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To me this is a double edged sword: damn if I do and damn if I don't. When I am experiencing insomnia, if I can't fall asleep till early morning hours, I get hungry .... dinner was at 8pm, and at 2-3am, if still awake, I get hungry, so I need to snack on something. I try to make it healthy, but still, it makes this an extra meal. So, too high a dose of Thyroxine is not good for me, even if it seems I keep losing weight or inches. When I experienced hypo stage, after my med was reduced by 50%, I was hungry lot more, I slept better but my weight stayed the same .... So, no good either I haven't sleep walked, but yes, it is scary stuff. I keep having 6 weekly blood tests, at 9 months post op. I had them done monthly till about 4 months ago. @@shedo82773 I would definitely have blood tests done again, since you said you have been on the same thyroid med dose for years.

I've had at least 4-5 Thyroxine adjustments since my surgery in March 2016. Been suffering from insomnia ever since. Still have regular, 6 weekly blood tests. 3 months ago, my Endo recommended halving my dose, from 100mcg to 50mcg. I slept OK, but got very blah, no energy, loads of allergies and hay fever and bad headaches, plus my weight loss stopped. I was told that my results were "normal", but I could see the "normal range is quite wide, and I was towards the top of the "normal" range. So, I started on a mixed dose. Worked OK, really well for few weeks, had loads more energy, now I get hyper symptoms again, not as bad as many months ago, but my insomnia got worse again, and I have been getting hot again with racing pulse. I was taking 50mcg for 4 days, then 100mcg for 3 days. Waiting for results from my latest blood test. I may need to take 50mcg for 5-6 days, and 100mcg for 1-2 days. I will know next week. My hypo was created by having RAI mid last year, as I have Graves Disease and was very hyper-thyroid. Been on Thyroxine since January 2016. I have read a lot about other thyroid meds, more natural, NDTs, but at this stage I find them very expensive here, in Australia. Hope this dose adjustment roller-coaster will stop soon, really over it by now. Good luck and best wishes to us all!

I take both T3 and T4 for my hypo and after the rny I have been waking up all the time during the night. I'm still cold and I haven't lost much weight either. Nilla

@@rose1504 Definitely get your Thyroid checked, and not just TSH and T4, but T3 as well. I have Graves Disease (autoimmune thyroid disease), this kept me slim my whole life, till 2014 when it did 180 degree turn, and I was piling on weight at a frightening speed. I went from 60kg to 101kg between 2014 and March 2016. I also developed astonishing sweet cravings during that time, which made a mess of me. Graves is Hyper-thyroid. I had every symptom of this disease, except of bulging eyes and goitre. There is also Hypo-thyroid (under-active), Hashimotos etc which also can really mess with metabolism and general well being. Good luck @@rose1504 I hope you don't have thyroid disease, as I wouldn't wish it on my worst enemy ...... Had my both ear Daiths pierced 3 weeks ago, to see if they would help my thyroid migraines and severe headaches. They (the acupressure point piercings) helped me tremendously! I was living almost daily on very strong pain killers. Now, I don't take them, and so those piercings really helped me. I have a huge stock of heavy duty pain killers at home, and now I forget all about them. So, Good Luck with all your tests. Please let us know how you went.

I'm 6 years out and No complications. Like others mentioned, GERD and Vitamin deficiencies are the most common long term complications of VSG I saw in my support group. GERD can usually be controlled with medication and diet, but sometimes requires revision to bypass. I have yet to meet anyone that developed vitamin deficiencies that were taking the required supplements and having bloodwork done regularly. Much less common long term complications that I've seen in my support group through the years were dumping (although much more common with bypass and usually controllable with diet) and reactive hypoglycemia. There were far more long term complications in my group for people with Lapband or any of the bypasses.

I'm hypo had surgery Oct 25th and I'm down 32 lbs. Sent from my SM-G900R4 using the BariatricPal App

the hypoglycemic complication is not very common statistically which is good That being said, I hve to eat every 2.5-3 hours or I start getting hypo symptoms and fast. Now that I added a few easy carbs, I'm doing better. I'm having to check my sugars 5-6 times a day especially since I'm still on a dose of long acting insulin but I'm off three of my four diabetes meds and I was sleeved the 24th of October!! Sugars are awesome!

