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I know, once I hit 200lbs I knew I had to do something. I am trying to protect myself from diabetes, heart disease, and joint replacements in the future, but Alberta isnt working from a preventative medicine perspective, Just a reactive perspective. I would also like to add that I have visited my family physician and she is very supportive with me leaving the country to obtain medical care, She has informed me that she has had about a dozen patients obtain barriatric surgery in Mexico this year. That was important to me, because she has agreed to follow me post op. I believe its very important to be open and honest with my family physician, and had she said she thought it was a bad idea, I think my decision would have been different. I am going to see Dr. Oritz in three weeks! I have done more than enough research. I did look into additional travel insurance, however it is quite cost prohibitive. From what I have been able to find, regular travel insurance will not cover you if you are going down there for surgery. There are a few companies that will provide coverage for Medical Tourism, but the policy is spendy spendy. My plan, is at any sign of trouble, is to get on a plane, and get to a hospital at the first point of entery into Canada. I know this plan is inherently flawed, however its the best one I can come up with. The complication rate for my surgery is less than % and my surgeon's record is pretty good. My biggest concern is if I am one of the few that does develop complications. If anyone has a better idea, im open to suggestions.

Hi Everyone , I am new to the forum , but I have been reading the post for a while now. I am a 34yr old woman that has battle with weight issues my entire life .My eating disorder progressed when my mom passed and I adopted my siblings(total of 11 children total) I have yo-yo dieted , took every diet pill out there and have even went thru starvation periods to loss weight. Ive even been on various weight loss programs to seeing weightloss counslers. I realized that i needed to do something that was permenant , because if i didnt , i would probably end up killing my self trying to get skinny. I was sleeved on Feb18th,2012 in Mexico with Dr Garcia. Everything was going well up until 2 wks ago when I hit a stall. I lost 18lbs the first 3wks , but have not lost a pound or any inches since . What I think I did wrong was: before my surgery in Mexico , I started the process of going thru my Insurance , but I felt that that process was going to take to long to get approved. While I was working on going thru my insurance( after just to yo dieting again and losing 24lbs ) , I had to actually gain 20lbs (my BMI was to low when i lost the 24lbs) for my insurance company even consider me for the surgery , even with all my illnesses( hypo thyroidism, High Cholestrol, High Blood Pressure, Water retention, etc....) so in the meantime , I started to eat what I wanted to and gained the 20lbs so my insurance would accept me, but while researching a lot about WLS I found out about the the surgery being offered in Mexico and how much it costs . So I felt that it was time to make a change now , so I did. ???? But now , here comes the problem , After my surgery , I felt no hunger, I lost 18lbs post op in the first 3wks and I was happy with the way things were going . ???? However, now at 5 wks and 2 days I am hungry all the time ,I can eat a lot more now . ???? I am at a stall ( for the last 2 wks) . And I am doing everything from eating Protein first, 500-800 calories per day 70-80 g of protein per day ( I even take protein pills 500mg to supplement me not eating meats) to eating 6-8 small meals thru out the day and I almost forgot , I'm taking meds for acid as well ,and I'm drinking 64oz of water per day . The only exercise that I do daily (5 days) is 20mins of walking and around 30 bicep curls and 30 squats per day. ???????????? Nothing major because I'm currently being tested for heart problems , so my doctor advised me to take it easy until I get my results. So can anyone answer this question for me : Did I only loss the 18lbs that I originally gained to have the surgery? Did I mess my self up with purposely gaining the weight for surgery? Can this be fixed? If so , how ? What else can help my hunger ( not head hunger, but stomach hunger)? What can I do to get pass this stall ? SW: 220lbs CW: 202lbs GW: 145lbs HELP..... I messed up Disappointed and Discouraged ????????????

It might be, but probably not. Presumably, the doc has prescribed omeprazole, or similar PPI medication for it. The sleeve is predisposed toward reflux problems as the stomach volume is reduced much more than the acid producing capacity, and it takes a while for the body to adjust (doesn't mean that one will have that problem, just that the odds are higher than the general population, in comparison, the bypass is predisposed toward marginal ulcers, dumping and reactive hypoglycemia, so there are potential problems with whatever procedure one chooses. ) Usually, the problem goes away as the body adjusts, but sometimes it doesn't completely and one needs to stay on some type of medication for it, or in extreme cases, revise the surgery.

