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i have been HYPO thyroid since I was 16 (i am 44 now)... since surgery a year ago my level has been decreasing ....its down to 0.6 as of Monday lowest it's been in YEARS! ....(it has been up to 30.2 in previous years) and I am stable on my medication which is the lowest dose in 30 years! My dr told me just yesterday that she wanted to watch it close in the next 6-8 months because if my weight goes down more I may have to stop the meds....so I dont get hyperthyroid.

The following Abbreviations are commonly used on this discussion board: ACL = Anterior cruciate ligament AMRAP = As Many Rounds As Possible (crossfit) BB = belly button bc = because BCBS = Blue Cross/Blue Shield BED = Binge Eating Disorder bf = best friend BM = bowel movement BMI = Body Mass Index bp = blood pressure BPD = Borderline Personality Disorder or Biliary Pancreatic Diversion bs = blood sugar btw = by the way CBT = cognitive-behavioral therapy CC = common channel c diff = clostridium difficile cos or cuz = because CPAP = continuous positive airway pressure CRNP = certified registered nurse practitioners cw = current weight CXR = Chest X-Ray Dr. = doctor DS = Dumping Syndrome or Duodenal Switch EGD = Esophagogastroduodenoscopy EKG = Electrocardiography ff = fat free GERD = gastroesophageal reflux disease GI = gastrointestinal GNC = General Nutrition Corporation store GP = general practitioner or family doctor HBP = high blood pressure hr = heart rate hw = highest weight ICU = Intensive Care Unit Idk = I don’t know IMHO = in my humble (honest) opinion IMO = in my opinion IUI = Intrauterine insemination LAP Band = Laparoscopic Adjustable Gastric Band lol = laughing out loud LSG = Laparoscopic Sleeve Gastrectomy med = medicine MFP = my fitness pal msg = message NASH = Nonalcoholic steatohepatitis nf = non fat NG = Nasogastric NP = nurse practitioner NSAIDS = Non-steroidal anti-inflammatory drug NSV = non-scale victory (“scale” means “weight scale”) NUT = nutritionist OA = Overeaters Anonymous Onederland = a magical place or destination for those trying to lose weight. It might correspond to attaining a weight in the hundreds or losing a hundred pounds. op = operation OSA = Obstructive sleep Apnea Oz = Australia PB = Productive Burps PCOS = Polycystic Ovary Syndrome PCP = Primary Care Physician PM = private message (email) PMS = premenstrual syndrome POSE = Primary Obesity Surgery Endolumenal postop or post–op = post-operation or post-surgery PPI = Proton Pump Inhibitors ppl = people preop or pre-op = pre-operation or pre-surgery PTSD = Post-Traumatic Stress Disorder PVC = Premature ventricular contractions RA = Rheumatoid arthritis RH = reactive hypoglycemia RN = registered nurse RNY = Roux-en-Y RTD = ready to drink SADI-S = single anastomosis duodeno–ileal bypass with sleeve gastrectomy s/f or sf = sugar free SIPS = stomach intestinal pylorus-sparing surgery smh = shaking my head, scratching my head SO = significant other SOB = shortness of breath sw = weight at surgery tmi = too much information TPN = total parenteral nutrition TT = tummy tuck TTC = trying to conceive Ty = Thank you. [but according to the urban dictionary “Ty” is also an abbreviation for “a total stud with a massive carrot”.] u = You UGI = Upper Gastrointestinal VSG = Vertical Sleeve Gastrectomy Vit = Vitamin wks = weeks WLS = Weight Loss Surgery WOD = Workout of the Day w/o = without wt = weight or :-) = = smiley face or :-( = = sad face

I have hypo thyroid as well. I'm 5 1/2 mos post op and have lost 92 pounds so far. 74 since being sleeved. Still have 50 to go. I was surprised at my 2 month blood work that my T4 was actually high and my Doc had to decrease my meds.

