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https://www.healio.com/endocrinology/diabetes/news/print/endocrine-today/{1dc23215-49dc-4ad7-90da-346ba16663d6}/post-gastric-bypass-hypoglycemia-a-serious-complication-of-bariatric-surgery Bypass people have more hospitalizations for hypoglycemia and tend to have more severe symptoms, but sleeve folks can get it, too. Research on this complication is ongoing. Of 175 eligible patients, 120 were randomized 1:1 to RYGB or SG; 117 (93%) completed the 12-month follow-up. Reactive hypoglycemia was detected in 14% and 29% of SG and RYGB patients (P = 0.079), respectively, with the effect of treatment in multivariate analysis significant at P = 0.018. Daily hypoglycemic episodes during continuous glucose monitoring did not differ between groups (P = 0.75). Four of 59 RYGB subjects (6.8%) had 1 to 3 hospitalizations for symptomatic hypoglycemia vs 0 in SG. The static β-cell glucose sensitivity index increased after both treatments (P < 0.001), but the dynamic β-cell glucose sensitivity index increased significantly in SG (P = 0.008) and decreased in RYGB (P = 0.004 for time × treatment interaction). Whole-body insulin sensitivity increased about 10-fold in both groups.

The following abbreviations are commonly used on this website: ACL = Anterior cruciate ligament AGB = Adjustable gastric banding AMRAP = As Many Rounds As Possible (crossfit) BB = belly button bc = because BCBS = Blue Cross/Blue Shield BED = Binge Eating Disorder bf = best friend BM = bowel movement BMI = Body Mass Index bp = blood pressure BPD = Borderline Personality Disorder or Biliary Pancreatic Diversion bs = blood sugar btw = by the way C25K = Couch Potato to Running 5K 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 DDD = degenerative disc disease 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 LES = lower esophageal sphincter lol = laughing out loud LSG = Laparoscopic Sleeve Gastrectomy med = medicine MFP = my fitness pal msg = message NASH = Nonalcoholic steatohepatitis nf = non fat NG = Nasogastric NP = nurse practitioner NSAIDS = Non-steroidal anti-inflammatory drug NSV = non-Scale victory (“scale” means “weight scale”) NUT = nutritionist OA = Overeaters Anonymous omw = on my way 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 PICC= Peripherally Inserted Central Catheter 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 RYGB = Roux-en-Y gastric bypass SADI-S = single anastomosis duodeno–ileal bypass with sleeve gastrectomy s/f or sf = sugar free SG = Sleeve gastrectomy SIPS = stomach intestinal pylorus-sparing surgery smh = shaking my head, scratching my head SO = significant other SOB = shortness of breath sw = weight at surgery tmi = too much information TPN = total parenteral nutrition TT = tummy tuck TTC = trying to conceive Ty = Thank you. [but according to the urban dictionary “Ty” is also an abbreviation for “a total stud with a massive carrot”.] u = You UGI = Upper Gastrointestinal VSG = Vertical Sleeve Gastrectomy Vit = vitamin wks = weeks WLS = Weight Loss Surgery WOD = Workout of the Day w/o = without wt = weight

hey guys, I've been on thyroid medication for a few years now for being hypo. I had my bloodwork done a few days ago and the doc called me and said the numbers were thru the roof and to immediately stop taking my meds. He wants me to come in after about 4 weeks for another blood test, but he said he thinks I'm going to be able to stop the medication since I have lost so much weight!!

Do you know what all an endocrinologist tests for? It’s not just hypo and hyperthyroidism, right?? I am in maintenance and struggling big time. I feel like the only way to maintain my weight is to be on a diet (and hungry) for the rest of my life cause I add in a few calories and I gain. I feel like there is something going on with my hormones that my primary doc is missing. I see him today and plan to ask a lot of questions. Just wondering what conditions cause weight gain that I should be questioning him about.