I'm diabetic already and it's drastically improved sine surgery two weeks ago... Lows are common but some ppl do develop hypoglycemia after sleeve as a complication Definitely talk to your NUT about it but eating a few light carbs can help or slow burning carbs like Beans and peas etc. I'm using Melba toast or wasa crackers with My tuna and hummus, fills me up, keeps me satisfied and not feeling so dizzy and hypo like I was when I was doing Protein only. Definitely check your blood sugar especially if you feel symptoms and if you're scared of oh they have these not so great tasting glucose tablet chewables you can buy at the drug store for a few bucks in different flavors and they boost your glucose up quickly

Thanks everyone. I went to PCP today and I am Hypo. I start on meds tomorrow morning. I have psychologist appt 12/1 and surgeon 12/6. Really hoping this doesn't prolong surgery. Sent from my Z988 using the BariatricPal App

Has anybody tried adding Fiber to their food/shakes? I am 5 weeks post op, approved for all foods, but dont really have room for high fiber foods after getting the Protein in. I would prefer a premptive approach rather than a reactive one as I am worried about treatments "kicking in" during inopertune times like meetings, driving etc. HW 385 SW 359 CW 335 (50lbs down!) Sleeved 10/5/16

Attached is a link to the condition that you are experiencing. It is very technical. http://spectrum.diabetesjournals.org/content/25/4/217 Here is another article but much less technical. It also has a good discussion on treatment and prevention. https://www.ridgeviewmedical.org/services/bariatric-weight-loss/enewsletter-articles/reactive-hypoglycemia-postgastric-bypass/

Yes. It is called reactive hypoglycemia and it is common post RNY. It happens when you introduce too many simples or if you dont eat often enough. I have had to switch to 5 or 6 small meals a day vs 3 or it happens more frequently. A few times my sugar got so low I did not know what was happening to me and if you eat sugar to get your glucose up, it will simply happen again an hour later. It is really important to catch it early and ensure you eat Protein.....it happens more frequently if I choose to have cream of wheat for Breakfast and dont follow it an hour later with a Protein shake.

I had hypothyroid and found out three years ago it was actually Hashimotos. I'll be symptomatic when numbers are in range. Ask for an antibody test. As for sleep, the Vitamin Patches in the store of this app sell a sleep patch that is wonderful. Also my thyroid is super reactive to soy which is in a lot of the high Protein foods and also reactive to cruciferous veggies because of toxins. Try removing soy and going organic on veggies for a week. Sent from my iPad using the BariatricPal App

@@RJrocks Hmmm. there must be actual science but not sure of where to point you to reference info. My dr. said it, people here say it, etc. There is a window of time that is called the Honeymoon period where, no matter what you do, you seem to lose weight. You just have to make sure to keep following the program because you need to create good habits that will carry you through when the magic stops. And it stops. Not necessarily completely but, yes, the old struggle appears. The hunger hormone seems to get reactivated and, as my doctor says, it can be a real beast! Especially because we aren't all expecting it. But it does come back Big time!

Yes, stupid Graves ..... I saw my Endo 3-4 weeks post op, then blood tests every 6 weeks, next Endo appointment was 3 months later. Still have 6 weekly blood tests, and still see her every 3 months. She also communicates with me via phone and email. I finally sleep better, my blood pressure and heart rate has come down. Prior to that, I had to go back on beta blockers and sleeping tablets, as the hyper state kept me awake at nights for months! As Thyroxine is so very weight sensitive, each significant drop in weight was bringing hyper thyroid back for me. Now, even though I sleep much longer and much better, I am still tired, still have awful headaches and really bad allergies. All hypo symptoms. So, this next med adjustment may finally do the trick ...... I hope so! Got to keep an eye on the thyroid post op, that's for sure.

