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I've actually been a diagnosed reactive hypoglycemic since age 14. I have kept it at bay for 15 years through my diet... even when I was obese. The secret to RHG is to never eat sugary foods alone. You must pair it with a complex carb and/or Protein. If I was to eat a candy bar alone my blood sugar would be in the 50s within a two hour window. However, if I ate a balanced meal followed by a candy bar then I would typically be okay. When you have an RHG spell orange juice is the best thing to ingest to quickly right your blood sugar levels. You can also purchase glucose tablets for these incidents (I keep a pack in my car). This is a quick fix though and must be immediatly followed by protein and/or complex carbs to stop the cycle. To be properly diagnosed for RHG you would need to see your doctor and chart your blood sugar levels and symptoms. Further testing would include scheduling a 6 hour Glucose Tolerance Test and possibly a follow-up 72 hour Glucose Tolerance Test. RHG is not something to be taken lightly. True suffers can pass out from too low of blood sugar- it's terrible, trust me. While I have lived with this issue most of my life and gotten pretty used to it, I have noticed an upswing in "incidents" since surgery. I had attributed this to having to learn how to balance my eating differently than I need pre-surgery. It never occurred to me that surgery may have exacerbated the issue. Thanks for the heads up! Amanda

So, again with the bedtime hypoglycemia, although not as bad. It's 2:00am and first I was up with the shaky/wobbly feeling, which I dealt with with a small glass of skim milk. Now I have all kinds of aches and pains and bad gas. Almost feels like flu, but it's not. So instead of reactive hypoglycemia, maybe this is just nocturnal hypoglycemia? I don't have diabetes, so this is all really confusing. I can't wait till I can see a doc again...

FWIW, I'm into BodyMods, specifically piercings and in that realm titanium is regarded as the best materia to place in a fresh piercing as it so rarely causes an allergic reaction. It's almost entirely hypo allergenic.

Well, I had an attack the other night that almost landed me in the hospital. I got so weak and dizzy, broke out in a sweat all over my body and my husband said i felt like I was burning up. what did it. A 1/4 cup of ice cream. Yup... I have not been eating enough for the last little while and I have been full after a few bites and it has caused me to have this episode. In the hospital they gave me ice cream when I couldn't eat and it jump started my eating again. Well my hubby thought it might work again so he got me some ice cream and no sooner had I swallowed it then it wanted to come right back up. And it did. Then I laid down for a bit and it helped. I decided to call my sister and talk to her for a while and she said she noticed right away that something was wrong. Any way some almonds and G2 brought it around some slowly. My husband said he would put me to bed so he helped me into the bed room where I quickly fainted dead away. Somehow he got the rest of my pills into me which I don't remember and then I woke up the next morning feeling like I was beat up badly. My husband had looked it up on line and sure enough it is called reactive Hypoglycemia. It can happen to WLP because of the slow break down of Protein in our bodies and the fact that food does not stay in the stomachs very long. We have to balance complex carbs and protein together for it to stay at bay. So after talking to my dietitian I am now eating 6 times a day. 3 meals and 3 Snacks. That is what she recommended. each time a complex carb or protein. So there it is....Another thing to deal with!

Can i please ask for some advice, I am an insulin dependant diabetic and the pre op diet they have me on includes some carbs...a weetabix for Breakfast, 2 crisp breads at lunch and 3 tablespoons of rice at dinner...along side that I am having a small amount of lean meat, salad, and some vegetables. My surgery is next Tuesday.. Will this still shrink my liver enough? I am following what the hospital gave me. Many thanks X (I am still experiencing the had aches, irritability, feeling lethargic, and have had a hypo) Sent from my iPad using the BariatricPal App

Yes hypo here and on 225mcg of synthroid.. My dr said this surgery more then likely won't change my levels n I will still have to continue the meds lifelong. When I don't take my meds for some time I get a goiter n the thoughts scare me right back into my meds loll