Long time member but i haven't posted anywhere in ages, but I used to be on the Lapband board. I was a long time very successful band patient i was orginally banded in Jan 02 (in Canada, pre FDC approval) lost weight at a great rate. My first band (Innamed) slipped a total of 3 times before it came out for six months, I also had surgeries to move my port and another because my tubing disconnect. Next we went to the J&J band and it was great until it slipped badly, I had it for about 6-7 years and it worked like a charm, restriction was great most of the time, lost to my goal size and then it self tightened and i left it there because of travel, personal stress etc and i thought it would release on its own when i went for a defill it completely slipped around my esophagus and it was horrible. With the J&J I had a port revision surgery in there too. Then we tried a 3rd band it never worked right, I couldn't get restriction because if we did more than i had instant reflux etc. I revised to the sleeve last week with a new surgeon in Philadelphia who told me the band was basically around my esophagus and i had no pouch which is why I had no restriction and why I could not be tightened any more. But I lost about 150 lbs in 12-16 months and maintained that loss for 10 years plus, with little to no effort. In the meantime because of the band with no restriction, some prescribed evil steroids that I had to take that put 30lbs on me in a matter of 8 days... (they change your brain chemistry in weird ways) hashimoto's disease (hypo thyroid) fluctuations for the last few years and a few other things I gained about 70-80 lbs that I could not lose weight I tried. I went gluten free and dairy free, nada, I tried the HCG diet lost 20 lbs gained it back and generally I don't eat more than 1500-1700 calories per day including when I am drinking wine, eating out 3 meals a day etc. I hired a trainer, almost went paleo not quite. Now in talking to my surgeon he has said there are new studies showing band patients 9-12 years out who suddenly gain weight they can't lose for love nor money. They try everything and it won't come off more restriction, calories restriction etc. So we made a joint strategic decision to go to the sleeve since I knew the risk, what type of lifestyle change I was in for, portion control etc. wouldn't be a problem since i had it already. In our conversations we talked a lot about Ghrelin which is produced in the stomach and it makes you hungry, when you are feeling that craving to overeat or binge typically it is ghrelin and obese people produce more ghrelin than non obese people typically with some exceptions. We also talked about leptin which makes you feel satiated and is produced in the brain. With the sleeve, about 70-90% of the ghrelin produced is surgically removed with the part of the stomach they remove. i am curious have you noticed a difference in how hungry you get, cravings and the satiation of cravings ie: I can eat two bites of cake vs. I want the whole cake now? Have you also noticed the full feelings getting different than before from the leptin. My surgeon has said in his conversations with his patients they noticed their cravings reduced which helps them with portion control and in making better choices which helps a number of other things. In other words the brain and stomach don't conspire to make cheetos seem like a great dinner choice or ben and jerry your best friend. Overall I eat very healthy without a ton of junk food in my life we cook at home, we make our own stocks and Soups etc. to help get me through the liquids phase. But we do eat well and drink wine, we might be foodies (we are told we are, I just like trying new things). I have never eaten out of control even with the last band and no restriction just trying to lose weight has been terrible, depressing and frustrating. Especially after my first experiences which was I lost well, ate well, exercised and it worked like it was supposed too. I am a consultant and I travel for my job excessively so hence the eat out three meals a day most of the time I don't have a choice in that, but you can make healthy choices even in eating out and I do. I look at fats and calories along with Proteins and make good choices. Any thoughts you have I would appreciate and any advice you have I would love to read. Thanks for reading and good luck

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/

It's definitely not a "never" thing for sleeve patients, but it is much less likely to occur in someone who's had a VSG than someone who's had a bypass. I'm sorry it's happening to you! Also, I have reactive hypoglycemia and it feels VERY much like dumping but I've had it for years...happens when I eat simple carbs.

I am and have been since 6 weeks before surgery.I had half of my thyroid removed in 2010 for a nodule and when I had my pre surgery labs they came back hypo I am on 0.05 mg synthroid .

About three months after surgery, I started experiencing episodes of low blood sugar, usually after eating something bad for me. I was never diabetic and I've learned to deal with this and have learned what triggers the episodes. I'm 17 months out from surgery, down 110 lbs (20lbs more than goal weight), and have had no other complications. Anyone else with this same issue? Just looking for someone to commiserate with!

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.

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.

