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Terri that necklace is gorgeous! I know Pam will likely murder me if I say something (hah hah), but are they hypo-allergenic? I'm allergic to fake metals, so anytime I've ever bought those things, I break out in a rash within an hour. Are those like that? And Tracy WOW! That swimsuit is HOT... look how perfect your boobs look in that, I'm sure DH is appreciative Jennifer- Everyone is having sales right now, so I've bought some shirts & pants I can't wear right now (or can barely wear, but would do better to wear later) and hanging them in my closet. I'll get there eventually!! I also raided my mom's attic, she has tons of size 12 & 13 bell bottoms she can't wear anymore. Just for fun I tried to pull on some 13's last night.. Barely got them up my legs, and when I tried to fasten them- NO WAY! Hah hah.. they had no stretch.. woosh. One day. I am debating takin pics of me wearin those jeans once a month till I can close them. Then I'd finally be able to wear those clothes I envied my mom for!

Kat - thanks for the info. I think I will try and switch the training session to either the morning or to Friday. I am not concerned with on the tummy exercises, don't do those, I am concerned with being able to hydrate enough to workout hard. After this first fill then I will see how I react. You sound like it is great fun. I like the whole diversion thing you do. Good luck with your hubby. Tekymom - sorry about the port incision. That ususally happens to me, but I was fortunate that I wasn't allergic or reactive to the glue the doc used. In fact many other surgeries I have had to have wound care nursing. Good luck with the healing. Have a great night all you beautiful violets! Michelle

Fainting, tremors and weakness can be signs of low blood sugar. Several individuals that underwent RNY gastric bypass surgery experience a type of hypoglycemia called "Reactive Hypoglycemia". Here is one link about this condition but you can search for other links on the internet. https://www.ridgeviewmedical.org/services/bariatric-weight-loss/enewsletter-articles/reactive-hypoglycemia-postgastric-bypass/

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 ...

I have a hypothyroid second to Hashimotto Disease. I still have my Thyroid, but it's not in good shape. I just wanted to let you know that we have a Hypothyroid thread or 2 on this site. Just type in Hypo thyroid Bandsters, and it should come up.

I was told 11 years ago, that I would be better, having chronic fatigue, that having a gastric by-pass would make it better. It certainly does not. The hormone that is in your stomach, as with the duodenum, gets by-passed. So, you have a lot of episodes of shaking and hypo-glycemia. It DOES NOT make your chronic- fatigue better. In fact, it makes it worse!! I am proof positive. Please understand that I'm not saying a by-pass is bad, but if you have chronic fatigue it does NOT make it better. So be aware that you will have to eat. I have gained 35 pounds back. That's not good. I have to find some other way to help balance the hypo-glycemia that is a result of chronic fatigue.

CHART 1 Correlation of nutrient deficiency and its cutaneous repercussions NUTRIENT Biotin Alopecia, glossitis, keratosis pilaris, periorificial dermatitis, seborrheic dermatitis and erythroderma Copper Depigmented and thinning hair, alopecia, delayed wound healing Iron Pallor, koilonychia, glossitis, alopecia Selenium Delayed wound healing, psoriasis, skin cancer Vitamin A or Retinol Xeroderma, acne, brittle hair, and keratotic follicular papules most commonly in the anterolateral surface of thighs and arms, which may spread to the extensor areas of the upper and lower limbs, shoulders, abdomen, dorsal region, buttocks and neck; phrynoderma Vitamin B2 or Riboflavin Mucositis, lip and angular cheilitis, glossitis, xerosis, seborrheic dermatitis, scrotal and vulvar eczema, erythroderma and toxic epidermal necrolysis. Vitamin B3 or Niacin Pellagra, photosensitive dermatitis in symmetric areas, cheilitis, glossitis. Vitamin B5 or Pantothenic acid Purpura, leukotrichia, seborrheic dermatitis, angular stomatitis and glossitis. Burning feet syndrome. Vitamin B6 or Pyridoxine Seborrheic dermatitis, glossitis, oral mucosa ulceration, lip and angular cheilitis, photosensitive pellagra-like lesions Vitamin B9 or Folic acid and B12 or Cobalamin Lip or angular cheilitis, Hunter's glossitis; diffuse, symmetric hair and mucocutaneous hypo-and hyperpigmentation Vitamin C or Ascorbic acid Poor wound healing, keratosis pilaris, perifollicular petechiae, ecchymosis, purpura, brittle hair, scurvy (gingivitis, bleeding gums, keratosis pilaris), Sjogren-like syndrome Vitamin D Atopic dermatitis, psoriasis, skin infections, acne, autoimmune cutaneous diseases and skin cancer. Vitamin E Atopic dermatitis, acne. Vitamin K Purpura, petechiae, ecchymosis, hematoma Zinc Acrodermatitis enteropathica (alopecia, acral and periorificial symmetric, erosive and eczematous rash), dry, brittle and thinning hair, delayed wound healing, paronychia, stomatitis, psoriasiform dermatitis, blepharitis, angular cheilitis, vitiligo-like lesions Protein Aged appearance, erythematous or hypopigmented lesions most evident in flexure areas; hyperchromic lesions with smooth, fissured or erosive surface; brittle, slow growing nails, onychomadesis; follicular hyperkeratosis, pale extremities accompanied by edema; dry, brittle, dull, and thin hair, with brownish-red color before becoming grayish-white, flag signal with alternating dark and light stripes in the hair; angular cheilitis, xerophthalmia, stomatitis, vulvovaginitis