Weight Loss Too much weight Loss Feeling cold all the time - was temporary only through the rapid weight loss phase. My body was in maintenance through the winter, minus 140lbs, I'm pretty sure it's okay to get cold easier considering I was half the woman I was pre-op Chronic GERD Take PPI never have refulx Strictures Only a 2% risk of this occurring(should be lower with an experienced surgeon) Leaks 1% or less risk Calcium deficiencies Taking the proper calcium supplement is essential, just like taking proper, high-quality adult multi-vitamins ensure this doesn't happen. Citrate is your best option Iron deficiencies not necessary, not common if anemia is not an issue pre-op. Multi with iron helps to keep levels normal Can't take slow release drugs Incorrect, there are zero medication restrictions with the sleeve No Aspirin Absolutely false, I take a baby aspirin every day and will for the rest of my life due to a rare, genetic clotting disorder, and aspirin therapy is the only treatment Issues from Surgery Could occur with any anesthesia procedure Twisting up the sleeve (There is a technical term for this but I don't recall it) Unsure of this condition would need to know medical terminology to reply intelligently Possible dumping reactive hypoglycemia is more common and is often confused with dumping, transit time has been studied some doctors believe transit time can effect dumping/hypoglycemia, others disagree Food tolerance issues Very minimal and usually resolve the further out you are from surgery Nutritional deficiencies Only if you do not take care of yourself and do not make good food choices Hair loss that grows back True gall bladder issues Ehhh can happen to anyone after weight loss, I lost mine at 8 months post-VSG Chronic fatigue until fully recovered Can be avoided with proper fluid, vitamin, protein intake. I napped a couple of times a day for the first month or so, but I had complications related to my revision from the band. B12 must be taken sublingually or by injection due to the intrinsic factor of the stomach being removed with the VSG. Lactose intolerance, or whey intolerance can occur making protein drinks limited. That's all I can think of at this point.

My original doctor told me I was going from hypo to hyper. At the time I felt no effects. Now it feels like I am on speed. Jittery and heart racing. Doctor went on maternity leave and unfortunately new doc only checked TSH and not T3 and T4. My sister is a pharmacist. She said she sees this all the time and by what I described she said definitely a thyroid issue. A TSH test is only as good as what is happening at that particular day and time. When I got off thyroid no problem. Then got back on half a pill a day and now having problems. So I am now oversensitive to it. Benadryl has no effect on me. When I take 4 benadryl melatonin and 2 Tramadol and still can't sleep then we have a problem. I don't do intermittent fasting. My body goes into overtime at night. Anyway, going to just get off of the thyroid for a month. Instead of going through Endocrinologist I will have my PCP reorder the tests but this time with T3 and T4.

As with most overweight people I suffered from hypo thyroid. However I am now at 205 lbs instead of 343 lbs and my hypo thyroid is now hyper. I got off the synthroid for a week. I wasn't sleeping at all and quite jittery. So then cut the tablets in half. Here I am tonight again and feel like I am on speed because everything is racing. Anyone else experience this? Driving me crazy.

A friend of mine was diagnosed with reactive arthritis last year. Is your Dr. taking care of your blood pressure and Fluid retention? I know that my friend has an awful time with mobility. Ok...so that was me checking on your health. Now...are you keeping track of what you are putting in your mouth? I know that you say that you don't eat a lot but do you know how many calories you are taking in? You might want to write down all of the calories that you are eating...the amount of Protein...and the amount of carbs. Get an idea of what you are taking in so that you can discuss it with your nutritionist. I know that it's difficult for you to walk but have you considered swimming. My friend says that this is very helpful to her and alleviates a lot of her pain.

BUMP^^^^ great question!!! Anyone? I have hypo and I'm pre sleeved so I'm curious too...,

I am hypo and have many of the symptoms you mentioned, but my last thyroid panel was normal. I know they are mostly hypo symptoms but I think they are also symptoms from losing weight (hair loss, being cold, etc.). Can you get your TSH/T4/T3 etc tested?

I am also hypo. I actually changed from synthroid to natural aurmour thyroid. I feel so much better. The weight loss has been real slow. 15 months post op and no where near my goal but still thankful for the sleeve. Without it I would have not lost what I did but would have gained more.

