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Good morning! I am feeling discouraged today . I see so many of you where you are having great success with losing weight and here I am and it's just slowly coming off! I know that I should not be comparing myself to anybody else. Since surgery Jan 20th I have lost a measly 12 lbs. most days I get all my fluids in and almost all of my required 60grs of protein. According to my NUT I can eat anything I want as long as I chew chew chew. I am keeping it to mostly soft foods. I have hypo thyroid/Graves disease which has always made it hard to lose weight . I was really hoping that with the surgery I would be able to lose faster. Maybe I am being to hard on myself after all 12 lbs in 3 weeks is still good better then WW or any other diet I ever tried!

It's probably reactive hypoglycemia and they are discovering it's fairly common post-RNY. there are tons of articles and blogs about it if you google "bariatric reactive hypoglycemia". There are also studies currently being conducted to better understand and manage the disorder. One of them that is currently recruiting participants indicates "Reactive hypoglycemia is a late complication affecting up to 72% of RYGB patients although it seems to occur also after Sleeve Gastrectomy in about 3% of the cases. ". So check it out if you are having symptoms.

I've never really experienced dumping but if I eat something with too much sugar, I get reactive hypoglycemia. My blood sugar bottoms out quickly and i just feel crappy so I have to eat something to bring it back up. I try avoid this by limiting my sugar intake.

Wow, I just looked at my license and it's 100 pounds over where I am now. When we came back to AZ 6 years ago they just reactivated the license from 25(?) years ago, when the weight was a terrible, terrible lie. Oddly enough, it still has my height from 25(?) years ago. I've since shrunk by a couple inches. I don't want to be shorter on my license so I'll live with the weight. Tek

First and foremost you have to treat your lows being a T1! ((hugs)) I'm sure you know just how much you have to eat to bring your sugars up x amount? I have reactive hypo and wake with lows in the mid-30s to mid-40s. I now have a rescue packet beside my bed that includes: blood sugar meter glucose chewable tablets glucose gummies 6oz orange juice nut butter nuts I always follow what ever glucose I need with the nuts or nut butter once my bg starts to rise (after about 30minutes of the glucose dose). That way my spike is minimized to bringing glucose back into the 80s. I find that 1-2 wafers or 2-3 gummies will get it done. That way I minimize damage. Can you rig something like that up for the future? I wouldn't worry about what you've had to do to keep out of hypo-land. You're doing your very best and I am betting that you will be in good shape when you hit the OR. Just keep following the plan. I know it's scary dealing with all of this and I hope you see an improvement in your T1 with the surgery!!

Have they tested you to see if you are having issues with reactive hypoglycemia? This usually kicks in 1-4 hours after a meal, but since you've had a bypass it is possible it could kick in faster for you if your food is transitioning faster. I've seen FB groups for bariatric patients that have this issue. I've noticed it often happens years out from surgery... I used to have issues with this before bariatric surgery, even on a low carb diet. Eating small meals often with fat and protein paired with your carbs is usually what they advise to treat it, along with other dietary adjustments. Personally if I don't eat every 2-3 hours, I aggressively crash energy wise. It is very pronounced. I have to carry snacks with me everywhere to prevent me going past that 3 hour mark or I look like the Energizer Bunny without his battery! LOL

Hey everyone, I was diagnosed with Hypo at the age of 9. My blood sugar stays around 60 and can spike to about 90 if I drink alot of soda. It is always on the low side. I am just curious how well I am going to do on an all liquid diet. If I don't get enough to eat I will crash. I am always exhausted as it is and my endo recommended the lap band. He said I wouldn't be so tired if I lost the weight. I am not sure if he realized the liquid diet that came with it. I am just wondering if I am gonna get in over my head. I am doing carb free diet right now and feel light headed and can't concentrate. My Dad has done low carb for years and says it is sorta like going through withdrawls. After a few days the aching will pass. Any input?

