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OMG! I am weeping hysterically, so very relieved and grateful to have found you all. I had my surgery on May 23 and am not even down 30 lbs. (my ticker includes weight loss from my high of 335 pre-surgery). I have a handful of legit reasons for being a slow loser(PCOS, diabetes, metabolic syndrome, hypo-thyroid) and I have a million pathetic excuses (compulsive eating, night eating, rarely exercise), but I am ready to take it to the next level. I have not come to this board in months and to this May board in much longer because I couldn't take the constant reminders of my "failure." But I am done wallowing in it, and plan to renew my efforts. I plan to come here daily and just wanted to thank you all for being here.

I have a hypothyroid as well. I was gaining weight fast & thought something was seriously wrong. I gained 34 lbs in one month!!!! I went to my doctor & he did blood tests & found that I had a hypo thyroid. Thats when the lapband surgery was suggested to me. Im on Synthroid & I don't take my medicine although I should be. So, in the last month I told myself that I needed to start taking my meds because I noticed that I have been very tired and feeling really slow. Since I started taking my thyroid meds again I notice that my weight is coming off faster now. So, its actually helping with my weight loss. Good luck to you honey!

It happened to me tonight and I thought i was very planful. Since having RNY 2 years ago I get episodes of reactive hypoglycemia. Today I had my normal Breakfast which was a Protein shake and knowing I would be going to my granddaughter's volleyball game decided to eat my lunch later than normal. I ended up having lunch at 2:30pm - I had a lunch that had great protein and veggies but also had more than normal carbs as it was a ground beef pasty. Then about 2 hours later I had a handful of almonds. I knew her game started at 6:30 and would like run until 8:30 but honestly thought i would be fine until then. Well, while on the way to the game I started to have the very low sugar crash and when it hits me, it hits me fast and it gets pretty scary. I start shaking, Sweating and getting very confused. I have learned the early signs (which come usually about 5 minutes before i end up in big trouble). Like an idiot, I did not bring anything with me. No glucose, no meter nothing.....So I looked at hubby who thankfully was driving and said you need to find either a walgreens or a gas station and find it fast. Well, we were in hicksville, USA and so the only thing we could find nearby was a gas station. I knew I needed some sugar but not alot and then i needed something with protein which would keep it from coming right back in an hour. So, I grabbed some dark chocolate and a protein bar. I ate 4 small squares of chocolate and then followed up with about 1/3 of the protein bar. Within 10 minutes I was fine and was able to hold off for a very late dinner at Stir Crazy where I had delicious chicken breast and veggie stir fry from Their fresh market bar. I really really need to be more careful with this! And going forward, a ground beef pasty clearly had more carbs than i even realized or it would not have happened to me. UGH!

I have been struggling with hypothyroidism for the past 6 years....still trying to get levels evened out! My Endocrineologist was very supportive and my Bariatric doctor said I would have NO PROBLEM with hypo and the band. I can still take my meds (they are small enough), but you do have to take caution when eating anything with Calcium within 3 hours of taking your meds....that makes Protein shakes something that I have in the afternoon or evening! It has been a great experience so far! Good luck!

I had my sleeve April 4 in June I had an episode in a grocery story were I passed out. The episode happened twice in about a 45 min period. Went to the hospital all tests were normal. I chalked it up to waiting to long to eat but followed up with my primary care. She did a 3 hour glucose test and found within an hour my insulin level went from 10 at fasting to 211, for those not aware that's and unheard of level, which she has seen one other time and that was in someone who had also had Bariatric surgery but she was 2 years post op not 3 months. She put me on metformin hoping to regulate and I ate about every 3 hours. I thought it was takin care of until out of nowhere I had another episode a few weeks ago and have felt pretty poorly since. I can never catch a sugar drop at least not at levels I believe should make me pass out. I get a continuous glucose monitor this week to wear for a week and have an endocrinologist appt at the end of the month. I can't find much research on this issue but my doc did give me an article about it. Essentially your body thinks its starving so it over reacts to food it gets producing too much insulin dropping your blood sugar ( sort of reactive hypoglycemia but a more intense reaction). And can actually cause your pancreas to grow. I am so pumped about my weight loss ( 80 lbs in 5 months) but I did this to be healthier too and I have followed surgeons/ nuts instructions to a T and feel very discouraged by this development. Has any one else experienced this? Essentially it's nothing I am doing wrong it's just a negative reaction my body has decided to have following surgery. But again not much research out there so I thought maybe some of you may have insight.

