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Has any one else been diagnosed with reactive hypoglycemia after bypass. Just got the diagnosis today. My blood sugar was dropping so low my symptoms made me appear drunk. It finally got to the point it went to low and I passed out. Just wondering if anyone else has gone through this and how they are doing. Thanks

I was told 80 grams of mozzarella a day was OK that's why I split it over 2 meals and I was having home made air fryed chips instead of the seafood sticks but I suffer from reactive hypoglycemia so I tent to avoid potato as much as I can and switched to seafood sticks and the advice I was given from the hospital also was a boiled egg is a perfect snack between meals

1. Iv been eating like this for about 6 months now. 2. 5 foot 11inch (180cm) male. 3. The only thing I do suffer from is reactive hypoglycemia which means when I eat cars my body produces to much insulin and my sugar levels drop very low that's why I try to avoid cars. When I spoke to the hospital last I was talking to them about portion sice and calories ect and there reply was as long as I stick to the bariactric place then calories and portion size will never be an issue

Aww, thanks! I'm glad it helped! It is amazing at how sensitive and reactive our tummies are post-op. They definitely have opinions! How are you feeling now with another week having passed? Early out things can change so quickly looking back on it but in the moment feel like they take forever. I blame it on the "drinking water like it is your only job" thing, the day seems to stretch on sooo long when you have 64oz worth of baby sips to take! 🤣

I have reactive hypoglycemia also. It is true that each surgeon/office will have their own ways of doing things. You're comment: "portion sice and calories ect and there reply was as long as I stick to the bariactric place then calories and portion size will never be an issue" - I submit there will be an issue. You can pile that plate and still are getting too many ounces of food. I can say right now, we have veggies only rather than fruit (carbs) and veggies and salad. Carbs, we don't have that, we have fruit. There's one issue I can see. The only carbs we get are in the fruit and we are to go for low calorie fruit (meaning not bananas or grapes). Berries are what they discuss.

i've self-diagnosed myself with reactive hypoglycemia (i think alot of us have on here probably)...aka late dumping syndrome. i noticed it the first time i had (like 2 sips!) of a very sugary drink about 1 month post op. i've had it ever since, though i will say it is not as horrible as it used to be. A bad episode before was like wanting-to-die-on-the-bathroom-floor bad, bad episodes now are me passing out on couch for a couple hours. management of it basically consists of not having too much sugar at one time, or on an empty stomach (note that what "too much" means to me will be different for someone else...so people need to figure out what thier own limits are). as well as having small regular meals throughout the day. unfortunately i don't always do that so, yeah. p.s. i'm 5+ years out.

Following up with a GP is good for general health, but following up with your bariatric surgeon is crucial if you are still having complications from bypass. There are a number of things that can be causing your symptoms, some that can be easily corrected by procedures during an endoscopy. As far as the blood spike, do you mean your blood sugar? Some people that have bypass can develop reactive hypoglycemia which can definitely make your blood sugar levels bounce around and cause fatigue and such. I'm sorry you are feeling bad!

Have they tested you to see if you are having issues with reactive hypoglycemia? This usually kicks in 1-4 hours after a meal, but since you've had a bypass it is possible it could kick in faster for you if your food is transitioning faster. I've seen FB groups for bariatric patients that have this issue. I've noticed it often happens years out from surgery... I used to have issues with this before bariatric surgery, even on a low carb diet. Eating small meals often with fat and protein paired with your carbs is usually what they advise to treat it, along with other dietary adjustments. Personally if I don't eat every 2-3 hours, I aggressively crash energy wise. It is very pronounced. I have to carry snacks with me everywhere to prevent me going past that 3 hour mark or I look like the Energizer Bunny without his battery! LOL