I'm confident it will come off and I'm very happy with how I feel and my progress. I am a post-menopausal woman with hypo-thyroidism who is almost 54yrs old. I've lost 29lbs in eight weeks and I can see a huge difference. I've gone from a tightly fitting size 22 to a comfortable fitting sz18 and hope to fit in sz16 by summer's end. I am not discouraged or impatient at all, merely curious. :-) I am curious if, among the other factors I mentioned, age or menopause has anything to do with the rate of weight loss. I see some people who lose 75-80lbs in the first few months and others who average 30-40 in the same time frame. I was wondering if there is a reason, or maybe several reasons, for the vastly different rates of weight loss. So curiosity and boredom (it's been raining) have been the reasons behind my question. :-)

Here is the run down... Had vsg 2 years ago. Lost 180 pounds. Pre-vsg I had a slew of health issues. PCOS, high lipids, high blood pressure, diabetes...you name it, I had it. Now...I am 10 weeks pregnant. I see a high risk ob with consultation from my Bari surgeon. However, I now have to eat every hour or two and for the first time in my life, I am constantly hypo! Docs are ok with 1 hour post meal bs at 70. My body is not. I also had two miscarriages pre-vsg and was constantly hyper with them. I am struggling to keep weight gain at a minimum but loading carbs is zapping me! Any advice?

I've had reactive hypoglycemia for the last 4-5 years. Definitely talk to an endocrinologist. I got a prescription for the Libre 2 wearable device that allows me to monitor my sugar levels in real-time. The Libre will notify you when your blood sugar is dropping or spiking. You'll learn which foods trigger low blood sugar soon enough. For me, it's sushi and alcohol or any high-carb food.

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..

I can't say yet that I've been around the block on this journey but I can talk about my experience with dumping. I started in the hospital during recovery when they gave me two cups of Apple sauce. Me thinking it was ok since I was in the hospital ate it. After that time I worked on figuring out how much sugar I could have and it worked out to around 3 to 5 grams. Not much and it did catch me sometimes when I didn't read a label. It wasn't long before it figured out that dumping was a great way to loss weight and stop the hard bowel movements. I progressed this way for around six months and then the dumping stopped. In its place came reactive hypoglycemia. It's a terrible sickening feeling and forces me to stay away from strong sweets. I'm not saying this will happen to you because many of us don't get dumping I'm just telling you my experience. Best of luck to you.

I had my op October 2021, Doing great, the weight loss is coming off. 5 and a half stone so far, I feel so much better and able to move more, I am happier thats for sure! However I do have a question......Just recently when I eat, straight after I get all hot, sweaty and shaky and have palpitations almost like a diabetic Hypo(low blood sugar) . However I checked my blood sugar, and it is normal. Am I eating too fast? I have no other symptoms. This is just weird!!! Love & Light

After surgery some individuals experience low blood sugar (reactive hypoglycemia). This occurs to both individuals with diabetes and those who did not have diabetes prior to surgery. The easiest way to test for this is by measuring your blood sugar levels when you get tired after you eat. http://www.mayoclinic.org/diseases-conditions/diabetes/expert-answers/reactive-hypoglycemia/faq-20057778

Accompany your firstborn to her/his university, and then say goodbye. My heart goes out to all the parents going through these separations at this back to school time of year. Whether you are watching them walk into kindergarten or dropping them off at their dorm...it is just one more step of theirs towards independence. Which is, of course, a great thing. Anyway, suddenly my band is newborn, with a level of restriction such as I've never known. And this reminds me how our bands are so reactive! Heat, stress, cold, colds, some mention flying (that's not one of mine), our bands inhale and exhale along with us. It's something you can't know until you are banded (and something I wasn't educated on by my surgeon, but that's ok). I was just about to go get another fill but I think I'll just take advantage of this "free" restriction before facing the needle again. Hope you all are doing well and enjoying fall (if in the northern hemisphere) or spring (if below).

