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I managed to lose my weight and keep it off, but about a year ago they diagnosed me with Reactive Hypoglycemia. I wear a monitor and eat very low carb. I recently spent the day in the ER due to being light headed and the only thing that showed up was my red blood counts were slightly low. Otherwise I feel pretty good, like the way I look (except some loose skin) Love wearing a size 4, but sometimes it is hard to find my size. Funny, that was an issue when I was in the 200's. Now I look at the larger sizes and wish they were in my size, lol. Picture of me on the right.

wouldn't be dumping. "Normal" dumping happens pretty soon after you eat. What they call "late dumping" (also called reactive hypoglycemia) happens 1-2 hours after you eat, and can last a couple of hours. Sounds like you ate something that didn't agree with you - or else you've got a bug.

Since you haven't given any specifics regarding whether you are pre or post-op; what food stage you're in, what your eating habits are, and even if you're male or female, it's kind of hard to answer! Generally speaking, the body is constantly adjusting to it's environment and reevaluating what it needs to do biochemically to adapt. So if you're losing weight in "patches" (as most of us do), it's because your body is reacting to fewer calories, changing food amount/type intake, hormonal shifts, exercise (or lack of), etc. You are not a static human being that is identical all the time, so your body needs time to "catch up" to the current situation. By the time it does, you've moved on and are introducing whole new set of variables. As long as you stick to your plan (be it pre-op, post-op or whatever), consistency will get you to your goals. This journey is a marathon, not a sprint. Use this time to build up your new good habits, work through frustrations with a balanced approach and try not to be reactive to the scale. Better yet, measure your progress in other ways (fitness level, clothing fit, body measurements, stamina, quality of sleep or energy levels, etc.). The scale can be deceptive and demotivating at the best of times.

13. One skill or hobby you want to take up. I have three and I can't choose between them. When I get down a bit more, Imma reactivate my scuba license; take up horseriding with my daughter and start doing zumba/aerobics Sent from my SM-G930F using BariatricPal mobile app

OM, YES! I first called my gastric band Dr.'s office and they said the pain I was having wasn't related to the band. So I call my regular physician and she tells me to take gas relief pills or heart burn meds and if it is still bothering me in a few days to come in. So, a few days later I come in. She runs all types of test and everything is normal except the c-reactive test. Took almost a week to get an ultrasound...I too thought it was ovarian cysts or appendix since I was told it's not band related and the pain was that bad. Go in for a fill and they can't get Fluid back out..uh oh better have the doctor see me. Wait another few days and uh oh - yep there is a problem. GRRR, I am so mad right now. Now I have to wait for them to get the paperwork to the insurance to find out if its covered. Hello, I can't sleep at night because I can't get comfortable...sorry, I needed to vent. I am glad to hear everything turned out ok for you once they finally repaired it. How long did it take you to get surgery once they figured out what was going on? Thanks for replying! TJ's Mama

Hi everyone, it has been a couple months since I posted last and everything is going pretty good. I am now 15 months post op. I lost about 65-69 lbs total and still have about 18 lbs to lose. However, things have completely stalled out and i haven't lost anything in many months. my stress level is sky high with grad school two kids, a new job, and life in general. i have noticed over the past few months that my stomach fat is much more noticeable and although the scale hadn't changed (THEN, but haven't weighed in 1 month) things just are sitting differently. i actually FEEL very similar to how my stomach felt pre op, but i'm still wearing the same size pants, it's just very bothersome to me. my main issue right now is i just started a new night nursing job which i really love, but not being a night owl, i find myself eating small Protein, fruit, snack and drink portions (not all together) through the night to stay awake and functional. although it is a VERY busy unit, we get very quiet and sit down around 1AM and don't do much for a few hours (this time is the hardest for me). i have found i got reactive hypoglycemia a few times when i tried to go without eating and then started my morning rush. i try to NOT eat much during the days before work, knowing that i'll eat a few small meals when i'm there, but i AM getting plenty of calories each 24 hr period. further, we aren't allowed to leave the floor regularly on night shift, so going for a walk or something isn't really an option, we eat our meal and hang out in the break room area. Anybody who works nights, especially those in healthcare who only work 3 shifts a week may be able to relate. there is no 'regular' schedule anymore. however, i enjoy my team and prefer nights for my graduate school demands. but i don't know when is the best time to weigh, how to count meals anymore, etc! i am also trying to help my hubs lose some pounds as he has put on about 20 lbs in the past year. i can eat mostly everything. i only get dumping issues when i eat something REALLY packed with sugar (tried a small scoop of ice cream once-never again!) i eat around 1200 cals per day. i only exercise by walking a few times a week. Here is my plan: 1. Go back to including a Protein shake DAILY maybe as a smoothie for 'breakfast' on non-work nights and take with me as a meal supplement when i do work. 2. try to fit in a walk every 24 hour period 3. can't abate the stress much, but MAYBE trying some basic yoga or stretching regularly 4. start logging on here every day and seeking the same level of support and involvement i did pre op and immediately post op ( my area support group meets while i am working, and the nutritionist that works with my surgeon now is very specific to meeting only with people who have gained more than 20 lbs back OR are still pre op!) anybody have any other suggestions or support for me? i really need to lose these final pounds. i also need to get in to see my surgeon and wanted to in the next 8 weeks, and DO NOT want to be the same weight i was the last time he saw me!

