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Thanks for this! My daughter has been diagnosed with adhd autism spectrum v. Severe reactive attachment disorder. Ocd anxiety to name a few. I stress eat, so in the last 8 years. Since she came to live with us, i have put on 75 pounds. I need the sleeve as a tool to help me remember to eat reasonable portions and think about what I put in my mouth. The moe stress the more i eat the worse i feel a out mself which stresses me out more. I need to stop the cycle, i need to feel better about myself, feel healthier so I can tackle this lifetime commitment befor me. I am just now sitting in the psychiTrists waiting room in an emergency visit as my daughter appears to be decompensating.

I will order my powders and stop the Pure Protein. I have severe asthma as well as severe shellfish allergy. I am now concerned my recent increase with wheezing and shortness of breath instead of weather reactive could be due to the protein drink I have as meal replacement. I read on everything due to a reaction I had to a medication that had edible ink (squid ink). I contacted the manufacture and they stated it was such a small amount they were not concerned to list "if allergic to fish or shellfish do not use". I keep an epipen with me every where I go. Thanks for making your post!!!!!"

I went from Hyper thyroid to Hypo thyroid now. Last year I was diagnosed with Graves disease, was severely Hyper thyroid. Yes, my WLS surgeon and his endocrinologist picked up on it. My WLS had to be put on hold. Had Radioactive Iodine last August 2015, went Hypo thyroid December 2015. On Thyroxine since January 2016. At least it is only one tiny tablet per day, versus 16-20 I had to take daily, when I was Hyper thyroid! Both Hyper and Hypo suck! I am also concerned re: slower weight loss now. I am 24 days post op, so too early to see re my weight loss. I know, it is no good to compare myself with other people. I am glad that I can connect with other Thyroid members

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!

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?

I have Graves Disease and had my thyroid ablated with radiation about 4 years ago so I am what they call post-RAI hypo (I have no thyroid function at all on my own.). My endocrinologist said I will need to have it checked fairly often in the beginning because the med will not absorb the same as before (I had RNY). So I actually had to increase my dose twice at first and then have started reducing it slightly. I am able to tell from the symptoms when something isn't right (I get restless leg syndrome and muscle cramps in addition to hair loss when I am hypo). But I was able able to tell when it was a little too much med as I lost weight and had it checked. At 9 1/2 months post-op, I am still taking more Synthroid than I was pre-op. I can tell you it has not hindered my weight loss (I am down 100 pounds since surgery last June and 130 pounds total). My endocrinologist requires me to wait 8 weeks in between dosage changes before testing. He says at my age (48), it can take that long for the body to adjust and as you get older that time increases. It sounds like you know your symptoms pretty well and know when to get tested but I would say to treat it a bit like after your pregnancy for the first year at least until you get it stabilized. I haven't had mine tested since November but I adjusted it slightly on my own about 2 months ago and feel pretty good. I'm having it tested again in a few weeks. As for metformin, I was taking it pre-op for Type 2 Diabetes and was taken off of it by my endocrinologist during pre-op liquid diet with close monitoring of my blood sugars and then taken completely off by my bariatric surgeon in the hospital day after surgery and haven't taken it since and my blood sugars are perfectly normal and my diabetes is in remission! I know you are taking yours for PCOS but I would think you will need to go off of it at least in the early stages of taking in such little food given it can lower your blood sugar. I would definitely discuss with the prescribing Dr as well as your bariatric surgeon. Best wishes on your journey!! Sent from my HTC One M9 using the BariatricPal App

Hi there from Campbellsville, KY. Hopefully your insurance co will tell you everything you need. I did not have to do the pre-op diet as my health records showed that I had continously been trying to lose weight via, pills, slim fast, med-fast, Jenny C., weight watcher, Healthy heart diet, Atkins, South Beach, Mayo diet, etc.(I always told my dr. what I was trying so it would be charted). I had documented back pain, arthritis, reflux, high BP, hx of blood clots, and hypo-hyperglycemia. So instead I just had to have the x-rays, bloodwork, stress test, sleep apnea test, ultrasound and H-pylori test done. I had to have a letter of referral from my family physician but, I also submitted one from my neuro dr that I saw for my back problems. Hope all this info helps...

So June 18 Is my one year anniversary. Need to lose five more pounds to meet my one year goal of losing 100 pounds. Down 95 pounds from 345 to 249.8 . I have no troubles eating anything sometimes I feel like I can eat to much. Of course anything bad goes down very easily. The surgery was just a tool is still a lot of hard work and my metabolism is so slow it's taking me forever to lose this weight. But I feel I will make my goal however long it takes. I've been getting dizzy spells or almost blacking out spells this past week. Once while driving that was scary I get hot flushed jitters shaky nauseated and have to lay down. Takes about 15 minutes for it to pass. I've read other posts that this has happened to other people about a year out I think it's hypo glycemic attack. Did go to the doctors and they did test my glucose level was On the low range of normal. I don't have diabetes and it doesn't run in my family. Waiting for the thyroid tests and a few other tests to see if that'll determine anything. Cut out coffee hoping that might be the culprit as I read that has helped others. Anyone else with almost blacking out spells? I have no regrets, Love shopping love being more active bought a bike first time riding in 20 years. Hope next summer I'll be down to goal weight and skinny mini.

Wow, long time since I've posted. Winter has gotten the best of me, was diagnosed with SAD (Seasonal Affective Disorder) and its time to get the winter weight off. Will post later when I have more time, just wanted to reactivate my journal!