Thanks again. That's reassuring My surgeon tells me that the greatest benefit for me having this surgery is that I have a really big chance of not having to take insulin anymore. For me this is huge!! No more having to get up in the middle of the night or leave in the middle of meetings to bring my sugar up to normal levels. No more having to eat when you are not hungry just so I don't have a hypo. I'm told that not taking insulin will take 10 - 15kgs off so that in itself will certainly help in the weight loss journey. AAARRRGGGHHH - I think I just have to stop thinking of the negatives and focus on the positives

Im hypo been so for 30 years but the past 3 have gained 30 lds. Today i pray is my new start getting sleeved. I hope i can loose. Self pay. Lots rideing on this. My health. And finances.

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.

they are general health readings. if things go as planned, this is virtually bloodless surgery but it can be lenght surgery and put you at rsk for clots in the leg etc from lying in one spot. they need to know that sodium, potassium and other electrolytes are in a good range as all this can affect the amount of fluids and drugs they use in OT an post op. they may not do as many tests for smaller ops but this is classed as major surgery and we are slightly higher risk patients simply because we are bigger. the chest xray is saftey too. you will be ntubated ( tube into lungs to breath for you while you are under) and they simply want to make sure you lungs are in good nick before OT, no chest infections etc that they did no know about- not worth doing that too soon before surgery date though as it is like a snap shot only. the tests you have donein the assessment period are to make sure there are no major reasons why you are not a good candidate for this type of surgery. the next round of tests are just so they have enough information to hopefully avoid any problems but also so they have the information in the case that something did crop up. its all about being prepared rather than being reactive- a sign of good management. try not to get too anxious about t all. talk to you surgeon or his support staff if you have any specific worries too. they can get into a real routine about taking these tests and may not stop to realise how anxious you may be going through all this, particularly if you have not had much surgery in the past. good luck

I start my pre-surgery diet in just over a week (one day before my 50th birthday). Blossom requires protein shakes for breakfast and lunch and a lean meat for dinner. My biggest fear is how to survive on that few calories for two weeks. First, I don’t sleep if my stomach is growling. Second, my blood sugar is going to tank which makes driving unsafe bc it makes me want to fall asleep at the wheel (I have reactive hypoglycemia). How on earth do people deal with these types of issues on so few calories?! If I could subsist on 600 calories a day I’d have been doing it a long time ago. 🤦‍♀️🤦‍♀️🤦‍♀️ So I’m more worried about the peripherals then anything. Forging ahead no matter what but a bit concerned about the pre-diet.

When I ran out of diets to try! I had been thru the gambit of diets (insert what ever name you like) twice and I was to the point that with extreme effort I could only lose 15 lbs. It used to be I would only gain back to my starting weight but the last few go rounds it gain back to start and pack on more. After being on Jenny Craig all of last year and losing only 14lbs I gave up. I could not afford to keep spending my money on failed diets. So I decided to just not worry about my weight anymore. Well, that lasted about 3 months and I could not stand it anymore and reseached wls. I was to the point that I did not want to participate in anything cuz I was so tired all the time. I have Primary Biliary Cirrhosis, hypo thyroid, and high blood pressure. It was time. Started out thinking lapband and then found out about all the problems and switched to sleeve. Hoping to surgery in 6 weeks. Good luck!

Had my RNY surgery March 9th and have lost 49 lbs but only lost two all last month. I was in hospital 3 days start of July with liver enzyme issues and my TSH (thyroid) numbers had went from hypo to hyperthyroid. Dr took me off synthroid for 3 days and then went back on 1/2 dose (50 mcg). Did that for a week and a half and the mental fog and sluggishness came back. Dr took me off synthroid completely. I go back Aug 20th to have TSH checked again. Could my going on and off and on and off synthroid be causing this drastic slow down in weight loss? I am still 30 lbs from my goal of 160 and was losing 2 lbs a week before this all happened. I have really enjoyed reading everyone's posts and getting some great advice on here!

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....

It might be reactive hypoglycemia. http://www.mayoclinic.org/diseases-conditions/diabetes/expert-answers/reactive-hypoglycemia/faq-20057778

I am hypo and have pcos. I am going in tomorrow. I have been struggling for 15 years with all of this. Looking forward to the future!!!

in the last five years i have done a lot of research on how to reduce inflammation in the body without drugs. i have issues, but managed to reduce my reactive C protein markers down into the normal range. my MIL has lupus and my good friend has both scleroderma and fibromyalgia.. all autoimmune disorders related to abnormal inflammation in the body. PM me your email or FB info and i will send you a few things. you can also like my FB page "whole health wellness" where i post a lot of things on reducing inflammation thru natural means.

