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The following Abbreviations are commonly used on this discussion board: ACL = Anterior cruciate ligament AMRAP = As Many Rounds As Possible (crossfit) BB = belly button bc = because BCBS = Blue Cross/Blue Shield 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 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 cw = current weight CXR = Chest X-Ray Dr. = doctor DS = Dumping Syndrome or Duodenal Switch EGD = Esophagogastroduodenoscopy EKG = Electrocardiography ff = fat free GERD = gastroesophageal reflux disease GI = gastrointestinal 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 IMHO = in my humble (honest) opinion IMO = in my opinion IUI = Intrauterine insemination LAP Band = Laparoscopic Adjustable Gastric Band lol = laughing out loud LSG = Laparoscopic Sleeve Gastrectomy med = medicine MFP = my fitness pal msg = message 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 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 Oz = Australia PB = Productive Burps PCOS = Polycystic Ovary Syndrome PCP = Primary Care Physician 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 SADI-S = single anastomosis duodeno–ileal bypass with sleeve gastrectomy s/f or sf = sugar free SIPS = stomach intestinal pylorus-sparing surgery smh = shaking my head, scratching my head SO = significant other SOB = shortness of breath 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 or :-) = = smiley face or :-( = = sad face

Hi @@Phoenix40! So last Thursday I went for my Nutrition/Surgeon/Coordinator appointment. I'll describe each appointment below: First you are weighed in and your height is taken Nutrition: The nutritionist is a very nice lady and she will ask you about what type of diet you have been on (I started following the 1200 calorie diet after orientation). You will have to describe what you usually eat for Breakfast, lunch, dinner, Snacks,etc. She also talks about Vitamins and what type you will need post op (this will depend on if you get the sleeve or bypass) and what to expect as far as diet goes in the first weeks after surgery (i.e. liquids, soft foods, etc) She also informed me about the different types of Protein drinks and answered any questions I had. Surgeon: Dr. Hahn was very patient. He went over my BMI, co morbidities, medications, etc to ensure that I would be a good candidate for surgery. He said it would be my choice whether to go for sleeve or bypass as I would be great candidate for either (I don't have acid reflux). We talked about the differences between sleeve and bypass (right off the bat he discouraged from the lap band so we were in agreement about that). He reiterated that regain was possible with either surgery and so is dumping (so it really comes down to the patient being willing to put in the work to not only lose the weight but keep it off). He went into detail about possible complications withe each procedure (ulcers, reactive hypoglycemia, reflux, etc). He then set a weight loss goal for me. Normally they ask the patients to lose 10% of their body weight but Dr. Hahn only requires a 7-8%, of total body weight, loss. For me 7-8% was 19 pounds (I had already lost 9 pounds since orientation and he credited me so I needed to lose 10 pounds to get a surgery date and 5 pounds to get a psych appointment). The only other requirements Dr. Hahn set out for me, besides weight loss, is attending at least one support group, and an EKG (I already finished my bloodwork). Coordinator: She was very pleasant. She informed of what my next steps to surgery are (support group, psych appointment, etc) and that to be sure I call monthly to update them on my weight and progress. Before the psych appointment each patient must fill out a surgery quiz (located in Chapter 9 of the Bariatric binder) and send it in before the appointment. Overrall it was an interesting yet quick appointment. I was told to expect to be there for 3 hours but for me it was more like 2 hours. Sent from my SM-G925T using the BariatricPal App

@@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.