It could be reactive hypoglycemia, but you said you've checked your blood sugar. It could be a form of dumping (are you eating things that are higher in sugar or fat when this happens?), it could be that you are eating too fast. I would keep track of when this happens and see if you can identify what the common factors are. Also... definitely try to reach out to your doctor.

Sounds like everybody else recognizes it as reactive hypoglycemia. Be careful what you eat going forward.

gpmed wrote This is interesting. I'm not currently having any trouble, but this sparked a question. I'm 19 months out from RNY and I've had to deal with reactive hypoglycemia. I find it helps me to eat smaller amounts throughout the day instead of three meals and no Snacks. So what's the difference between this and grazing? Or how does one do this without falling into the pitfalls grazing presents? Grazing is more akin to snacking. Consuming 5 smaller meals a day is not grazing.

Has anyone else developed this after surgery? I will be at three years in September and my symptoms are worsening. I wear a monitor but find that I am crashing more and more. Yesterday my glucose dropped to 301 They are sending me to Barnes Jewish Hospital in St Lewis to evaluate my pancreas and are saying I might have to have part of it removed.

Well we all have our stories and with them we have success and failures. My is failure but it will be a success soon. I started out not knowing how sick I truly was. I had a stroke and 3 TIA which are like mini strokes, High blood pressure, Diabetes, Hypo- thyroid, A blockage in the vein in my brain and a ton of minor problems. After surgery I had a bad infection that was caused by the hospital staff and a Minor heart attack. With all this I do not regret having this surgery. So remember that we are all not a like and the horror stories are not every bodies. I did loss some hair but it was a lack of vit. Also some of the stories are about people not being honest with themselves and have problems afterwards. Good luck I hope it helps.

Had my surgery dec 16 and dropped the weight quite quick. I was 85kgs now 65kgs. With high BP and medicated with two lots of meds and hypothyroidism.. Off one lot of bp meds and halved the other bp med. hypo hasn't changed still on 200 micros a day Unfortunately I have developed reflux after the op which is ****...

I was hypothyroid and have been taken off my synthroid now. Weird because I was told I would be on it for the rest of my life... Just to be clear though, my hypo was NEVER due to any disease or malfunction of the actual thyroid gland, it had to do with how my body USED the hormone. It was like no matter how much my thyroid made, my body would scream for MORE because it couldn't use it properly. Now that I'm off WHEAT, my body is no longer suffering inflammation and is better able to use the hormone that my body makes. Being able to get off of thyroid medication is really rare, I don't want to give people the impression that getting sleeved or giving up wheat will heal their thyroid.

I agree with the suggestion about seeing a nutritionist. Perhaps the calories you're taking in aren't quite the right kind for you. I do notice that for me, the scale moves lower if I eat more...but only if it's good calories (Proteins with a very few whole wheat carbs). Keep track of your foods religiously for a couple weeks before you see the nutritionist so s/he can pinpoint where things could change. I love the app Lose It, but others prefer My Fitness Pal. Good luck!! you'll get there!! ETA: PS I am hypo too and so far my meds haven't changed since having the lap band. Are you taking them in the morning on an empty stomach (no meals for 30min to an hr)? For the first year of taking Levothyroxine, I didn't know that you had to do that. I take it right when I wake up before my shower and morning routine.

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....

I have hypo thyroidism I went from weighing 130 to. 230 in a couple months no change in diet or excercise it was awful I trieeverything then two kids and a tubal preg made it even worse I'm so thankful I got to do it because maybe I can have the confidence I used to and be in shape like I was

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

We are all different. My doctors’ instructions for my reactive hypoglycemia may not work for other people. It may help to contact your Dr. that has your medical history or an endocrinologist who works with diabetes/hypoglycemia. I’m fortunate that hypoglycemia was a lesser complication after surgery. Just like a diabetic manages blood sugars you also learn to manage reactive hypoglycemia.

Yes you can take an OTC PPI like nexium or prilosec (omeprazole). Keep in mind it's not a reactive drug, it needs to be n your system to work effectively. It may take up to 5 days before you really feel any relief. Start with 40mgs and see how that works. Pay attention to the time of day you feel the acid the most and take the meds 2 -3 hours before hand. If after 2 weeks you don;t feel any relief, call your doctor.

I am no doctor so take anything I say with a grain of salt. Lightheadedness can be a sign of low blood sugar. Some patients develop a type of hypoglycemia called "reactive hypoglycemia". Here is one link to the condition but if you search the internet you might find more. https://www.ridgeviewmedical.org/services/bariatric-weight-loss/enewsletter-articles/reactive-hypoglycemia-postgastric-bypass After surgery, the three most important elements are meeting your daily Vitamin, Fluid and Protein goals. So make sure this is not a problem. Also I never eat near bedtime. My body digest food differently when I am in a horizontal state than when I am in a vertical state. Also prescription drugs and even some over the counter medicine can have some adverse side effects.

The science does not support that high of stats on reactive hypoglycaemia in bypass patients. It seems in your case, you did not continue to have it with the sleeve, but now need the rny to combat something causing you daily pain and a definite issue. I would go with fixing the current known issue.

I had an unfill last Friday... I went in on Thursday for a checkup/fill. I got .5 cc's put in (previously 5.6cc's, thought I could use a little more). It made me swollen so that I couldn't even swallow my spit!! I woke up choking on my saliva in the middle of the night, couldn't even keep down Water. When I went in on Friday they took out 1.6cc's, and even as of today, Wednesday, I still feel restricted. I think stress or something is making me more reactive to my band. I feel ok.. just must have been something going on. I am so happy someone was there to take out some!! I think it is normal though.. up and down depending on what is going on inside... I'm sure i'll get a fill again next month. Rather be safe than sorry!!