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I'm curious as to what are your symptoms. And did your physician diagnosis you with dumping syndrome. Because I in particular have reactive hypoglycemia. Mine is like an allergy to simple sugar. In the beginning I thought I had dumping syndrome. I have even once had Splenda in a tea then I ended up in the bathroom sweaty and in the bathroom. But now I get sweaty headache sometimes. Like my sugar drops. This to Carbs.

Yes, I could not tolerate simple sugars. I actually may have reactive hypoglycemia from premier Protein shakes and almost all sugar in the beginning similar to a Diabetic who sugar drops. i still get it but not as bad. i get light headed and sweaty after certain sugars. however i can tolerate artificial sugar but cutting back. i needed to cut back anyway. But yes it get better.

Dumping really isn't anything to "fear" and it's also not something that should be considered a guaranteed benefit of RnY. Although decidedly unpleasant, dumping is seldom serious and rarely requires medical attention. What folks often fail to realize pre-op is that a sizeable percentage of RnY patients never experience dumping. That really isn't too big of a deal since there is no scientific evidence that folks who experience dumping are any more or less successful that those who don't. There is a very long list of benefits associated with surgery and not one of them is attributed to dumping. The list of possible symptoms of dumping is fairly long but everyone is different and may or may not experience any given one. Vomiting, nausea, dizziness, accelerated heart rate - all possible symptoms. About two-thirds of patients experience early dumping which usually occurs 15 to 30 minutes following eating. The remaining one-third experience late dumping which usually occurs two to three hours following eating but can occur as much as twelve hours later. Late dumping is usually the result of reactive hypoglycemia (low blood sugar). Dumping is often associated with foods high in sugar but dumping can also result from eating foods high in carbohydrates or fats. It can be easy to over eat for several weeks immediately following the surgery. Your pouch has nerves that function as stretch sensors. Those nerves send "full" signals to the brain. But for a period of time following surgery, those nerves are ineffective during the initial healing process. That's why you will often read folks saying they don't "feel full". It usually passes within a few weeks. Until then, it's doubly important to watch your portion sizes. Once things settle down most folks have little trouble knowing when they're full. You're gonna love the new you!!

I had no nausea medication and I was fine. I took the option of taking the prescriptions and only getting the drugs if it came to needing them. None of us really know until the surgery how our bodies are going to react and what we might need. I preferred taking the approach of being ready and prepared should I need these drugs but reactive in taking them rather than precautionary.

I had heard pre sleeve that they take out the Ghrelin producing stomach (supposedly where 90% of Ghrelin is made. Heard the other 10% was in the pancreas) causing me to feel no hunger, either for a long period of time (ie: 6 mths-1yr) or ever. I've noticed that it's spread pretty evenly on this board: Those of us that still have hunger and those that don't (lucky dogs, btw) Thought I'd look up Ghrelin. I found that its produced in the pituitary, stomach, intestine, pancreas, thymus, gonads, thyroid, lungs, kideys, brain, and heart. Wow. I guess my other organs picked up where my stomach left off. I've been on Levothyroxine for my thyroid for about 10 yrs. Now that I've seen in writing that some of the Ghrelin is produced in the thyroid, I'm wondering if you have hypo/hyper thyroidism if that might affect ur levels of Ghrelin. Has anyone heard this? Does anyone have an upcoming appt with their surgeon where they can ask this question? Starting on day 10, I've continued to have hunger (real hunger, not acid or head hunger). While it's easily satiated (with a few bites), I'm hungry more often than pre sleeve. It gets embarrassing to inform my husband that I'm hungry "again" 90 minutes after my last meal. I feel that he thinks I'm a pig (I told him of my fear one day and he informed me that altho he teases me "Ur hungry AGAIN?", he's never felt this way). I hafta keep a baggy of almonds in my purse cuz sometimes I can't wait till I can get to a meal - then I make poor choices. Anyone else have a problem with hunger? And those that don't feel hungry post op: You have no idea how much I envy you!! I totally expected to be just like you

Hey girls, I have a hypo active thyroid and diabetes as well. Between those two and the required meds weight loss is a struggle but I keep at it. I take 200 mcg of synthroid daily.