I had my surgery in March and had hypothyroidism for 24 years and was on 100 mcg of synthroid. After losing 45 lbs in the first three months o went from hypo to hyperthyroid so doctor has taken me off synthroid completely. Just had blood work again last week and TSH and others thyroid levels are perfect. Just stay in contact with your doctor if you start feeling sluggish or have mental fog after losing some of your weight. I am thrilled that my metabolism has reset and I no longer need synthroid 🙂

@AuthorLizzy thanks so much for your insight. I really feel motivated now ! thank you so much ! i will be " following you '' and your journey for sure. Can you give me some tips please ? do you know any others who have hypo and wls surgery that has lost slower also ? congrats and blessings on everything !! here is my personal email address also smaries_21@yahoo.com thank you!😍😍

The following are some of the common abbreviations used on this message 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 Biliopancreatic Diversion (Scopinaro procedure) 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 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 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

Its like once I realized I can eat more foods then I could. My mom (and another therapist) made a deal with me that I live over the summer rent free if I just get out two hours a day instead of being locked up in the house like I usually do. So I did. A friend worked at a coffee shop, I thought it was nice and cozy, and started getting drinks there. So I developed a habit of relating to going outside = spending money, because otherwise....why go outside? I dont know if that makes any sense.. I at max get 40oz of Water a day, usually 20oz. I know, I know. Its hard. :|. Ive basically been living off of greek yogurt, soup, and eggs since I started puree. Now none of that fills me up. Sure its head hunger maybe, but that **** used to fill me up plenty before. I would feel sick eating 6oz of it instead of 4, now I can probably eat 12oz of yogurt and maybe feel sick. I know its bad because I only come on here when I have truble and it feels selfish but I really dont know who else to go. Im doing the right thing by being proactive with a therapist. Maybe not proactive, but I am being reactive, and reacting fast (instead of waiting for another week to spiral out of control....). Im going to put the Cookies and **** I bought down the garbage disposal. That way I will never get to it..

the hypoglycemic complication is not very common statistically which is good That being said, I hve to eat every 2.5-3 hours or I start getting hypo symptoms and fast. Now that I added a few easy carbs, I'm doing better. I'm having to check my sugars 5-6 times a day especially since I'm still on a dose of long acting insulin but I'm off three of my four diabetes meds and I was sleeved the 24th of October!! Sugars are awesome!

She told me to consume ALOT of protien its called reactive hypoglycemia i went to an endocrinologist eating carbs causes your sugars to rise and then drop so I significantly dropped my carb intake also I drink alot of gatorade it helps with staying hydrated just makes sure protien protein protien. I started consuming protien bars but you have to watch the carbs on them try to stay below 30g per bar. This is my experience but everyone is different so i would always let your doctor know. my complications included an abscess on my spleen and a hole in my stomuch and the infection went into my blood almost didn't make it but im happy to say im 1 year post surgury and down 100 pounds so no more regrets Sent from my SAMSUNG-SM-G935A using BariatricPal mobile app

As anyone else gained a little weight during the 6 month supervised diet? I gained 4 lbs during the second month and haven't been able to lose it. I'm going into month 4 and am incredibly nervous about going through all of this just to be denied. I do have a letter from my PCP stating that I have trouble losing because my thyroid isn't yet regulated (I'm hypo). I'm 29 bmi of 40 with asthma. Back problems. Reflux. High cholesterol. Medicaid insurance. So nervous!

So, I was laying in bed the other night trying to drift off to sleep when my formerly obese cat JD jumped up on the bed and then slowly walked up my leg, onto my belly and then stood on my chest, purring like mad while staring at me and purring some more. It was then that I thought two things...1...I was quite thankful that he had lost so much weight, though still a bit jealous (why can't I have hyperthyroidism instead of hypo-?) and 2...wow...this is gonna suck after I have surgery. How on earth am I gonna sleep at night? So, how do you sleep at night? My eventual sleeping position is my stomach. I'm gonna go out on a limb here and suggest that laying on your stomach right after surgery is probably not the best idea...just a hunch. But what about on your side? My cats still crawl on me when I'm on my side, but the belly is a bit more protected. If I lay on my back, the belly is less protected. There are no doors or spare rooms to lock my cats away into (or me into) so that's out. What have you done, my fellow cat people?

