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As Fluffy said, differences for different programs - and also for different individual needs. I never worried about carb or fat counts as those don't bother me, just calorie count as that is what ultimately drives the weight loss. There is too much good nutrition associated with foods that are nominally carbohydrates for it to make sense to place arbitrary limits on them; on junk food (high calorie/low nutrition stuff) yes, but not solely on the basis of something being high carb or fat - the calories are an adequate limitation. With your bypass, however, and the prospect of dumping or reactive hypoglycemia, a reasonable carb restriction can be in order, particularly for simple carbs and/or sugars, at least until one figures out ones' individual tolerances.

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/

Okay well I am really confussed here. Every since surgery my blood sugar has been in range and as the weight comes off I thought I was done with checking my blood. Well last week I started feeling funny. I passed it off with stress since my hubby was reactivated and we are making a 1200 mile move to Texas. My husband left Saturday and we will follow at the end of the month. So I'm stressed. Okay well yesterday I thought maybe it is my blood sugar so I checked and it was 140. In past weeks/months it has been under 120. Last night before bed it was 202. This morning 160. WHAT IS UP WITH THIS? Do I call the doctor? Wait? What do I do??? I have not taken any of my meds since surgery. Has my diabet come back? Okay I will admit that I have not been eatting real good and maybe not all my fluids but I have been eatting and not sugar??? Any suggestions?? THANKS!

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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

This may be kind of a strange topic, maybe not but I figure it's worth mentioning if any of you pre-oppers are in a similiar boat. So, about a year and a half ago I was in a car accident that resulted in pretty severe whip-lash (which I never thought was that big a deal until my ordeal) in the last six months I don't have so many problems any more and didn't really think to check off that I had "neck injuries" on the paper work for the anesthiaologist. Boy, I wish I had, but I don't know if it would have made a huge difference. But I'm now almost five days post-op and have been recovering very well and almost have no pain from the actual surgery it's self. However, I've been in EXCRUCIATING pain on the left side of my neck, and have been having severe migrains, I saw my massage therapist (who also happens to be a good friend) the day before surgery to help calm my nerves, and not because I was in any pain, but today she came over to see if she could help ease any of the pain when she discoverd that four of the vertabrae in my neck have been sublocated (twisted totally out of place). Our theory is my neck being in a weird position for a prolonged period of time and being moved around too quickly when they placed the breathing tube in for surgery must have caused this. To make matters worse I had been getting a pretty rough, shooting pain on the same side under my left breast making it hard to get up, or lay down or breathe very deeply, which I assumed was probably gas. But tonight it's gotten so bad I can barely breathe or lay down and we discovered I also have a sublocated rib (which probably came about from the neck vertabrae being twisted since it's all attached the same muscle structure) I don't think that this is due to any negligence on my surgeon and her teams part but it has really set off and reactivated previous problems from whiplash. Happily as far as any pain from the surgery itself I'm in tip top shape and feel great don't even need the pain meds anymore and feel like being more active - except for my neck and rib - they're excruciating and I'm not sure what I'm gonna do if I can't see a chiropractor tomorrow. Ugh! So, while this isn't directly related to being banded, and may seem strange if you don't have these issues, I thought it may be helpful to those of you about to have surgery if you DO previous damage from whiplash or whatever else so you can be sure to let your surgery team know so they can be extra gentle with you and hopefully prevent you from finding yourself in this position. Anyway, hope this cautionary tale helps some one!!!

having hypo thyroid certainly has made things harder for you, im sorry to hear that your thyroid isnt working up to scratch. Ive bought some MACA root powder which is extremely good for thyroid and adrenals and ive used that. you could do a search online for it. i bought it from australia but i believe its grown in peru. let us know how you get on with this.... its not an easy road that you are on.