I was on insulin for 30 years pre surgery. I was still on it after surgery for 3 1/2 months and while the initial weight loss was rapid, like you it slowed down way too soon. Then I talked my doc into letting me go off insulin and on to metformin plus foxigia (both of which have a side effect of some weight loss). Because I was no longer on insulin I was able to safely follow a low carb diet without worrying about hypos (metformin and forxigia don't usually cause hypos). In the 6 or 7 weeks since I stopped insulin the weight has fallen off me about 13 pounds) and last week I stopped taking Forxigia since I don't seem to need it on a low carb diet. I am also cutting down my metformin with the aim to be off it by the new year if not before. So to answer your question ... yes insulin does slow down weight loss. Talk to your endo about swapping it for metformin plus forxigia and a low carb diet ... just don't go too low carb whilst on insulin because of the risk of hypos. if your endo is anything like mine he will be more than happy to let you give it a try and see what happens.

Yeah I thought it would be okay for the steamed vegetables because I love them but then the nutritionist is like no absolutely nothing so I feel like they don’t really understand the reactive hypoglycemia and the terrible nausea.

I am also not banded yet. (will be after oct 28) The only time I go hypo is after I eat too many carbs or too much sugar and my blood sugar goes too HIGH. When it finally starts dropping it just goes down, down, down. It seems like if you follow bandster rules and have protien followed by veggies there would not be so many blood sugar swings. I have been curious about this also. Just a thought, have you considered getting some glucose tablets? They work much faster than food at bringing bs level back up some. I just use them because they are easy to keep on hand and prevent the overfeeding low bs, which can just cause a rebound high and low again.

The long term complications I've read about after gastric bypass and/or sleeve gastrectomy are nerve issues, dental problems (resulting in root canals, implants, dentures), reactive hypoglycemia, strictures, fibromyalgia, ulcers, fainting spells, chronic anemia, osteoporosis, etc. I don't know if MGB has the same issues as these other weight loss surgeries as there's a lot less info available online. One thought is the perception of risk could be skewed if more people that have issues post their experiences than people that don't have these issues. So I could be getting scared about possible outcomes that are very low risk. It's a conundrum I need to work through.