Fessie, I am hypo-thyroid also and I definitely feel your pain in how slow our weight loss can be. I have lost abt the same amount as you and am 8 weeks post op. I am just thankful to finally be losing weight. What was getting me was seeing people post 25-35 pds lost that were banded around the same time as myself. These same people were posting about eating oreo Cookies and pizza, while I was staying strictly to the band diet, portion sizes and excersing. Even in the early stages on a liquid diet I lost very little. I am over being bothered by that now and will just be thankful for my pound here and there. I started a post last week for hypothyroid bandsters you should read. Shirley54 had some very encouraging things to say and shared her slow weight loss as well.

I have a hypo thyroid. Before I insisted on seeing a Endocrinologist, I was diagnosed with Hypo., then Hyper. ? My opinion at that time was "O sh1t ! ! ! That ain't good !' Response = No it Ain't ! So I seen my Mother-in-Law undergo Parathyroid Cancer surgery "Complete Removal" Even though this is not the same thing,I remember when her surgeon said if the TSH Levels goes up, and down all the time... It's time for Removal. So I said I want to see a specialist. She agreed. I have been on Armour Thyroid, and my Levels are in Normal Range. This is coming from someone that fell asleep behind the Wheel ! Scared me to Death ! Awake/ then out cold/ then waking up almost running off the road. I opened all Windows, Turned up the Radio, and Sang to that Radio. ... I never drove again, until my levels were in a Normal Range. See a specialist, and get a different opinion.

Exactly this! Now I literally eat what ever I want because I exercise a lot. Early on, my cravings were for protein, fruits, and veggies. I do not eat much in the way of concentrated sugars at this point, due to reactive hypoglycemia, (said as I munch on some teddy Graham’s). 🤦🏼‍♀️With that said, I am in maintenance, ran 4 miles today, and do not want to lose weight. In maintenance, you can eat foods you want to eat providing they do not make you physically ill or cause you to gain unwanted weight.

Here is an web site on bariatrics and reactive hypoglycemia (reoccurring low blood sugar) http://pamtremble.blogspot.com/2010/10/reactive-hypoglycemia-after-bariatric.html. Since I have lost the majority of my weight. My blood sugars have been hitting mind numbing lows in the 50's. I found some resources that have information on diet to manage blood sugar levels. Examples of meals and snacks that work well for stabilizing blood sugar include: lowfat cheese and whole grain crackers slice of whole grain toast with peanut butter sandwich made with whole grain bread fat free plain Greek yogurt with a small piece of fruit or 1/2 cup berries large salad with abundant veggies and a source of protein (chicken, tuna, beans, egg) Keeping a food and lifestyle diary may help you determine which foods and other factors lead up to a blood sugar crash. First and foremost, you want to follow a diet designed to regulate your blood sugar level. This generally includes eating small, frequent meals spaced evenly throughout the day, such as every 2-3 hours. Meals should consist of moderate portions of high-fiber whole grains (such as 100% whole grain cereal or bread, brown rice, whole wheat pasta, quinoa, sweet potato), some lean protein (such as turkey, ham, fish, egg, beans, lowfat yogurt or cheese), and healthy fat (such as nuts, nut butters, olive oil, avocado). Sugars, especially in the form of beverages (juice, soda, etc.) and sweets (candy, jelly, table sugar, syrup, honey, cookies, cakes), should be avoided as much as possible, as they stimulate the pancreas the most because the sugar rushes into your bloodstream rapidly. Starchy carbohydrates digest down into sugar as well, so it is important to eat these in moderate amounts Starchy carbohydrates digest down into sugar as well, so it is important to eat these in moderate amounts (such as 1/2-1 cup), and choose whole grains over refined flours. White pasta, rices, breads, and cereals are more or less guaranteed to make you feel lousy after eating them as they are digested quickly and raise insulin levels. Fruits also need to be consumed in small amounts, as they contain the natural sugar, fructose, and are best consumed with a source of protein, such as cottage cheese or nuts. Even though fruits are an excellent source of fiber, the sugar content is enough to cause your pancreas to over-react if eaten on an empty stomach. The goal is essentially to not eat carbohydrate foods without including a source of protein or fat at the same time. Proteins and fat help stabilize blood sugars by making the carbohydrate digest more slowly, as proteins and fats take longer to digest and do not convert into significant amounts of sugar. Strenuous exercise burns sugar out of your muscles and bloodstream quickly, so you may be more prone to low blood sugar during extended periods of activity as well. Eating a snack contain a small amount of carbohydrate and protein (such as yogurt or trail mix) within 1 hour of strenuous activity may be enough to keep you going strong. Developing a habit of eating small, frequent meals and taking healthy foods with you for work, school, and when on-the-go, is your best weapon against suffering the symptoms of low blood sugar. If you find incorporating the above suggestions is still not improving your symptoms, you may need to sit down with a dietitian to develop a personalized meal plan to meet your schedule, food preferences, and overall lifestyle needs. Contact your dietician for more information. There is no point in living day-in and day-out with symptoms of hypoglycemia when there is a common sense way to tackle the issue and regain your quality of life!