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

Thank you for ALL the advice!!! Today was a MUCH better - I have been on soft food since Sunday as per my meal plan from my doc. Foods on my acceptable list are : eggs, chicken, baked fish, crab, melon, pear, banana, yogurt, steamed veggies. (I had to be on pureed foods for 3 days before that and "full" liquid for 3 before that - and clear liquid for three before that. I have been VERY blessed to have very few complications and only felt that I have had "too much" restriction once when I didnt chew well enough before I swollowed. I was feeling hungry because I have reactive hypoglicemia because of my p.c.o.s. -but today I took Betsy's advice - and toughened up!!! I moved my meal times back later in the day and stuck with a skim milk with sugar free carnation this afternoon and NO cheating!!! Yeah!!! One good day down and many more to come. (My morning weigh in was a huge wake up call - only lost 3 ounces since Sunday!!) THANK YOU SOOO much to my new lap band friends - this has been a HUGE help and encouragement and look forwaed to many more pounds lost together!!!:thumbup:

Several individuals develop a condition called reactive hypoglycemia after gastric bypass surgery. Here are some links: https://www.stjoes.ca/patients-visitors/patient-education/f-j/PD 7972 Reactive Hypoglycemia after Bariatric Surgery.pdf https://www.ridgeviewmedical.org/services/bariatric-weight-loss/enewsletter-articles/reactive-hypoglycemia-postgastric-bypass http://www.todaysdietitian.com/newarchives/060415p48tip.shtml https://www.bariatricpal.com/topic/194130-reactive-hypoglycemia/

HiI Everyone! So I went to my nutritionist today to ck in and it'll be 3 months since my surgery nxt wk. Ive had a 1cc fill about a month ago and I've lost 10lbs (I was careful to NOT say ONLY 10 lbs bc it's a loss nonetheless!) anywho in reviewing some bloodwork I did about a month ago she said my thyroid is out of control...(hypo).. I'm going back to see the MD nxt wk to see if medication wb required but I've been diagnosed before (2010) as "intermittent hypothyroid" most annoying diagnosis ever.. However THC levels have only gotten worse post surgery.. I read that having surgery, stress and other factors can trigger the hormonal imbalance.. Has anyone else experienced this? Where you put on meds? Had surgery to remove thyroid/did it help? Change of diet? Any info would be helpful.

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 !

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!

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..

This is my first post. I had Roux-en-y (RNY) in September 2009 by Mr Date in The Luton & Dunstable Hospital in England. Have gone from 26-stone to around 16-stone. All seems pretty well except I suffer from Hypoglycemic events even though I am not Diabetic. Anybody else get this? Also I have Terrible-Tinnitus and my life (day and night) is becoming a living hell. Anyhow that's enough from me, any replies GREATLY appreciated. Bye-4-now - Neil :-)

Oh yeah they can happen anytime, but since you travel so much it is already less likely to hit you that way, as your system is accustomed to the changes. I would suggest maybe finding a list of band approved Dr.s world wide if possible on the Inamed site---you could carry it with you to have for the area you are going. I mean search the areas you are going, and keep those names & numbers handy. So you could be prepared. Also take the info about your band and port, so if you have to hit an ER somewhere you are armed with your info. You may also have your Dr. prescribe you something for nausea---mine gave me phenergren (sp?) so I would have it to avoid throwing up if possible. All in all, just be as proactive as you can as opposed to waiting to be reactive. I know personally if I prepare for the worst and hope for the best it usually works out, but the time I do not prepare---all hell breaks loose!!! Have fun!!!! Sounds like a great trip! Kat

Did they check you for over active thyroid? My family is notorious for going from hypo(slow) too hyper(superfast) thyroid. My sister had been almost 400 lbs her whole life and now she is about 150 and dropping. Good luck hope it gets worked out

I choose to look at it a different way. I look at it like I have accountability partners to help me keep from rationalizing poor behaviors and dubious choices. It helps me stay firm and convicted. If I know all eyes (pretend--cuz most people aren't watching) are on me, then I'm not gonna allow the laxness of the moment to take control and allow me to slide. Or to slide "too much." And as for banana, sure your doc says you can eat it. And in limited amounts it's not too high in sugars for a lot of people. But we are each individual, and I'm extremely carb sensitive. So if it doesn't give me reactive hypoglycemia, or high blood sugars, it will absolutely make me hungry within an hour or two. So bananas are on my "no fly" list. I do use banana flavored protein powder though.

