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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.

I read a book (or finished reading it) on Nov 1st. It's 'How to stop eating bad sugar' by Allen Carr. Since I stopped I've kicked my sugar habit which was wreaking havoc in my life. Not huge weight gain, but there was a slide upwards. It was just the mental nastiness - the feeling of constantly losing a battle and it made me sick and I'd started getting really bad reactive hypoglycaemia. So since then: no sugar, potatoes, sweeteners, honey, syrups and no processed food made with sugar. I still eat a lot of fruit but mainly apples (loads of fibre) and tangerines. Bananas are a slight problem - I note they increase sweet cravings and give me muscle cramps, but I'm recently bereaved and so allowing myself to skate that one for now. Dried fruit is also a big no. I eat meat, fish, veggies (often oven roasted), small amounts of organic proper wholewheat bread - have only found one brand - Cranks- which doesn't have a load of other nonsense in. I snack on nuts and fruit as above. I've lost 6lbs of my slide up from my lowest, but I think I might be at what is a healthy weight for me. (Need to get back to the gym really). I don't log or do macros but I aim to eat whole food, lots of veg and fibrous fruit. It's working in that I've only had the reactive hypoglycaemia a couple of times since Nov 1st (I think it was banana that did it!) and the cravings are generally gone. The evening hunger is fixed by eating a big apple very slowly and I sometimes have a bed time snack of a little fruit and cheese, or nuts, but the urge to do that is passing slowly. I do occasionally use Stevia in my posh hot milk and pure cacao/ashwaganda type drinks, but I try also to not make it a regular thing. I suppose my point will be, that having taken these steps, the obsession, and the compulsion have faded and now I'm free to deal with all my other problems!!! Good luck to you - your exercise regime is awesome. I so want exercise to be my next addiction!!

So, this is going to sound crazy, but I'm not so sure I'm looking forward to moving on to pureed foods on Thursday (day 17). I seem to finally be in my groove now with the liquids! Ha! I'm quite satisfied to drink a cup of soup or broth with protein powder, or drink some greek yogurt thinned with Fairlife milk. Will moving to pureed, then soft foods, then regular, reactivate my former appetite? I know, I know, I told you it was crazy. I'm just worried. I've only felt hungry once, and today, I had to make myself drink some soup. I'm reaching my protein and water goals. I read about all of you eating these itsy bitsy meals and I wonder how in the heck I'll get a minimum of 60g of protein and if I will feel satisfied as I do now. AND I've lost 14 pounds, so I'm a happy girl!

I've checked a few sites, and vomiting/nausea isn't listed for reactive hypoglycemia. It's more dizziness, weakness, palpitations... You should probably get that checked out regardless. I'm not sure what's going on - but even if they end up suspecting hypoglycemia after all, it'll still be a good idea to get it checked out. edited to add that I did just see a reference to nausea as a symptom, but that's to the hypoglycemia that diabetic patients sometimes get. Reactive hypoglycemia (RH), that some RNY patients get after the first year or two post-surgery (and it's usually NOT related to diabetes), sounds like it's a little different. Are you diabetic? I think you should probably contact your PCP so they can do a workup. Something isn't right. Plus the RH that RNY patients get is a reaction to sugar. It's sometimes called "late dumping", although it's actually reactive hypoglycemia rather than true dumping. But you said you don't eat sugar. That's why I'm thinking there's something else going on here...

I STILL eat snacks at 4.5 years out. I have to eat something every 3-4 hours to a) keep myself from overdoing it at meals and 2) keep my blood sugar stable. It's been known to crash & burn (reactive hypoglycemia).

No but I do have PCOS and endometriosis and I am insulin resistant. I used to be Hypo thyroid and right around surgery it was fine and I am due for my blood test because it changes often so I might have to go back on meds for that (my dr took me off ) if its out of balance now.

check with your PCP - could be a lot of things. Some patients have trouble with orthostatic hypotension when standing up suddenly - but it could be a number of things. I had some issues about two years out. Everything was normal the day of my workup (they pretty much checked EVERYTHING), but they think it might have been, for me at least, reactive hypoglycemia - and if so, my glucose level just happened to be normal at the time they checked it. They also checked me for inner ear issues (which controls balance), urinary-related issues, God knows what else in my blood, etc. Just telling you this because there could be a lot of causes for that.

