loridee11

Agree with others - check with your doctor as it could be a number of issues. I had them so bad my foot would curl under itself. Added a magnesium supplement and drink an electrolyte drink a couple times a week and am much better.

As ShoppGirl said, keep tracking your foods and you'll likely find the culprits.
I never had dumping syndrome like others have described, but I do have foods I just cannot tolerate without side effects.
Sweets like cake/etc I can have a bite or two. If I eat more, I have extreme gas. Bloating to the point of pain and even my dog leaves the room.
Sugar substitutes result in major heartburn that medication barely helped. I was on back to back courses of prilosec for months and tried everything my Dr suggested. Someone mentioned sugar substitutes so I cut out crytstal light and other drinks I drank a lot of and it was gone, I almost never have issues now.
Good luck!
Lori

Dec 31 will be 6 years since my bypass. Would I do it again, absolutely. However, I wanted to share about a recent diagnosis in case others are having similar experiences.
My Stats: 47, female (now). 5'10. Started at 335 lbs. Lowest weight around 155 but that was after a major stomach bug. Realistically I was happy and maintained at around 165 for a long time. Now at 185. I'd like to get back to 165 but I still feel good with my weight and have been stable here for over a year.
In the last few months I realized some symptoms I had for a long time were related to my blood glucose. Specifically, after a lot of my meals I would have fatigue, in some cases extreme fatigue to the point I almost felt drugged and like I had to sleep. I also had stomach aches and gas pains. A friend mentioned it could be related to my blood sugar, so I tried an OTC glucose monitor and noticed after meals with high carbs I had a spike and then a crash (going above the top range and then below the bottom range on my monitor). I talked to my Dr. about it and we did a finger stick glucose monitor that confirmed the results. We consulted with an endocrinologist who ran some tests and confirmed I have hyperglycemia with reactive hypoglycemia. The good news is I don't have any underlying health conditions. I'm not diabetic or prediabetic or anything else. The endocrinologist said this is a common side effect of gastric bypass even though I had not seen it mentioned.
Processed carbs and sugars are definitely the worst and that's when I see major spikes and crashes and corresponding symptoms. However even healthy carbs like quinoa eaten with protein result in spikes over a healthy range for me (although I don't have major crashes with them). Even using pre-shredded cheese which is coated in starch will cause a spike for me. Unfortunately, even if you don't have symptoms chronic hyperglycemia has an impact on your heart, kidneys, brain and nervous system so it is something I am taking seriously.
I am trying to relearn how to eat and cook. Its not just avoiding candy and bread. A lot of the common guidance for hyperglycemia doesn't work for me (and apparently others who have this post bypass). I can't just eat protein first, or pair my carbs with protein. I can't just transfer to healthier grains. In my case, most carbs result in a spike. A lot of convenience items have added starches and sugars (like the pre-shredded cheese I mention, but also chicken broth, condiments, etc...) so I have to read every label and in some cases exclude them entirely when cooking.
I have met with a nutritionist and am exploring how time of day, exercise, and stress impact my blood sugar as well. That's slow going since its all trial and error on what works for me.
And of course there are the cravings. I am probably only about 50/50 right now on actually staying within a healthy blood glucose range when I eat. While some of that is figuring out what I can and can't eat , a lot of it is also giving in to cravings for things I know will cause issues. My goal is to get to 95% within goal range across all meals.
Anyway, I know I will figure this out and I can already tell the difference when I have a good couple of days v a bad couple of days. The drugging fatigue is gone. My overall energy is higher on good days. I also noticed I have much less joint pain which I take as a sign that chronic inflammation is coming down when I am able to balance my blood glucose.
If you are having similar symptoms, it may be worth looking into.
Happy holidays and new year all!
Lori