I don't understand it myself and it's very frustrating to put so much effort and work into it and not see any results. It makes me break down and cry sometimes but I keep going. But I will tell you that I stick to 700-860-some calories a day. Sometimes I'll make it to 900. I write EVERYTHING that goes into my mouth in a food journal and I mean EVERYTHING. Ever since I stalled back in July I have become extremely strict with my diet and sometimes have to force myself to work out as much as I do but I get it in.You have a right to be suspicious if what I'm saying is true but let me tell you that I'm being completely honest with you and completely honest with myself. Even in the liquid phase and mushy phase of my first few months with lap band I was unable to lose weight. Back then I was eating nothing but chicken broth, cream of chicken Soup, sugar free Jello, then moved on too mushy foods such as re-fried Beans, mashed potatoes, etc and was still unable to lose a pound with that kind of diet. I kept my portions to half a cup and 1 cup. I have had my thyroid checked because my grandmother had hypothyroid as well as two of my aunts on my mother's side. My thyroid workup always comes back normal. The only thing that the doctor has told me is that I have metabolic syndrome. But a funny thing did happen one time at my doctor's office. My doctor divides his time between his private practice and the hospitals around my city and he had hired a nurse practitioner. I went one day and he wasn't there so I saw this nurse practitioner and based what I told her about not being able to lose weight she prescribed thyroid medication and I picked it up at the pharmacy and I was happy that I finally had the answer to all my weight problems, but 2 weeks later while on that medication, my doctor called all of his patients that the nurse practitioner saw during that time and asked them to come in to re-evaluate her work and he told me I wasn't even hypo thyroid according to any of my blood workups. I asked him about the nurse practitioner and he told me he had to fire her because in his absence she was diagnosing people with illnesses and conditions that they didn't even have and prescribing medications they didn't even need that could also be harmful to them. So he took me off the thyroid medication and explained my numbers to me and told me I had no thyroid problems. But maybe I should see a specialist such as an endocrinologist just in case.

If your TSH was low, then your thyroid levels were too high. Hyperthyroid can be dangerous. Been there, done that, got the t-shirt. Rapid heartbeat (resting pulse was 120), twitching muscles, shaking limbs, foggy brain, racing thoughts, can't sleep.... But being hypothyroid is no fun either. I think that is where I am at right now. I don't have a thyroid any longer as mine was overproducing hormones and would not shut off, so I had to have it radiated. Now I have to take meds daily, and I think I need to have it upped. My PCP tends to just treat the numbers on the tests. I was a little low, so he adjusted me up to barely get into the normal range, but I still have hypo symptoms. So I have an appointment with my Endo in March. I am hoping to convince him to treat ME and not my test results and bump my dosage up. Test results have a normal RANGE! But it seems so many docs don't want to invest the time in tweaking the dosage to get us to where we feel well and are happy. OK, my rant is over. But I am right there with you!

Well I am hypothyroid. But I've been on meds for about 2 years now. However I had been at 88 mcg's for a long time. But during that time I lost about 30lbs. So when they did a recheck I was in the HYPERthyroid range...however I felt amazing for once, hypo symptoms were gone and I had no racing heartbeats or other hyper symptoms (in fact I was actually losing weight-instead of only maintaining on 1000 calories a day). However due to the TSH number she lowered my levothyroxine dose to 75 mcg's. I believe I was at .19 for TSH. and .3-3.0 is the range...I'm just wondering how much my levels have risen again because I'm struggling to maintain weight right now. It's irritating.

I've had hairloss related to hypothyroidism in the past. It is a common symptom of a thyroid imbalance whether it be Hypo or Hyper. If you were put on a medication when this problem was found last summer (which you should have been)then losing weight since could have caused your dosage to need to be adjusted (mine had to be lowered due to weight loss). If you were not put on medication then the hair loss could be due to ignoring the imbalance. Either way, proper treatment will resolve it. I am surprised that this was not checked during your pre-op tests for surgery. It was for me. Most check this becaue if you have a thyroid imbalance, specifically if you are hypothyroid, and it is not being treated properly it could hinder your weight loss with the lap band. You should see a good Endocrinologist to treat your thyroid problems.

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!

I have hypEr thyroidism, not hypO thyroidism. Hyper is low levels, which can effect weight loss. People with hypo have high levels, which is usually found in skinnier folks- high levels can cause someone to be thin. There are people who go between both types and there are bigger folks that have hypO thyroid conditions. I am on synthroid for mine and get checked periodically.