I'm on day 3 of the pre-op diet and I just had a hypo ????. I'm using less insulin as directed, but obviously it is still too much. The only thing I had to hand was a nut/muesli bar. I had to eat it to stop myself passing out, but it feels like I cheated ????. What is worse though is that I am at work, an hour from home, and I am supposed to leave in an hour so I am there when my kids get home from school. But I'm not sure I will be able to drive by then ????. Tried ringing my husband, but his team went to a restaurant for lunch and he won't answer his phone. Feeling guilty I ate when I wasn't supposed to, and I don't know how to get home ????

Yeah I see a lot of people say they only had to do a few days before and my doc nutritionists is scary the daylights out if us saying if we have anything at all then there will be stomach residue which makes me think then how do other people only do a few days. Doesn't make sense to me. I Have lost 5 pounds in 4 days. But I have reactive hypoglycemia and the nausea and headaches are killing me.

Just saying hello to fellow Feb 2013 buddies. How is everyone doing? I'm down 136' to 155. That's where my body wants to be. I had two problems-- hernia with small bowel obstruction and reactive hypoglycemia. The hernia was repaired and then it was found I needed abdominal wall reconstruction and a re-repair of the hernia. That I had done with a panniculectomy in Dec. I have the hypoglycemia under control by eating right. I wear a size 10-12, down from a 24/26. I can wear high heels and have energy and feel great! Best decision ever to have RNY.

Thyroid disorder bandsters- curious as to if you think your thyroid complications hold up your weightloss with the band? Whats your overall opinion-- on how you work through it? I have Graves, but am hypothyroid now, treated with sinthrod and my levels seem to be stable for a year + now. There were quite a few bumps along the way to get physically heaalthy from all that. It certainly encouraged me to get banded since no matter what I kept a slow gain.... I was banded in March 2010, and loose 4lbs a month. Lots and lots of exercise, a healthy diet and finally better restriction- as I am a pretty new bandster. What is your average weight loss? Heaviest weight 244, Surgery weight 221, now I'm hovering at 204. If I knew how to set up a poll, I'd do one. Is anyone having better success? Did your meds require a different dosage as you lost? Any success secrets out there?

I'm a newbie here on bandsters as my lapband surgery is scheduled for this Friday the 27th. However, I'm definitely not a Newbie to thyroid issues. I was diagnosed with Hashimoto's disease in the late 90's and hypothyroid. In 2004 I was diagnosed with Thyroid Cancer. I had my whole thyroid removed at that time and follow up with radioactive iodine treatments 2 yrs in a row and have been fine since then.I am now considered hyPERthyroid as I am on high doeses of synthroid. One would think" Hyper"thyroid would help me lose weight easily but it hasn't. It's nice to find a forum here where I can relate to with this problem and know that it's possible to lose the weight, maybe slower then those who are not hypo or hyperthyroid. :-)

I am hypo and was banded in feb 2010 and have lost only 26 pounds....its super frustrating because I work out and eat right for the most part and have decent restriction...i take 100 mcg of synthroid and just recently had my levels checked and they are fine...

I have hypo too- I have lost fairly steadily since being banded Nov. 2009. My levels have been where they should be. My doc. wants to keep an eye on it though- he said dosage is weight related.

hi, i am also hypo and while i was in the hospital they dissolved it for me but when i got home i called my doc for another reason but i asked if i could take it with out dissolving it and he said yes because its small enough it shouldnt get stuck. Im 3 weeks out and have had no problems. Good Luck!

I dont have a sleeve. Does that matter? I had gastric bypass. Plus I have reactive hypoglycemia, what do I do about that? Sent from my SM-G970U using BariatricPal mobile app

Several people who underwent RNY gastric bypass surgery developed hypoglycemia. It is somewhat common. It doesn't seem to make any difference if they were diabetic prior to surgery or not. This is a specific type of hypoglycemia called "reactive hypoglycemia". These are a few links to this condition. https://www.ridgeviewmedical.org/services/bariatric-weight-loss/enewsletter-articles/reactive-hypoglycemia-postgastric-bypass/ http://www.weightlosssurgery.ca/before-after-surgery/reactive-hypoglycaemia-post-gastric-bypass/ http://www.todaysdietitian.com/newarchives/060415p48tip.shtml Probably the main point is that there are steps you can take to significantly minimize the effect of this condition on your body.