"Gold standard" is a marketing term used in selling a procedure (cynically, it has been said that it applies to the surgeons themselves, as that is where they make the most "gold") and as such is basically meaningless. Here in the States, there are four mainstream procedures that are routinely performed, and approved by the ASMBS and the US insurance industry - lap bands, RNY, VSG and DS. The bands are falling out of favor owing to their high longterm complication rate and low effectiveness, but there is still a lot of marketing push for them by their manufacturers. The RNY has been around for forty years or so, based upon procedures that had been first developed 100 years before to treat gastric cancer and other gastric maladies (Billroth II). It was an improvement over the existing malabsorptive procedures such as the JIB (jejuno ileal bypass) but it still had the longstanding tradeoffs of its basic configuration - bile reflux, marginal ulcers (aka, the "NSAID problem"), dumping syndrome and moderate nutritional deficiencies. Bile reflux has largely been eliminated in the RNY WLS procedure via tailored limb lengths, but the others remain as common side effects and are largely controlled by diet or medication restrictions and supplements. It is overall a very good and mature procedure that works well with tolerable side effects, but it is far from perfect, which is why there is been an ongoing effort in the industry to find a replacement (this is how progress is made.) The duodenal switch (DS) was developed in the mid to late 1980's, which combined a moderate level of malabsorption with a moderate level of restriction (compared to the RNY which is more highly restrictive and minimally malabsorptive) that takes care of the RNY's problems with bile reflux, dumping/reactive hypoglycemia and marginal ulcers. In exchange, it is more technically challenging for the surgeon (which is why most don't offer it) and is a little more fussy on its' supplement regimen. On the plus side, it is more effective in treating diabetes, somewhat more effective on overall average weight loss, and much better at resisting regain. It should certainly be on the radar for anyone in the high BMI ranges and/or with a history of yoyo dieting. The main thing that has held the DS back from being more popular is its complexity, which often doesn't fit in with either surgeon's skill sets or business models (can't do as many procedures in a day.) The VSG came out of the DS as it is the first phase when the DS is done in two steps. Typically the VSG stomach is made smaller, about half the size, than the DS sleeve. It overall yields similar weight loss and regain characteristics to the RNY but without the dumping/reactive hypoglycemia or marginal ulcer predispositions and is also quicker and easier for the surgeon to perform, which is why it has been gaining popularity. The primary downside is the predisposition toward acid reflux owing to the stomach volume being reduced much more than the acid producing potential, to which the body doesn't always adapt. Nothing is perfect, and they all have a place for different circumstances. Getting beyond marketing fluff, hey are all the "gold standard" when used appropriately. The next new thing that is working its way through the industry is the SIPS/SADI (sometimes called the "loop" or simplified DS) that shows some good promise of having effectiveness somewhere between the RNY and the DS, with surgical complexity on the order of the RNY (it is being promoted as being "almost as good as the DS" while being more "accessible" - simpler so more surgeons can do it. It is still usually considered by most insurance to be investigational, and has yet to gain approval by the ASMBS, but there's a good chance that it may become that RNY replacement that the industry has been looking for.

I am more than 14 months post-op. I do not dump, which happens to approx. 30% of gastric bypass (RNY or MGB) patients typically after consuming sugar. Nor do I experience Reactive Hypoglycemia (RH), which may show up 1+ years after gastric bypass; it is low blood sugar occurring 1-3 hours following a meal. Eating too fast or not chewing food properly and then getting the foamies and/or needing to vomit is not the same thing as dumping (aka rapid gastric emptying). Make sure you’re eating small, moist portions of protein and to eat slowly, and then these incidents should abate. Good luck.

Be careful with doing everything "sugarfree". See what the sugarfree substitute is and what is the fat content, etc. Sometimes they make up for the lack of sugar by adding things that actually work against you. I try to stick to things that have Truvia (stevia) as the substitute, everything else sugarfree I stay away from. Also i'm weary of metformin it made me extremely ill, my doctor switched me to Januvia, I have a copay but its worth every penny. I'm presurgery but this is just my experience from losing in the past. Is hypothyroidism the one that makes you gain weight? I get hypo and hyper confused, but you may need to see if they need to change your thyroid meds since your surgery.