I'm 16 months post op and haven't lost a thing in 6 months! I've been having a terrible time with low blood sugar (they think I might have reactive hypoglycemia). Whenever I get these lows I feel ravenous and eat more than I normally would! I feel like an epic failure. I want to get back on track and I've tried, but every time I try to eat like I did before having these low blood sugar episodes I get the episodes again. It's a vicious cycle! I'm discouraged and ready to give up on ever being a normal weight again.

i'm 26. My bmi is 36 (going by my home scales anyway, which are always a little bit lower than the hospital scales) and i dont care to gain weight to make sure it's any higher :S I don't have any co morbidities *sp* that i know of.. unless depression and hypoglycemia count and i've never been actually tested for the latter, a dr otehr than my pcp told me he thought i was hypo and i should eat that sort of diet.. I can't really think of anything else that might be considered a co-morb...... It seems like my ins covers the surgery IF i'm approved, but i don't see that happening, ya think? the last line on the answer on this link has me wondering if i should just give up... or go ahead and gain the weight and be a hermit until then.. darnit, the goal is to get INTO pants, not get big enough that i can't fit into any of mine.. Answers.com - Will blue cross and blue shield pay for weight loss surgery with a thyroid problem

Hi, I'm having my surgery on the 24th as well. I'm in my preop diet stage. Have you tried many liquids or have you just stuck with the Protein shakes and Water? Sent from my SPH-L720 using the BariatricPal App I start my pre op Monday and I'm allowed 3-4 Protein Shakes a day, pkus no fat broths, sugar free popsicles and Jello tea drinks. I plan on utilizing everything except jello. I'm insulin dependent diabetics so they are concerned about hypo attacks but we have a plan in place.

Thanks for all the support everyone! And my surgeon is Dr. Chu. The process for me was a little different than others. I started this journey last year February I attended 2 seminars and then met with the nutritionist and surgeon. But after that I wasn't too sure if I wanted to get the surgery so I decided to try one more time on my own but failed! So by November I decided this is the best thing for me and I called Bariatrics but had to get my referral reactivated witch took about a day or 2. Then they called me once they got the referral to set up an appointment over the phone with my surgeon. I had the over the phone appointment and next had to lose 5 pounds to be within 5 pounds of my surgery weight to see the psychiatrist and do blood work. I saw the psychiatrist and she said she was going to give all my paper work over to my surgeon and in a week I got a surprising phone call that I was all good to go and my surgery date is February 6th and pre-op is January 25th.

UUGGHHH, feeling so disgusted,. not looking for a pity party, just venting.. its been over a yr. since my surgery, and I'm STUCK @ abt a 50lb loss. I just reactivated this acct and see that I am up abt 5lbs since I joined in March,. I've unfollowed people/groups on IG & FB, not that I'm a "hater", (I salute & congratulate everyone)...I just don't see anything in common w them anymore.. (also my nutritionist recommended it to focus on me) my diet is usually: eggs & sausage,avocado for bkfst, lots of protein (mainly chicken) in salads or w sautéed veggies, etc. (have just started the "keto" diet) don't like carbs believe it or not, not that I haven't "cheated" & had sweets here or there, but I'm not a bread/pasta/pastry person (thank God for @ least that I guess) don't wanna go see my Dr anymore, I feel he's not helpful @ all, just recommending a book to follow. #wtf.. and the nutritionist was so/so.. have only met w her once. my low points are not drinking enough water & I'm CONVINCED I can eat too much @ one sitting. I even got a kitchen scale, haven't used it yet though. don't expect what I haven't put in, BUT I don't get why I've stalled so bad if I'm eating pretty well balanced & "clean".. what's the point of the surgery if we still have to follow a "diet" (and by that I do NOT mean I expect to still eat any & every thing that got me fat to begin with bc I don't) thx for listening....