I was never a ketosis kid either. I was very intent on avoiding post-bariatric reactive hypoglycemia, so I always tried to eat at least as many carbs as Proteins (grams). I reached goal (150 pounds at 5'5" and 69 years old) at 8-1/2 months post-op. And now I'm 3 pounds below that while trying to stop losing. I'm averaging about 1400 calories/day the last few weeks. But still losing very slowly. I eat extremely healthy -- lots of good veggies and fruits, typically 100 grams of Protein daily, whole grains, very little refined sugar and other refined carbs. Always take my vits/mins, and my big four-page blood panel results found everything was normal and good. Feeling good. Looking good. All going good here. So here's my challenge of the moment: It's a challenge for me to mentally *agree* to stop losing. Seeing the scale go down, even 0.2 pounds, is definitely a more positive feeling than seeing it stand still. Honestly, I'm a little worried about that. The idea that I could become anorexic is ridiculous to me. But I do realize that I've got to change my attitude into one that feels rewarded by seeing my weight stabilize. Anybody got any thoughts on that front? BTW, many thanks to @@Rogofulm for lobbying Alex to open this maintenance forum. Thank you, Rog.

I haven't experienced this, but it might be caused by blood sugar levels changing too much after eating. Reactive hypoglycemia I think it's called. You can feel poorly physically but I'd imagine it would also make you feel bad emotionally as well if it's happening frequently. Might want to get your hormone and other blood levels checked to make sure there's not a physical/chemical reason for the sadness.

@proud3bme Thank you for your response. My surgeon said it's not uncommon for WLS patients to have "reactive hypoglycemia" from eating carbs. He said to avoid carbs. BUT...that's the thing, I haven't been eating them. Yesterday I had 9 g of carbs and that would be typical for me at this point due to the restricted diet they have me on. So he's not right...it's not reactive hypoglycemia (I researched it)...he was no help. I think I'm going to add in a few more complex carbs each time I eat from nutrient dense foods like sweet potatoes. Maybe that will help. I drank 1/2 of a Protein shake before bed and it didn't help at all.

Hi thank you for this. I'm only two weeks out but have already reactivated my membership at the gym. I will start with light weights when I start next week...thanks again....

I finally had my first fill this past Saturday ~ 2 1/2 CC's. There are a couple of reasons why I wasn't able to gett a fill sooner.... 1) my insurance would only cover it if it was at least 90 days after surgery... and 2) I was going on vacation... and my Dr. didn't want me traveling across the country for my first fill (just in case I would be too tight). So........... this past month I was totally stalled. It was pretty frustrating... plus I found myself to be REALLY hungry. Well, so far the fill seems to be working.. and I'm not hungry. My Dr. has me on liquids for 2 weeks... YES ... 2 weeks. Seems everyone here is only on liquids for a couple of days. Well.... I asked why.. and they told me that they have found it very successful in "jump starting" the weight loss again. I have a hypo-thryroid... so I definately could use a "jump start". I'm gonna give it my best shot. So far.... so good. If a few more days go by and I find myself craving solids... I'll call my Dr. and see what he says. I also have to admit that prior to my fill, I was able to eat everything and anything. On vacation, I found myself going back to "BAD" habits. So, maybe, if nothing else, the 2 weeks on liquids will get me back on the right track.

Give it time. It took me about 3 weeks with the gel, and then it wore off because it's a temporary solution to a life long problem, and I was given a vial of Test. cyp and the doors of heaven were opened! If you guys aren't getting pinned for T, and using the gel, I'd recommend talking to your doctor about injections instead. It's a more stable delivery platform and it's easier to manage doses to make sure you're not on a roller coaster ride of T. Plus, why get on T therapy if you're gonna have to worry about your wife getting a mustache because you got sweaty bumping uglies and it reactivated the gel.

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

Obviously, patients should not violate dietary restrictions imposed by hypo- or hyperglycemia. However, barring these medical conditions (most of which go into remission after weight loss), there is absolutely no empirical evidence to support the effectiveness of abstinence from certain foods in weight loss and weight loss maintenance: NONE. Barring the aforementioned medical conditions, rigid abstinence from certain foods, such as a hamburger or piece of cake, is a psychological issue, not a medical one. I can write this with confidence as a professor of psychology who worked in the field of addictionology for over 15 years. The problem with abstinence is that it leads to the well-documented abstinence violation effect: I must abstain from doughnuts. If I break down and have just one, then I must have 100. This effect is psychological, not medical. There is no more evidence to suggest that compulsive eating is a physiological addiction than alcohol dependency is a disease. Porting over the AA philosophy of disease and allergy to overeating is a psychological travesty. I challenge anyone who disagrees with this to present empirical evidence to the contrary that has been published in a referred professional journal. You won't find any. Granted, abstinence may be temporarily working for someone (although it won't over the long haul). However, this does not mean that those wedded to the abstinence model should try to shame those who are trying to learn how to eat in moderation. The underlying premise of abstinence is unfounded, shaming and chastising are never helpful, and that kind of post is entirely self-congratulatory. If I were unable to eat, for example, one hamburger without obsessively craving more and more of them, I'd see a cognitive-behavioral therapist who specializes in eating disorders. I would not be attempting to shame those who are able to successfully eat just one in an attempt at denying and avoiding my own highly conflicted relationship with food. Doing so may not rise to the definition of Nazism or fascism, but maybe we can all agree that it's not very nice.

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.