Check this out. I'm ready to look 21 while knowing what I do at 47 now. How about you? Paring pounds through weight-loss surgery doesn’t just make people feel younger — it may actually rewind genetic signs of aging, according to a small study of obese bariatric patients. Stanford University researchers found that the chromosome caps known as telomeres, which typically get shorter as people age, actually grew longer in certain people who had gastric bypass surgery. “If your telomeres get longer, you’re likely to reverse the effects of aging,” said Dr. John Morton, Stanford’s chief of bariatric surgery and president-elect of the American Society for Metabolic and Bariatric Surgery, or ASMBS. The improvement wasn’t large, only about 2 percent to 3 percent in telomere length, said Morton, who is presenting the study Friday during ObesityWeek 2013, an event hosted by the ASMBS and the Obesity Society. But the benefit was greatest in those who were sickest — patients who were not only heavy, but also had problems like chronic inflammation and heart disease. And it was a surprising finding that invites more research about the genetic effects of bariatric surgery, Morton said. “This is the first study to look at surgical weight loss and telomeres,” Morton said. “We know that surgery has a big effect when it comes to weight, but this is literally at the genetic level. It was nice to see confirmation at least that it would improve.” The study didn't show that weight-loss surgery smoothes wrinkles or prevents gray hair, of course. But Morton said patients often wind up looking younger. "You do have some actual visual changes beyond weight loss," he said. The patients were mostly women with an average age of 49 and an average body mass index of 44.3, which is considered morbidly obese. Body mass index is a ratio of height and weight, with a BMI of 18 to under 25 considered normal. A person with a BMI of 44.3 might be 5-feet, 9 inches tall and weigh 300 pounds. On average, the patients in the study lost 71 percent of their excess weight through gastric bypass surgery, which makes the stomach smaller and allows food to bypass part of the small intestine. Their levels of C-reactive Protein, or CRP, a measure of inflammation, dropped more than 60 percent and their fasting insulin levels, an indicator of dangerous metabolic syndrome, declined four-fold, the study found. But, notably, in patients with high levels of LDL or “bad” cholesterol and inflammation before the operation, their telomeres lengthened, compared to patients with lower levels, Morton said. That makes sense, said Jerry Shay, a cell biologist at the University of Texas Southwestern Medical Center, who was not involved in the study. People who are overweight often have dramatically shortened telomeres, Shay said. Those are lengths of DNA tied to Proteins at the end of chromosomes, often described like the plastic caps on the ends of shoelaces. Every time a cell divides, the telomeres get shorter, eventually reducing so much that the cell stops dividing, and dies. That doesn’t mean that the person dies, Shay is quick to add. “The length of your telomeres doesn’t mean you’re going to drop dead, it just means that something’s going on. It’s a biological sensor of the stress and damage that is going on in your body.” That said, Shay says the new study’s findings shouldn’t be interpreted as if weight-loss surgery is the fountain of youth. A 2 percent or 3 percent increase in the length of telomeres is well within the typical margin of error for the tools used to measure them. It will take more robust studies and careful documentation to convince him of the effect, Shay said. “I don’t think the answer is bariatric surgery. People need to take responsibility for their own health." The Stanford researchers say further studies are needed to confirm the effects of weight-loss surgery on telomere lengths — and the direct effects of telomere length on actual health results. http://www.nbcnews.com/health/weight-loss-surgery-may-reverse-signs-aging-docs-say-2D11600482

I deleted and reactivate and still having the same issues

I have had ups and down - sometimes I am very patient and not reactive at all. Others, OMG, I go off at the smallest thing.