I am in a very similar situation and am hoping for some advice. I was banded in July 2007 and since then have lost 70 of the 170 of my goal. There was a lot of time in between fills as I moved to Ireland two years after being banded and then to India for six months where I lost 40 of the 70lbs and now I'm back in the US. I went in for a fill about a year ago and then around 4 months ago started having issues where I was vomiting nasty black tar in the middle of the night and had HORRIBLE reflux. Just yesterday it was determined that my band had slipped slightly. My band is now empty and will be for the next couple of months, I only had 2cc in my band in the first place and now my nurse is telling me I can NEVER be that full again :-( this news to me is basically telling me I'll be basically empty forever! I'm so discouraged and I don't really know what to do. Has anyone ever been told after a slippage that they can never be as full as they were when the slippage occurred? Also what are some opinions on why I may be stalled? I was diagnosed with hypo thyroidism and am currently not on medication. (long story short my husband doesn't really understand the culture of being medicated here and he doesn't feel I should be "wasting money" on taking medication for hypothryoidism. He thinks that me being overweight is simply my fault for not eating as well as I could be [even though in my opinion I don't eat THAT badly]) on top of that it's hard for me to get my Protein in because he is also a vegetarian and thinks that meat and cheese is bad for you and god forbid I be able to convince him otherwise. I'm at a loss, I don't understand why I'm not losing anymore and I don't know what to do about my hypothyroidism and I'm not sure what to think about never being able to go above 2cc again either! please help!

I have done my thinking and thought I was prepared. My appts have been done for the past 6 months which i think were definitely worth the wait. I eat and think totally different. I thought I was good before but jumping into something so quick would not have been good for anyone of us. I am preparing myself. i just have to get the endoscopy and chest xray and I will get my date. I do try my best to get protein in all the time and try to stay low card for the most part. I am down 27lbs since i started nearly 300lbs. My worst nightmare was to go over 300. I am a mom of 3 and i just turned 40. I do not want my kids to be embarrassed of me being over weight although they have never ever felt that way that i know of. they kind of brag about me to their friends for the most part. We are all pretty unhealthy in my house. I am trying to show them all what good nutrion and health look like. I have hit a plateau for the past 3 months and started exercising. still have not lost a thing. weight is still 270lbs. Body is changing a little as far as gaining strength and flexibility so i am greatful for that. I look forward to getting my sleeve dispite what my family is saying. my parents ans sibilings are against surgery for weightloss. Bad knees and diabetes run in my family. All the woman in my family for the past 3 generations are all 300lbs or more. I dont want to be like them! I watch my aunt struggle everyday with bad knees. I watch my sister take diabetes medicine. oh i also have Hypo thyroid disease so I think this may play a part in my weightloss but how does that work with Surgery???

Disagreements on opinion are allowed, personal bashing and bullying of individuals is not. Everyone here is entitled to share their opinion, but if the opinion differs from your own it is no reason to become so reactive. Good day.

I too am experiencing severe episodes of reactive hypoglycemia. I’ve been hospitalized 3 times in the last 2 months. My sugar drops rapidly. It’ll go from 60 to 37 in minutes. Assigned to an endocrinologist team my last hospitalization and have now been prescribed Acarbose & a told to eat 6 small meals, high protein some fat & no more than 30 grams of carbs each meal. Just started med yesterday and concentrating very hard on following diet. It’s basically the keto & I could stand to loose about 10-15 lbs so I’m eager to try this. I’m wearing a freestyle glucosemeter (no pricking) to help track sugar & bump it up before I start feeling the symptoms. I’m also carrying glucose tablets to bump it up quickly. I have an appointment next week with endo to discuss progress & decide if anything additional or different needs to be done. I pray that something can be done because living with this has turned my life upside down. I’m afraid to drive long distances; lots of confusion; no interest in usual activities and also depression has set in. I feel awful that I’ve put my family through this worry simply because I chose to have the surgery. But I would have it all over again if given the choice of being very unhealthy & obese and my life as it is now. I just have to remember that and I’ll get through this! Sorry for being long winded. I just felt if anyone would understand my feelings it would be my fellow bypass friends. Take care, I’ll keep all posted as I go thru this. 😊