Dec 31 will be 6 years since my bypass. Would I do it again, absolutely. However, I wanted to share about a recent diagnosis in case others are having similar experiences.
My Stats: 47, female (now). 5'10. Started at 335 lbs. Lowest weight around 155 but that was after a major stomach bug. Realistically I was happy and maintained at around 165 for a long time. Now at 185. I'd like to get back to 165 but I still feel good with my weight and have been stable here for over a year.
In the last few months I realized some symptoms I had for a long time were related to my blood glucose. Specifically, after a lot of my meals I would have fatigue, in some cases extreme fatigue to the point I almost felt drugged and like I had to sleep. I also had stomach aches and gas pains. A friend mentioned it could be related to my blood sugar, so I tried an OTC glucose monitor and noticed after meals with high carbs I had a spike and then a crash (going above the top range and then below the bottom range on my monitor). I talked to my Dr. about it and we did a finger stick glucose monitor that confirmed the results. We consulted with an endocrinologist who ran some tests and confirmed I have hyperglycemia with reactive hypoglycemia. The good news is I don't have any underlying health conditions. I'm not diabetic or prediabetic or anything else. The endocrinologist said this is a common side effect of gastric bypass even though I had not seen it mentioned.
Processed carbs and sugars are definitely the worst and that's when I see major spikes and crashes and corresponding symptoms. However even healthy carbs like quinoa eaten with protein result in spikes over a healthy range for me (although I don't have major crashes with them). Even using pre-shredded cheese which is coated in starch will cause a spike for me. Unfortunately, even if you don't have symptoms chronic hyperglycemia has an impact on your heart, kidneys, brain and nervous system so it is something I am taking seriously.
I am trying to relearn how to eat and cook. Its not just avoiding candy and bread. A lot of the common guidance for hyperglycemia doesn't work for me (and apparently others who have this post bypass). I can't just eat protein first, or pair my carbs with protein. I can't just transfer to healthier grains. In my case, most carbs result in a spike. A lot of convenience items have added starches and sugars (like the pre-shredded cheese I mention, but also chicken broth, condiments, etc...) so I have to read every label and in some cases exclude them entirely when cooking.
I have met with a nutritionist and am exploring how time of day, exercise, and stress impact my blood sugar as well. That's slow going since its all trial and error on what works for me.
And of course there are the cravings. I am probably only about 50/50 right now on actually staying within a healthy blood glucose range when I eat. While some of that is figuring out what I can and can't eat , a lot of it is also giving in to cravings for things I know will cause issues. My goal is to get to 95% within goal range across all meals.
Anyway, I know I will figure this out and I can already tell the difference when I have a good couple of days v a bad couple of days. The drugging fatigue is gone. My overall energy is higher on good days. I also noticed I have much less joint pain which I take as a sign that chronic inflammation is coming down when I am able to balance my blood glucose.
If you are having similar symptoms, it may be worth looking into.
Happy holidays and new year all!
Lori

I'm 4 days out from an arm lift, J lift, and breast lift that included replacing and downsizing old implants. Basically, I have sutures from about an inch below my elbow, up my entire upper arm, down through my armpit, and continuing along the curve of my breast with only about an inch or two gap from the other side. Then anchor incisions on the breasts as well. Apparently, one of my old implants was ruptured as well so took a bit longer than planned.
I'm doing pretty good - the only challenge is some tingling/loss of sensation in my thumb and index finger on my right hand (dominant). Dr. isn't worried and think as swelling in the arm goes down it will improve. Otherwise, I feel a bit like a stuffed sausage but not too bad! I was able to shower and switched to Tylenol today. Hopefully, the swelling will go down little by little over the coming days although I realize it will be months before my results are final. So far I can tell the arms are going to be MUCH better. Even all swelling the contour is significantly better. The "j lift" should mean no more skin pushing out under my arm from my bra, and my chest feels like its going to be the right size.
Once closer to final I'll share some pics. Too much effort right now

Maybe I'm in the minority, but at 3 years out I still struggle sometimes with my image of self - I often "feel" like the biggest person in a room even though I know I'm not. It seems to be exacerbated when I don't do the self-care things like regular exercise or eating well. When I'm in routine with exercise and healthy meals my mind set seems to settle and I just think less about my weight than I ever have.
Having said that, I just started a new job and it is a mind trip that they will never know the obese me I was for most of my life.
Lori

I'm 9 months out and am super happy with my arm results so I wanted to share some before/after pics. As you can see, the scar is still pretty visible although it is fading. My surgeon thinks it will likely fade for up to 2 years.

I'm 4 days out from an arm lift, J lift, and breast lift that included replacing and downsizing old implants. Basically, I have sutures from about an inch below my elbow, up my entire upper arm, down through my armpit, and continuing along the curve of my breast with only about an inch or two gap from the other side. Then anchor incisions on the breasts as well. Apparently, one of my old implants was ruptured as well so took a bit longer than planned.
I'm doing pretty good - the only challenge is some tingling/loss of sensation in my thumb and index finger on my right hand (dominant). Dr. isn't worried and think as swelling in the arm goes down it will improve. Otherwise, I feel a bit like a stuffed sausage but not too bad! I was able to shower and switched to Tylenol today. Hopefully, the swelling will go down little by little over the coming days although I realize it will be months before my results are final. So far I can tell the arms are going to be MUCH better. Even all swelling the contour is significantly better. The "j lift" should mean no more skin pushing out under my arm from my bra, and my chest feels like its going to be the right size.
Once closer to final I'll share some pics. Too much effort right now

Collarbones --- I really love my collarbones now. Such a wierd thing to notice, but I didn't have them/they weren't visible for so long.

I'm 9 months out and am super happy with my arm results so I wanted to share some before/after pics. As you can see, the scar is still pretty visible although it is fading. My surgeon thinks it will likely fade for up to 2 years.

Collarbones --- I really love my collarbones now. Such a wierd thing to notice, but I didn't have them/they weren't visible for so long.