Hi @@Phoenix40! So last Thursday I went for my Nutrition/Surgeon/Coordinator appointment. I'll describe each appointment below: First you are weighed in and your height is taken Nutrition: The nutritionist is a very nice lady and she will ask you about what type of diet you have been on (I started following the 1200 calorie diet after orientation). You will have to describe what you usually eat for Breakfast, lunch, dinner, Snacks,etc. She also talks about Vitamins and what type you will need post op (this will depend on if you get the sleeve or bypass) and what to expect as far as diet goes in the first weeks after surgery (i.e. liquids, soft foods, etc) She also informed me about the different types of Protein drinks and answered any questions I had. Surgeon: Dr. Hahn was very patient. He went over my BMI, co morbidities, medications, etc to ensure that I would be a good candidate for surgery. He said it would be my choice whether to go for sleeve or bypass as I would be great candidate for either (I don't have acid reflux). We talked about the differences between sleeve and bypass (right off the bat he discouraged from the lap band so we were in agreement about that). He reiterated that regain was possible with either surgery and so is dumping (so it really comes down to the patient being willing to put in the work to not only lose the weight but keep it off). He went into detail about possible complications withe each procedure (ulcers, reactive hypoglycemia, reflux, etc). He then set a weight loss goal for me. Normally they ask the patients to lose 10% of their body weight but Dr. Hahn only requires a 7-8%, of total body weight, loss. For me 7-8% was 19 pounds (I had already lost 9 pounds since orientation and he credited me so I needed to lose 10 pounds to get a surgery date and 5 pounds to get a psych appointment). The only other requirements Dr. Hahn set out for me, besides weight loss, is attending at least one support group, and an EKG (I already finished my bloodwork). Coordinator: She was very pleasant. She informed of what my next steps to surgery are (support group, psych appointment, etc) and that to be sure I call monthly to update them on my weight and progress. Before the psych appointment each patient must fill out a surgery quiz (located in Chapter 9 of the Bariatric binder) and send it in before the appointment. Overrall it was an interesting yet quick appointment. I was told to expect to be there for 3 hours but for me it was more like 2 hours. Sent from my SM-G925T using the BariatricPal App I am also going through kaiser Fremont the haven't weighed me yet .. Did they weigh you at the surgery orientation? I would love to start dieting again I feel awful not doing anything .. but I'm scared if I drop down below the 40 BMI it will disqualify me for the surgery Sent from my iPhone using the BariatricPal App