Anyone having issues with irregular heartbeats since having gastric bypass? I have been having problems with AFIB when I went through dumping the first few months and now 1 year out since February I have been in constant PVC (Premature ventricular contraction). My cardiologist is baffled. Been through all kinds of tests and my heart is healthy and have no blockages BUT even with meds it’s not going away. I am constantly having PVC’s AND when I eat my heart gets worse! I flutters like CRAZY!!!! Feels like I horrible panic attack, sometimes feel like I am going to have a heart attack or something. I have been in hospital, being monitored and back in hospital for testing and been on heart monitors. In 1 week wearing a monitor they recorded over 38,000 PVC’S 😱 I am at a loss here and never had these issues until I was revised to gastric bypass. I went back to Bariatric surgeon and he put me on reactive hypoglycemia diet he said that cannot cause PVCs, but it can cause heart, palpitations, and being on that diet has not made any changes. I go back to the cardiologist again for the 11th time on Tuesday after wearing my third monitor and I don’t know what is going to be done at this point. It’s really freaky that after I eat whether it’s healthy or not so healthy my heart does a freaking jiggly jig dance!!!! I thought I’d come on here to see if this is a problem that anybody else has heard of or experienced ?

Check your blood sugar when this happens. This sounds like what happens to me and it is reactive hypoglycemia and happens if I eat too many fast digesting carbs. My glucose will go into the 50’s and I need to eat 5- 10g or so fast acting carbs to raise it back again. (But not too many or it will keep swinging) This is something I have developed since having sleeve surgery over 10 years ago and the only way to control it is with diet and not eating high sugary volume of stuff.

Gold and silver are softer and therefore more porous on a microscopic level, and can "pit", meaning bacteria or other irritants can cling to them. They can also flake off into the open wound, and are more reactive with body fluids. They're generally fine for a healed piercing (which can take a few weeks to several months depending on what kind of piercing it is), but because they're not as hard and non-reactive as something like surgical steel or titanium. I worked, unfortunately, at a Claire's in a mall for several years when I was in college, and I know that stores like that push gold as being "safer" when really it is "more profitable". I had nothing but problems with piercings done in gold with a piercing gun. I have since gotten SEVERAL more piercings done with a single-use hollow needle at a piercing parlor, and have had none of the same issues. The right establishment should almost feel like a medical office.

TL/DR: Worried about losing weight by not eating enough. | Looking for tips to reach protein/calorie goals when not hungry. | Looking for others' experiences with lack of hunger this far out in WL Journey. ------------------------- I meet with my nutritionist for check-ins about every 3 months. For this last one, my 9-month, she told me not to be upset if I hadn't lost, as a stall was expected. Yet, I had lost just as much as I had been. We went over what I had been eating & she wasn't concerned about content but suggested increasing variety. [I'm a meal repeater 🤷‍♀️] Though, she again warned me that it is now especially likely that I would stall since I hadn't yet. Since that appointment, I've still been losing weight. I know it might appear strange to worry about meeting the goals we are here to meet, but my nutritionist is big on trying to relearn the natural cues of the body. So, as they are absent, you can notice pressure in your stomach, sighing, or a runny nose as indications of fullness. As indications of hunger return, you can utilize them to increase portions within the parameters of slow eating and not exceeding controlled sizes. The thing is, I don't know that the initial increase after, you know, the literal wounds healed, I have really expanded much more. I don't really get hungry until 'early-bird dinner' time. So eating during the day is purely done out of obligation. [& if I'm being truthful, there are times when I forget entirely until after work.] So obviously, that leads me to try to have all of my calories in one 'meal' in the day, which I have to eat over a couple hours [even if it is small] if I don't want to get nauseous or actually regurgitate. [The regurgitation has improved slightly over the last couple of months. I had a very reactive stomach that required me to prolong my dependence on protein shakes. Pre-surgery, I don't think I came even close to needing to vomit since pre-school 🙁.] To be fully upfront, I have not counted a single macro or calorie or weighed a single food item during my entire journey. I've tried tracking before in my weight-loss journey, and it was not healthy mentally for me. I realize that I may be under goals rather than over them, but straightforward counting of calories is just not something that would be part of a successful journey for me. So, all of this is a longwinded way to say: - Is anyone else struggling to eat enough this far out? - What helps you to reach your protein/calorie goals when you don't really want to eat? - Any other tips/tricks/specific brand or meal suggestions?

