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I have been struggling with hypothyroidism for the past 6 years....still trying to get levels evened out! My Endocrineologist was very supportive and my Bariatric doctor said I would have NO PROBLEM with hypo and the band. I can still take my meds (they are small enough), but you do have to take caution when eating anything with Calcium within 3 hours of taking your meds....that makes Protein shakes something that I have in the afternoon or evening! It has been a great experience so far! Good luck!

So ever since Friday i haven't been feeling all that great. I was feeling a bit swimmy in the head and my insides actually felt sore. It almost felt like I was coming down with something. Last week I found out my thyroid was way out of whack so instead of hypo i was hyper. My Doc changed my dosage and the swimmy feelings went away. I still felt sore inside and it hurt mildly to take a deep breath. I was thinking because I started taking Iron may be I was constipated, I took some miralax. Friday I felt so full and couldn't eat anything after my attempt at lunch. Well it doesn't appear as though I am constipated and I still feel sore inside and randomly without warning I get a pain in my left abdomen that makes me cringe. It really has me baffled. I don't feel full anymore and am able to eat normally. I am not one to freak out but I can't imagine what it could be. I will be calling the surgeon's office tomorrow. I am 11 weeks out. Does anyone have a similar experience? Just looking for clues.

As a bandster, I have to disagree with this statement. I'm not saying we need to rigidly schedule our meals and never deviate from that routine, but I've found that if I let myself get too hungry I almost always eat too fast and make myself sick. As a diabetic, here's what I have done (and I'm now off ALL diabetes meds since about three weeks post-op). I follow Supreme Band Rule #1 (I made that up, like it?) and eat my Protein first, then my green veggies, then any low GI carb source last (only if there's room). I am eating very low-carb by default. I also eat a little something every few hours, for a couple of reasons. First, until I am off meds for at least a year I still consider myself diabetic and try to avoid hypo episodes at all cost. Second, that helps to boost your metabolism and keeps the weight loss going. As for your original topic of head hunger, I think we all have to deal with that to a point. I haven't found any magic bullet for it yet. :phanvan

I'm so sorry you've had problems/complications. I had to have revision surgery as well and my insurance covered my surgery. If you are covered under insurance, will they cover it? It is not anything you have caused - just faulty equipment. I wish you the best luck and I'm sorry this hasn't worked out for you. I love my band and have had problems with it, but I wouldn't change a thing. I don't completely agree with you blaming your metabolism and thyroid on poor weight loss. As long as you are taking synthroid (or whatever meds you are on) it shouldn't be an issue. I am hypo too and yes it is hard to lose weight, but it is hard for anyone that is obese to lose. When my thyroid level is correct I have no problem losing. For years I blamed my thyroid on being heavy. I'd tell myself I had a "hormone problem" and continue to stuff my face. I finally stopped using that excuse and admitted that my eating is what was my problem. If you weren't losing you may want to have your level checked. I'm not a doctor, but I do know when my head is the problem and not my metabolism. I wish you the best.

I would suggest that you make an appt with your pcp to get checked out. There are lots of things, including thyroid conditions, that can cause fatigue. Be aware that they have recently lowered the "normal" range for TSH, so if you were borderline before, you might be considered hypo now. I tested high-normal for years before I became hypo, and I feel 100% better since I started taking meds. You may also be at point where you have to exercise to lose weight. In my experience, even before banding, if I eat 1200-1400 cal/day, don't exercise and don't drink enough Water, I won't lose any weight, and I might even gain a few lbs. I think that FitDay really overestimates the calories burned for basal metabolism. Good Luck! Melissa

Hello, I was hyperthyroid but had all symptoms of hypo. My blood level is normal and has been for 10 years but my hypo symptoms have not gone away. I am getting sleeved on March 28, 2013 so I hope this doesnt prevent my weight loss. I dont think it will. I am on the preop diet and have lost 15 pounds since March 14 which is 10 days.

I have hypo thyroid and i am 2 months out. I have lost 45 pounds so far. My doc is a debbie downer as he thinks that is slow, but ai m half way to goal so I am concidering it a win

Hi. I had Graves Disease & now I'm hypo, so I shared your concern. You will def lose weight. I'm about a month out & so far have lost about 24 lbs. I think that's pretty good! My hypo dose of med is 225 mg and I have to crush my pills before I take them & that's not as bad as I thought it would be. Talk to your dr about your concerns. It really might make you feel better. Anyway, good luck & see you on the "losers bench"!