@MrsKarenC2008 I'm glad you came back to the site. I wish you the best and I hope you pop in more. Just found this this article. Hypoglycemia and reactive hypoglycemia. https://www.mayoclinic.org/diseases-conditions/diabetes/expert-answers/reactive-hypoglycemia/faq-20057778 I'm not sure what category I fit in *laughing at myself* My low blood sugars don't make sense to me or my Dr. Fasting or food, My low blood sugars have no pattern. At 140 pounds and year out from surgery, my pancreas started functioning but not correctly. Dr said its a RH is complication from surgery but it's also a blessing to know my pancreas is working.

As I said to Jeannie in a PM...it has become increasingly clear to me that there are some people who seem to take advantage of the "distance protection" offered them by this internet form of communication, as a means to unleash their emotional reactivity, arrogance, negativity, immaturity, and general lack of manners. Let's try to remember that we are all here for support and encouragement, and be polite.

@@Killian - that's a pretty high dose. Have you ever tried taking it in the morning on empty stomach? Might be able to have a lower dose that way as I think food and other meds affect it. Having said that, as long as you are consistent, that is the key. I am same as you (graves, RAI in 2012, hypo by 6 weeks post-Rai). Good news is it hasn't hindered my weight loss at all. I am down about 115 pounds since surgery (11 months). I have had to increase my med as it doesn't absorb as easily post-op (at least with bypass). Good luck to you!! Sent from my HTC One M9 using the BariatricPal App

Thanks. Really appreciate the replies. I'm trying not to be so hard on myself I know it's not like the worst thing in the world what I've eaten, and I'm probably still in my calorie range...but it's that feeling of lack of control that's forcing me to take action. I refuse to let food control/beat me anymore. Wheetsin, thanks - good advice. My stats are current. I may avoid the scale until my normal weigh-on on Monday. I haven't been too reactive emotionally to what's been on the scale, so hoping I won't be this time either (regardless of the outcome). But, man, it's this lack of control feeling I'm having which is making me anxious and like I'm wanting to get out of the environment. The food gremlin is a nasty little sh*t!

Correction: reactive hypoglycemia

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.

i also have hypo thyroid. I am on syntrhoid - its great. I also have type 2 diabetes but my doctor took me off my metformin as soon as I had the surgery.

Revision is such an interesting topic! I'm hoping I can get the rest of my weight off on my own, but my Surgeon and Endo are talking about some sort of revision that might help my reactive hypoglycemia. I hope everyone does well with their revision and appointments! I would also love to hear how everyone is doing after!

Hi: I had a thyroid/diabetic specialist well respected in his field and was written up in the papers and also lectured around the country and overseas. He has since retired. He diagnosed my Graves disease (hyperthyroid). After treatment, I became Hypo and was put on synthroid and remember his words. The blood tests show a range that doctors consider normal, but because of my weight he wanted me at the top of the range. He felt overweight people have a slower BMR than most. I don't lose weight quickly but I do lose weight steadily. Perhaps you should ask your doctor to consider putting you on synthroid. The drug takes up to six weeks to take affect. No harm in asking?

only about 30% of RNYers dump, and for those who do, it can be prevented by limiting or avoiding sugar (which we all should be doing ANYWAY). A minority of dumpers dump on fat, so they can prevent it by limiting their fat intake (for most dumpers, though, it's sugar - or rather, too much of it at one setting - that sets it off). I've never dumped - and many of us haven't. I wouldn't call it a horror story, to be honest. It's mostly preventable, and again, a majority of us don't dump. blood sugar issues: Not sure what exactly you're referring to. Some people develop reactive hypoglycemia (RH), but like dumping, that can be controlled. I have it. I just have to eat something every 3-4 hours - and if I eat a carb, I have to eat a protein with it. Haven't had an episode it probably three years. So it's not a horror story - it's kind of a minor issue that can be controlled. In my mind, dumping in RNY patients (30% of them) vs acid reflux in sleeve patients (also 30% of them) is kind of a wash. Although at least dumping can be controlled. RH is a lot less common, but again, it's largely controllable. I've been really happy with my RNY - I'd do it again in a heartbeat! P.S. there seems to be a Wisconsin theme going on here...