I've never had a complication, but I can share what I've learned over the last two years. can you feel a difference between vomiting vs PB? I know the health complications related to vomit, and I also am not asking about the flu etc. -There is a big difference between PBing and vomiting. PBing is a gentle burping up of stuck food. Vomiting is a forceful retching. When you PB, it's literally just a burp that brings up food, almost like when you think of a baby spitting up. When you vomit, it makes your stomach contract and forcefully spasm. It's that forceful, violent nature of vomiting that is so dangerous because it can lead to a slip. Did anyone feel Ok but were told you slipped or eroded etc? ​-It's uncommon but you can have serious complications without pain or significant symptoms. How fast is papaya enzyme or pineapple juice supposed to clear you from being stuck? -It can take minutes or hours to resolve a stuck episode depending on the severity. However, if you're having them regularly, you should probably evaluate your eating habits to make sure you're not taking too big of a bite or eating too much. Stuck episodes shouldn't be a 'regular' thing. If you are having concerns about your band, call your doctor. It's always better to be proactive rather than reactive when it comes to matters of health. Good luck.

I started this post yesterday under general post op, I suspect my lack of responses was because either it was in the wrong forum or no one else has personally experienced this. It goes like this. Hello folks... I am 23 months postoperative. I was 3.5 lbs from goal and decided to up the daily routine of exercise wanting to hit goal, I am a slow loser. More importantly the emotional victory was really all that I cared about, not the physical. So Instead of my normal 600 calorie a day burn on the elliptical I started burning 750 calories daily. I managed to lose 1.4 lbs in a month, but started to become ill. Having all the signs and at times severe, of hypoglycemia. After three weeks of fearing to drive at times, I finally went to see my Dr. My normally very nice blood pressure was extremely high and she followed up with lots of blood work, a kidney workup etc. I was asked to check my blood sugars randomly and especially when feeling ill . I'll call them spells. I would tremble, feel light headed, blurred vision, rapid heart rate and overall weakness with a strong desire to EAT. This at times woke me in the middle of the night accompanied with cold sweats, feeling much like a heart attack or my impression of one. There were times at work I'd have a project in my hand and not know why, my thought process was on "hold". I was lethargic and my memory would shut down. After googling hypoglycemia I was convinced that was what I had, yet my blood sugars were always within normal ranges, my A1C (three month average of blood sugars ) was great. So more testing was ordered, I do not have the results yet, of all the tests but one thing I do know is that I had a 2 hr fasting glucose tolerance test and that was not fun. The test is simple. They check your blood upon arrival, my number fasting was at 93, then they make you drink a bottle of sweet syrup within 5 minutes, then I was SICK. Many of the same symptoms were replicated, although not all, I was near passing out, blurred vision, not even being able to focus on my Ipad. I thought I was going to vomit, defecate in my pants and maybe even stroke out. I could barely speak. and actually didn't dare to in fear I'd throw up. This lasted nearly an hour. At hour two they draw your blood again and it is suppose to be 140 or less to be in normal ranges. Mine was 56. I have done further reading and honestly never read about this prior to my surgery, but this seems to be a delayed symptom of the Gastric Sleeve. It's called Reactive Hypoglycemia. http://en.wikipedia....ve_hypoglycemia I have not had any real symptoms since cutting my calorie burn back to 600 per day and trying to incorporate more complex carbs to my diet. I ate mainly protein and vegetables. I've added a slice of 15 grain bread or a whole wheat English muffin to my diet daily and overall do feel better. I've had a few spells, not nearly as bad as before, and no more night issues. My question is there anyone else here with the same problem? If so why had I NEVER heard of this? If someone has had this experience I have questions about whether this is temporary, will I end up gaining because i'm eating more carbs etc. Thank you in advance for your help!