How elevated is your TSH? What medication are you taking? I have been both hypo and hyper, finally had half of my thyroid out in Oct. of 2010 and have not had an issue since. I would check with your surgeons and get his/her opinion.

I had an issue with that about a year after WLS. They checked several things because they said there could be any number of reasons - low blood pressure, reactive hypoglycemia, inner ear imbalance, or even at UTI! They didn't find anything, but my PCP suspects it was probably glucose-related, and my glucose level just happened to be normal during the work up. So she suggested I eat something every three hours - preferably a protein. I haven't had that issue since, so that might have been it - or at least it was for me. I know a lot of people experience that because of low blood pressure, though - that seems to be the most common culprint. hope they figure yours out!!

Your list of symptoms included: * Extreme fatigue * Feeling dizzy upon standing * Feeling fainting when standing up too long * Feeling weak after eating. Several individuals that undergo RNY gastric bypass surgery experience a condition called Reactive Hypoglycemia. It is a form of low blood sugar. This occurs in individuals that had diabetes prior to surgery but also in those that don't. You experience a large drop in blood sugar around from 1-3 hours after a meal. It catches some people by surprise because they faint, dropping onto the floor. But it can also be corrected by recognizing the signs of low blood sugar and reacting or by modifying the way you eat. https://www.ridgeviewmedical.org/services/bariatric-weight-loss/enewsletter-articles/reactive-hypoglycemia-postgastric-bypass This link describes some of the symptoms of the condition. http://www.weightlosssurgery.ca/before-after-surgery/reactive-hypoglycaemia-post-gastric-bypass/ If this matches some of your symptoms, you might read up on the condition using the internet. I am not sure about some of the other symptoms but you are taking quite a bit of medication (vistaril, remerom, zoloft, wellburtrin) and you may have some bad interactions happening. The most important elements after RNY gastric bypass surgery is to meet your Protein, Fluid and Vitamin daily requirements. food is secondary because your body is converting stored fat into the energy that drives your body. Thus you lose weight. Weight loss is achieved by meal volume control. At 10 months post-op, this should be around 3/4 cup per meal. So back to basics, reverify that you are meeting the prescribed requirements for protein, fluids and Vitamins. This article describes my experience after RNY gastric bypass surgery. http://www.breadandbutterscience.com/Surgery.pdf Life is full of trade offs. In my case I had high blood pressure, diabetes, sleep apnea and severe acid reflux (GERD) prior to surgery. I traded my love of food for good health. At 3 years post-op, I am content with that decision. I have been able to find some pleasure in eating again. I found mixing food groups together provided some flavor. I also found that softer foods such as chili and Soups went down much easier than harder foods such as steak. I hate Protein shakes and no longer take these. But I did this by fortifying the protein that I consume in meals. "Protein First". Anyways at the end of the article, I have included some recipes if you care to try them.

Do you just have to exercise to lose weight? I was planning on starting to walk after my surgery. But I've been on a high protein low carb diet before my surgery, and I use MFP to keep track of my calories and keep in mind I'm not exercising. I'm suppose to be able to eat 1800 and some calories, seems like a lot to me , but that's what it said. I'm not loosing anything. I thought it was calories in calories out kind of thing. Is it simply a matter of exercise or is it to many calories or both? And yes I hate exercise and have a bad knee, but do plan I doing it I know I have to. But I was just curious why I am not losing something. I don't want this to be what happens with the band. Can you just be unable to lose. I am 5'3 and 277 pounds, plus I am 47 yrs old, and was thinking my metabolism might be shot or something. I do have a thyroid (hypo) problem but it is OK on meds. I'm guessing the answers going to be to exercise Actually I hope it is that simple. Not easy but simple. BTW my nut said he has no calorie or quantity restrictions for me he said just eating healthy would take care of everything when I get the band..

So ever since Friday i haven't been feeling all that great. I was feeling a bit swimmy in the head and my insides actually felt sore. It almost felt like I was coming down with something. Last week I found out my thyroid was way out of whack so instead of hypo i was hyper. My Doc changed my dosage and the swimmy feelings went away. I still felt sore inside and it hurt mildly to take a deep breath. I was thinking because I started taking Iron may be I was constipated, I took some miralax. Friday I felt so full and couldn't eat anything after my attempt at lunch. Well it doesn't appear as though I am constipated and I still feel sore inside and randomly without warning I get a pain in my left abdomen that makes me cringe. It really has me baffled. I don't feel full anymore and am able to eat normally. I am not one to freak out but I can't imagine what it could be. I will be calling the surgeon's office tomorrow. I am 11 weeks out. Does anyone have a similar experience? Just looking for clues.