I think that would be pretty rare. Some people develop reactive hypoglycemia (I emphasize SOME people - certainly nowhere near everyone!!), but you usually just get dizzy with that, and you can prevent that by eating something every 3-4 hours and really limiting (or avoiding) sugar. But totally passing out would be very unusual. Plus I'm not even sure her passing out is related to weight loss surgery in the first place. And like the above person said, it could be that she was dehydrated and eating way too few calories, too. Hard to say without a lot more info. edited to add that in answer to your question, no, it is not normal. If it were, we'd hear about that all the time on here. I don't even remember if I've ever heard that at all in the four (??) years I've been on this forum.

How elevated is your TSH? What medication are you taking? I have been both hypo and hyper, finally had half of my thyroid out in Oct. of 2010 and have not had an issue since. I would check with your surgeons and get his/her opinion.

3 meals per day and 2 or 3 planned healthy snacks so you are not going too long without food. Also avoid high carb and sugary foods as these cause reactive hypoglycaemia. If you do get a drop you need to manage it the same way as when you are diabetic. Something to bring your levels up quickly and yes that might be juice followed by something healthy to keep it stable. A small quantity of juice followed by something like a banana or whole meal crackers with protein should help.

I have what we think is RH (reactive hypoglycemia). My PCP suggested eating something every three hours or so. Seems to work for the most part.

Okay so awesome that you’ve identified the culprit, but I’m sad to know that’s why. I also have these syrups (I got the peppermint to add to my bariatric hot chocolate and the English toffee to add to coffee). I’ll have to start using these really sparingly, but it’s good info to have. I am pleased with myself, but I’m also aware that I don’t want to start patting myself too hard on the back cause then I might start to take it all for granted and that’s the top of a slippery slope. Still trying to keep on top of all the head stuff. I started a wonderful soup in the quick pot. Defrosted some frozen turkey, then added in carrots,celery,onion,garlic, collard greens and okra. The smell of this stuff cooking is driving me half crazy so it’s time to have some meat and cheese ASAP. I’m usually fine until I smell food. Then it doesn’t matter how full/hungry I am. Wish my brain wasn’t so reactive to the smell.

dumping usually happens pretty quickly after you eat. It happens when sugar hits your small intestine. Plus it's pretty rare in sleeve patients - it's a lot more common in bypass patients. Reactive hypoglycemia is sometimes referred to as "late dumping", but from what I understand, that typically happens a couple of hours after eating. And again, sugar is usually the culprit - it's caused by your blood sugar surging and then crashing. not sure what you had - maybe a bug? Or maybe some fluke? I guess I'd say just monitor it and let your surgeon know if it becomes a pattern.

As long as you have no symptoms of a hypo that is pretty good. Is it stable at that reading? If you are having hypo symptoms you want 15g carbs immediately, eventually the less high sugar or high carb foods you have the more stable your blood sugars will become.

Any of these procedures may predispose you to some kind of problem as a result of the anatomical changes that the surgery makes; this doesn't mean that you will have such a problem, just that the problem shows up in more often than in the general population. With the sleeve, the main predisposition is for GERD, as a result of cutting back the stomach volume more than its' acid producing potential - usually the body adapts and adjust things over time, but sometimes it doesn't. I have mild GERD which is well controlled with mild OTC medication; a few get it so severe that no med controls it and they have to get their sleeve revised to correct it, while others - most people - have no problem with it at all. GERD problems may also result from poor surgical technique, and was more common when the sleeve was new to the WLS world 8-10 years ago and most surgeons were still figuring it out (this is why I traveled to a practice that had already been doing them for some twenty years, so avoid this kind of "learning curve" problem. Most surgeons in the US today are experienced enough with it that this isn't much of a problem anymore, but it does seem to show up more in countries that are farther down that learning curve, such as Canada and Australia. People with the bypass will also sometimes develop GERD, though usually more in line with general population numbers, and seems to often be associated with chronic over eating, volumetrically if not calorically.. This may also be why some with the sleeve also develop GERD after some years. The bypass is predisposed to dumping and its close cousin, reactive hypoglycemia, as a result of rapid stomach emptying from the lack of the pyloric valve in the active GI system metering the stomach contents into the intestines. Some people with the sleeve, or even no stomach surgery at all, may dump as well, but it is rare. It is generally controlled with additional dietary restrictions. The bypass is also predisposed to marginal ulcers, typically around the anastomosis between the stomach pouch and intestine. This is a result of the section of intestine being used not being resistant to stomach acid like the duodenum is (the part of intestine immediately downstream of the stomach in the natural anatomy, which is bypassed along with the remnant stomach in the RNY), leaving a very sensitive suture line that is easily irritated. This is why NSAID pain relievers and other similar medications are a big NO-NO with the RNY, but are better tolerated with the sleeve based procedures; one still needs to be cautious with them, but they are more usable with a sleeve than a bypass. For the benefit of the OP, with no prior GERD history, but a history of orthopedic problems, I would be inclined to go with the sleeve, owing to its better tolerance for the various pain relievers that you are inclined to need at different times. Good luck - none of this is easy, as it is often a matter of trade offs, and sometimes it's less a matter of good vs. bad as it is bad vs. less bad, or bad vs. not-great.

Hi again everyone.. so my surgeon and I made a decision for me to go under sleeve-plus gasterectomy which I did 4 days ago.. phew...im not gonna lie cuz boy it hurts... ;-; 6 small incisions are on my tummy now... 😅 it's a sleeve surgery+ small surgery on my small intestine.. which my surgeon is happy about cuz he thinks that way is better for a woman in my age than a total mal-absorptive surgery like bypass.. mine is a hypo-absorptive I'm 4 days post OP. First 3 days were awful.. i was in the hospital, in a boring vip room with no help of my fam cuz they had work to do till 3 pm everyday.. staring blankly at the walls, falling asleep and waking up.. i even peed my self and couldn't even tell the nurse cuz I was so shy.. i cleaned up ; changed up all by my self.. stupid I know... well um I even rewatched a season of 'friends' series lol that helped me a bit but I'm not gonna recommend it till you get discharged because your tummy is gonna hurt when you laugh and watching friends you can't stop laughing lolol 😂😂 Day 0-3 : I was in a lot of pain cuz of laparoscopy gas. I felt numb on My legs ( and still do and get tired easily now) Now it's almost day 5 for me.. I'm on a liquid diet.. I feel better as days go on.. tbh I have regretted going under the surgery in first 4 days (well not currently cuz I recently got acetaminophen infusion and I'm in no pain lol) but overall I think I and maybe we; should look at what made us make such a decion.. ofcourse it's gonna cost us something like idk liquid diet (which sucks!) but it will be worth it.. we should keep looking at our goal.. we're doing this for our health.. no less♡😊 So how is everyone else doing?🤗

This is Reactive Hypoglycemia. I have the same experience as well with the same symptoms you have experienced. I have been dealing with this since the 18mo mark from my Sleeve surgery. I'm at the 5 yr mark and still experience it. Do some reading on this. I also spoke with the Diabetic Dietician about this as she was well versed on this issue. The solution is to eat 15 grams of carbohydrate that is easily digested and your symptoms will subside. After that, follow with protein. I now carry the glucose tablets with me just in case. Sometimes I feel like it comes out of no where now that I'm better at navigating this. Good luck, it can be very frustrating.

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!!

hey you are human and it happens, i'm sure you will have lost enough. Being type 1 diabetic having a hypo you will need a high carb boost so you know....don't worry it'll be fine

I relied so heavily on this forum and others in the months leading up to my procedure that I promised myself I would provide a 12 month update, FAQ and experience summary for others planning the same thing for the same reasons. I recently posted this to Reddit and bariatricpal rounds out the plan. My story is positive – overwhelmingly positive – but I think most importantly my story is not emotional. I don’t have a psychological problem with food. I was never tormented or made to suffer for my weight (beyond finding flights uncomfortable and shirts being too short). I made this choice on statistical grounds – it would extend my life on average and go a long way to improving my diabetes. I wanted to provide a vanilla story to remind everyone this pretty survivable and the majority of people have non-descript and unexciting recoveries. My lift is pretty much the same - I just eat a lot less, dont shoot insulin and hopefully will live longer. Forums tend to have an over representation of negative outcomes - that makes perfect sense and it's absolutely fine for people to use them to get some reassurance and communicate with people in the same situation. For everyone else - just remember you're less likely to jump on a forum and tell your story if nothing went wrong or it wasn't any different from other people and as a result it can seem like a higher proportion of people are suffering than maybe is the case. I was a lower-BMI diabetic, not quite type 1 or type 2, but insulin dependent nonetheless. My BMI was 31, my surgeryweight was 126kg (277lbs) and I’m 196cm tall (6’5). I was diagnosed at 100kg (220lbs) but assumed type 1 as I wasn’t visually overweight. However in the 5 years since diagnosis I’ve continued to produce some insulin suggesting I’m not a pure type 1 or 2 - but closer to type 2. I gained 26kg in a year after diagnosis once i started on insulin. I’m broad shouldered/chesty with skinny legs - like an apple jammed on some chopsticks. Maybe like the fat Mr Incredible. My intention for having the bypass was not solely weight loss – I suspected that my diabetes was closer to type 2. I suspected the improvements people see immediately in diabetes management post bypass may apply to me. It was a gamble that paid off, My decision making process was quite straight forward – I had a young daughter at the time (now have a son too) and had lost my father to a heart attack when I was 7. He was fit and not diabetic but had a heart condition. I new statistically I was due for a similar fate carrying excess weight plus diabetes onboard. This was the best way to knock out one of those (the weight side) and hopefully improve the diabetes. I went from 126kg to 83kg (180lb), my BMI is low end of healthy. My biggest positive is my immediate cessation of insulin shots and a current HBA1c of 5.8 with oral meds only. It took about 6 months to get to my goal weight of 90kg. I'm still slowly losing and need to stop. Lead-up and Prep I was not obese to look at visually. The majority of healthcare professionals I spoke to did not think surgery, let alone Gastric Bypass, was necessary. In the end – my PCP, endo and surgeon all agreed that, while not essential, bypass was a prudent decision with potentially long-term benefits. The surgeon did not want me to bother with a gastric sleeve – if the endgame was diabetes improvement then the gold standard was a bypass. In Australia you need to be over 35 BMI or over 30 with a comorbidity to be eligible. I had slightly elevated Blood Pressure - that plus the diabetes made me eligible. I paid $2000 out of pocket, my private health insurance paid the rest. No psych required, I had a few meetings with a nutritionist and everything was greenlit. From first enquiry to surgery was four months. The fee I paid includes lifetime consults with the surgeon. I did not need a pre-op diet as i was not that overweight and my liver was not a concern. Surgery My procedure was in June 2018. My anaesthetic recovery was rough, but otherwise the process was fine. The most discomfort was immediately in the 12 hours following – in part due to surgical site pain but mostly because the bed could not accommodate my height so I was forever crossing my legs or scrunching them up, only to have a nurse slap them and wake me up for fear of DVT. Nurses kept promising to find a bed extender - eventually I lashed out in a post-anaesthetic haze at a nurse who slapped my feet - she took the end off the bed with a flourish. My feet shot out, I cried in relief, apologised profusely and slept for eight hours. Day two was stiff and sore but i was mobile, able to shower and sipping fine. I went home the morning of day three. I had PHENOMENAL life ruining headaches from day two. I went home with some serious opiates because I lived 90 minuts from my surgeon and couldn’t drive to get a script if they hit again. On day four my dietician cleared me for coffee and it immediately wiped out the headache – turns out I’d been in caffeine withdrawal. So I really recommend you taper that off in advance if you have a problem with coffee like i do. If you're diabetic then buy a freestyle libre glucose monitor for the procedure if you dont have a CGM. They want hourly blood glucoses, instead of being woken and pin pricked every hour I could just show them how to use the scanner and they'd take it while i slept. I had some minor aches 6 weeks out and one of the surgery sites oozed a little clear fluid. It subsided immediately. I was home for two weeks. I could have gone back at one week. I'm an accountant though and my starting weight was comparatively low so i was mobile quick. I completely understand if you're starting form a heavier weight then you should plan to take the full time. Food/Eating The normal progression of foods was fine and unremarkable from what is described on most forms. I graduated to solids a little earlier than I should have. I cheated like mad and was feeling fine, it was only when I snuck a tiny piece of casserole beef and vomited violently did I start to behave myself. I was vomiting once or twice a week from eating too much or too fast. Savoury ricotta bake, hearty soups and coconut water were my saviors. The vomiting subsided, 18 months out I vomit maybe once every two or three months and only when I do something stupid. My problem before surgery was eating very fast and taking large bites – that has been hard to deal with post surgery. In fact I tend to still eat large bites and then sit unable to eat for extended periods. I was very sensitive to sugar post-op and frequently had dumping. That subsided in a month with changes in eating, changes in my appetite and better food/liquid rules. I currently only get dumping in the morning, and only if I eat something sugary. I do get nauseous easily in the morning too – it’s something I’m working with my nutritionist on to find out why. Otherwise I can eat whatever I want within reason. I don’t drink soda, but had quit it before my procedure. Milky protein makes me nauseous too (any type of creamy protein really) so I use a water protein additive from costpricesupplements. This helps me hit 2L fluids daily. I can eat about a cup and a half food. Liquidy foods – stews, soups, casseroles – I can eat a lot more than that. Tougher foods like steak or dry chicken much less. I gulp liquids. I had a sensitive stomach before the surgery and took Metamucil religiously to keep my gut regular. I have not had any issues post op with flatulence but have had looser bowels. Metamucil still helps – but no worse or in any way less manageable than pre-op. Diabetes I went off insulin immediately after my surgery. It wasn’t a cure – I’m still diabetic – but metformin and trajenta keep me in an aggressively managed hba1c. I have a so-so diet – I eat too much sugary junk food and carbs. I could go without diabetic meds I believe but my diet would be depressing so ive truck a compromise. On this basis alone this was the best decision I could have made for my physical wellbeing. My blood pressure is fine, my cholesterol is non-existent and I'm able to even job a moderate distance without discomfort. Random observations • I’m cold. So cold. It’s 35 degree outside where I am (90’s Fahrenheit) but as soon as I go into any office I need a sweater. I really became dependant on sweaters, long johns and socks this last winter. Im not cooler in summer – just as hot and bothered as before. Maybe a better way to describe it is that I feel the temperature more in general, like I lost my insulation. • I am too skinny. Clothes don’t fit that great – most men this tall have a bit more chest/gut on them. Australia has limited/no tall clothing ranges domestically so I’m importing loads of stuff from the UK/USA. i still think i look fat when i look in the mirror. • My bum is bony and I need cushions to sit comfortably. I also had a cyst on a butt cheek I didn’t know about – now im so bony there I’ll need to get it removed so I can sit on kitchen chairs comfortably again. • I gained about 1.5” of penis length. It was a welcome addition. I needed to learn how to be more gentle and patient using it. With a young family and little sleep it's yet to be fully road tested – but I’ll be ready when we start to sleep again. • I have a little loose skin. nothing dramatic. mostly around the gut and love handles. • I am very sensitive to meds and drugs. I'm not much of a drinker but i like weed edibles - what would give me a mild buzz before gets me quite high now. I sober up quicker now too. I take xanax on flights to help sleep - i take a quarter of the dose now. • I drink red wine socially and now cannot really get drunk. I sober up quite fast but get a mild buzz pretty quickly too. • Dumping sucks but it should not be a discouraging factor. Its not life ruining – anyone who’s had a hypo as a diabetic it’s a bit like that with some gastro thrown in. It resolves pretty fast (30ish minutes for me) and is a self-reinforcing feedback loop for shitty food behaviours. For this reason alone I consider the bypass as the better choice for me. • I’ve lost a fair bit of muscle tone and will need to somehow up my protein and start some weight training to recover it. This needs to be balanced with not losing for further weight. • I have to remind myself to eat. Not just because of low appetite, but because once my pouch shrinks for a day then eating again can be uncomfortable and time consuming. As long as I eat fairly frequently my pouch is all good and I can eat quite a lot pretty fast – forget about it for 2 or 4 hours and I’ll need to take some time to eat a bit and get my appetite back. • I was hungry for 33 years and bordered on a pathological inability to waste food. I ate my meal and anything my wife or kid didn’t eat. I’d eat a meal out, go home and have a sandwich. We ate at bars and pubs because the servings were larger. I would eat until I was very uncomfortable if the portion was large enough. Now I still can’t bring myself to leave food – so I have this silly aversion to ordering anything more than something off the appetisers list. I don’t like asking for to-go containers (it’s an Australian thing – it’s really stupid because we pay so much for food out we should keep every bloody morsel) but have started to now order what I actually want instead of what I think I can finish. It’s funny – I went from ordering what I thought would be the biggest portion so I didn’t feel hungry (instead of what I thought looked good) to ordering what I thought I could finish and not waste. Regrets? None to speak of specifically. In a very minor way travel is less fun. I looooove travelling to southeast asia and the USA and love eating all the different things. My appetite is so low now, and eating can be so inconvenient, that I don’t get to eat anywhere near as much variety when I travel. I was recently in SE Asia and looking forward to a huge array of currys. I ate only two in five days as I had no appetite at all. I just need to travel differently now - actually plan to stop for meals instead of just charging all over a city and snacking on the way. I wish id been more sensitive to my wife's emotional processing of the scenario. She's gone from having the tall, chubby guy that was the physical build she was attracted to, to having a skinny beanpole. This was while she was having our second kid and all the very natural weight gain associated. She's not overweight and is, objectively i reckon, absolutely gorgeous but definitely feels marginalised by the process and is quick to colour me as vain or obsessed with my image now I am buying new clothes. I think i could have been more mindful of what I said or did. She was overwhelmingly supportive though and agrees this was worthwhile. Closing thoughts If you are considering this process and maybe you're on the margins of eligibility my experience would say go for it. my hope here was to give a vanilla experience to the mix, unique only in my taking the more permanent bypass on despite my lower starting weight. Sent from my SM-A705YN using BariatricPal mobile app

I have this same experience. It feels like "dumping", but truly is reactive hypoglycemia or low blood sugar. When you experience this or can feel it coming, eat something with 15 grams of carbs and the symptoms will subside in a couple minutes. Then follow up with some protein.

PS: My cooked cereal contains teff, amaranth, quinoa, and slivered almonds, along with soy milk, so the oat carbs are getting somewhat balanced by higher protein grains, nuts, and soy. I would never try something like plain cream of rice. I used to have very bad reactive hypoglycemia to plain carbs in my former life, so I learned to never take carbs without protein. I shudder to think of the reaction I could have now after bypass.

My nutritionist said the same amount (actually she said 1300!!) and then I told my DR and he said NO WAY THAT WRONG. So Id go by the Dr over ab nutritionist. He said that for the next six months should stay between 500-700 and if I find I am exercising A LOT then maybe 800-900 max so I think your calories are way too high. My surgery was 9/4 and Im at around 600 average but some days Im in the 400s others im in closer to 700 and i am working out about 4 days a week. I am hypo as well so I think we just lose slower because of that but I dont even know how i Could get in 1200 a day unless i ate all day long. My Dr said 1200/day Once i reach maintenance.

I'm hypo and have now lost about 155-ish pounds in round numbers from my recent high weight. I'm also on a drug called Femara that causes you to gain weight and am very insulin resistant with PCOS. It's tough. I had to obsessively watch what I put in my mouth, keeping things very clean, low carb and low fat. I kept my cals between 600-800 to lose (closer to the 600 end). I still have to be around 650 or so to lose. I maintain in the 900-1200 calorie range. At 7 weeks I was eating around 400-500 calories and 6 mini meals per day of less than 100cals each. Averaging 75g of protein per day as my goal.

You will find your balance with all of this. It’s a strange thing to experience for yourself, Right? I can relate to many of the post on how it messes with you when you hit goal. It took time for my mind to catch up and to see myself correctly.(body dysmorphia) It was something I had to work on. Wow. I get it. I would never in my life expect to say the words I need to STOP losing weight. My inner obese woman. *smile* had a hard time wrapping my head around it. People mean well, but comments like you look sick, your too thin, when are you going to stop losing weight. it's not helpful. It's hard enough for you to deal with rapid weight loss. Some of us have reactive hypoglycemia as a slight complication after surgery. Talk with your Dr and get a glucose meter. https://www.bariatricpal.com/search/?q=reactive hypo