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I've now been diagnosed with reactive hypoglycemia from my GB surgery. It's not really a big thing to me but I have to eat more often, just little meals with complex carb included. I'm lucky that my PCP's mother had the surgery when he was a little boy and knew all about it. I found out when my blood surgery was dropping to the 40s and 50s after I was eating sweets, (dumb I know), and I could really feel the symptoms. I've been playing with the clock now to see my time I need for meals and how complex carbs affects it. I was amazed at how little was required to stop my shakes when my sugar was low. As of now I can go without a meal for around 4 to 5 hours but it depends on my activity level too. My doctor's mother had to eat every two hours and drink a complex carb mix before bed. Luckily I'm not there yet. For everyone out there that has this or will experience low blood sugar you'll be forced to a strict diet and fined out sweets aren't your favorite friend any longer. Best of luck on your journey.

i was hyper and had every sign and symptom except weightloss go figure had to have it removed so now iam hypo and on alot of meds so i think i lose slower then most iam 5 mts out and have only lost 50 lbs.....

Hi, I am new here too. I have been banded for 2 weeks and have so far lost 12 pounds. I too have Hypothyroidism which has always made weightloss difficult, even when I do what I am suppose to do. I know several years ago people with Hypothyroidism were not approved for the band surgery. (Wonder if it is becasue we dropped the success stats???) Still I am glad that Hypo is on the approval list now as this is really my last hope of a tool that may help. I just can't do it myself. So I am hopeful for success with the band, even if little by little. I hope you get approval soon!

So this is VERY serious! Start taking them again asap. Only quit them when you're working with your psych! Dayum!!! Quitting cold turkey can send you into a reactive phase that will literally double you over with bone/muscle pain. It makes all your neurotransmitters get proverbially locked up! In general, it takes almost as long to taper off meds as you've been taking them -- kinda...such as for every month you were taking them, it takes 1 week to 1 month to step down the dose depending on the individual. It's too late now, but honestly this stuff should have been reconciled pre-surg!!!! It's part of why we have so many hoops to jump through and so many doc appts! Your meds in general should only be crushed if they aren't enteric coated or time release. Psych meds need to be switched to non-time release. Think Effexor is one that can easily be changed. In addition to this, what @dreamingsmall said!! Truly magical thinking to think otherwise. ((hugs)) and get some meds into your system asap. Make an appointment with your psych asap and formulate a plan!

Oh I get this condition also (although haven't attempted to get a diagnosis). I didn't know it was formerly classified as a medical condition. Mine came after running for long distances on my tread mill and doing cross fit. I found rolling and lacross ball mashing helps temporarily and is required almost every day. What really helps though is when I purchased the following reactivator shorts from Intelliskin: http://www.intelliskin.net/products-men.php I do not know if there are woman versions of these, but I think they might be unisex. It is designed to align and correct hip alignment and other flexor issues. The difference in how I feel when sitting all day or after working out where hips reflectors are used (eg running, squats, wall ball throws, Olympic lifts, kettle bell swings, etc) is night and day. As a bonus, my athletic agility and explosive performance is also way up because I am not constantly dealing with SI or psoa pain. Instead the hips function as they are supposed to. They are great. Kind of pricy though. Doing air squats with these on is awesome and they allow me to go really deep. Doing the deep air squats actually helps a lot in managing the symptoms. Plus they feel really good to do in a sensual way (endorphin release).

Hi all! I am 18 months post gastric bypass. The experience has been great and I have not had any complications. My biggest issue is reactive hypoglycemia. When I eat too much sugar and/or carbs, my blood sugar tanks about an hour after. Does anyone else struggle with this? Any tips or tricks to better manage? I know it is completely diet related.

Congrats to you for taking control back! I am also in a similar boat. I lost about 80 pounds in the first few months. Then I started going the wrong direction and gained 50 back. 6 weeks ago I decided to get my butt up off the couch and sign up at a fitness center. And I reactived my fitday account so I could start tracking calories again! And I dragged my fiance with me too lol! In the past 6.5 weeks I've lost almost 30 of those 50 pounds and am feeling great. It was hardest to get to the gym. But once you go, you get into a routine and its easier! You have lots of support here! And also, now that we know how HORRIBLE it feels to regain the weight we worked hard to take off, it will hopefully serve to motivate us to make it work!