Your body will level off and gain and then maintain. I am there right now. It is a difficult process but it is none the less part of this journey. Caloric intake may be a factor and keeping a 5 lb up or down goal. You may have to up your calories to not lose any more. I now weigh myself once a week and I watch the 5 lb limit. It is definitely something to get used to when all you have ever wanted was to lose weight.... I suffer from reactive Hypoglycemia and am having a terrible time with it......I am so concerned I will gain too much back because of it.... Nevertheless keep a watchful eye on it and enjoy a little bit of freedom from the opposite of trying hard to lose the weight.

Was hypo now hyper. Still on 800 calories a day Going to specialist today to get more info

Dont be dissapointed in yourself you are doing so well...the pcos and hypo may slow things down but they arent going to keep you from losing. Stay positive girl...youll get there!

I'm also hypo, on Synthroid. I've lost 52 lbs since Oct 09 and my doctor said he was going to do some blood tests on my next visit (Oct) to see if they can lower the dosage. I talked to him about possibly getting off the meds once I reach my goal, but I guess I need them forever. It's not like diabetes - where if you eaqt properly and lose weight, you may not be a diabetic anymore. From what I understand, hypothyroidism doesn't go away with weight loss, you just need less of a dosage. Marci

I', hypo-and I have found that for me, it makes a big difference if I'm on my meds or not. I was off of my synthroid for 3 1/2 months due to money issues, and did not lose a pound during that time. I actually gained a couple. I was able to go back on it a couple weeks ago and I've dropped 10 lbs since. And the pills are small enough that I have not had a single problem swallowing them-I take pills larger than that, and my band is pretty tight.

Hello~ I am hypo too but haven't taken my meds since surgery because I was afraid to swallo them lol. So my question to all of you is, The pill doesn't get stuck? I was tld by my reg doctor to dilute the pill in a lil bit of water but it tasted nasty so I didn't do it again.

There is a type of low blood sugar problem that can occur after gastric bypass surgery. It is called reactive hypoglycemia. Here is a link to the condition. https://www.ridgeviewmedical.org/services/bariatric-weight-loss/enewsletter-articles/reactive-hypoglycemia-postgastric-bypass Generally this problem begins to occur several months after surgery. Since you are only a week after surgery, I suspect this is not the cause. These are the symptoms of hypoglycemia: An irregular heart rhythm * Fatigue * Pale skin * Shakiness * Anxiety * Sweating * Hunger * Irritability * Tingling sensation around the mouth * Crying out during sleep As hypoglycemia worsens, signs and symptoms may include: * Confusion, abnormal behavior or both, such as the inability to complete routine tasks * Visual disturbances, such as blurred vision * Seizures * Loss of consciousness If you were diabetic and taking medication for the condition, the medication might be driving your body into hypoglycemia. If so this is a sign that you need to cut back on the diabetic medicine. But if you were diabetic then you probably have a glucose meter and could test to see if your hypothesis (low blood sugar) is a correct one.

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

I've seen a number of posts from sleevers about Reactive Hypoglycemia which, for people who have had gastric surgeries, can happen when food passes too quickly through the digestive system. Maybe this is what some of you have been experiencing?

Reactive hypoglycemia is a form of dumping. There are 2 basic forms http://www.urmc.rochester.edu/encyclopedia/content.aspx?ContentTypeID=134&ContentID=107 Also http://en.m.wikipedia.org/wiki/Reactive_hypoglycemia Dumping more common for bypass especially if sugary foods gets "dumped" into small intestine quickly without usual stomach to digest it. But is happens to 10-15% of people who have had a partial gastrectomy (which the sleeve is) whether for weight loss or other medical reason. True dumping would not last overnight. It resolves itself in a few hours at most. Hopefully sooner! And it would have cardiovascular symptoms like palpitations and also flushing, etc. Falafel a are deep fries and not full of sugar so may not have been dumping precisely. This could have been just over eating for the sleeve which would also make you feel yucky but not dumping. I ate a falafel too quick a couple weeks ago and felt pretty yucky for a while. In any case hope you feel better soon and remember to eat very slowly any new food.

As Fluffy said, differences for different programs - and also for different individual needs. I never worried about carb or fat counts as those don't bother me, just calorie count as that is what ultimately drives the weight loss. There is too much good nutrition associated with foods that are nominally carbohydrates for it to make sense to place arbitrary limits on them; on junk food (high calorie/low nutrition stuff) yes, but not solely on the basis of something being high carb or fat - the calories are an adequate limitation. With your bypass, however, and the prospect of dumping or reactive hypoglycemia, a reasonable carb restriction can be in order, particularly for simple carbs and/or sugars, at least until one figures out ones' individual tolerances.