Awesome @@Killian ! Glad you are doing well, and that your surgery will be at a convenient time for you. Must be great feeling to look forward to retirement next year This will be so beneficial for your recovery! So, best of luck for July 2017! I've had a pretty smooth recovery. I am almost 8 months post op, unbelievable how quickly the time flew! The only major issues I had were/are my thyroid disease, Graves. Because I was losing lot of weight, I had to keep having dose adjustments, as I ended up hyper-thyroid few times. Not pleasant ..... Recently my Thyroxine has been halved, 6 weeks ago, and I was told today that my TSH and labs are normal. Well, I have not been feeling well in the past 6 weeks, and had many hypo issues. TSH at 3.4 seems too high for me, so this now will be the 4th adjustment, to bring it to 1.0 One day, hopefully it will get stabilised. Good luck with your thyroid too, Killian. Thanks for the update! Cheers, Margo

I do find that snacking leads to stalls and or weight gain for me. I have to be very careful because I also get reactive hypoglycemia so i pretty much eat very small meals all day long. That is a slippery slope and can feel much like grazing which is the worst thing i can do. Early on while in weight loss mode my nut had me drink milk for a snack. it gives you added Protein, turns to a solid keeping you full for quite a while. And.....best of all you can add different types of tea to it. My favorite all time snack especially in the winter is chocolate chai tea. I use the loose tea version from teavanna and steep it for 3 minutes. It is especially delicious, hits the spot with NO added sugar other than what is in the milk. I use lactaid because i still have a lactose intolerance. If i dont have that, i will eat full fat cheese, pepperoni, shrimp, almonds and sometimes bariatric pal hot chocolate or bariatric pal vanilla capacciono.

So my sleeve surgery is Monday but my very limited pre op diet of seven days gas been awful. I knew aspartame gave me mugraines so avoided that ingredient but got primere with sucralose and popsicles with the same as well as crystal light pure made with truvia which is stevia and a sugar alcohol My tummy has been hurting every day. I finally ate a bite of my mom's veggie omelette and was told if my blood sugar went hypo I could eat yogurt so my blood sugar wasn't quite hypo and I had nonfat Greek honey yogurt. Sure felt better but felt so guilty for cheating and like hope I'm not messing up my stomach prep for surgery Last night after crystal light pure, I threw up once with six episodes all this foamy stuff. Sorry tmi. Number two s been all the runs as well so called weight clinic nurse and they are having me quit all artificial sweeteners as they and I feel they are the culprit and allowing me Protein powder...found one with 25grams of protein and sweet with stevia which is a nature made plant and I can have it in skim milk!!!! Yay So stomach is already way happier and tge Protein Powder taste good not chalky Anyone else with similar problems... cheating, malabsorption??etc??

I consider myself an expert when it comes to autoimmune rheumatic diseases. First- let's talk your prednisone: See an endocrinologist. Pronto. I was taking 60 mg of pred a day for years. There was no weaning off, because any time I got down to 20-25mg, I literally could not function. In any capacity. Enter the endocrinologist. Because the prednisone does just as much (if not more!) damage than good, my adrenal function was gone, I had prednisone induced glaucoma as well as prednisone induced diabetes. I needed off the meds ASAP. She prescribed me ORAL hydrocortisone. It mimics- and tricks- your body into believing it is prednisone, and is MUCH easier to wean off of than the prednisone. It took a total of 2.5 months vs over a year or longer if it were the prednisone. Do this. Again, ASAP. Ask for it. Second- methotrexate, either by pill or injection: pills made me sick, puking, typical chemo side effects. The shots did not, and they actually work much more effectively than the pills, so if given a choice, it is a once a week teeny tiny needle. Side effects- don't bother paying attention to them. The benefits far outweigh any possible adverse effects. You will need regular blood work to monitor your liver enzymes. Again, I have been on a very high dosage, so mine were often screwy. Third: I can't imagine any surgeon doing WLS or ANY elective surgery while you are on either of these meds. I had to "wash out" before I could have my surgery, meaning get all traces of the meds out of my blood system and stored reserves. Both drugs make you more susceptible to infection and the prednisone especially makes healing hard. And keeps weight on. Again- seeing an endocrinologist will get you off the pred by using oral hydrocortisone pills. Usually PMR goes away after a year or so. I wonder if you don't have true rheumatoid arthritis? The tests- a sed rate and C-reactive Protein screen are used for PMR as well as other autoimmune arthritis diagnosis. Just a thought. So- don't worry about side effects of the methotrexate and get off the pred!!! Sent from my iPhone using the BariatricPal App Hi am just seeing this now. Thank you for responding. I did get off prednisone about 8 months ago. But it started to come back and about 2 months later I couldn't take it and went back on. My rheumatologist says cut down till I feel pain. Then start methotrexate. Shots. So I can continue to get off prednisone. I did have all the testing done. They did suspect fibromyalgia ms. Lupus RA etc Till all tests were done. I will look into seeing an endocrinologist. I did tell the dr about prednisone. He said it was fine and I may lose slower. I am now 9 weeks out and lost 20 pounds. 10 more the week before surgery. I was "only" 201 day of surgery. I would like to lose faster but. I really want to get off the prednisone. Thank you and why doesn't my rheumatologist k ow about this? Sent from my iPhone using the BariatricPal App