I am what Kaiser calls a "reactivated case". I was in their bariatrics program years ago but dropped out and recently have been approved to go back. In the 4 years that I was gone, I gained 40 pounds. Kaiser wants me to lose that 40 pounds before surgery and they have given me approx. 4 months to do it... They gave me a meal plan and told me to exercise. I am going to have to BUST MY A** to lose this weight in 4 months and I need some serious suggestions...

I read the whole post and all the responses here is what I can share and hope it helps: I had thyroid cancer so I don't have a thyroid, my TSH levels must be kept at hypo (slow) rather than normal or hyper. This has Always caused weight gain or extremely slow weight loss. I went to many seminars listening to every dr and after awhile they all sounded like used car sales people! Then I met a dr who said the band is not the cure all its not magic and if you do this you have to think of it as a marriage, you must love me and I must love you but above all that we must work as a team. 2011 June I got my lap band from then till now I am down 110 however that is a number. Not every plan works for every person, I decided to stay on weight watchers and go to weekly meetings. This kept my focus and my sanity. It also kept me eating healthy. I eat my Protein first, then my veggies last my complex carb. I only eat on a appetizer plate. I weigh and measure all my food, I take Calcium supplements. I work out, Pilates has done wonders for me. I finally after 54 years put myself first. If I'm hungry in between a meal I will eat an apple or some small fruit or yogurt. If I was in your shoes the first thing I would do is get all your medical records and see another doctor, I would then see a nutritionist. Finally I will say that I am married to a professional chef and the one thing he has taught me is every calorie is not the same. Just because your only eating 900 calories a day does not mean they are the right calories that are going to burn the fat not store the fat. Hope this helps you, please remember when you put something out there on a public forum your going to get many opinions the hope is that you can get some support where you need it. Good Luck

I'm the same as you (eat way less and better and think about food all the time) but I like it (? ) I enjoy finding the most nutritious food instead now. I can't do fly by seat of pants like him either, I find I put on when I eat reactively.

I adore shepherds. I had one when I was very young. I couldn't have her inside due to allergies. I have to stick to the hypo-allergenic breeds now because I firmly believe dogs belong inside. I'm doing fine - my incisions are starting to itch a bit but I think that's normal. ~Sabrina

Hi, I was diabetic before surgery, no medication now BUT I have been having was is called reactive hypoglycemia. http://www.mayoclinic.com/health/reactive-hypoglycemia/AN00934 Check out the mayo clinic info at this url. It happens to me about 3 hours after a meal, my blood sugar will plunge to about 50. Which is low. This is actually one of the know side effects of RYN - but - not one talked about too much - and it a bummer and a scary one. The "cure" is to drink about 1/2 cup of a sugary beverage such as juice or regular soda or eat sugar tablets - BUT - this can cause problems in RNY patients. I personally have to eat a snack - which will also work. I find it happens when I have not been careful to eat a balance of carbohydrates during the day and have one meal with a high concentration of carbohydrates. In theory it is easy to prevent but in practice difficult sometimes to implement. I would suggest discussing with your DR and/or nutritionist right away. It is daaangerous.

