clot Preventatives- leg sleeves? meds, other? - Band- Attachment-How-lower stomach folds up and sutured (2-5) on one side? How long until it is secure/fused How can slippage occur? Is it tested during surgery, blue dye or how? - Port (I can chose where) Determine best position, attached how? How long until it is secure/fused? How can flips occur? - CO2- What do you do to minimize gas pains? Remove excess? Is it heated/humidified? Meds after? - Incisions- Confirm 5/locations? Use staples, stitches, glue? Protected with what/coverings? - Complications- should I expect any with my history? - Timing- (Mainly for DH)What is approx. timing/process of surgery (arival, prep, surgery, recovery, etc.) - Pain Meds- after, what, how often, side effects/nausea? - My Meds- Can I take my reg. meds in hospital, when? - Nausea- Meds available immediately after if needed? - Coughing- (some wake up and cough, I have asthma and easily cough) are meds available for this immediately? Can I also take inhaler immediately? - Length of stay- 1 night? What is the criteria for release? - Tests- Barium swallow? X-ray? Urine test? Other? - Expectations- Up and walking when? Shower? etc. HOME/POST-OP - Incisions- What to expect, treat them, buy anything, timing? - Expectations/Instructions- sleeping (propped up?), lifting, work, pain-when to call, etc. - Pain Meds- What, how often? Can I pre-fill Rx? - Other Meds- Nausea/Vomiting (get Rx for Phenergan), Diarrhea/Constipation, Coughing, Gas pains? Get Rx or OK list for OTC, and when it's OK. Call at what point? - My Meds.- If not started in hospital, when is it OK to start regular meds., vitamins? - Card- LB card to carry in wallet available, info. on limitations, loc. of port, surgeon info? - Diet- Phases what/when? Vitamin supplements? What to buy? - Exercise- What, when? LONG TERM - Dr. Visits- What is normal schedule for post-op visits, for what, testing, or only see at fills? - Fills- What is normal schedule/Normal amounts? Criteria? Who does? How are they done- xray, fluroscope, barium swallow, local anesthetic? Unfills the same? - Complications- Fill/restriction issues, Port/Band Pain, When to call? - Support Group- Schedule

There is a big difference between knowing what you want and asking for it. There is also an important distinction between asking and hinting. Unfortunately, many of us were raised in a culture that encouraged us to be less than direct about what it is we’d like to occur. I talk with many women who aren’t getting what they need or want and aren’t quite sure how to ask for it. Interestingly, many women are able to be direct and assertive in their professional lives but find they stumble and feel uncomfortable when asking to have their personal needs met. I also hear from a lot of women who feel frustrated that their requests and needs aren’t being met even though they believe they are stating them clearly. They can’t understand what is going wrong. After writing a recent article about the importance of clearly stating wants and needs, I noticed some areas in my own life where I wasn’t really hitting the mark with this. I also found some places where, I initially believed I was being perfectly direct, but on further reflection, I realized I wasn’t getting my point across at all. And (big surprise), I was feeling frustrated with how things were going in those particular areas. I’m making a concerted effort to practice really stating my wishes clearly. Here are some pointers you might want to consider if your asking muscles need strengthening: 1. Being dissatisfied doesn’t mean you have clarity about what you want. I can know I don’t like something and I can express my unhappiness with it, but if I haven’t taken the time to create a clear picture of what I DO want, the information isn’t necessarily going to lead to a better outcome. 2. Expressing dissatisfaction is not the same as stating how you would like something to be. There is a HUGE difference between complaining and describing the outcome you want. If we aren’t clear on this difference and aren’t careful, we (yes, I’m including myself here) can fall into the trap of expressing what we don’t like and might never clearly describe what we want instead. 3. Directness and clarity are very important. To be most effective, we should be drawing a very clear picture for the person we are communicating with. Example: “I want you to help out more” doesn’t really cut it. “I’d like you to make dinner twice a week and help with kitchen clean up” paints a much clearer picture. Ask yourself the following question: if you had what you wanted, what would it look like? THIS is the description you want to be sharing and asking for. 4. Asking for what you want is NOT hinting, whining, complaining or describing how well this situation works in someone else’s life or business. A direct request should start with the word “I.” If you find yourself veering away from “I” statements, it’s a pretty good indication you need to practice using them. 5. For maximum success, your request should not be reactive or emotional. This one can be tricky if stating your needs is something you really aren’t comfortable with. If this is the case, know that it gets easier with practice. Start small and choose a calm time to practice your skills. ____________ Melissa McCreery, PhD, ACC, is a Psychologist, ICF Certified Life Coach, emotional eating expert, and the founder of www.TooMuchOnHerPlate.com, a company dedicated to providing smart resources to busy women struggling with food, weight and overwhelm. Find out more, read tips and articles, and pick up her free audio series: “5 simple steps to move beyond overwhelm with food and life” at http://www.TooMuchOnHerPlate.com.

Thanx to all that replied. Everything I've researched about Hypothyroid states weight gain even my GP says it related & have no other explaination for the weight gain since I've never been an overweight child plus I was still at a healthy weight before this happened. I've heard good things about Armour. I forgot to ask my GP about it today so I'll ask about it next time. Usually HYPERthyroidism patients are thin so I dunno if the HYPOS just got good drs & good drugs for it as for being not fat or perhaps they got lucky & caught it in time before gaining a lot of weight. TexasTerry, I/we live just west of Houston.