Hi, I'm having my surgery on the 24th as well. I'm in my preop diet stage. Have you tried many liquids or have you just stuck with the Protein shakes and Water? Sent from my SPH-L720 using the BariatricPal App I start my pre op Monday and I'm allowed 3-4 Protein Shakes a day, pkus no fat broths, sugar free popsicles and Jello tea drinks. I plan on utilizing everything except jello. I'm insulin dependent diabetics so they are concerned about hypo attacks but we have a plan in place.

I haven't eaten any of the Jello mousse either. Was just sharing the recipe. But I am equally terrified of dumping syndrome! Nothing is worth that feeling in my book! But, with this mousse being very low fat & sugar free it's a nice option. I have many diabetics in my family and instead of cakes for birthdays, we typically have fresh fruit and the jello mouse as options. I actually have low blood sugar - reactive hypoglycemia. So, I kind of know what dumping feels like. Don't ever want to do that to myself intentionally! I wish you luck with your surgery! I'm thrilled I had it done! Sent from my iPhone using the BariatricPal App

THANKS FOR YOUR INPUT DJHOHR. I LIVE IN SOUTH AFRICA, AND LIVE ON A DISABILITY GRANT OF R1500 EQUIVALENT TO USD 109. I NOW HAVE ABOUT 5 DIAPERS LEFT FOR THE MONTH. I HAVE TO SAVE THEM FOR WHEN I HAVE TO LEAVE THE ROOM I LIVE IN. I CANNOT JUST GO BACK TO THE HOSPITAL, THEY DO NOT ALLOW IT. MY OP WAS DONE DUE TO NON ALCOHOLIC FATTY LIVER DISEASE. I WILL SEE MY DIETITIAN IN 2 WEEKS TIME. IF I HAVE ANY PROBLEMS SHE WILL CONTACT MY DR. I WILL ONLY SEE HIM IN 2 MONTHS TIME. THE HOSPITAL I HAD MY OP IN IS A STATE RUN FACILITY, A VERY GOOD ONE AT THAT. BUT DUE TO THE MASSES OF PATIENTS YOU CANNOT JUST WALK IN THE FRONT DOOR. INKOSI ALBERT LUTHULI HOSPITAL IN DURBAN. MY SURGEON IS VERY GOOD, BUT OVERWORKED. DUE TO NOT HAVING MONEY FOR DIAPERS, I AM RUINING THE CLOTHS THAT STILL FIT ME. I CANNOT GET THE STAINS OUT OF THEM OR EVEN MY BEDDING. THEY FOUND POLYPS IN MY STOMACH TOOK A BIOPSY OF THEM AND MY LIVER BUT THE RESULT ARE NOT IN YET. I ALSO HAVE REACTIVE LYMPH NODES IN MY GROIN THAT HAVE NOT YET BEEN BIOPSIED. I AM HAPPY ABOUT THE WEIGHT LOSS, BUT THE PROBLEMS ARE PILLING UP AND TAKING THE JOY THAT I SHOULD BE FEELING AWAY FROM ME. I AM BECOMING VERY DEPRESSED.