The following is a list of abbreviations commonly used on this board. ACL = Anterior cruciate ligament AGB = Adjustable gastric banding AMRAP = As Many Rounds As Possible (crossfit) AT = Aspiration Therapy BB = belly button bc = because BCBS = Blue Cross/Blue Shield BDD = Body Dysmorphic Disorder BED = Binge Eating Disorder bf = best friend BM = bowel movement BMI = Body Mass Index bp = blood pressure BPD = Borderline Personality Disorder or Biliary Pancreatic Diversion bs = blood sugar btw = by the way C25K = Couch Potato to Running 5K 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 CT = Computed Tomography (commonly called CAT Scan) cw = current weight CXR = Chest X-Ray DDD = degenerative disc disease Dr. = doctor DS = Dumping Syndrome or Duodenal Switch EBT = Endoscopic Bariatric Therapies EGD = Esophagogastroduodenoscopy EKG = Electrocardiography ER = emergency room ESG = Endoscopic Sleeve Gastroplasty ff = fat free f/u = follow up GB = gastric bypass GERD = gastroesophageal reflux disease GI = gastrointestinal GIF = Gastric Intrinsic Factor 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 IGB = intragastric balloons IF = Intrinsic Factor IMHO = in my humble (honest) opinion IMO = in my opinion IUI = Intrauterine insemination LAP Band = Laparoscopic Adjustable Gastric Band LES = lower esophageal sphincter lol = laughing out loud LSG = Laparoscopic Sleeve Gastrectomy med = medicine MFP = my fitness pal MGB = Mini Gastric Bypass msg = message NAFLD = nonalcoholic fatty liver disease 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 omw = on my way 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 OTC = Over the counter Oz = Australia PB = Productive Burps PCOS = Polycystic Ovary Syndrome PCP = Primary Care Physician PICC= Peripherally Inserted Central Catheter 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 Rx = Prescription medicine RYGB = Roux-en-Y gastric bypass SADI-S = single anastomosis duodeno–ileal bypass with sleeve gastrectomy s/f or sf = sugar free SG = Sleeve gastrectomy SIPS = stomach intestinal pylorus-sparing surgery smh = shaking my head, scratching my head SO = significant other SOB = shortness of breath st = stones (a unit of weight measurement) sw = weight at surgery tmi = too much information TPN = total parenteral nutrition TT = tummy tuck TTC = trying to conceive Ty = Thank you. [but according to the urban dictionary “Ty” is also an abbreviation for “a total stud with a massive carrot”.] 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

There is a good reason to avoid the RNY revision if you can - the reactive hypoglycemia and marginal ulcer (and all of the medical care limitations that stem from it) issues, but it's not the end of the world, either if that's what you need. It's a common procedure that's been done in one form or another for 140 years, so its quirks and features are well known (but I would rather avoid its quirks if I can). I would certainly get a second, and even third, opinion on it, as while the sleeve is a fairly straightforward procedure most to do these days, repairing one that isn't working correctly is not necessarily so. Most bariatric surgeons started out with the bypass, so that is their comfort zone and they often prefer to go back to the familiar when things get a bit complicated, while there are some who have gone deeper into the sleeve and specialized in it and related procedures, such as the DS, and they are more comfortable doing things that others wouldn't do. We sometimes hear on these forums that "you can't do a Nissen (fundoplication) on a sleeve as there isn't any fundus left (well, not much) yet there are some who routinely perform them. Between that and meshing, there are options, and an RNY doesn't necessarily fix the potential recurring problem, as it, too, yield a small stomach pouch that is subject to herniating. If possible, for a second opinion, I would seek out a surgeon who does the DS (duodenal switch) as that is a good proxy for one who is well experienced with dealing with sleeves, and is more comfortable with more complex procedures as well. If they recommend an RNY revision, too, then that's a pretty solid confirmation of what's appropriate for your specific case.

Nothing as severe as yours but I get horrible hypoglycaemia when I eat carbs/sugar. But it’s addictive and the world is full of it so October succumb - sometimes accidentally but often just through weariness! Anyhoo - for me low carb works. If I’m eating Keto I’m fine apart from cramps and palpitations. banana’s definitely spike my sugar and set off cravings - I try to stick to berries and yogurt. hope you get some help with this - hypo can be terrifying and feeling ill all the time is what we wanted to leave behind!!!