Thanks for the congrats guys. I'll probably be going up and down for the next week before the new weight settles in. Thats what usually happens. Jessica, as a Christian who went to Christian schools and sent my kids there and as one who teaches in a Christian school, I gotta say your SIL is nuts. She'd rather do the most unChristian thing I've heard of than get the child the help he needs from a public school? He's probably ADHD with a learning disability and now the hormones are kicking in. And she's too busy and tired trying to raise and homeschool the rest of them to give him the extra help and attention he needs. So she'd rather get rid of him than send him where he can get the help he needs and admit that she's failing him. What misplaced pride. The most generous interpretation I have is that she's having pregnancy psychosis. What a message she's sending to the other children. Screw up, don't measure up to our "Christian" standards and we will get rid of you. Where is her DH in all this? Why isn't he getting her the help she needs? Including psychiatric. I would have the boy thoroughly evaluated before fostering or adopting him. He may be very damaged already from his first home life as well as the second. He may need special placement in a therapeutic setting, particularly if he has bonding issues and PTSD as well as academic and behavioral issues. Reactive Attachment Disorder can make adopting an absolute nightmare. Some of these children are too damaged to be placed in a regular family. If that is the case with your nephew, then we may be judging your sister too harshly. Sometimes these children are actually a danger to their parents and siblings. But like most sociopaths they can present really well to outsiders who don't see them on a daily basis. They can be very charming but never actually bond and feel no remorse over doing wrong or hurting others, only over getting caught. They can be highly manipulative and you end up feeling crazy and not knowing why. I think what you are offering is tremendous and I truly hope it works out. Make sure you have state funding and medical care for this child and payment for any therapy and extra tutoring he might need. I would initially go foster care with him because once adopted you might not have access to funding to provide for his needs. My brother and his wife had to give a young child back to the province because the local social services refused to diagnose the child as having rad and provide them with the support services they needed. They had the child privately evaluated and found out she not only had RAD and PTSD, she was ADHD and had Fetal Alcohol Sysndrome. It killed them to do it but they did not have the training or the access to funds to provide the child with the care she needed and this was the only way they could force the province and social services to provide for her. The two or three years they went through all that were some of the worst times of their life and they felt like total failures. Cheri

Even if you have never had bs issues before WLS, it is common with RNY to have reactive hypoglycemia. I have read many posts on this subject. I know that some RNYers that suffer with it carry the sugar tablets with them. You really need to follow Drs orders with this because it can be quite dangerous if you get to the point that you are fainting. Would not want that to happen while driving, etc. Hopefully someone with more knowledge than I have will come along and add more information here. Good luck to you!

Hi Forestcat Yes, I was definitely getting hungry by my first follow up appt w/the surgeon! Increasing your protein:carb ratio should help decrease your risk of reactive low blood sugars. I've had intermittent problems like that before too. To be honest, Forestcat, I was able to tolerate regular food a few wks after surgery just as long as I chewed it well. It was easier for me to get in Protein that way. That first appt took maybe 1-1.5 hrs. Not too long. I don't think they were expecting any records, but you do fill out a sheet which asks details about how much Fluid, protein, calories you are taking in, and symptoms. The dietitian reviews it w/you. There was one other person there who also had a band; we met w/the dietitian at the same time. I had my first experience w/PBs tonight! Not pleasant. Went to Red Lobster and had salmon, which was a little dry. I didn't puke, but it really felt stuck and I wanted to throw up but couldn't and didn't (thank goodness!). I got up and walked to the bathroom and stood in a stall for a while, burped as much as I can. I can definitely tell I had a fill this time, unlike the first fill! Not hungry for Breakfast anymore (Ben Meir said this would happen b/c the band is most tight in the morning). So I'm back to coffee w.protein powder only (was eating Cereal before the fill). Was warned that turkey frequently gets stuck too...will have to be careful! Happy Thanksgiving!