Hey y'all! So I'm scheduled for vsg March 14th and went in for blood work on Monday to make sure all my levels were ok. The results came back saying my cholesterol was a little bit high and my thyroid levels were low. The nurse then called me back to say the Dr told her to tell me that I may have hyperthyroidism... which is od because I thought low levels meant your thyroid was under active and hyper meant it was over active, yes? I'm assuming she just got it backwards and meant to say I may have hypothyroidism. ANYWAY! The Doctor wants me to come back in 6 weeks for more blood work... why he wants to wait 6 weeks is beyond me, I guess to see if the levels change and maybe it was just a one time thing? I don't know. Either way, for those who have either hypo or hyperthyroidism... how has it affected [effected? lol] your journey? Did you find you lost slower than others? Thanks in advance! TLDR: How has hyper or hypothyroidism impacted your vsg journey?

yes. It's probably reactive hypoglycemia (RH), which isn't that uncommon among RNYers. It usually appears when you're a year or two out. I have to eat something every 3-4 hours and limit my sugar intake. If I eat a carb, I have to eat a protein with it. As long as I follow these "rules", I rarely have the problem oh - if you're getting sweats and dizziness right away after eating, it's more likely dumping. If it's an hour or two later, it's most likely RH.

3.5 years post op.. My blood pressure came down, hypo thyroid meds decreased.... Blood sugar lowered... Cholesterol lowered... I have a herniated disc in my neck that I had to have an epideral injection into ever 3 months but with the weight lose I only get one a year. Joint pain has greatly improved. I didn't have a lot of diagnosis medical problems but if I did nothin for another two years it would have been bad.. I'm 35 now.. And wish I would have done this sooner, just for the health benefits

Laundry Detergent...I have never been sensitive. But I had this problem and I switched to a hypo allergenic detergent and I got better. I think as we age so to some of our sensitivities. Also - high sugar...when my diabetes was out of control I had to deal with it.

ive had problems with dizzyness and some tiredness. i dont think my problem is b/p related, but im not sure.( i dont drink enough water) i take olmetec for my hypertension. ive been on it now for the last four years.(olmesartan medoxomil tabs). about six months ago the dose was put up from 20 mgs to 40mgs. my average readings are systolic ... around 140. i used to be hypo... very low b/p. ( with constant fainting). Could you ask for another brand of meds?? most of them do have some sort of side effects. Perhaps this one doesnt suit you so well??

I have been taking thyroid meds since 2005. And it not made me gain infact it has help. I have hypo thyroid See a specualist let the decide.

They are a non reactive metal (titanium) so it's pretty unlikely

Honey congrats on the amt. of weight that u did loose.. U have to realize that most people get more than 3-fills in a year after time goes on the fill evaporates over that much time... Make an appointment and go get another fill... U can do this u already have the tool inside u just have to reactivate it... :incazzato:

The fact that the lymphs are high and not the neutrophils, usually means that it's not a bacterial infection. Lymphs tend to indicate viral, but that's just a generalization. The same thing with the C-Reactive Protein and the sed rate. Both of them mean that there is something inflammatory going on, but it's pretty minor, if you're only at the high end of normal. Many people who aren't sick are walking around with high C-reactive Proteins. The combination of results, I think, merits the trip to the hematologist. I still doubt that it will be anything at all, it all seems very non-specific. I hope you can schedule an appt. soon. I hate sitting around and waiting on these things. It just makes you crazy. Cindy

Almost 4 years out sleeve - I'm not going to post my menu - I don't want anyone to think what I am eating in a day is normal. 1988 calories. I try to hit up to 2500/3000 calories (crazy to think you can get this amount of calories in with surgery) protein 133 grams carbs 214 grams (I'm carb sensitive and up to 144 pounds this morning) fat 74 grams I am carb loading for a practice uphill trail run this weekend....This is In prep for a half marathon elevation run on the 21st. I fuel differently to sustain the run and keep my blood sugar from dropping. (reactive hyperglycemia from surgery) After this run I will be back on my plan.