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

Hello folks... I am 23 months postoperative. I was 3.5 lbs from goal and decided to up the daily routine of exercise wanting to hit goal, I am a slow loser. More importantly the emotional victory was really all that I cared about, not the physical. So Instead of my normal 600 calorie a day burn on the elliptical I started burning 750 calories daily. I managed to lose 1.4 lbs in a month, but started to become ill. Having all the signs and at times severe, of hypoglycemia. After three weeks of fearing to drive at times, I finally went to see my Dr. My normally very nice blood pressure was extremely high and she followed up with lots of blood work, a kidney workup etc. I was asked to check my blood sugars randomly and especially when feeling ill . I'll call them spells. I would tremble, feel light headed, blurred vision, rapid heart rate and overall weakness with a strong desire to EAT. This at times woke me in the middle of the night accompanied with cold sweats, feeling much like a heart attack or my impression of one. There were times at work I'd have a project in my hand and not know why, my thought process was on "hold". I was lethargic and my memory would shut down. After googling hypoglycemia I was convinced that was what I had, yet my blood sugars were always within normal ranges, my A1C (three month average of blood sugars ) was great. So more testing was ordered, I do not have the results yet, of all the tests but one thing I do know is that I had a 2 hr fasting glucose tolerance test and that was not fun. The test is simple. They check your blood upon arrival, my number fasting was at 93, then they make you drink a bottle of sweet syrup within 5 minutes, then I was SICK. Many of the same symptoms were replicated, although not all, I was near passing out, blurred vision, not even being able to focus on my Ipad. I thought I was going to vomit, defecate in my pants and maybe even stroke out. I could barely speak. and actually didn't dare to in fear I'd throw up. This lasted nearly an hour. At hour two they draw your blood again and it is suppose to be 140 or less to be in normal ranges. Mine was 56. I have done further reading and honestly never read about this prior to my surgery, but this seems to be a delayed symptom of the Gastric Sleeve. It's called Reactive Hypoglycemia. Protein and vegetables. I've added a slice of 15 grain bread or a whole wheat English muffin to my diet daily and overall do feel better. I've had a few spells, not nearly as bad as before, and no more night issues. My question is there anyone else here with the same problem? If so why had I NEVER heard of this? If someone has had this experience I have questions about whether this is temporary, will I end up gaining because i'm eating more carbs etc. Thank you in advance for your help!

Reactive hypoglycaemia?

Daisy, I have no words of wisdom, I still get about 2-3 emails a day from POF. I thought i had temporarily suspended my account but did something to reactivate it. Most of them are just so... wildly inappropriate matches for me. I think you get best results initiating contact with men who interest YOU. I sometimes feel like these guys are just casting a net to as many women as possible without even considering if our location, interests and other things even make sense. I also think OKCupid is a better online service, but I DID manage to cancel my account on there. Depending on how things go... if I decide to start dating again next year I am thinking about trying some other ways to meet people like speed dating or something. Somehow, the online thing seems to deliver me a zillion possibilities but so rarely are they actually interesting to me. If I do restart online - it will be OKCupid because I found higher quality matches there over POF or Match.

css95, You are doing well. some of us do not lose very fast. I think it is part of the reason we are heavy, we are hypo metabolic. I was told by a Dr when I was 18 that this is my metabolism, ultra slow. We would be the ones who would survive famine,Oh goodie. But we just are slow loosers.He also told me to stay thin I would have to eat 1 lettuce leaf a day. How depressing. I find that if I keep carbs really low I can lose weight and maintain a normal body weight, so if this applies to you then you pick protein at the buffet. You can tell your friends you are doing the Atkins diet, and since protein fills you up fast you will not have to eat as much as they. Shrimp and cheese, turkey or prime rib. There is always that kind of thing at buffets. If there are crab legs they take a long time to eat and you can fiddle with the shells to get the last drop of sweet crab. I hope you have a great time, and come back lighter and happier than your friends who will be guilty at all they ate at the buffet.

Yikes. That sounds terrible. I don't currently experience either hypo nor hyper glycemic issues. I have a friend who had roux-en-y surgery and she is having terrible light headedness from low blood sugar. Her doc wants her to refocus on eating plenty of Protein and eating it first (going back to her early ways again now that she is several years post surgery). He is hopeful that it will "fix" her. I have seen a big drop in my blood glucose. I was running about 99 for fasting glucose prior to surgery. I now run about 84 not even fasting. I am surprised by the "improvement" as my doc said he doesn't see improvements to "normal fasting blood sugars. I wonder if I may start having hypoglycemic issues with time. Hang in there. I am sure there will be a fix. Do you qualify for Obamacare health insurance? I'd love to see you get good care for your medical issues.