I've had reactive hypoglycemia for the last 4-5 years. Definitely talk to an endocrinologist. I got a prescription for the Libre 2 wearable device that allows me to monitor my sugar levels in real-time. The Libre will notify you when your blood sugar is dropping or spiking. You'll learn which foods trigger low blood sugar soon enough. For me, it's sushi and alcohol or any high-carb food.

Hi fellow tall sleevers! I am 6'1" and was 325 pre-op and 288 this morning so down 37 lbs 6 weeks post-op. I hope to reach 220 eventually. I am very shapely but carry most of my weight in my butt, hips and thighs. I also am hypo-thyroid so I expect my weight-loss to be slower than some. Now that I'm starting to eat more types of food it has already slowed to about 1.5 lbs a week as apposed to 4.5 a week. Kinda bummed by the slower loss rate but as long as I'm losing it's OK. I think it's true people often don't realize that a tall body can carry a lot of extra weight and not look like people's idea of what "fat" people look like. I had a couple of nurses who were involved in my pre-op testing say that I didn't look "fat enough" for the surgery. But my BMI definitely qualified me. I try very hard not to compare my weight or weight-loss to others but it happens inevitably. Right now I think I've left the honeymoon stage and am in the nitty-gritty stage of having to work at my weight loss. Pre-sleeve I would have been sabotaging myself by now! Sent from my iPhone using VST

No, no eliminating anything from my diet - I am not eating anything new that I didn't eat pre-op, and I'm not eating anything I don't have permission to eat. My surgeon mentioned it may be a systemic reaction, something I ingested at the hospital. Maybe the thrush prevention mouth wash thing I had to take, who knows. I stopped the heavy duty painkillers about 4 days out. Have you considered shingles? It comes out with stress in the body and is only mildly reactive to steroids.

I want to clarify something here for those that are following along at home. A random blood sugar test can be used to indicate diabetes, but just because your blood sugar is less than 200 mg/dL, does not mean that you don't have diabetes. An analogy would be this: if you weigh over 600 pounds, you are definitely obese. Just because you weigh less than 600 pounds does not mean you are not obese. I'm diabetic, but my blood sugar was never over 200 mg/dL any time I checked. As I mentioned, it's much more common to use A1C and fasting blood glucose tests to diagnose diabetes. Fasting is good because blood sugar fluctuates throughout the day. It should be at its lowest point after an 8 to 10 hour fast, so for most people, this is first thing in the morning. The other common test most diabetics are asked to do is "postprandial". This means after a meal. Now timing after that meal is subject to some debate, but typically 2 hours after eating is used as the "standard" for diabetics. For everyone, even non-diabetics, your blood sugar will start going up roughly 10 minutes after starting to eat. While this is heavily dependent on what and how much you ate, in a non-diabetic, your postprandial blood sugar should peak within about an hour of eating and should be back to normal in 2 to 3 hours. For diabetics, this normally does not happen as fast, so the peak blood sugar concentration is typically closer to 2 hours after eating. In short, most type 2 diabetics are asked to take a postprandial reading 2 hours after eating. Both fasting and postprandial readings are used to determine how well the disease is managed. For example, a high fasting blood glucose test might indicate that your diabetes medication needs to be adjusted. Another example might be if the post prandial reading is actually lower than the fasting number. If this is a consistent trend, it might indicate reactive hypoglycemia.

As I understand it (purely from reading research studies, not from personal experience), reactive hypoglycemia is a post-WLS condition more likely to occur in RnY patients than sleeved patients, although it's not unheard of among sleevers. Sorry you guys are having to deal with this. Best to you.