My Hypo thyroid is second only to Hashimoto Disease. My Endocrinologist put me on Armour Thyroid, and for the first time in years, my levels are within normal range. This is a Natural Medication. Meaning it is made from the Thyroid of a small animal, like a pig or porcupine. Never the less, it works for me, and nothing has worked for me for years. They put me on Generic Synthroid, and I felt terrible. I told her I want to see a specialist ! She agreed.. Explained it all to him, and he put me on the Armour Thyroid. Some people tell me they have a problem finding it, but I can go anywhere and they have it. Mention it to your Doc. Just to see what he thinks, as far as it's availabilitey. It can even be got on line, at Costco's. Good Luck, Hope you feel better. Also check out are Hypothyroid Bandster Thread. Happy New Year !

Ms. Dee your honesty is nothing short of inspirational! Just amazing. Soooo, time to step up and share embarrassing stories. This one is a beaut! I seldom dump but when I do it's late stage dumping - aka reactive hypoglycemia. Too much simple carbs (white rice) or too much sugar (I dumped once on grapes for Pete's sake) and two to three hours after eating my sugars drop like a rock in a pond. I mean REALLY drops. First time it happened I checked my blood sugar and it was 37. Now I know this. I know the symptoms. I know the cause. I even know the "cure" - I eat just about anything with sugar in it and in 15 minutes I'm absolutely fine. So a couple of weeks ago my wife and I had been running some post holiday errands. We finally get home and I'm thinking "I am so going to have a glass of wine". But we have some leftover eggnog and my wife says she'd love an eggnog with a little Captain Morgan's spiced rum and a dash of nutmeg. Wow. Why didn't I think of that? I think I'll join you! So I have my rum laced glass of eggnog and guys I have to tell you, it was like the nectar of life. I knocked down that first eggnog in about a minute and a half. Honey, you ready for another one? I go to make us a second round and I'm thinking the only problem with this plan is that my glass just isn't big enough for "the nectar of life". No problem! We've got some of those Dixie plastic cups. You guys know the ones, bright red, hold 16oz. Perfect size for the nectar of life right? Eggnog, check. Rum, check. Can't forget the dash of nutmeg, check. About an hour to an hour and a half later I fell asleep watching TV. Another hour or so later my wife wakes me up - "time for bed." Right behind you Honey! So I stand up and right away I'm thinking I don't feel so good. Cold sweats, my whole body has the shakes - you dumb a** you're dumping! On the nectar of life no less. Bummer. But hey, I'm on my way to bed. I'll just grab my Vitamins and hit the sack. So I get my vitamins down and... The next thing I remember I'm sitting (sort of) on the floor of our kitchen. My little plastic box that used to have my vitamins in it is sitting on the floor in my general vicinity. The vitamins that used to be in my little plastic box are - well, everywhere. It looked like my little plastic box had exploded in a shower of Vitamin shrapnel. My black lab is sniffing her way through the carnage to see if there's anything that would appeal to her meat-o-saurus taste buds. Fortunately, she apparently is not a vitamin kind of girl. Then she realizes that Dad is awake and on "her floor" so of course it's time for black lab kisses. LOTS of black lab kisses. So I'm sitting there trying to breathe while avoiding lab tongue in my mouth. I'm thinking. If I tell my wife about this, I'm dead. No, I'm worse than dead. She is not going to be amused. Then it comes to me - she's already upstairs in bed. Probably asleep already. You dummy, don't tell her! Pick up the vitamins, swear the lab to secrecy, life is good. Good plan! And it would have worked too. Except for one little detail. Apparently on my way to my unscheduled meeting with the floor, the kitchen trash can got in my way. The metal, kitchen, trash can. The one that now looks surprisingly like I drove my car into it. Wonder if she'll notice? Maybe I could blame it on the dog (sorry Libbi!)? She noticed. And sure enough, she was not amused. I survived. But it was touch and go there for a while. And the nectar of life? Never, ever again. Hey, I ain't no fool! Come on you guys. You know you want to. Dee shared her's. I shared mine. Let's hear some of those embarrassing stories!