I'm 9 months out and am super happy with my arm results so I wanted to share some before/after pics. As you can see, the scar is still pretty visible although it is fading. My surgeon thinks it will likely fade for up to 2 years.

I'm 4 days out from an arm lift, J lift, and breast lift that included replacing and downsizing old implants. Basically, I have sutures from about an inch below my elbow, up my entire upper arm, down through my armpit, and continuing along the curve of my breast with only about an inch or two gap from the other side. Then anchor incisions on the breasts as well. Apparently, one of my old implants was ruptured as well so took a bit longer than planned.
I'm doing pretty good - the only challenge is some tingling/loss of sensation in my thumb and index finger on my right hand (dominant). Dr. isn't worried and think as swelling in the arm goes down it will improve. Otherwise, I feel a bit like a stuffed sausage but not too bad! I was able to shower and switched to Tylenol today. Hopefully, the swelling will go down little by little over the coming days although I realize it will be months before my results are final. So far I can tell the arms are going to be MUCH better. Even all swelling the contour is significantly better. The "j lift" should mean no more skin pushing out under my arm from my bra, and my chest feels like its going to be the right size.
Once closer to final I'll share some pics. Too much effort right now

Collarbones --- I really love my collarbones now. Such a wierd thing to notice, but I didn't have them/they weren't visible for so long.

I can't wait to go diving again! Its been years because of my weight (I haven't been since I was around 250 which was about 80 lower than my high). SUPER excited once Covid lifts and I can go again.
Lori

agreed! I've had chronic headaches most of my adult life. I don't anymore. It's amazing!

Collarbones --- I really love my collarbones now. Such a wierd thing to notice, but I didn't have them/they weren't visible for so long.

Hi Colin,
I don't hike 20 miles per day back to back, but I imagine you will be able to at some point. For the first year or so I'm not sure I was eating/absorbing enough calories to sustain that type of heavy exercise. However, once I was able to eat a little more I never had issues doing whatever exercise I wanted. Of course, as with everything talk to your doctor

For me, I started training for Kili about a year after my surgery, with hikes 5-8 miles just on weekends. At the 2 year mark I was hiking 3-4 times per week, up to about 12 miles. And Kili was about 2 1/2 years after surgery and I had no issues at all. I was not active or fit pre-surgery, so my baseline was very low.
~Lori

Collarbones --- I really love my collarbones now. Such a wierd thing to notice, but I didn't have them/they weren't visible for so long.

Local Dr in San Jose who sadly is retiring this month

Hi Colin,
I don't hike 20 miles per day back to back, but I imagine you will be able to at some point. For the first year or so I'm not sure I was eating/absorbing enough calories to sustain that type of heavy exercise. However, once I was able to eat a little more I never had issues doing whatever exercise I wanted. Of course, as with everything talk to your doctor

For me, I started training for Kili about a year after my surgery, with hikes 5-8 miles just on weekends. At the 2 year mark I was hiking 3-4 times per week, up to about 12 miles. And Kili was about 2 1/2 years after surgery and I had no issues at all. I was not active or fit pre-surgery, so my baseline was very low.
~Lori

Good luck tomorrow! The first few days just plan on resting (even if you think you feel up to more). If you can, either have someone who can cook for you or have some pre-made meals in the fridge. Drink lots of water.
Recliner and pillows will be your best friends. You'll want to keep yourself in a U shape for your abdomen but also want to keep your arms elevated.

You may have discovered this already, but I just discovered Almond Flour (finely ground almonds). I made a delicious air fried chicken piccata with that as a crust and it was delicious and low carb. It also satisfied a craving for something crunchy breaded so I thought I'd share.
Lori

Hi Colin,
I don't hike 20 miles per day back to back, but I imagine you will be able to at some point. For the first year or so I'm not sure I was eating/absorbing enough calories to sustain that type of heavy exercise. However, once I was able to eat a little more I never had issues doing whatever exercise I wanted. Of course, as with everything talk to your doctor

For me, I started training for Kili about a year after my surgery, with hikes 5-8 miles just on weekends. At the 2 year mark I was hiking 3-4 times per week, up to about 12 miles. And Kili was about 2 1/2 years after surgery and I had no issues at all. I was not active or fit pre-surgery, so my baseline was very low.
~Lori

Hi Colin,
I don't hike 20 miles per day back to back, but I imagine you will be able to at some point. For the first year or so I'm not sure I was eating/absorbing enough calories to sustain that type of heavy exercise. However, once I was able to eat a little more I never had issues doing whatever exercise I wanted. Of course, as with everything talk to your doctor

For me, I started training for Kili about a year after my surgery, with hikes 5-8 miles just on weekends. At the 2 year mark I was hiking 3-4 times per week, up to about 12 miles. And Kili was about 2 1/2 years after surgery and I had no issues at all. I was not active or fit pre-surgery, so my baseline was very low.
~Lori