@@Renkoss I learned my lesson that day with the glucose tabs. My sugar was too low, I couldn't find them and I don't keep juice in my home. I literally tore the cabinet apart and found them and then even struggled to open the container because I was shaking so bad. Now, they sit right on my end table. They are opened and ready to use. I do not use Protein powder at all. Because I have kidney problems I have to be careful not to have more than 70 grams of protein per day. I get that between my one premier Protein shake that I have every morning religiously and my other meals. I have oatmeal or cream of wheat very rarely when I have a craving for it and have learned that I just need to make sure I get that protein snack between. I have found that if you let more carbs into your diet on a regular basis the chance of you developing reactive hypoglycemia is much higher. I try not to let that happen but there are days I simply want something besides protein and veggies. I eat a lot of fresh fruit, dehydrated apple chips and once per day I have a starch in one of my meals. My nut believes in a balanced approach vs. just protein and veggies and so far it has worked for me. Thankfully I only experience that reactive hypoglycemia on occasion. The bad part is when it happens you can actually cause it to go on all day. I have learned to stop it as soon as it happens.

hair loss is another thing that most (maybe all?) of us vets, in retrospect, wonder why we worried so much about. It's temporary - and for many of us, we're the only ones who notice the loss (I know some people lose a lot - a very noticeable amount - but most of us don't). It's a minor annoyance in the grand scheme of things. whether or not you need Spanx depends on where your loose skin is - and how much you have. I was apple-shaped, so I don't/didn't have much on my hips, butt, and thighs. Mine was almost all in my gut. And yes - I just tucked it into jeans or "tummy control" leggings, and always wore a slightly oversized, long-ish top. Ta da! Excess skin gone. I'm sure I was the only one who noticed it. Spanx would work, too, if you're not wearing something that it can be tucked into. as far as 500 calories, that's really just the first month or so. From about that point until maybe a year out, I was eating 600-800 calories a day, usually closer to 800. At around the year mark, I was at around 1000-1200. Now, in maintenance, I eat 1500-1700 a day. I did develop what we think was reactive hypoglycemia at about two years out, but I was told to eat something every 3-4 hours and, if I eat a carb, to be sure to pair it with a protein. That seemed to take care of it...

So ever since Friday i haven't been feeling all that great. I was feeling a bit swimmy in the head and my insides actually felt sore. It almost felt like I was coming down with something. Last week I found out my thyroid was way out of whack so instead of hypo i was hyper. My Doc changed my dosage and the swimmy feelings went away. I still felt sore inside and it hurt mildly to take a deep breath. I was thinking because I started taking Iron may be I was constipated, I took some miralax. Friday I felt so full and couldn't eat anything after my attempt at lunch. Well it doesn't appear as though I am constipated and I still feel sore inside and randomly without warning I get a pain in my left abdomen that makes me cringe. It really has me baffled. I don't feel full anymore and am able to eat normally. I am not one to freak out but I can't imagine what it could be. I will be calling the surgeon's office tomorrow. I am 11 weeks out. Does anyone have a similar experience? Just looking for clues.

I have hypEr thyroidism, not hypO thyroidism. Hyper is low levels, which can effect weight loss. People with hypo have high levels, which is usually found in skinnier folks- high levels can cause someone to be thin. There are people who go between both types and there are bigger folks that have hypO thyroid conditions. I am on synthroid for mine and get checked periodically.

everyones differant thats for sure..I have hashis..Im on armour for thyroid. 1 side of thyroid is dead and shriveled up the other is enlarged..I was going back on forth from hypo to hyper...now stable on ty med..increasing my calories with non ff items and mainly proteins have worked for me. my plan is more ketogenic with high protein...so far so good. I feel for us with sluggish metabolisms . the ff/low fat/sf diet is what got myself where I was but this isn't the case for everyone though. have you had a complete thyroid panel done lately? I get mine done throughout the yr...just throwing this out there not for sure it'll help or not. I understand the physical limitations I struggle with several autoimmune diseases including fibro it can be brutal some days. I noticed you said a sf/ff greek yogurt? I have been settling for the chobani greek it was the lowest on sugar per serving organic and I eat the kroger carbmaster brands their really good. the chobani is what I make the hubs protein shakes/smoothies out of. I'll have one here and there but barely theres to much sugar for me. the only fruit I keep on hand handy is the green grapes their easy to have. Do you use MFP? maybe start using it again to add up everything and kinda see where your at? maybe? IDK...Im sure you are...just throwing that out there..do you think maybe cutting out the rice cakes even though you dont eat often might make a differance in not such a struggle? I can't have grains or white processed items they were my worst enemy for me. another suggestion thats all...congrats on maintaining I hope I'm as successful as you are! thats wonderful! keep us posted