Anyone have the symptoms of either one since being sleeved? Im a little over 3 mths out and it's one thing after another. Very unhappy so far.. But mostly blurred vision and very shakey after I eat or don't eat, and very fatigued after I eat. The blurred vision is driving me crazy. I keep having to go to the doctor and it's stressing me out financially because I don't have insurance anymore. Anyone relate to my symptoms?

I agree with JerseyGirl, slow and steady. I just turned 60 and am 5 weeks post op. I lost 20 pounds pre surgery and I have lost 24 pounds since surgery. I also have hypo thyroid, had a total hysterectomy 5 yrs. ago. With 44 pounds gone I am now off 2 of my 3 blood pressure medications! I knew it would come off slower than my younger sleevers but at least it is coming off which is something I could not do by myself. Hang in there

Hmm, I didn't know that, interesting. There needs to be a forum at VST for people with autoimmune disorders. Today I had a salad consisting of romaine, cabbage, baked salmon, and self-made dressing; plain yogurt, lemon juice, mustard, salt and pepper. I got 3 bites in and stopped, I was full. About 10 minutes later I got all sneezy and bleary eyed as though I had just eaten white flour, why?? I know there are cross-reactive foods out there, but all things considered this was a pretty clean meal.

There are still some unanswered questions regarding the causes of dumping but it is generally thought to be the result of food being “dumped” too quickly (because the pylorus valve is no longer present) from the pouch into the small intestine. Early dumping usually occurs roughly 30 minutes after eating food high in sugar or simple carbohydrates (aka “simple sugars”). They can create a rapid increase in blood sugars (hyperglycemia). The rule of thumb is that white foods (e.g. potatoes, rice, Pasta, white bread, etc.) are usually simple carbohydrates. The sugars rapidly pull Water out of the bloodstream and into the small intestine. A number of the symptoms of dumping including severe diarrhea can result. With “late” dumping, the body responds to the rapid rise in blood sugars with an increase in insulin to process the sugars. The increased insulin can cause the blood sugars to “crash” producing low blood sugar (reactive hypoglycemia) and dumping symptoms follow. Symptoms may or may not include vomiting. It is called late dumping because it usually occurs two to three hours after eating but can occur as much as twelve hours later. The delay is partially explained by the time needed for the brain to signal the pancreas to produce more insulin in response to the blood sugar spike. It then takes time for the pancreas to produce the insulin and for the insulin to make its way to the small intestine via the bloodstream. Because the intestine is shorter as a result of the surgery, the partially digested food passes more quickly through the intestine and blood sugar levels may have returned to normal before the insulin reaches the intestine - which is why the blood sugar crashes. Somewhere between 25% to 50% of patients never experience dumping. It is difficult to determine an accurate number because some folks experience dumping without realizing what it is and others think they are experiencing dumping when the cause of their symptoms may be something else. Of those that do experience dumping, about two-thirds experience early dumping with the remaining one-third experiencing late dumping. Although decidedly unpleasant, dumping is rarely serious. As you can see from the responses above, dumping may occur for years following surgery and possibly even for life. Or it may subside and even disappear over time as the body makes adjustments to its new physiology.

If hypo is the one where you have an unnaturally slow metabolism that's what I have, and I take medication for it. It didn't interfere at all with my getting banded or my weight loss!

Hey my peeps, question? Has anyone had an issue with hypo thyroid prior to seeing their doc? If so what did he/she say? Does thus interfere with getting banded? Sent from my iPhone using LapBandTalk

Im hypo. Too, and wasn't familiar with EPO. I'm 8 weeks out and expect to lose hair due to surgery and stent in ICU, and difficulties with protein -- the surgery is worth the hair loss but I dread it -- I already can fill a hairbrush in a couple of days.