mother natures nature's miracle is a liquid vitamin that i have used for years. i really love using it before surgeries because it makes me heal faster. it is really great it has everything and then some in it, even protein. it is a small company and their site is not fancy but the product is really great. Mother Nature's Miracle? | Liquid Vitamins | Eden's Miracle of Mother Nature | natural vitamin program Vitamins Function & Symptoms of Deficiency Vitamin A; Beta Carotene 14,000 IU Cancer Prevention, Prevents Eye Problems, used for Acne, Ulcers, & Tissue maintenance repair. Enhances Immunity. Protects against Pollution. Vitamin B6 (As Pyridoxine Hydrochloride) 4 mg Maintains health nerves, Skin Eyes, Hair, Liver, Mouth, Muscle Tone, & G.I. Tract. Coenzyme, Energy Production, used for Depression, Anxiety, Metabolisrn / Stress & Prevents Anemia Vitamin B12 (Cyanocobalamin) 1000 mcg Skin, Eyesight, Fatigue, Abnormal Sleep Patterns Vitamin C 1200 mg Helps Wounds, Surgery, Stress, Allergies, Asthma, Immune System, Heart Disease, Cancer Prevention, Bleeding Gums, Protects against Pollution. Vitamin D 1 800 IU Osteoporosis, High blood pressure, increases the absorption of minerals. Vitamin E 1 180 IU Antioxidant, Cancer prevention, Tissue repair, improves circulation, Prevents Age Spots, & PMS Vitamin K 170 mcg Blood Clotting, Tissue repair, Bone formation, may prevent Osteoporosis. Sulfur** Degeneration of cartilage, ligaments & tendons Lupus, Sickle Anemia, & Collagen Diseases Copper 2mg White/Grey or Brittle hair, Hernias, Varicose Veins, Aneurysms, Anemia, Hypo or Hyper Thyroidism, Arthritis, Liver Cirrhosis, Violent Behavior, & Learning Disabilities. Coral Calcium 1100 mg Osteoporosis, Receding Gums, Arthritis, High Blood Pressure, Insomnia Kidney Stones, Bone Spurs, Calcium Deposits, Cramps, Twitches, & Bells Palsy Iodine 320 mcg Fatigue, Colds, Muscle Pains, Heavy Periods, Low Sex Drive, Brittle Nails, Weight Gains, Hair Loss, Muscle Cramps, Depression, Puffy Face, Dry Skin & Hair, Poor Memory. Magnesium 260 mg Asthma, Anorexia, Migraines, Growth Failures, Muscle Weakness, Tremors, Vertigo & Small Arteries Iron 10mg Hemoglobin, Pica, Fatigue, Heart Palpitations, Memory Deficits & Anemia Phosphorous 500 mcg Brittle Bone, Low Energy, Inability to break down proteins, fats and carbohydrates Potassium 300 mg Muscular Weakness, Mental Apathy, FACT: May lower Blood Pressure Zinc 30 mg Impaired ability to heal, hair loss, fatigue and acne Chromium 200 mcg Depressed Growth Rate, Glucose Intolerance in Diabetics CoQ10 3mg Anti Oxidant, Cancer, Heart Disease, Poor Immune System Herbs Function & Symptoms of Deficiency Gingko Biloba 100 mg Improves Memory, Brain Function, Blood Flow, Depression, Oxygenation, Asthma, Alzheimer's Disease, Heart & Kidney Disorders. Aloe Vera 6000 mg Restores Tissue, Anesthetic, Heals Burns, Itching, Regenerates with no Sear. Ginseng 500 mg Used for Impotence, Energy, Diabetes, Colds & Chest Problems. i Enhances Immune Functions & normalizes B.P. Enzymes Function & Symptoms of Deficiency Proprietary Formula Amylase Is the digestive enzyme used to digest carbohydrates Lipase Is the enzyme used to break down dietary fats Papian Helps improve skin and breakdown protein Pepsin Is the principle enzyme which helps aid gastric juices Ptyaln Helps in aiding digestion in the stomach for several hours Protein 3 G From vegetable sources is essential in building, repairing and maintaining body tissue Trace Minerals Function & Symptoms of Deficiency Sulfur Important mineral in several amino acids within the body involved in functions of Hemoglobin, Insulin, Hormone, Adrenal Hormones, Enzymes, and Antibodies. Deficiency: Degeneration of cartilage, ligaments and tendons, Lupus, Sickle cell anemia, Several collagen diseases Ten Animal studies show deficiencies cause: Poor growth and Poor feeding, Hearing loss, Male pattern baldness, Cancer prevention properties Chromium Deficiency: Low blood sugar (Vanadium& copper also) Prediabetes (Vanadium also), Diabetes (Vanadium also) Hyperactivity, Learning disabilities, ADD/ADHD Hyperirritability, Depression, Dr. Jekyll/Mr. Hyde rages Impaired growth, Peripheral neuropathy, Negative nitrogen balance (body lean mass/protein loss), Elevated blood triglycerides, Elevated blood cholesterol plaque, Infertility & decreased sperm count, Shortened life span Copper Deficiency: White or Gray hair, Dry brittle hair, Ptosis (sagging tissue-eye lids, skin, breast, stomach, etc.)Hernias, Varicose veins, Aneurysm (artery wall bulges) Kawasaki Disease, Anemia (common in vegans & high milk users), Hypo or Hyper thyroid, Arthritis (especially where growth plate are involved), Ruptured vertebral discs problems, Liver cirrhosis (Number 9 killer in US) Violent behavior, blind rage, explosive outbursts, Learning disabilities, Cerebral palsy & hypopasia (failure to form) of the cerebellum, High blood cholesterol, Reduced glucose tolerance (low blood sugar) Praseodymium Enhances normal cell growth. Doubles life span in laboratory animals Antimony Effective against blood flukes Strontium Strontium can replace calcium in many organisms including man, Essential trace element Thulium Enhances growth of normal cells Doubles the life span of laboratory animals Trace Minerals Function & Symptoms of Deficiency Gold Reduces active joint inflammation Molybdenium Essential as a metalloenzyme of several enzyme systems Iodine Needed by body for thyroid function (Thyroxin is thyroid Hormone), Copper needed to utilize iodine Deficiency: Under Active Thyroid, Fatigue, Cold intolerance Muscle Aches and pains, Heavy periods or less than 28 days cycles, Low sex drive, Brittle nails, Weight gains, Hair loss Muscle cramps, Depression, Constipation, Elevated blood cholesterol, Puffy