Wow, so I have been on Insulin for 25 years and we share the same Gastric by pass Day! I also had mine done on 12 Jan, I'm having tons of hypo's and adjusting my insulin pump daily! I had a bad complication after the op and had ketoacidosis, was really scary, spent 7 days in ICU! Still in hospital now and just starting to hold down liquids without an IV bag! So feeling much improved, you sound like it's going really well for you! So happy for you, I'm sure I'll be following in your footsteps soon ...

There is a condition called "reactive hypoglycemia" which is low blood sugar that occurs after a meal - usually within 4 hours after eating. Several individuals who underwent gastric bypass developed this condition even though they never had diabetes prior to surgery. Signs and symptoms of reactive hypoglycemia may include hunger, weakness, shakiness, sleepiness, sweating, lightheadedness, anxiety and confusion.

All labs have been great and have been read by my barbaric surgeon. Will look into it more. Will research additional vitamins and ask about the reactive hypoglycemia. Thanks for the input.

I'm 18.5 weeks pregnant. I won't have any issues losing the pregnancy weight. I'll just low carb it again until I get the weight off. I gained a few pounds over the holidays and dropped those pounds in a little over a week just by cutting alcohol and carb consumption. As for the breakdown of weight gain with a pregnancy, this is what they've outlined for my weight gain: Maternal Fat- 7lbs Baby- 6-8lbs (average is 7.5lbs) Increases Fluid (blood volume)-2-4 ( a mother's blood volume typically doubles during pregnancy) Amniotic Fluid- 1-1.5lbs Placenta- 2lbs Breast tissue/mammary system weight increase - 1-2lbs Watch out for the ROSE procedure, it has an 85% failure rate. This is also discussed heavily on the obesityhelp.com Revision forum. ERNY (extended RNY, where they remove more intestine to start malabsorption again since intestinal adaptation has taken over at this point for you) is also an option. They will shorten your common channel by another 50-100cm. You definitely want to know before you agree to a revision if you have a pouch or stoma dilation because if you have actual mechanical failure with your RNY even a band over the pouch isn't going to do much because once the food passes through the band pouch into your RNY pouch, you will still be able to more food, and your malabsorption is gone. As for Jerusalem clinic, honestly, out of over 3 years on weight loss forums, I have never read of one patient having a RNY take down and revision to the VSG being performed there and honestly that is possibly why they are recommending the band over the bypass pouch to give you restriction again. Seriously, I can name 4 surgeons worldwide that are experienced with these surgeries, and with self-pay patients the cost just for the surgeon run upwards of 20-30k because it is such a complicated and exhausting surgery to take down an old RNY. I promise I researched revisions for months once I knew my band had to come out. The risks for complications especially leaks from scar tissue and adhesions literally quadruples with revisions vs. a virgin, unaltered stomach/intestinal tract. I had a leak with a band revision to VSG after only having the band for 8 months, and actually lost more stomach tissue because of the damage the band had done. My surgeon was experienced with revisions, and I happen to be a statistic of his that I'd like to take back. I was his first and only VSG leak so it can happen even with really experienced surgeons. I'm not slamming Jerusalem Clinic, but revisions are super tricky, complicated, and I would hate to see you fork out the money, get a surgery that is as high maintenance as the BOB procedure and then continue to struggle with your weight and be looking at or for another surgery. There have been RNY to VSG revisions performed due to reactive hypoglycemia symptoms and diagnosis after RNY, but again, it's a very complicated surgery with high risks. Just choose carefully, and continue to research your options.