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.

onceuponaband --- Hi Paige. Welcome and congratulations on your surgery date. We look forward to hearing about your journey through this. I have opted to tell only 2 co-workers, my husband and daughter. At first my excuse was not to say a word until I know for sure that I was approved. Now that I have been approved I still don't want people to know. I don't want people to think, "Is that on your diet" or "Should you really be eating that". I would rather right now just let them think that this is just another "normal" diet and be quite. I'm sure one day when they finally get enough nerve to ask what my secret is I'll let it out but not till then. sunny day -- I am in the same boat as you. I met my surgeon on Feb 3 at the seminar and have not seen him since. I will see him for the second time this coming Thursday for a pre-op meeting and then I have surgery 15 hours later. I got my pre-op diet info from the dietitian. It certainly would not hurt to call and ask when your pre-op appointment will be. That way you are not slipping through the cracks and have to reschedule because of someone else's mistake. I have always been proactive instead of reactive though when I can because I don't like surprises. They never seem to be good. Anyway, give them a call for peace of mind.:biggrin: Cathy

Sleepiness after eating is one of the signs of reactive hypoglycemia in bariatric surgery patients. Reactive hypoglycemia (postprandial hypoglycemia) refers to low blood sugar that occurs after a meal — usually within four hours after eating. This is different from low blood sugar (hypoglycemia) that occurs while fasting. Signs and symptoms of reactive hypoglycemia may include hunger, weakness, shakiness, sleepiness, sweating, lightheadedness and anxiety. http://www.mayoclinic.org/diseases-conditions/diabetes/expert-answers/reactive-hypoglycemia/faq-20057778

RNY-to-sleeve revisions happen, but it's apparently mostly because of severe reactive hypoglycemia and other really weirdly specific complications. Sleeve-to-RNY is more common in part because the sleeve was eventually conceived as a safer surgery to give people with much higher BMIs, with the intention of converting them to RNY once they lost enough weight that that was a safe option for them. They started doing it as a standalone procedure when many of those patients opted not to come in for the second surgery, being successful with just the sleeve. But sleeve-to-RNY absolutely does happen, still, especially for people who have uncontrolled GERD or who can't lose enough weight with the sleeve alone. In my pre-op testing they found some small lesions in my esophagus, which might have been esophagitis or might have been a small amount of GERD. I went with the sleeve despite that, because I also have arthritis and might need to take ibuprofen and other NSAIDs again, ever, in my life. (Also, I had been taking large amounts of NSAIDs over a long period of time, and they may have been responsible for some of the damage they found.) I can't tell you how that turned out for me, since I'm only a week post-op, but I will say my doctor didn't try to sway me toward RNY at all, and given that I also had a hernia repaired, I'm pretty hopeful that it'll all turn out OK.

Hi guys, i have a quick question and I will keep it short to save you time. Does anyone have hypothyroid and chose to get the bypass? I was on my path to the r n y and suddenly got diagnosed with hypothyroid which is horrible (slow thyroid). Makes you feel weak, can't lose weight, super fatigued, brain fog, joint pain, headaches and hair loss and dry skin. Oh Joy! I'm also insulin dependent diabetic. Icing on cake here.... So I'm wondering will I have a double dose of what everyone else expects while recovering from r n y surgery? Any advice is welcomed as I have become you tube obsessed and online research gonna make me bonkers. Thanks in advance.

@@bellalulu -- I wasn't functioning at all I had just had my 2nd baby and I was dragging myself to work, would come home and collapse and not get up until the next morning. I was so exhausted all the time. I went to the doctor and demanded a test because I worked for the company that made synthroid so I knew all the symptoms. I told the doc I was either hypothyroid or I was going completely crazy. Guess it was maybe a combination of both! Gained about 40 pounds in 6 months before I got the test and found out my thyroid was basically dead. Of course, once I went on the meds, I didn't lose the weight. Not quite fair being hypo can put the pounds on but the meds don't take it off.