I found out I was hypo in 1976 and have been on thyroid medicine since. Before banding, the weight was so hard to lose. I was banded 09022010 and have lost 24 pounds, which doesn't seem like a lot to me but hey at least I am losing and that is the main goal here. I just had my 2nd fill so hopefully it will go faster but because I do have a thyroid problem if I plateau or it is just slow I don't sweat it. But by all means take your medicine, because it not only messes with your weight but with so many other parts of the body especially the nerve center. Losing weight is already a depressing process but if you are on thyroid medication and don't take it you will get depressed and it will make matters worse. Take it from an old pro. LOL

Why haven't you made any plans for Christmas with your kids? Why don't you have a celebration with them before the actual day and do something really fun. I mean since you waited this long to make your own plans your husband beat you to the punch line. The only plan you've made is to not let your kids go out of state with your ex. Start acting proactively instead of reactively. Thats my 2 cents.

Hi all- I just received an apology from Persistance, saying she did not mean to come across to hard on our WonderMom here. When responding to her, I realized, I too had handled it wrong. While she was harsh in the way she said things, she too is honestly looking out for Wonders safety. She deals personally with abusive relationships, and has seen the worst happen. NONE of us want that for Wonder, we all have different ways of voiceing that, and advising her. Some of us wish we could just go pull her out of the house, and fix it all for her!!! We can't. Dammit! Anyway--please know wonder, that we all just want the best for you, we worry about you. Many of us have been where you are, and know it can go from bad to worse very quickly, and we just want you to be proactive rather than reactive to things he says and does. Keep in contact with your attorney, and with us---even when we say things you don't like it is done, hoping to help you. I really do not believe anyone is trying to be unsupportive, we all just show it in different ways. Tough love is afterall still love---just wrapped up differently. Hang in there Wonder---we're all here! Kat

That approach works for me; it is pro-active instead of being merely reactive. I was proactive, too. I weighed in at 195 and I paid to have the band installed; this has been a largely positive experience. I was able to overcome the gluttony which kept me married to my plate. And to take the time away from this in order to do some research as to what would make for healthy little snacks for someone who despised cooking. lol

You'll be fine. Take a friend and make a day of it Mine and DH's are Feather/Down too. Mine has a hypo-allergenic cover (which is great at stopping "poke-through"), but maybe we have a feather-fungus of some sort? I understand the legacy thing, my quilts were handmade by the various women in my family. I remember waking in the feather bed at my great-aunts cabin and how my nose was nearly numb from the cold room. Inside the bed was as cozy and weightless as a hot bath. Sticking your toes out and reaching for the floor was an act of courage. You should at least wash the pillow and dry it on high with a clean shoe. I use a small plastic bottle glued shut and filled with split peas. I read a statistic once that said most of a pillows weight after 5 years was not good stuff. I think it said that they double in weight. Please don't ask what the stuff is, OK? *gagging sounds*

It’s a symptom of ‘mild dumping’ you have experienced I think. I experienced this a lot in the first few weeks and especially as you begin to learn what foods your new tummy likes and what it dislikes rather loudly too. I’d say it’s due to the advocado most likely. Swap to say a very soft poached egg instead. Try adding advocado in a few days to see if it settles better next time. Just because it didn’t quite settle today means your tantrum provoking baby tummy wasn’t quite liking what you fed it but that’s not to say it will not like it in a few days or in a week or a month for example. new tummy means many foods may cause this slight ‘hypo’ feeling even though you may have eaten these foods prior to surgery with no problems. your tummy is new. Brand new like a babies tummy - yet to try food for the first time. Like some babies will vomit, nappy soils a plenty, be colicky or dislike the food - your tummy should be considered like the babies. this feeling you have described is exactly what we all experience. Dumping is like a blood sugar hypo - in bed sweating / cold / shivering / sometimes with loo trips and vomiting and tummy pain but sometimes not. it can last for mere minutes to 5 hours and nearly always zonks you so groggily that you need to sleep. Energy drain and lethargy is instant. This doesn’t mean you’ll have extra sensitivity to dumping either - it’s literally your new tummy telling you it didn’t quite like what you ate. I hope this info and my experience helps you feel reassured. ❤️🥰