face, Dry skin & hair, Inability to concentrate, Poor memory, Goiter (throat swelling) Over Active Thyroid, Insomnia, Heat Intolerance, Excessive sweating, Light periods or longer than 28 day cycles, Hand tremors, Rapid pulse, Bulging eyes, Weight loss, Increased appetite, Muscle weakness, Frequent bowel movements, Irritability, Nervousness Goiter (throat swelling) Lithium Deficiency: Depression, Manic depression, Lithium deficiency aggravated by high sugar consumption Reproductive failure, Infertility, Reduced growth rated Shortened life span, ADD, Rages & fits Manganese Deficiency: Congenital ataxia, Congenital deafness, Asthma, Chondromalacia, Chondrodystrophy, Poor cartilage formation problems, Repetitive Motion Syndromes (like TMJ, Carpal Tunnel Syndrome), Convulsions Infertility (failure to ovulate or testicle atrophy), Still births or spontaneous miscarriages, Loss of sex drive, Retarded growth rates, Shortened long bones Nickel Deficiency: Poor growth, Anemia (low hematocrit) Depressed oxidative ability of the liver, High newborn mortality, Rough/dry hair coat in animals, Dermatitis Delayed puberty, Poor zinc absorption Silver Kills over 650 disease causing organisms, Systemic disinfection & immune support, Subdues inflammation & promotes healing, Anti-bacterial, Anti-viral, Anti-fungal Boron Essential for bone metabolism, Aids efficient calcium & magnesium use, Proper endocrine function Reduces calcium loss from bones (Osteoporosis) Bismuth Ulcers result from lack of bismuth & a bacteria Heliobacter pylori Calcium High protein diets increase demands for calcium Deficiency: Osteoporosis (& Dowagers Hump fractures,) Receding gums (osteoporosis if facial bones & jaw bones) Osteomalacia (failure to mineralize the protein bone) Arthritis, Hypertension/High Blood Pressure, Insomnia, Kidney stones, Bone spurs, Calcium deposits, Cramps & twitches, PMS, Some low back pains (sciatica, muscle spasms), Bell?s Palsy, Osteofibrosis (enlargement of bones with scar tissue), Tetany, Panic attacks Cobalt Essential part of Vitamin B12 (Growth & nerve system) Emaciation, listless, starved look, pale mucus membranes, Anorexia, Anemia Cesium Cancer aid cesium enters cancer cell and produces alkaline condition Europium Doubles the life span of laboratory animals Fluoride In plant based colloidal form will aid bone strength & no toxicity Iron Deficiency: Hemoglobin (Oxygen carrier in red blood cells) Pica (mineral lack and eats dire and chews ice), Listlessness & fatigue, Heart palpitations, Memory deficits, Sore tongue, Anemia Gallium Reduces brain cancers Silica Increases collagen in growing bone by 100%, Deficiency: Dry brittle hair, Brittle fingernails, Poor skin quality, Poor calcium utilization & arterial wall strength problems Samarium Enhances normal cell proliferation, Doubles the life span of laboratory animals Selenium Effective anti-oxidant, Deficiency: Anemia (red blood cell fragility), Age spots or liver spots, Fatigue, HIV (AIDS), Myalgia, Scoliosis, Muscular Dystrophy, Cystic Fibrosis, Cardiomyopathy, Multiple Sclerosis, Heart palpitation, Irregular heart beat, Liver cirrhosis, Pancreatitis, AS (Lou Gehrig?t Disease), Parkinson?s Disease (associated lead poisoning), Alzheimer?s Disease (associated high vegetable oil consumption), Infertility, Low birth weight, High infant mortality, Sudden Infant Death Syndrome (SIDS), Cancer (associated with high vegetable oil intake) (Number 2 killer), Sickle cell anemia Germanium Highly efficient electrical impulse initiator, Aid in oxygen utilization, Enhances immune systems function, (Killer cells, interfering, macrophage and T-suppressor cells), Deficiency: Arthritis, Osteoporosis, Low energy, Cancer Yttrium Enhances normal cell growth, Doubles life span of laboratory animals Potassium Deficiency: Muscular weakness, Mental apathy Lanthanum Deficiency: Maybe involved in chronic fatigue diseases Magnesium Deficiency: Asthma, Anorexia, Menstrual migraines, Growth failures, Neuromuscular problems, Tetany-Convulsions, Depression, Muscular weakness, Tremors, Vertigo, Calcification of small arteries, Malignant calcification of soft tissue Vanadium Aids in glucose (blood sugar) oxidation and transport, Enhances insulin effectiveness (aids with blood sugar problems), Decreases cholesterol production, Increases effectiveness of heart muscle contraction, Anti-Cancer properties Deficiency: Slow growth, Increased infant mortality, Infertility, Elevated cholesterol & triglycerides, Hypoglycemia & Diabetes, Cardiovascular disease, Obesity Amino Acids Function & Symptoms of Deficiency - Proprietary Formula Alanine Important source of energy for muscle tissue, helps in the metabolization of sugars Arginine Improves immune responses to bacteria, crucial for optimal muscle growth Cystine Powerful antioxidant, aids recovery from burns and surgical operations Glysine Helps trigger release of oxygen to energy Leucine Used for production of energy to the upper brain Methionine Prevents disorders of hair, skin, and nails Phenylalanine Improves memory, reduces hunger pains Proline Helps maintain and strengthen heart muscles Serine Strengthens immune systems, synthesizes fatty acid Tyrosine Improves memory, helps overcome depression Valine Promotes mental vigor and muscle coordination Sea Nutrients Proprietary Formula Alaria Valida Rich in Vitamin A, vitamin B and calcium Costaria Costata Helps reduce blood cholesterol levels. Helps improve thyroid function. Agar Used for constipation Algin Ability to draw harmful pollutants like lead from the body Dulse Rich in protein, fluoride and iron Kelp Helps thyroid conditions Kombu High in Trace Minerals Kuzu Helps soothe the stomach and strengthen the intestines Nori Good for prostate and thyroid, high in protein __________________