Thyroid Storm can act like that. So anyone on thyroid meds have to be mindful that their body is changing quickly and adjustments need to be made to medication or they might be taking too much. As a result you could throw yourself into a storm. Please keep that in mind. Your going from hypo-to-hyper! If you take thyroid meds make sure you tell the ER. Sent from my iPhone using the BariatricPal App

Hi there... I am type 2 diabetic. The symptoms you describe sound like beginnings of a "hypo" which happens when your blood sugar drops too low. If you are not getting carbs, this is entirely possible if you are prone to hypoglycemia (low blood sugar). Before the surgery you may have always had enough carbs so that you never reached the point of feeling symptoms. Best to see your doctor to be on the safe side.

I would suggest that you make an appt with your pcp to get checked out. There are lots of things, including thyroid conditions, that can cause fatigue. Be aware that they have recently lowered the "normal" range for TSH, so if you were borderline before, you might be considered hypo now. I tested high-normal for years before I became hypo, and I feel 100% better since I started taking meds. You may also be at point where you have to exercise to lose weight. In my experience, even before banding, if I eat 1200-1400 cal/day, don't exercise and don't drink enough Water, I won't lose any weight, and I might even gain a few lbs. I think that FitDay really overestimates the calories burned for basal metabolism. Good Luck! Melissa

I am hypothyroid and take Synthroid (100 mcg) daily. I normally take it first thing in the morning and I have been fine after surgery. I was recently given direction to take my Nexxium twice daily (morning and evening). My doctor said I can't take Synthroid with a PPI because it causes problems with absorption. So this morning I take my Nexxium when I wake up and figure I will take my Synthroid about an hour before lunch. By 930 AM I was sweating profusely and felt like I was having a hot flash! The RN who works with me asked if I had taken my Synthroid. I took it at at 10 AM and within 20 minutes the sweating and hot flash was back under control. Since I hadn't thought about it, I figured I would post for the other Hypo's out there after surgery.

yorkshire;1447595]Has anyone been denied by UHC and did you appeal? My claim has been submitted but I'm afraid it will be denied because my BMI has not been over 35 for 5 yrs. - only 3 yrs. I do have several comorbidities (sleep apnea, arthritis, fibroids, back & knee pain, high blood pressure, high cholestral, hypo-thyroid, etc) Does anyone have any suggestions to help with an appeal?:thumbup:

As requested by one of my favorite fellow teachers, I am going to outline my journey through this process. Other than researching the surgery, my first step was visiting my primary care physician, Dr. Mark DalleAve. (This was around June 2008, I believe.) I was reluctant to ask him about the surgery because he tends to be very conservative. I feared he would want me to try more traditional methods--again. Surprisingly, that was not the case. He said he thought I would be a good candidate for the surgery and sent me for some preliminary bloodwork he knew would be required. The bloodwork revealed that everything was basically okay with the exception of my thyroid. I can never remember whether mine is hyper or hypo. I just know that the number on my bloodwork print out was higher than it should've been. I think the highest it should be is like 4.5 and mine was 9 something. Either way, he put me on synthroid for two months, and I had to be rechecked after that. The medicine worked well. My levels were down to 2 something when rechecked. As I said before, my other tests were "basically okay." However, as I researched the results and what they meant, I realized that I am VERY close to being a diagnosed diabetic. That was another real wake up call for me. I do NOT want to become diabetic and have to handle all the problems that come with that. This gave me even more determination to do this and make it work. After my thyroid was under controll with medicine, the doctor was ready to refer me to the surgeon. This is where the waiting game started again. (I was already disappointed by having to wait months on the thyroid tests.) It took nearly two weeks for me to even hear from the surgeon. (This surgeon had been recommended by the nurses at Dr. DalleAve's office because he said they knew more about who was good than he did.) When I did hear back from this surgeon, there was a huge packet of information for me to complete and they wanted a "Program Fee" of $150 before they would make my appointment. When I asked questions of the receptionist, she answered everything, but she didn't offer any information on her own. I was unimpressed. I was a little unsure if this was the surgeon I wanted to see, so I did a little more research on this website as well as others online. I called the office of Doctors Watson and Hodge in Johnson City, TN, and I'm very glad I did. The receptionist was happy to answer my questions and offered additional information on the expertise and experience of the surgeons. I had to wait nearly three months for an appointment, but they gladly made me an appointment. I met with Dr. Hodge for the first time on Dec. 17, 2008. (In the meantime I did have quite a lot of paperwork to complete but not nearly as much as requested by the other surgeon. All of this questions actually seemed relevant.) In the time while I had to wait for my appointment, I decided to do everything I could to prepare. I contacted my insurance company to find out exactly what requirements I would have to meet to qualify for the surgery. (I already knew it was a covered benefit.) I met every criteria, but I was disappointed to learn that I would have to undergo a 6 mo. doctor supervised diet before surgery. When starting this journey, I hoped to have the surgery in early 2009. At every turn I realized it would take longer and longer, and it seemed like it would take forever. I also found that I would have to attend four seminars on the lap band as required by my surgeon. I attended two of these in October, and I plan to attend the other two soon. At the October seminars, I learned that I would have a few more hoops to jump. December 17 came more quickly than I imagined. At that visit, I was given a list of my homework and directions for starting my 6 mo. diet. All my homework will be "due" by my 7th appointment, which will also be the end of my sixth month diet and my preop appointment. For my homework, I have to have statements from my primary care doctor once per year from 2004-2008 with my height and weight listed. This is to show my five year history of obesity. (No problem there; I was obese even as the captain of my high school cheerleading squad.) These records can be from any visit; it doesn't have to be a weight-related visit. I also have to have an EGD, which I have scheduled for my spring break. I do NOT have to have an ultrasound of my gall bladder because I had that removed in 2004. I also have to have a letter from Dr. DalleAve stating that he "recommends" me as a candidate for the surgery, a letter from myself to my surgeon stating why I want to have the surgery and what I expect, a visit to a nutritionist, and a visit to a psychologist. The surgeon's office was very helpful in recommending psychologists, and they actually offer complimentary visits to a nutritionist at the local mall's health services center. This is in addition to the seminars which I mentioned previously. I know this may sound like a lot of homework, but I have six months to do it, so I don't think it will be bad. The last thing I have done is my second visit to the surgeon. I didn't see him, but I saw his nurse practioner instead. She was very helpful and encouraging. I lost 5 pounds on the first month of my 6 mo. diet. I was apologetic that I hadn't lost more, but she was quick to let me know that any loss was a good loss. My next appointment is in a few weeks, and by that time I hope to have more of my "homework" completed. I will post again after that, if not before. Until then, wish me luck and let me know if you have any questions.

Hey fellow hypos, ever pass out (or almost) in public before? And don't you hate the cold sweats? When I have an "episode" it wipes me out for the entire day. It take me 24 hours to recover from it. Havng hypoglycemai has made me afraid not to have sugar or food around just in case. I keep candies in my coat pockets.

As a bandster, I have to disagree with this statement. I'm not saying we need to rigidly schedule our meals and never deviate from that routine, but I've found that if I let myself get too hungry I almost always eat too fast and make myself sick. As a diabetic, here's what I have done (and I'm now off ALL diabetes meds since about three weeks post-op). I follow Supreme Band Rule #1 (I made that up, like it?) and eat my Protein first, then my green veggies, then any low GI carb source last (only if there's room). I am eating very low-carb by default. I also eat a little something every few hours, for a couple of reasons. First, until I am off meds for at least a year I still consider myself diabetic and try to avoid hypo episodes at all cost. Second, that helps to boost your metabolism and keeps the weight loss going. As for your original topic of head hunger, I think we all have to deal with that to a point. I haven't found any magic bullet for it yet. :phanvan

Thanks for the NSV shares folks - I love stopping in on this thread for a little inspiration. below are some more recent NSV I've had: yesterday I was on my feet in the kitchen for 3 hours cleaning and doing food prep. I still had enough energy to go for a walk afterward. Previously, I would have been exhausted and in too much pain after that much time on my feet to even contemplate more activity. I've seen some of you mention this...revved up libido and increased "romantic joy". It's really really really REALLY true. Everything about sex is just way more fun. DH and I celebrated our 25th anniversary this week like it was our honeymoon! 😂 I reactivated an old back injury recently and was able to do the rehab exercises much easier than when I was 60 pounds heavier and I started feeling better in less than half the time than I would have prior to WLS. I'm fitting in size 16 bottoms and large tops and was able to buy clothing for myself at Costco for the first time ever. I got a couple of cute shirts for 6 bucks, an unheard of price for the plus-size clothes that Costco doesn't even carry. My husband can pick me up and has decided that his new workout is called "wife lifting". I'm perfectly fine with this, you know...gotta support his fitness goals! 😂😂😂