We had Chinese about a month ago, or so. I had Hunan Chicken with steamed rice and Chicken Lo Mein. I did not eat the fortune cookies. I didn't dump. But, I took very small amounts and, like you, I definitely stopped before I was full. I don't dump, but I do get reactive hypoglycemia. So, if I'm going to eat something high in carbs, I know that I'm going to have to eat something low carb and high protein within 2 hours, or my blood sugar will crash.

No offense, but your doctor is on crack. The last thing a hypo needs for stabilization is carbs. That is such an old school of thought and exactly what has made diabetics fat for so long. Protein, protein, protein! Carbs will certainly give you the immediate rise, but then you crash again. Your foods intake and your body mass and composition are still changing - you haven't "settled" yet. Keep up the protein - if you want to have something before you work out, half a Protein shake is a grand idea.

Thanks. I went to my GP to discuss my sugar problems. He's going to do another GTT. When I have my 5 hour test 19 years ago, they took me to the hospital in an ambulance. I'm really dreading the test next Fri. Ever since I started exercising, I'm having trouble again with my hypo. Doc said I need to eat more carbs. I'm not so sure about that.

Im not a diabetic however sine being banded 8months ago i have been dealing with low sugars. Its called RHG reactive hypoglycemia for me its when i would eat carbs an not include a protein. So for me i am sticking to a low glycemic index diet an it helps

After surgery some individuals experience low blood sugar (reactive hypoglycemia). This occurs to both individuals with diabetes and those who did not have diabetes prior to surgery. The easiest way to test for this is by measuring your blood sugar levels when you get tired after you eat. http://www.mayoclinic.org/diseases-conditions/diabetes/expert-answers/reactive-hypoglycemia/faq-20057778

Just a thought it could be RHG reactive hypoglycemia. I was having problems starting out a few months ago. I was banded in Oct 2011 i also have fibro but my sugar started dropping i went through 3 weeks of checking my sugar to really see what was going on. Sometimes what happens is our sugar goes crazy post surgery (not just lap band any abdominal) what we need to do is eat regularly never eat A carb on its own always follow with a protein. Google RHG it will give some good tips to ask your dr. HTH

This is just my recommendation; when I very first had a sugary treat, I felt horrific. Not true dumping syndrome, but I did get the clammy, flushed feeling. Reactive hypoglycemia is common for some patients especially if you are low carbing, sugar free eating and then all of a sudden you throw some (all be it a small bite) of yummy buttercream frosting/cake into your system. I would suggest you having a couple of bites of sugary something the week before your wedding to make sure your body doesn't completely freak out. At 2 years out, even though I don't restrict any foods, and do not restrict carbs or sugar, I do not eat these things on a regular basis, and if I decide to indulge in cake, I feel pretty crappy. Cheesecake, candybars, Starbursts candies, pie, donuts do NOT have this effect on me, but buttercream or cream cheese frosting both make me feel weird. I'm assuming it's the fat content that does me in on the frosting. Many congrats on your upcoming nuptials and getting your sleeve date! ! !

I know ive seen other posters refuse because of the possibility of dumping... i would ask them if i can get out of it... maybe u could get a home monitor n test instead for say 2wks... i believe thats what she did... id tell them ur OBVIOUSLY not in gestational diabetes! And have done 2 that should be sufficient... Also i wouldnt worry too much about the 67... hopefully if u get a monitor, you'll have it to be safe... but it sounds like reactive hypoglycemia... i assume u dont eat a lot of carbs, being a sleever... so all that sugar in the drink (esp on top of a pastry ) just threw ur system for a loop n it got over excited and made too much insulin... id think the WORST thing u could do is go shock it again! Try explaining that to them n see what they say... i wouldnt risk ur job but if they understood more maybe theyd b satisfied In the mean time... no carb binges for u! Lol Good luck!!!

i have been HYPO thyroid since I was 16 (i am 44 now)... since surgery a year ago my level has been decreasing ....its down to 0.6 as of Monday lowest it's been in YEARS! ....(it has been up to 30.2 in previous years) and I am stable on my medication which is the lowest dose in 30 years! My dr told me just yesterday that she wanted to watch it close in the next 6-8 months because if my weight goes down more I may have to stop the meds....so I dont get hyperthyroid.