Hi @@Phoenix40! So last Thursday I went for my Nutrition/Surgeon/Coordinator appointment. I'll describe each appointment below: First you are weighed in and your height is taken Nutrition: The nutritionist is a very nice lady and she will ask you about what type of diet you have been on (I started following the 1200 calorie diet after orientation). You will have to describe what you usually eat for breakfast, lunch, dinner, Snacks,etc. She also talks about Vitamins and what type you will need post op (this will depend on if you get the sleeve or bypass) and what to expect as far as diet goes in the first weeks after surgery (i.e. liquids, soft foods, etc) She also informed me about the different types of Protein drinks and answered any questions I had. Surgeon: Dr. Hahn was very patient. He went over my BMI, co morbidities, medications, etc to ensure that I would be a good candidate for surgery. He said it would be my choice whether to go for sleeve or bypass as I would be great candidate for either (I don't have acid reflux). We talked about the differences between sleeve and bypass (right off the bat he discouraged from the lap band so we were in agreement about that). He reiterated that regain was possible with either surgery and so is dumping (so it really comes down to the patient being willing to put in the work to not only lose the weight but keep it off). He went into detail about possible complications withe each procedure (ulcers, reactive hypoglycemia, reflux, etc). He then set a weight loss goal for me. Normally they ask the patients to lose 10% of their body weight but Dr. Hahn only requires a 7-8%, of total body weight, loss. For me 7-8% was 19 pounds (I had already lost 9 pounds since orientation and he credited me so I needed to lose 10 pounds to get a surgery date and 5 pounds to get a psych appointment). The only other requirements Dr. Hahn set out for me, besides weight loss, is attending at least one support group, and an EKG (I already finished my bloodwork). Coordinator: She was very pleasant. She informed of what my next steps to surgery are (support group, psych appointment, etc) and that to be sure I call monthly to update them on my weight and progress. Before the psych appointment each patient must fill out a surgery quiz (located in Chapter 9 of the Bariatric binder) and send it in before the appointment. Overrall it was an interesting yet quick appointment. I was told to expect to be there for 3 hours but for me it was more like 2 hours. Sent from my SM-G925T using the BariatricPal App Thank you for posting this! Your timing was perfect! I was struggling with one of my bad habits when I saw this and it helped me get passed it. Hearing about the appointment made me excited for my next step and reminded me why I am doing this. You are very welcome! I can't wait to hear about your appointment. Always remember..you are not alone in this journey:) Sent from my SM-G925T using the BariatricPal App

I have definitely had the hungry/not hungry feeling since surgery, so I totally get where you are coming from @Arabesque! 🥰 Anything too greasy has been completely unpalatable. I am very thankful I tolerate protein bars and shakes or I would be in a bad place for getting enough protein. I know I need protein to heal, but meat has not sounded good at all since surgery. We had dinner at some friends’ house last week. They served salmon and flank steak. I only manage a couple bites of the steak and gave the rest to Husband. I managed about 2 ounces of the salmon. 🤷‍♀️ I bought a jar of no stir peanut butter to keep at work to eat with fruit. The fat and protein should help with the reactive hypoglycemia to stabilize my blood sugar from the fruit. 🤞🏻🤞🏻I also have walnuts, sunflower seeds, pumpkin seeds, dips, cheeses. I already use high protein milk for my protein shakes, so they are protein packed. My goal is to maintain my weight at 130-135. I need to gain a pound 🤣🤣 I plan to start working out as soon as I am healed, which will help with appetite, but conversely burn those extra calories. 🤦🏼‍♀️🤷‍♀️ So many skinny girl problems! 🤣😂🤣

I have the sleeve but, I do have reactive hypoglycemia. For me its a minor complication after surgery. It's manageable with nutrition. I also distance run. I have to balance things out so my sugars don't get too low. I have no regrets having my health back. It's great that you are doing your research and evaluating all the possible risks and complications before surgery.

@freetobeallofme, I would love to stay in touch of your progress with your revision to RnY. I don't know why I'm so nervous now. Maybe, the closer I get to the 9/19 revision date then the more I find more frighten possible complications that goes hand to hand with the gastric bypass. My gerd is mild, per my latest upper GI. The pantoprazole 40 mg is suppressing my acid reflux for now. I'm still experiencing some mucus buildup in my throat and lump like feeling if I eat more than 4 oz of food or eating too fast. 4oz seems to be my sweet spot for comfort level and no gerd like symptoms. I use to be under the believe if I reach the 24 bmi; then my gerd goes away. However, I see some fit people posted on YouTube or othe wls boards still experiencing gerd. I have to lose 25 more pounds to be at a 24 bmi. I'm blame myself for worrying about possible side effects of the gastric bypass. The dumping and reactive hypoglycemia. I worry too much about things that have not happened yet. Up until June of this year, my gerd was not as pronounced. Not until an asthma/allergy attack put my acid reflux to being extremely bad while taking omeprazole. My doctor switched me pantoprazole and that medicine has controlled the daily acid reflux for now. On top of all of this, I will be making a major relocation to Europe, moving to the county Netherlands. So I'm worrying about would the Dutch doctors know how to handle my new medical case if I should still proceed with the bypass. My aunt had a revision from VSG to gastric bypass last year. She has no problems. She's happy. My aunt is super positive and do not let life worry her. I not at that level yet. I still have time to decide if I need to continue with the revision. I pray that I have a sense of peace about this decision. Thank you all for sharing your experiences with me and offering your kindness.