Is there a list of questions for your first surgeon consult anywhere on here (I'm anal, I know-have another list for the insurance lady)? I realize that some of these may get answered at the initial seminars (been to mine already), but I still have lots of details to ask. I'm hoping the Dr. will cover most of this when I get there. Here's what I have so far, PLEASE help me add to this (going in a few weeks, thanks!): PRE-OP - Pre-Op Diet- how long, what/when? Night before-what/when? - Bowel Prep- or not, what/when? - My Meds.- continue reg. meds, Vitamins, up until when? WHICH BAND (I have a choice) - Realize- Want to see this one filled/crease concern, and the bend back lock - Lap-Band APS or APL- How much fill is in it immediately, and is this all in the port/tube (zero band fill)? See it filled. - Low profile port- Which has? option for me now or later? SURGERY/IN HOSPITAL - When does surgery get scheduled/criteria? Tentative date or wait for insurance approval? - Allergies- Mine-soaps/sheets, adhesive tape (fine with the hypo-allergenic kind), all environmental (asthma) - Anesthesia-preventatives for nausea possible (I get easily nauseated, was given 2 things for nausea by anesthesiologist last surgery)? - Catheter- used? out when? - Oxygen/IV- confirm yes- also? - Clot Preventatives- leg sleeves? meds, other? - Band- Attachment-How-lower stomach folds up and sutured (2-5) on one side? How long until it is secure/fused How can slippage occur? Is it tested during surgery, blue dye or how? - Port (I can chose where) Determine best position, attached how? How long until it is secure/fused? How can flips occur? - CO2- What do you do to minimize gas pains? Remove excess? Is it heated/humidified? Meds after? - Incisions- Confirm 5/locations? Use staples, stitches, glue? Protected with what/coverings? - Complications- should I expect any with my history? - Timing- (Mainly for DH)What is approx. timing/process of surgery (arival, prep, surgery, recovery, etc.) - Pain Meds- after, what, how often, side effects/nausea? - My Meds- Can I take my reg. meds in hospital, when? - Nausea- Meds available immediately after if needed? - Coughing- (some wake up and cough, I have asthma and easily cough) are meds available for this immediately? Can I also take inhaler immediately? - Length of stay- 1 night? What is the criteria for release? - Tests- Barium swallow? X-ray? Urine test? Other? - Expectations- Up and walking when? Shower? etc. HOME/POST-OP - Incisions- What to expect, treat them, buy anything, timing? - Expectations/Instructions- sleeping (propped up?), lifting, work, pain-when to call, etc. - Pain Meds- What, how often? Can I pre-fill Rx? - Other Meds- Nausea/Vomiting (get Rx for Phenergan), Diarrhea/Constipation, Coughing, Gas pains? Get Rx or OK list for OTC, and when it's OK. Call at what point? - My Meds.- If not started in hospital, when is it OK to start regular meds., vitamins? - Card- LB card to carry in wallet available, info. on limitations, loc. of port, surgeon info? - Diet- Phases what/when? Vitamin supplements? What to buy? - Exercise- What, when? LONG TERM - Dr. Visits- What is normal schedule for post-op visits, for what, testing, or only see at fills? - Fills- What is normal schedule/Normal amounts? Criteria? Who does? How are they done- xray, fluroscope, barium swallow, local anesthetic? Unfills the same? - Complications- Fill/restriction issues, Port/Band Pain, When to call? - Support Group- Schedule

Hmm, I didn't know that, interesting. There needs to be a forum at VST for people with autoimmune disorders. Today I had a salad consisting of romaine, cabbage, baked salmon, and self-made dressing; plain yogurt, lemon juice, mustard, salt and pepper. I got 3 bites in and stopped, I was full. About 10 minutes later I got all sneezy and bleary eyed as though I had just eaten white flour, why?? I know there are cross-reactive foods out there, but all things considered this was a pretty clean meal.

I didn't get surgery July 7th because my insurance was terminated days before my surgery.. Soooooo sad. But all I have to do is reactivate it and call my surgeon back with an effective date of my insurance and get a new date.. Anyone familiar with this happening

I have had ups and down - sometimes I am very patient and not reactive at all. Others, OMG, I go off at the smallest thing.

You'd think she'd get hypoglycemia from candy too though.. (not saying it ISN'T a blood sugar problem, just that it's weird ). Personally I can taste the baking soda in cakes and the like, so then I start thinking maybe there is another ingredient in the second list that you have developed a sensitivity to (my daughter is sensitive to vanilla! Can you imagine?) I was kinda assuming you are dumping.. but maybe taking a blood sugar reading when you feel that way could answer whether it's the reactive hypoglycemia. (The other way to tell, if you don't have a monitor, is to see if you feel better after you eat something).