First let me say Thank You for all your prayers. My surgery was Friday 9/16. Here is my story and I'm sticking to it. First I am still very sore and still alot of gas. My surgery had a few complications. I have a hypo-Thyroid so this played a little issue with the surgery but not bad. Then they discovered that I was bleeding under the skin and had to put a drain and bag on. I only say this so everyone knows that not every surgery is perfect. That being said I do have to say that outside of the complications it really was a wonderful experience. The people from Belite were there with me all the time. They were great and compassionate and honestly caring. JoAnne from Belite was actually there and when she came to see me after my surgery, she immediately ran to the Dr's and told them that I did not look well. I had every Dr and nurse in my room. I tried to get up severval times after surgery to walk to relieve the gas but as I sat on the end of the bed I fell back and passed out. They were there to fix the situation and since I had to stay in bed...no walking,,,hence a slower recovery. Belite was there to pick me up, transfer me to the hospital in Tijuana for pre-op then take me to the hotel for the night. We met with the surgery team that night at the hotel and they answered every question we had. INT hospital is one of the cleanest hospitals I have ever seen and I was a little hesitant of going to Tijuana. We felt very safe. I actually felt more safe there then in some of the US cities. And we were full-time RV'ers for 10 years so I have seen alot of cities. Dr Rodriguez and his surgical team were the tops in their field. We are now thinking of going back in a few months for my husband and will not hesitate to use Belite and Dr Rodriguez. Any questions I haven't covered pleas ask. Everyone else that had their surgery done the same day as me had no problems. I think my problems were a result of a combination of a 58 yr old women 5'0 245 lbs and with a Hypo-Thyroid problem. I really can't say enough good about, INT Hospital, Dr Rodriguez and his team, and all my new friends at Belite....Thank you especially JoAnne, Jamie, Amy, and Alberta (driver) Good Luck to all approaching their surgery and my prayers will be with you all. Janet

Since day ONE of my LapBand surgery (5/11/05), I've been having problems... at first I couldn't swallow spit. They took a Barium Floro and found my esophagus was bulging. The remedy was not drinking anything and walk, walk, walk. It worked but I still have issues. I have a feeling I have reactive esophagus type problems, similar to reactive airway disease (which I believe I also have as an asthmatic). I was wondering if anyone else has had similar symptoms and, if were checked out by a doctor, what the issue was... Here I go... - Sometimes ... and then other times ... A small sip of hot tea gets stuck (like right now) and I gurgle for hours - nothing seems to unstick it. Then I can eat a whole pizza with the crust and no problems! Then nothing goes down at all but liquids in very small quantities. When I get hungry (physically) I resort to eating chocolate, which unfortunately goes down real smooth... sigh... then I have no problem getting down extreemely small bites of half of a cheese sandwich on high Fiber bread, but it can take over an hour to finish half the sandwich... The most frustrating thing is... I'm only loosing 1 1/2 pounds a MONTH! Grrr! I sure would appreciate any feedback from anyone that has experienced these symptoms and has found a resolution for them. By the way... yes, when I can finally get things down (usually a LOT later in the day) I drink at least 60-80 oz of distilled Water a day and take liquid vitamines in some of that water... and no, I'm not walking enough... but do spend the enitre day on my feet at work, walking, not sitting - ever. Yes, I've had a few fills – and then all the fill taken out when all at once I couldn't swallow spit for 2 days. Two weeks later it was filled again with a very small quantity and I've been in this place ever since then. So annoying! For all of you that haven't had the band installed... truthfully, I'd still have the band installed. I consider it a "speed bump" - no more “binge eating” or “wolfing” food for me... At least I'm down 1.5 pounds per month rather than up and I actually can shop in the petit department, even though I'm on the high side of the rack.