2005 I was banded. I loved my band. I was able to have two healthy children in 2007 and 2009. I got serious about my health and weight in 2010. I hit my goal weight early February 2011. February 12, 2011 my band "slipped" when I tried to eat and I instantly threw up. I knew instantly something was very wrong with my band as the pain was so severe I couldn't walk. I was writhing in pain. 10 out of 10 pain... I had never experienced pain like that before. Ambulance took me to the ER. Dr's ordered a plain X-ray as well as a CT scan. Same radiologist read both scans and reported that there were NO abnormalities. In the X-ray my band was at the base of my stomach.... my stomach was up in my chest, and the band was at 130 degrees NOT the typical 45 degree mark. My stomach had actually prolapsed up through the band and the band was cutting of the blood to my stomach. They tried to send me home. I refused. They transferred me to another hospital hours later, where the doctors also relied on that report of "no abnormalities". But unfortunately my scans weren't sent with me when I was transferred. The next hospital didn't do there own scan for over 24 hours. I had 2 endoscopies while I was there. The first one showed my stomach full of blood and that my tissue looked purple. Second one my tissue was black. I was there for about 37 hours when my vitals all changed. Blood started coming out from my nose and mouth. They rushed me into surgery. I had to have 4 blood transfusions and I almost died. My stomach was black when they opened me up. Dead. 98% of it. 22 staples from my belly button to my sternum. They were barely able to piece me together with a roux en y bypass. I have EXTREME dumping. EARLY AND LATE. I am constantly in the hospital with my blood sugar in the 30's and 40's after I eat. I have reactive hypoglycemia and it's only getting worse. I used to have it fairly under control with my diet.... but it's been getting harder and harder to do. My entire life has changed. I'm scared of food now. I struggle to keep my weight UP now! It's such an emotional roller coaster. I'm very thin now... I typically weigh in at only 115.... and I've been as low as 105. If I had to do it all over.... I would never have been banded. My kids suffer because mommy is too sick. I'm scared to drive because my blood sugar tanks so quickly that I have no warning signs. I'm at risk of seizures and comas when it gets that low. I can't keep a job, since I'm not reliable. I get sick constantly. I'm desperately trying to find a way to afford a service dog that can help scent when my blood sugar is tanking so I can eat sugar and prevent the awful episodes.... but they are extremely expensive and insurance doesn't cover it. I get dizzy, sweaty, my heart pounds, I can't talk or walk, I can't form complete sentences, my tongue, hands and feet go numb, my body basically starts to shut down. I can't eat too much sugar or simple carbs, as they set off these episodes. But if an episode occurs, I have to eat a lot of sugar for my body to get back to normal.... BUT not too much.... or it will send me into another episode. I was only 29 when my band slipped. I just want people to know what can happen. That they know the TRUTH of it all.... and that hopefully the doctors treating us can take it seriously. If they had diagnosed me right away, any surgeon could have removed my band instantly and my stomach wouldn't have died. PLEASE educate yourself before making your choice about weight loss surgery AND make sure you are educated if YOU ARE banded. Most doctors know very little about lap bands... so if you experience a slip, you need to be your own advocate and demand an x-ray, ct scan AND a barium swallow study in real time. THEN you should ask to see the scans yourself and have them explain what they see. Chances are that you will know more about lap bands than the doctors :-( I wish I had educated myself more about the risks, and I wish I had learned that my obesity was much more of an emotional issue for me, rather than a physical issue. If I had only figured out my emotional addiction with food and stuck to diet and exercise...........x-ray.pdf

If he is the kind of guy that shots you down before any real conversation gets underway, consider a letter. Write down all your feelings towards him first and why you are worried. Add statistics and anything you think may get through to him. End with how you would love to support him through the process (weight loss or bariatric surgery) towards a healthier him. Also, make sure he has sometime to read it and ponder about it. Not just an hour. Sometimes it's hard to get all your feelings out in a conversation before his reaction makes be reactive causing the whole thing to spiral into an unproductive conversation. Good luck, raising the issue is the right thing to do.