Sorry you are going through this - I get hypos quite regularly, but am diabetic - although off all meds now. I had the sleeve 3 years ago now - I would have thought things would have evened themselves out, but as you say, we eat so little now, it isn't surprising really.

It looks like us Hypo's lose weight at a slower rate then normal. This is good to know so that I don't get frustrated. Thanks, you all have been a big help.

I am so proud of all you for all the great posts. I agree and sadly most have other issues other than weight and are in denial. At least I am no longer in denial for the need for help. Here are a few quotes I like and want to share with you. God loves us just the way we are and we should too. " To laugh often and much; To win the respect of intelligent people and the affection of children; To earn the appreciation of honest critics and endure the betrayal of false friends; To appreciate beauty, to find the best in others; To leave the world a bit better, whether by a healthy child, a garden patch, or a redeemed social condition; To know even one life has breathed easier because you have lived. This is to have succeeded." Ralph Waldo Emerson (1803 - 1882) American Essayist & Poet "Just because I can't do it today, doesn't mean I won't be able to do it ever!" " Blessed are the flexible for they will not get bent out of shape!" From Buck the horse whispers foster mother "Just because I can't do it today, doesn't mean I won't be able to do it ever!" Arthur Boorman he lost a lot of weight " You know you've got to exercise your brain just like your muscles." Will Rogers "The mind is like a parachute. It doesn't work if it is not open.” Frank Zappa Be proactive not reactive. It's not how many times u have fallen- its how many times you pick yourself up that matters! Everyone has at least one issue/regret that needs help.If you need help admit it with no shame. Many are in denial. I was. Life is short so IF you disagree with someone Then it may be better to just agree to disagree. Me