So I had plastic surgery 3 weeks ago tomorrow. My surgery included belt lipectomy/360 tummy tuck, and breast lift with augmentation. Recovery has been tougher than I expected due to fatigue. I went back to work (RN in a large clinic) last Monday. The fatigue was unreal. On Tuesday, one of the doctors I work with decided I should be checked for anemia. I popped over to our lab and had a quick blood draw. I had finished lunch about 45 prior to getting the blood drawn. The next day when I received my lab results, I was surprised to see my blood glucose was 59. 😲 I do not dump, so I have been eating more simple carbs and sugars to try to keep from losing more weight. I had been eating some candy on Tuesday prior to lunch. Apparently, I have reactive hypoglycemia. No more simple carbs and sugars for me, except small amounts with meals. The bummer part of this, (aside from feeling extra crappy with low blood sugars), is that I am really anxious about not losing any more weight and don’t know how I am going to keep the weight on without the extra calories. I guess I need to increase healthy fats to make sure I keep my calories up. With that said, I have lost about 3 pounds since my plastic surgery. I never thought I would be stressed about losing weight. 🙄🤷‍♀️ I have an appointment with my surgeon’s office in a week and I am looking forward to discussing this with them. My labs also show some iron deficient anemia. I was not iron deficient nor anemic prior to plastics, so this is directly related to blood loss in surgery, and fairly simple to correct with diet and iron supplements (I don’t normally take any iron supplements). Over all, I am doing very well post-plastics. My pain has really been minimal since about day 3 post-plastics. I have had a bit of trouble with my incisions separating (dehiscence) in a few small spots. My husband is a wound nurse, so we have been managing the wound care with pretty good results. I am thrilled to have breasts again after going from a 40 DD to a 34 A. 😬😬😬 Anyhow, here are bikini pics to show off my post-plastics body…swelling included. 😂

You look wonderful! Do you mind me asking if insurance paid for any of your plastic surgery? If not, how much did it cost? I am currently pre op (surgery date is 1/18/22) so I know I'm getting ahead of myself but I am 54 and anticipate lots of loose skin. Hopefully you are feeling better these days and have figured out your reactive hypoglycemia issues.

I do find that snacking leads to stalls and or weight gain for me. I have to be very careful because I also get reactive hypoglycemia so i pretty much eat very small meals all day long. That is a slippery slope and can feel much like grazing which is the worst thing i can do. Early on while in weight loss mode my nut had me drink milk for a snack. it gives you added Protein, turns to a solid keeping you full for quite a while. And.....best of all you can add different types of tea to it. My favorite all time snack especially in the winter is chocolate chai tea. I use the loose tea version from teavanna and steep it for 3 minutes. It is especially delicious, hits the spot with NO added sugar other than what is in the milk. I use lactaid because i still have a lactose intolerance. If i dont have that, i will eat full fat cheese, pepperoni, shrimp, almonds and sometimes bariatric pal hot chocolate or bariatric pal vanilla capacciono.

I'm confident it will come off and I'm very happy with how I feel and my progress. I am a post-menopausal woman with hypo-thyroidism who is almost 54yrs old. I've lost 29lbs in eight weeks and I can see a huge difference. I've gone from a tightly fitting size 22 to a comfortable fitting sz18 and hope to fit in sz16 by summer's end. I am not discouraged or impatient at all, merely curious. :-) I am curious if, among the other factors I mentioned, age or menopause has anything to do with the rate of weight loss. I see some people who lose 75-80lbs in the first few months and others who average 30-40 in the same time frame. I was wondering if there is a reason, or maybe several reasons, for the vastly different rates of weight loss. So curiosity and boredom (it's been raining) have been the reasons behind my question. :-)

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..

What kind of problems? People generally don't get long-term complications from sleeves. It's not like RnY where people get reactive hypoglycemia and have to have part of their pancreas removed to fix it or get ulcers from the surgery that have to be treated. It's even very unlikely that the sleeve would stretch enough to require a fix. If you mean, what if I don't lose all the weight, it would depend on how little I had lost. If I was 10-20 lb more than I wanted to be, I'd lump it. If it was a significant amount, I would get some kind of intestinal bypass, either RnY or DS. I don't know which one because I haven't looked into the nitty gritty details of either. I'd probably go for a DS but I'm not sure I could eat enough fat to make it work. (I don't like greasy food.) I doubt I would put a band over it because the odds are just too high that I'd have to have yet another surgery to remove it some day and be right back where I started. Plus, the only thing a band would fix is if the sleeve had somehow stretched and was too big and you can fix that by having it tightened instead. Not to mention it rarely happens -- you really have to abuse the thing to get it to stretch. I don't know where you heard that people are putting bands over VSG. I don't know anyone who has done that -- it really hasn't been around long enough to know a lot of people who had revisions. Most VSGers will get a DS if they have inadequate weight loss because they figure they need the malabsorption after all. __________________ Originally posted at www.lapbandtalk.com