I have Hashimoto's Thyroiditis (autoimmune disorder that causes hypo) and I was sleeved Dec. 18th. So far, I've been doing okay with the loss. I was 20 lbs down on my 10 day appointment, and the doc said that was a good amount for the time period. Still early days though.

@@uni2424 I do not have a thyroid due to papillary cancer. So I am definitely Hypo. I lost 60 pounds prior to getting the sleeve on 12/16. I've lost another 14 with the sleeve. It is very possible to lose weight with hypothyroidism. Just need to make sure you are being followed by an endocrinologist, get blood work done periodically, have your meds adjusted and take your meds correctly. I lost the 60 pounds by eating a less than 1200 calorie diet and exercising on a regular basis. My weight loss was a little slow and had frequent stalls...you just have to be committed to changing your lifestyle.

My doc said that as a precaution you should try to avoid putting lotion on the incision sites until you are a month out. He said if you must put lotion on it, try to use fragrance free, hypo allergenic lotion. He also said I could use aloe vera, which has worked out well. So, I use regular lotion on the non-incision parts of my stomach and aloe vera on the incisions. Oh, and he said that if the reason you want to put lotion on them is because they itch (as opposed to generally wanting to lotion your body), then you should use the aloe vera because it means your incisions are still trying to heal.

Well I am hypothyroid. But I've been on meds for about 2 years now. However I had been at 88 mcg's for a long time. But during that time I lost about 30lbs. So when they did a recheck I was in the HYPERthyroid range...however I felt amazing for once, hypo symptoms were gone and I had no racing heartbeats or other hyper symptoms (in fact I was actually losing weight-instead of only maintaining on 1000 calories a day). However due to the TSH number she lowered my levothyroxine dose to 75 mcg's. I believe I was at .19 for TSH. and .3-3.0 is the range...I'm just wondering how much my levels have risen again because I'm struggling to maintain weight right now. It's irritating.

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.

If your TSH was low, then your thyroid levels were too high. Hyperthyroid can be dangerous. Been there, done that, got the t-shirt. Rapid heartbeat (resting pulse was 120), twitching muscles, shaking limbs, foggy brain, racing thoughts, can't sleep.... But being hypothyroid is no fun either. I think that is where I am at right now. I don't have a thyroid any longer as mine was overproducing hormones and would not shut off, so I had to have it radiated. Now I have to take meds daily, and I think I need to have it upped. My PCP tends to just treat the numbers on the tests. I was a little low, so he adjusted me up to barely get into the normal range, but I still have hypo symptoms. So I have an appointment with my Endo in March. I am hoping to convince him to treat ME and not my test results and bump my dosage up. Test results have a normal RANGE! But it seems so many docs don't want to invest the time in tweaking the dosage to get us to where we feel well and are happy. OK, my rant is over. But I am right there with you!

I have not been banded yet, but I can tell you that I also get dizzy and light headed if I haven't eaten. Usually it happens if I have sugar (like mocha coffee) and then not eat for a long time after. My family doctor said that there is two types of diabetes..hypoglycemic and hyperglycemic. He said I'm border line hypo and will be full blown if I don't get this weight off. I told the doctor who will be doing my banding that this is a concern of mine...not being able to eat enough if I start to feel dizzy etc...and he said he hears that all the time and isn't concerned. Do YOU feel like it goes away by only eating the little bit the band will let you? Do you have any regrets? I'm so worried about getting one. Take care and write back when you have time.