My personal experience with Smart Shape wasn't the greatest. This was my first foray into private health care and I wasn't super impressed. Pre-op everything went ok; however, on the day of my surgery, the surgeon came in to see me just prior and said, "So we have you booked for a gastric sleeve..." I was for a mini gastric bypass, so this was a little unnerving that he had me down for the wrong surgery in his notes, but I guess it's good he checked! The surgery itself went alright which I guess is the main thing. However, post-op care was not spectacular. I found pain management to be an issue as they prescribed dilaudid IV push every 4 hours for the first 24 hours. Push drugs work for immediate relief, but they also wear off really fast, so it didn't hold me for 4 hours. They never offered pain relief on a regular basis, so I felt like I was badgering them for it. Nobody wears an ID tag, so I wasn't sure if they were actually RN's or LPN's and I found it strange that when I mentioned I was experiencing a some urinary retention/hesitation (ie. "a sleepy bladder") post op, the nurse didn't seem to know what I was talking about. This is a very common complication after a general anesthetic (up to 70% of patients). I didn't have a proper call bell and I had to let them know that my oxygen tank and IV bags were empty (these should be monitored). Months later, I began to experience significant reactive hypoglycemia and sought guidance from Smart Shape nurses and nutritionists. However, they really didn't know much about this and weren't very helpful. I requested a consult with my surgeon to discuss it and was told by the nurse that I needed to follow up with my own GP (who knows little about bariatric surgery). Eventually, I was referred to an endochrinologist who tells me that this is a well known and potentially serious complication of gastric bypass. I'm disappointed that this possibility was not part of the "informed consent" that I gave for the procedure. I'm a health care professional, so perhaps my standards are high, but I think we all should have high standards when considering our health and safety. And for many of us, it's a hell of a lot of money. So, if I had to do it all again, I'd go with a different organization. Best, Kerri

Some people experience reactive hypoglycemia after RNY gastric bypass surgery. This is irrespective of whether they had diabetes prior to surgery or not. Here is a link for symptoms. http://www.mayoclinic.org/diseases-conditions/diabetes/expert-answers/reactive-hypoglycemia/faq-20057778

I too have underactive thyroid. My TSH is wacky right now and we are trying to regulate it. My cholesteral is also high but my FD said that there is a relationship between the two. :thumbup: I have been hypo for 20 yrs and on meds all that time. I like to think that I am pretty in tune with my conditions and body but I have never read, heard or knew the link between chol and thyroid. Anyone else know this?

I don't have diabetes. I was sleeved on 4/4 and have lost 34 lbs (HW was 277). The last few days I've woken up shaky. I decided to test my blood sugars - this morn it was 58 - anything below 70 is considered hypoglycemic. My surgeon said its not unlikely for WLS to develop reactive hypoglycemia - but that is caused from eating carbs. I'm just now 5-6 days into my pureed food diet and I haven't been eating carbs. Yesterday I had 9g of carbs that came from my Protein shakes - ones that are approved by them. I also had 510 calories and like 68 g of protein. What is going on? Anyone else deal with this? It sucks, it's scary and it makes me feel like crap! Sent from my iPhone using the BariatricPal App

I've been hypo for 2-3 years, and I still have to adjust my meds everytime i go to the doctor. I'm getting closer though! My advice, find a good endo who is very up to date...my original doctor was going to let me levels continue to be elevated b/c they were in the "range".