There are probably several potential causes for your condition - as others have said. These include: A lack of B12 vitamin. Orthostatic or postural hypotension. https://www.merckmanuals.com/home/heart-and-blood-vessel-disorders/symptoms-of-heart-and-blood-vessel-disorders/dizziness-or-light-headedness-when-standing-up Reactive hypoglycemia. https://www.ridgeviewmedical.org/services/bariatric-weight-loss/enewsletter-articles/reactive-hypoglycemia-postgastric-bypass Vertigo. Dehydration.

And here’s a funny coda to yesterday’s chats: watched that drs video about Caloratio app, reread Glenn Livingston book about not binging. Great ideas about food rules - always, never and conditional- define with regard to your personal goals and needs and adhere to them, plus stuff about how to deal with the demons that make you want to break your own rules! This morning I think hmmm weetabix is on post op diet, banana good fruit with potassium... do it! The only weetabix in the house is a pack I got from a new brand sampling thing I used to get - additions with apple raisin and cinnamon. VERY HEALTHY I think. Two biscuits one small banana half cup of milk. Ate slowly. Then I DUMPED big time dumped. Cramps, sweats, hypo, nausea!!! Funnily enough I had a shop porridge mix in week three after surgery with apple cinnamon an raisin which gave me my first ever dump! Might need to plan my diet rules carefully. No processed apple n cinnamon products! Live and learn but feeling very positive about remembering old tools and picking up some new ones!

My name is Alisha and I am 26. current weight 216, height 5.2 I have family history of diabetese, stroke, cholestrol, sleep Apnea, hypertension, kidney disease. Infact my mom has all of these conditions on top of morbid obeisity,, she is currently in the process of gastric sleeve surgery. When I went with her to her appointments I had a realization what uf I become this in the upcoming years. So far I dont have any comorbiditys but I am very overweight and ubhealthy weight wise. I have done many diets and programs only to gain all that back. I thought since my mom has sleep apnea, I might too and that will help me getting appricedr. By the way my bmi is 39.5 I have thyroid and currently take methimazole 5mg. I also have chronic constipation and chronic fatigue syndrome due to thyroid. My thyroid is hyper BUT I have all the symptoms of hypo, I know its weird, the docs cant seem to explain that either. Anyways when I went for my sleep apnea results and it appears I don't have it, but the doc suggested to get MSLT done.. It is multiple sleep latency test since i.have all.the apnea symptoms. Did anyone else had to go through this? Iam so scared that I won't be approved by my insurance. I have no other Comorbidities but due to my family history I am very prone to all these problems. I am seeing a bariatric surgean and finished all their requirements like nut, psych, barium swallow, ekg,.blood work etc. I so hope this works out, I really want a.fresh start to being healthy. thank you for listening, this forum has been a great treasure and I truly appreciate each and everyones input. Alisha

Nothing as severe as yours but I get horrible hypoglycaemia when I eat carbs/sugar. But it’s addictive and the world is full of it so October succumb - sometimes accidentally but often just through weariness! Anyhoo - for me low carb works. If I’m eating Keto I’m fine apart from cramps and palpitations. banana’s definitely spike my sugar and set off cravings - I try to stick to berries and yogurt. hope you get some help with this - hypo can be terrifying and feeling ill all the time is what we wanted to leave behind!!!

Hi Julie, My band is very reactive to stress. When my stress level goes up, my band with tighten, to the point of being too tight and throwing up at every meal. I went through a period when I wasn't following up with my dr. and when I did it was because I was so miserable. I now know the signs and will gladly pay the $40 copay to get my band where it needs to be. Awesome job on your weight loss!

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.

Dr C Just like my Mom, I have found out that I am allergic to adhesives. I am a week out and most of my wounds have scabs. I have two that are kind of open, just the top layer of skin is pulled apart. Do you know of any type of bandage that will not cause a reaction? My poor stomach has blisters where the steri-strips were. Would it help to put benedryl around the wounds, let it dry then put a bandage on it? Anyone else have this issue?

Hi, I am new to this board. I am looking into getting the lapband done, I have a consult appointment next week. I am worried that my depression that I suffer from will get in the way of me getting this surgery.??? Has anybody been in this situation or not passed their physc test? I will be a self pay, 100lbs overweight, severe sleep apnea, hypo-thyroid, high cholesteral, and boderline high blood pressure.

I have been fighting a cough since January. Got rid of it before my appendix was removed, and then it came back. Made it thru that surgery ok, but did not have a cough then. My doc put me on a steroid dose pack, KETEK (been on it for almost 20 days now), and Albuterol when needed (using it now). He wants to make sure it does not develop into pneumonia like before. Cold seems to set off my cough. I can breathe fine most of the time, but when the air conditioner kicks on at night I start to cough. Dr. is thinking that I am developing asthma or "reactive airway disease", and says that they may not do my surgery if it does not go away soon. X-ray is totally clear. My hubby says it is allergies because I have a sneeze sometimes. Even though I am a bit scared of the whole surgery thing, since it is so close, I don't want them to cancel it. Anyone have experience with Asthma and surgery? Will they still do it? Should I tell my surgeon? Any advice?

I do about as well with Medifast RTD as I do with Isopure, and I went with Ispure only b/c I've read it's not a great idea to have a lot of soy if you have a thyroid condition (I'm hypo). Lactaid has no effect. Thanks for your replies. I am glad that at least I can use Immodium. Thanks again!