It happened to me tonight and I thought i was very planful. Since having RNY 2 years ago I get episodes of reactive hypoglycemia. Today I had my normal Breakfast which was a Protein shake and knowing I would be going to my granddaughter's volleyball game decided to eat my lunch later than normal. I ended up having lunch at 2:30pm - I had a lunch that had great protein and veggies but also had more than normal carbs as it was a ground beef pasty. Then about 2 hours later I had a handful of almonds. I knew her game started at 6:30 and would like run until 8:30 but honestly thought i would be fine until then. Well, while on the way to the game I started to have the very low sugar crash and when it hits me, it hits me fast and it gets pretty scary. I start shaking, Sweating and getting very confused. I have learned the early signs (which come usually about 5 minutes before i end up in big trouble). Like an idiot, I did not bring anything with me. No glucose, no meter nothing.....So I looked at hubby who thankfully was driving and said you need to find either a walgreens or a gas station and find it fast. Well, we were in hicksville, USA and so the only thing we could find nearby was a gas station. I knew I needed some sugar but not alot and then i needed something with protein which would keep it from coming right back in an hour. So, I grabbed some dark chocolate and a protein bar. I ate 4 small squares of chocolate and then followed up with about 1/3 of the protein bar. Within 10 minutes I was fine and was able to hold off for a very late dinner at Stir Crazy where I had delicious chicken breast and veggie stir fry from Their fresh market bar. I really really need to be more careful with this! And going forward, a ground beef pasty clearly had more carbs than i even realized or it would not have happened to me. UGH!

From a past post it appeared that you had surgery on September 26, almost a week ago. The three most important elements after RNY gastric bypass surgery are to meet your daily Protein, Fluid and Vitamin requirements. In part not meeting these requirements can cause you to be tired. Tiredness can also be a side effect of some medication. It might also be due to low blood sugar. If you were diabetic prior to surgery and took prescription medicine for the condition, it might be time to reduce your medication. Also some people who had no signs of diabetes prior to surgery also developed reactive hypoglycemia after surgery. But all in all, you are only one week out and your body may need a little extra time to mend.

Try not to fret about exact numbers. Staying calm and focused will help. I am not getting enough Protein yet either. I also had a prolonged period of "starvation" mode. Trying tiny amounts of all sorts of foods can help boost your protein input. And might help with the hypos. Once your liquid diet is finished, and if your team allows it, concentrate on just nibbling things that your sleeve likes. I could tolerate some broth so continuously had the slow cooker on with beef and bones in it. I then slowly started adding tiny amounts of lentils. I also put carrots in as I can tolerate them. I always have some of that broth handy. It has both good protein and carbs in. Even if I can only drink the broth throughout the day, my body is getting nutrition. I also nibble on anything that might help boost my protein. Crackers with slivers of hard cheese, cheese crackers with cottage cheese, tiny apple (no skin) slivers dipped in Peanut Butter. Crispy (which turns mushy) textures seem to be tolerated by my sleeve. But as ill (with c diff) as I am, I still push my body to try different Proteins often. Even minute amounts of different foods will add up over 24 hours. I also found that I was in the routine of not eating anything from 6 pm to 9 am pre op, quite normal especially as I have reflux issues. But post op, it was so easy to become both dehydrated because of that routine and that I was going too long without anything going in on top of only a 300 calorie daily intake. So now I make sure that I have something as soon as I wake up (I keep Lucozade beside my bed just in case) and that I have something just before I go to sleep. I hope that helps. Hang in there. I do really understand how you are feeling. Stay calm, breathe, drink Water, nibble, sip broth. Even bone broth has protein in it. Push your food boundaries every day. Protein can come from a myriad of sources, think outside the box. It is now your sleeve, we don't all fit inside the regular sleeve "box" so explore (with caution), what works for you. If a food offends your sleeve this week, it's okay. You can try it again later. I keep trying with egg because I know it is valuable in protein. Egg drop Soup will work for me but I know that I must push my texture boundaries so I try deviled eggs. I really hate the waste so am learning to only prepare minute quantities where possible. You will be okay. Sent from my iPhone using the BariatricPal App