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Here is a link to an article on reactive hypoglycemia post–gastric bypass. https://www.ridgeviewmedical.org/services/bariatric-weight-loss/enewsletter-articles/reactive-hypoglycemia-postgastric-bypass The three most important things after surgery are fluids, Vitamins and Protein. Since you said that "when I drink Protein I throw instantly", have you tried MILK. 32 ounces of 1% milk fortified with 1 cup of powdered milk will give you 56 grams of protein. You cannot drink this all at once but spreading this out throughout the day will help you meet your daily protein requirement.

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.

yes. I'm hypo. I've lost 157lbs from my recent high of 287lbs. I'm in normal BMI and weight range and am my final Goal #3.

A search of the internet shows that others reported problems with balance after RNY surgery. There are probably several potential causes. For example a Vitamin B12 deficiency can cause dizziness. Some people experience reactive hypoglycemia after surgery and this can lead to dizziness. Also if you were diabetic prior to surgery and are still taking some blood sugar medicines, your dosage may need to be adjusted. Normally at the 1 year mark they have you undergo blood work. This allows them to fine tweak your Vitamins. Make sure when the time comes that you undergo this. Here is some discussion about this topic. http://www.bariatric-surgery-source.com/lightheaded-and-dizzy-after-gastric-bypass-surgery.html

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.

I could have sworn I saw a post this morning about post-sleeve diabetes management. When I got to my office to post something, it was gone. So, I thought I'd start a thread - would love to hear from other diabetics in the group. Before my sleeve surgery, I was on 1.8 mcg of victoza, 2000 mg of metformin, 60 units of lantus and 60+ (sliding scale) of apidra daily. My surgeon reduced my meds immediately after surgery - no victoza, half the metformin and 10 units of each of the insulins. Unfortunately my blood sugars, particularly my fasting sugars, were not where I wanted them after I began solid food, so I consulted with my GP and we went back to 2000 mg of metformin (less chance of hypo), 25 units of lantus and 5-10 units of apidra. That's just freaking amazing. We also developed a plan to begin backing me off the medicines as the blood sugars come down. Both my surgeon and GP agree that if all continues to go well, I should be off the meds in a few months. I'm limiting myself to around 30 grams of carbs a day (my surgeon's plan allows for 60) and getting daily exercise. So, how's everyone else doing? Anyone off meds altogether? CJ

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.

I'm glad I can help despite some long term medical problems I have had that were a result from the surgery....... Such as ulcers, and reactive hypoglycemia (which is the opposite of diabetes...... My blood sugar can get dangerously low if I eat the wrong things )...... I'm on a super strict diet........ I wouldn't change a thing! When I was once 365lbs, I was 23yrs old and I couldn't walk, I was always stared at, I had high blood pressure, high cholesterol, stress fractures, horrible depression. I couldn't even properly bond with my daughter when she was an infant..... I couldn't hold her. My husband took care of her. I missed out on so much. I studied this surgery inside and out, from top to bottom, right to left..... Weighed it..... And for me it was the answer. I thank my lucky stars. If you ever have questions.... I can probably answer them. Researching this surgery became my life for over a year. I still research it and try to help others because I believe everyone deserves a life of happiness....... It isn't about the number on the scale..l. It's about your health.

No, the band will not prevent the symptoms of hypo/hyperglycemia. I was hypoglycemic for decades. Now I'm hyperglycemic. In both cases, I had to eat something every 3 hours to keep my blood sugar stable. Still do. .

I am also hypo - I keep taking my syntroid

Hi Rev- I am with you to an extent. I have "off" days and have noticed some definite changes with my menstrual cycle (like it lasts forever) and my emotions. I also get weird about food on occasion and will struggle with not being able to figure out what to eat. I've recently gotten that under control. I found I really like Muscle Milk light. So, when I start stressing over what/where to eat and I'm alone I hit the gas station for a Cafe Latte Muscle Milk. Problem solved. I have had reactive hypoglycemia since I was a teenager. For years I've controlled it with diet alone. But, since having surgery I've noticed it is much more prevalent and harder to manage. Feeling "shaky" and "weak" are major side effects of low sugar. Where we differ is that I picked up running about four months ago. I really feel that excercise has helped me tremendously. I agree with the other posters that it's probably time to see the dr. for some bloodwork to rule out any insulin or Vitamin issues. Good luck to you! Amanda

I'm 9+ months out and I still have days where I feel weak/shaky. I talked to my NUT and she talked to me about something called reactive hypoglycemia. Basically what happens that that our bodies sometimes still produce the amouts of insulin that it did when we ate so much more, and it can cause a low blood sugar. I started snacking on turkey jerky during the day, just a piece here and there. and I feel so much better. For me, I also feel really rundown and get winded exercising if I am even a little bit dehydrated. Did you do labs a 6 month out?