I didn't get surgery July 7th because my insurance was terminated days before my surgery.. Soooooo sad. But all I have to do is reactivate it and call my surgeon back with an effective date of my insurance and get a new date.. Anyone familiar with this happening

I never had any heartburn/stomach acid issues... until I had my sleeve done in July. Once I allowed my omeprazole prescription to lapse (I didn't want to stay on it long term due to potentially serious long-term complications from the drug), oh boy... I was miserable. Heartburn, that awful taste of bile if I 'threw up in my mouth', I was having serious second thoughts. It was especially exacerbated by late-night eating or fried, fatty, or dairy foods. Rather than go back on a PPI immediately, I first asked my doctor about alternatives to PPIs, and they suggested I try out Pepsid AC 1-2 times a day (once daily plus one additional proactively/reactively depending on a meal in question). It's actually made a huge difference. If I feel heartburn coming on or I'm about to have a spicy/fatty meal, I pop one (not exceeding 2x per day), and within 15 minutes or so all is well. It's been 2.5 months off PPIs and I'm surviving. Being one that historically has indulged heavily in both very spicy and fried foods, it's definitely a struggle to rein in those impulses... Keep in mind that h2 blockers like Pepcid don't decrease stomach acid production as much as PPIs do, so depending on your individual situation, Pepcid might not be effective. As always, consult with your physician, but there are options for controlling stomach acid, not to mention dietary changes.

Armour is short acting, at least the t4 part. That is why there is twice daily dosing. So you really don't have any fall back if you miss a dose. But if you were put on it due to conversion issues, then that is what you need. Or levoxyl and cytomel. But ti would be the same idea of NOT being able to miss a dose or three. In medicine, there is no one size fits all. Do they know why your TSH went that crazy? If it were me, I would want to know that before proceeding with surgery. If the cause is something that needs intensive treatment, that should be handled first. WLS can wait. Or, do you already know why you are Hypo, and you were non-compliant with your meds? For example, I had radiation on my thyroid, it no longer functions. If I stop taking my levoxyl, my pituitary will start screaming for thyroid hormones..the TSH goes up. And up, And UP. I don't know how long it would take to reach 96, that is pretty extreme. But if mine were that high, I would KNOW the cause if I were not taking my meds. I would want to be assured by my PCP or endocrinologist that I was OK for this surgery with my TSH that high. Did they do a full thyroid panel? It could be that the TSH is wonky, but your ACTUAL thyroid levels in your blood are normal.

My webpage documents my first year out only. }Have you gain any weight at all even if you manage to lose it in the 7 years? Oh boy! It is incredibly easy to gain weight. At one point, I was up 27 lbs! I worked really hard and lost it. Right now I'm up 8 lbs so I'm back to working it off again. It's way harder to lose now {Have you gotten preggo during the 7 years? No {Can you eat more then ever or do you limit your food intake? I can eat a lot if left to my own devices. I still need to use journalling to keep the weight off and to lose. I have to account for every bite. It's too easy to eat mindlessly. That's what gets me in trouble. {Do you exercise? I am extremely active. Mostly walking. 3 miles is a slow exercise day for me. {Have you had any plastic surgery? None. I've lost 140 lbs or so. I've learned to live with my wrinkles. I'm 42. {How do you feel now compare to 7 years ago body wise health wise mentally physically? Physically awesome. Health is awesome. I have some issues like osteopenia, reactive hypoglycemia and anemia but they are easily managed. To not get out of breath by simple tasks, to shop in normal stores, etc is wonderful. Body image is totally screwed up Dawn

I too was 5 lbs heavier post op the day i got home from the hospital. I was so depreessed, being hypothyroid as well. I felt so defeated . i knew I lost weight on 2 week pre op. To then gain weight on sf jello and popsicles. I called the drs office in tears of course. I am 5 days post op now and am scared to get on the scale again. However, I can see weight loss in my body. Still# pts hypo scale

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!

My big question is.."what is normal"? I take Synthroid, I think a little higher dosage is what I really need, but because I fall into the "normal" range with the dosage I'm taking now, my dr won't up the dosage. I still have all the symptoms of hypo, but I'm in the "normal" range. Errrr! To me it's nothing more than stereo typing people. Why couldn't we just do a test run on the higher dosage for a few months then if there's no diff, then drop back. JMO