Hi Brandy, I originally had the lapband but it prolapsed three times before I gave up on the idea of having a forth surgery to have another lap band done so my doc sent me to a friend of his who does DS. with the DS I ended up having a lot of Vitamin and mineral deficiencies as well as bile reflux and gastroparesis as the surgeon severed my vegus nerve and the food was staying stagnant in my sleeve also the sleeve formed what they call an hourglass figure where the centre of the sleeve was very narrow and wouldn't allow the food to go through so I had to have yet another surgery which was the rny, I have since long suspected leaky guy syndrome as im experiencing fevers, hot and cold flushes, feeling ill when eating, no energy bloating, gassy, rashes, vomiting, dizziness and a host of other ailments. also my ferritin has been sitting very high in the 600 mark and the surgeon doesn't know why this is so but it is an indication of inflammation somewhere in the body. now leaky gut syndrome is associated with celiac, thyroid, colitis crohns and other diseases. I know am sensitive to foods and my thyroid is hypo mind you there is no one in our family who have either of these diseases and i have only been diagnosed since the RNY I have also gone to a naturopathic doctor who did some blood testes and diagnosed me with leaky gut. she even showed me on the slide machine how the contents of my stomach is seeping through the intestines and is going into the blood steam. at the moment I am taking zinc supplement 500mg a day along with glutamine powder mixed in Water to strengthen the intestines so as the food etc doesn't leak through into the blood stream to cause anymore immune responses. I am also waiting an appointment with my current surgeon to see what can be done as far as my ailments but have to wait till july to see him I don't think that my intestines can be lengthened in any way as the previouse surgeon removed and threw them away(which angers me because now should anything major happen I don't have anything to fall back on as far as reversals. in the below article it describes how rny patents develop bacterial overgrowth due to lack of stomach acid basically it is this that turns into leaky gut from my understanding from what the naturopath has told me which in turn has caused the other issues http://www.news-medical.net/health/Gastric-Bypass-Complications.aspx Many patients then experience a condition known as achlorhydia. Achlorhydia is a condition where there is not enough acid in stomach. Patients can develop an overgrowth of bacteria as a result of the low acidity levels in the stomach. A study conducted on 43 post operative patients revealed that almost all of the patients tested positive for a hydrogen breath test, which determined an overgrowth of bacteria in the small intestine. The overgrowth of bacteria will cause the gut ecology to change and will induce nausea and vomiting. Recurring nausea and vomiting will change the absorbance rate of food which contributes to the vitamin and nutrition deficiencies common in post operative gastric bypass patients. and here is another link on bacterial overgrowth http://digestivehealthinstitute.org/2012/08/17/sibo-diet-and-digestive-health/ here is a link about another rny patent who had problems and leaky gut syndrome sorry I don't have much time now to provide all my links for you but will try later http://arkansasunshine.tripod.com/testimony/testimony.html

I have a thyroid condition(hypo) and although I am struggling to get to goal, these last twenty pounds are so difficult, I'm still pretty pleased w/my progress (75#). I was also borderline diabetic & my dr.was going to refer me to a specialist but I begged her to wait, as I was preparing for the surgery. Thankfully, my numbers are now perfect, I never needed meds. You'll find many people lose successfully w/a thyroid condition.

3 years out. I feel like I eat small to normal size meals now. I still take a long time to eat a meal and usually just take leftovers home and eat in "chapters" as my other WLS friends say. The amount of restriction varies, sometimes I can only get down a few bites and sometimes I can eat almost a full meal. I've only had actual dumping once or twice. If I eat a few bites too much or something too carb heavy I will feel a little bit sick for maybe half an hour. It's nothing serious, but it's enough to make me think twice about taking that last bite of something. My biggest challenge is protein intake and blood sugar management. I don't eat meat much anymore, so I try to eat a lot of legumes. I have some instances of hypoglycemia and I have more frequent occurrences of reactive hypoglycemia after I eat. My body still makes too much insulin and drops my blood sugar. I keep a lot of juice boxes and small snacks around.

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

It expands your stomach and since we have little room it can cause some serious issues. Also it is a big red flag as there is no nutritional value to it at all and pushes the need for artificial sugars or the refined sugar to the extreme. My nut told me that if she sees a patient who drinks soda of any kind it means they are doomed. I took that seriously. I do not drink soda of any kind. Others can handle it. Me nope, and now that I have hypoglycemia (reactive) It is no longer even a thought.