I deleted and reactivate and still having the same issues

It could be due to a number of factors. If your blood sugar gets too low or if your blood pressure gets too low, fainting can result. 1. If you were diabetic prior to surgery and taking medicine for it, the amount that you take for this condition might need to be reduced or eliminated. The same may apply to those taking prescription medicine for high blood pressure. 2. Some individuals (irrespective of whether they had diabetes prior to surgery) get a condition called reactive hypoglycemia. Here is a couple links. https://www.mayoclinic.org/diseases-conditions/diabetes/expert-answers/reactive-hypoglycemia/faq-20057778 https://www.verywell.com/what-to-know-about-reactive-hypoglycemia-1087744 3. It can also be due to dehydration or an electrolyte imbalance. Possible triggers of orthostatic hypotension include: dehydration – if you're dehydrated, the amount of fluid in your blood will be reduced and your blood pressure will decrease; this makes it harder for your nervous system to stabilise your blood pressure and increases your risk of fainting. https://www.medicalnewstoday.com/articles/182524.php Generally, electrolyte disturbance symptoms depend on which electrolytes are affected and the severity of the imbalance. Most electrolyte problems involve abnormal levels of sodium, potassium, or calcium. Typical mild symptoms of an electrolyte disturbance include dizziness and muscles cramps or weakness. https://draxe.com/electrolyte-imbalance/ It is important to drive this one to ground. Consult your surgeon's office. If you have a blood pressure monitor and a blood sugar monitor at home, you might be able to localize the cause immediately after your next episode.

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:

It's funny... I've always wished I was hyper rather than hypo.. That way, the weight would just fall off... make it a great day Hope you get stable soon, krakow! make it a great day

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If you suffer from acid reflux then bypass is the best option. I know this because when I originally was going to have surgery I wanted the sleeve and was preparing for the sleeve but when I met with my gastric doctor he told me to have the bypass because of GERDS. I listened and I've had great success and even though I got Reactive Hypoglycemia which only 2% of gastric bypass patients get it I would do it all over again in minute. Reactive Hypoglycemia is different then regular Hypoglycemia and is really a very low risk of getting it. Good luck in your decision and best to you on your journey to a healthier you. P.S. I hope I haven't scared you with what I disclosed to you and if it worries you discuss it with your surgeon or nutritionist.

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 :-)

Hi. I had Graves Disease & now I'm hypo, so I shared your concern. You will def lose weight. I'm about a month out & so far have lost about 24 lbs. I think that's pretty good! My hypo dose of med is 225 mg and I have to crush my pills before I take them & that's not as bad as I thought it would be. Talk to your dr about your concerns. It really might make you feel better. Anyway, good luck & see you on the "losers bench"!

I have hypo thyroid and i am 2 months out. I have lost 45 pounds so far. My doc is a debbie downer as he thinks that is slow, but ai m half way to goal so I am concidering it a win

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/

Whatever you decide to do: ask yourself if it's something you might still be fine with in e. g. two years or five years. Of course you can never know if you will really be fine with the approach you choose a few years down the road but giving yourself an honest answer might help you rule out any approach you're uncomfortable with from the beginning on. So when part of your brain wants to turn around on the heel and run away, screeching "NOOOOOOOOOOO!!!!" when thinking about going to the gym six days a week, living off lean protein, shakes, no fat, no carbs, no nothing forever - then don't do it. No, you won't "get used to it". Yes, you can kickstart things with sort of a high-speed diet for a few weeks if you're comfortable with that approach - but have a plan how to proceed from there and ask yourself if it's the time for a kickstart. It might not be the time for a really restrictive short-term diet if you feel very stressed, need lots of energy for your working days, have an injury or acute illness to deal with or if you're prone to reactive bingeing.

I think the number had greatly improved recently. Especially since we have move to an accountable healthcare system. Pretty much means we need to prevent diseases instead of treating them with meds. Best way to prevent most common diseases, diabetes, HBP, GERD, sleep apnea, joint pain... etc. is weight loss. It's being proactive instead of reactive.

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.