Alex Brecher

I don't see him listed on the NYU website any longer and haven't spoken to him in years. His direct email address is brad.schwack@gmail.com

You can get Gastric Bypass medical alert bracelets at The BariatricPal Store.

I deal with reactive hypoglycemia myself, which is why I wear a Libre. For me it usually shows up as that shaky, sweaty, weak, weird feeling when my blood sugar drops fast, sometimes with brain fog and that “I need to eat right now” feeling. A big trigger is carbs without enough protein, or eating something that spikes me and then drops me. What helps most is keeping meals balanced, prioritizing protein, and paying attention to what actually happens after certain foods instead of guessing. If you've been diagnosed with it, what symptoms do you get and what seems to trigger it for you?

We stopped working with CareGLP a few months ago. The payment you sent was directly to them. If we had any control over your payment we would step in.

If the goal is to build muscle, maintenance is usually the better place to start. A deficit makes it a lot harder to add muscle, especially post-op. You can still lose fat while recomposing if protein is high, lifting is consistent, and recovery is solid. I’d focus on strength training first, see how your body responds, and only consider a small deficit later if weight isn’t moving the way you want. Also worth saying, after everything your body’s been through, meds, cancer, surgery, slow and steady wins here. Building muscle will help more long term than chasing the scale.

Yeah, I’ve seen this happen. Carbonated drinks can absolutely cause real pain after sleeve or SADI-S, especially early on. Gas pressure builds fast and it can feel scary. That said, if the pain is sharp, persistent, or getting worse instead of better, don’t just assume it’s gas. Trust your gut and push your surgeon if needed. But yes, carbonation alone has definitely done this to people.

Lori, this is very real. I’ve dealt with hypoglycemia too, even after a full bypass reversal, so it’s definitely not just a “time since surgery” thing. The spike then crash and that wiped-out, almost drugged feeling is exactly how it shows up for me too. You’re also right that a lot of the standard advice doesn’t work for everyone post-bypass. Protein first, better carbs, pairing foods… none of that guarantees a stable blood sugar. The hidden starches are especially frustrating. Appreciate you posting this. It’s something more people should be aware of, especially years out.

It's still located at https://www.bariatricpal.com/forum/1018-duodenal-switch-surgery-forum/

Nope, we received a cease and desist from big Pharma and decided to discontinue the program.

If you’re looking for a convenient and tasty way to supplement your protein intake, check out the wide selection of bariatric-friendly protein bars available at the BariatricPal Store. While some options are available in single servings, others are sold in bulk. This allows you to easily find the perfect protein bar without the risk of wasting money on a whole box of something you may not like. Here are some of the awesome protein bar brands they carry: - Alani Nu - Atkins Nutritionals - BariatricPal - Bhu Foods - BSN - Buff Bake - Built Bar - CanDo - Convenient Nutrition - Dang - Detour - Eat Me Guilt Free - Epic - Evolved - Extend Nutrition - Genius Gourmet - Good To Go - HealthSmart Foods - IQBar - Keto Bars - Keto Wise - Kirkland - Love Good Fats - MET-Rx - Munk Pack - Muscle Foods - NuGo - One Brands - Optimum Nutrition - Organic Food Bar Company - Perfect Keto - Power Crunch - Promax - Proti Diet - Pure Protein - Quest Nutrition - Raw Revolution - Robert Irvine’s Fit Crunch - SlimFast - Think! - Universal Nutrition - ZonePerfect

I take vitamins with food. Otherwise they hit hard on an empty stomach, especially the ones with iron. Fat-soluble stuff like ADEK also absorbs better that way. Protein’s a different story. I usually do shakes between meals or when I know I’m not getting enough from food. The timing doesn’t really matter as long as you’re consistent. Everyone has their own routine, but that combo’s worked well for me.

I am so sorry you went through this. They stole a large amount of my money, and Dr. Illan botched my surgery twice. He also forged multiple documents and cannot be trusted. I initially thought it was just a surgical mistake, but after he operated on Bill Yanez and caused his death, I now believe Dr. Illan tried to eliminate me in the same way.

The BariatricPal Store carries over 7,500 Bariatric-friendly products for pre- and post-op! Check them out at https://Store.BariatricPal.com.

Thank you, I appreciate that. It was definitely scary at the time, but I’ve recovered well and life is good now. The complications weren’t what I expected going in, but I’ve made peace with it. At this point scar tissue from all the abdominal surgeries is what’s behind the obstructions. The second one actually hit right at the beginning of a really long flight from Asia. I was so sick on the plane they debated an emergency landing, and an ambulance met me at the airport when we landed. Not fun at all, but thankfully it passed on its own without surgery.