I am nervous if I will know if I am dumping or not. I have bad reactive hypoglycemia and that and dumping have the same symptoms but different cures. I feel better if I eat something when I have a hypoglycemia fit, but dumping, you need to rest and not eat right?

I have to be pretty careful what I do eat before not-eating for a while/fasting. Anything that spikes my insulin response (that can include too much protein or something with hidden sugar like carby bread) and I'm guaranteed reactive hypoglycaemia three hours later. I hate it! But if I'm good, I'm fine. I'm doing 18:6 fasting no probs if I make sensible choices and I'm so attune to hypos I can sense when they are coming pretty early on and then I pop a glucose tablet or take a teaspoon of maple syrup. I've got it down to a fine art because I HATE hypos (T2 diabetic in remission here).

supposedly it can be managed through diet. Hopefully your nutritionist will know. If it's what I think it is, it's called Reactive Hypoglycemia. I don't think it's super common, but on the other hand, I've seen it come up several times on forums -so I don't think it's necessarily *uncommon*, either...

Year three was brutal - not for the reasons I have seen from any other sleever out there. In my third year I was taken off my b12 injections and moved to oral b12 - it turns out I don't absorb oral b12 even at high doses. I do not fully understand why, but the method of testing for b12 deficiency is highly inaccurate (if you are getting sufficient dietary b12 you get a falsely high reading, the test itself is accurate 40% +/- which is a huge variation, and it when your b12 level dramatically changes the test somehow "reads" the b12 in your body 6 months previously rather than the current level). Due to my undiagnosed deficiency I spent three months in a wheelchair, saw 9 doctors in numerous specialties, and was ultimately hospitalized for a week before a doctor figured out the correct test to order. The result didn't come back until I was home from the hospital because it takes two weeks to process, and during that time I was incorrectly diagnosed and told I would never walk again. For anyone wondering, the truly useful b12 test looks at MMA levels! I have permanent nerve damage to my hands and feet, have some level of constant pain, but am walking up to a couple miles on good days. The other development was constant fatigue, nearly fainting on a regular basis, and becoming underweight (of all bizarre things!!). I saw doctor after doctor, was in the ER a few times , and couldn't figure it out. Finally the nutritionist recommended monitoring my blood sugar based on the stats about sleever complications. It turns out I have very severe hypoglycemia. It isn't the typical reactive hypoglycemia that sleeves are prone to - where in response to food the pancreas overproduces insulin. Instead, my pancreas overproduces insulin day and night. My blood sugar never gets very high, and randomly drops low - in my sleep, watching TV, in response to exercise, etcetera. I spent a week on a 24 hour blood glucose monitor and found that my blood glucose drops below 55 every day repeatedly, and often drops below 45 and even into the 30's. I am still figuring out why. The important point for other sleevers is to be aware that reactive hypoglycemia occurs around 18 months post-sleeve in 18% of us. I am here to say that hypoglycemia can be a HUGE problem! My research says that most sleevers will have hypoglycemia unawareness, which means won't realize they have low blood sugar until there is a true medical emergency. I recommend to be on the lookout - that is 1 out of 5 of us, and the effects can be pretty severe. As sick as I have been in the third year I would still get the sleeve again. I am happily remarried. My relationships have improved with both friends and family. I know that I can conquer things that I never though possible, and where I would have given up in the past I have the confidence to continue today. I hold my head high, no longer look away when I see someone, and have stopped the negative inner dialogue that followed me everywhere. My preference is that year four is a year of health and healing - and if I could put on some muscle and gain a little weight I would be thrilled.

I am and have been since 6 weeks before surgery.I had half of my thyroid removed in 2010 for a nodule and when I had my pre surgery labs they came back hypo I am on 0.05 mg synthroid .

*sigh* i figured that was probably the answer i'd get. hehe i've never had any experience with steri-strips, so i guess i was hoping they were more hypo-allergenic than the adhesives in other products. ah well. even scars are better than fat rolls. :eek: