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I started this post yesterday under general post op, I suspect my lack of responses was because either it was in the wrong forum or no one else has personally experienced this. It goes like this. Hello folks... I am 23 months postoperative. I was 3.5 lbs from goal and decided to up the daily routine of exercise wanting to hit goal, I am a slow loser. More importantly the emotional victory was really all that I cared about, not the physical. So Instead of my normal 600 calorie a day burn on the elliptical I started burning 750 calories daily. I managed to lose 1.4 lbs in a month, but started to become ill. Having all the signs and at times severe, of hypoglycemia. After three weeks of fearing to drive at times, I finally went to see my Dr. My normally very nice blood pressure was extremely high and she followed up with lots of blood work, a kidney workup etc. I was asked to check my blood sugars randomly and especially when feeling ill . I'll call them spells. I would tremble, feel light headed, blurred vision, rapid heart rate and overall weakness with a strong desire to EAT. This at times woke me in the middle of the night accompanied with cold sweats, feeling much like a heart attack or my impression of one. There were times at work I'd have a project in my hand and not know why, my thought process was on "hold". I was lethargic and my memory would shut down. After googling hypoglycemia I was convinced that was what I had, yet my blood sugars were always within normal ranges, my A1C (three month average of blood sugars ) was great. So more testing was ordered, I do not have the results yet, of all the tests but one thing I do know is that I had a 2 hr fasting glucose tolerance test and that was not fun. The test is simple. They check your blood upon arrival, my number fasting was at 93, then they make you drink a bottle of sweet syrup within 5 minutes, then I was SICK. Many of the same symptoms were replicated, although not all, I was near passing out, blurred vision, not even being able to focus on my Ipad. I thought I was going to vomit, defecate in my pants and maybe even stroke out. I could barely speak. and actually didn't dare to in fear I'd throw up. This lasted nearly an hour. At hour two they draw your blood again and it is suppose to be 140 or less to be in normal ranges. Mine was 56. I have done further reading and honestly never read about this prior to my surgery, but this seems to be a delayed symptom of the Gastric Sleeve. It's called Reactive Hypoglycemia. http://en.wikipedia....ve_hypoglycemia I have not had any real symptoms since cutting my calorie burn back to 600 per day and trying to incorporate more complex carbs to my diet. I ate mainly protein and vegetables. I've added a slice of 15 grain bread or a whole wheat English muffin to my diet daily and overall do feel better. I've had a few spells, not nearly as bad as before, and no more night issues. My question is there anyone else here with the same problem? If so why had I NEVER heard of this? If someone has had this experience I have questions about whether this is temporary, will I end up gaining because i'm eating more carbs etc. Thank you in advance for your help!

Quoted Betterthe Bean Just curious.....which doctor said this? You've stated so many times how bariatric surgeons in this country don't know anything, so how could the surgeon who doled out this little gem about hypoglycemia 30 years post op be trusted to know anything at all? Perhaps he's just as ignorant as the rest of the bariatric surgeons we used. After all, where are his YouTube videos backing up his claims? Hello...ButtertheBean, If you read my posts carefully I've NEVER said ALL US Bariatric surgeons don't know anything, I said to always question surgeons and get second opinions if necessary and ALWAYS be proactive with your own health. Regarding Hypoglycemia - Yes my older sister had stomach stapling surgery over 30 years ago when she was 24 years old, (similar to the Sleeve) and she has had part of her stomach removed as well she she developed ulcers from the stomach staples years ago. She's had those hypoglycemia attacks for many years, but not to the extreme as she is having them now. I've seen how she has lived with this surgery over the years and she's had many stomach problems and pain, however she's never had a problem so severe that required hospitalization, she did have to get her gall bladder removed years ago also. Now she has started to get scared for her life because the attacks are more frequent (daily) and it is causing her to be disabled, she gets really hot, dizzy and her blood pressure drops to almost fainting, a few weeks ago at the casino she fell over people and could not make it to the ladies room, they had to call the paramedics, long term Hypoglycemia can be deadly. She has been to several specialists and they got no answers, only to tell her to keep a strict diet, and she can't eat many carbs without feeling sick, and now have to keep candy and crackers with her at all times, to combat the severity of the attacks, this is when the Bariactric surgeon told her that this can happen with any stomach stapling surgery such as VBG, Sleeve, RNY or DS since the stapled small stomach causing rapid emptying of the stomach that can create these bad side effects, but in many they can get chronic and debilitating over the years. Many Sleeved friends of mine complain of (dumping like syndrome) which is probably Hypoglycemic as well. There are clinical trials right now being done on Bypass and Sleeve patients for long term Hypoglycemia Here are links to some of the studies. http://clinicaltrials.gov/ct2/show/NCT01581801 http://www.ncbi.nlm.nih.gov/pubmed/22773085 The primary aim of the present study is to conduct a 1-year randomized trial to compare the incidence of hypoglycemia after RYGB or SG. Condition Intervention Obesity With Complications Morbid Obesity Reactive Hypoglycemia Bariatric Surgery Procedure: Gastric Bypass Procedure: Sleeve Gastrectomy Study Type: Interventional Study Design: Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment Official Title: RANDOMIZED CLINICAL STUDY COMPARING THE EFFECT OF ROUX-en-Y GASTRIC BYPASS AND SLEEVE GASTRECTOMY ON REACTIVE HYPOGLYCEMIA Resource links provided by NLM: MedlinePlus related topics: Diabetes Medicines Hypoglycemia Obesity Weight Loss Surgery U.S. FDA Resources Further study details as provided by Catholic University of the Sacred Heart: Primary Outcome Measures: incidence reactive hypoglycemia [ Time Frame: up to 12 months ] [ Designated as safety issue: Yes ]The Primary Endpoint of the study is the incidence reactive hypoglycemia within 1 year after the bariatric surgery. Secondary Outcome Measures: insulin resistance [ Time Frame: 0,1,3,6,9, and 12 months ] [ Designated as safety issue: Yes ] Changes at 1 year of insulin sensitivity and insulin secretion measured after an OGTT. Changes at 1 year of body weight, BMI, abdominal circumference, body composition, lipid profile and cardiovascular system abnormalities. the incidence of severe hypoglycemia or related symptoms (shakiness, sweating, dizziness or light-headedness, confusion, difficulty speaking, weakness, confusion, syncope, epilepsy, seizures) within 5 years after the operation. Estimated Enrollment: 50 Study Start Date: October 2012 Estimated Study Completion Date: December 2014 Estimated Primary Completion Date: August 2014 (Final data collection date for primary outcome measure) Arms Assigned Interventions Gastric Bypass25 subjects obese subjects with complications or morbidly obese subjects will be assigned randomly to this arm to undergo gastric bypassProcedure: Gastric Bypass Roux-en-Y Gastric Bypass This laparoscopic operation includes the division of the stomach in two parts. A proximal, smaller pouch (20-25 cc volume), is connected to the rest of the gastrointestinal tract through a gastro-jejunal anastomosis, whereas the distal gastric pouch is left behind but excluded from the transit of food. An entero-entero anastomosis, with a Roux-en-Y type of reconstruction, allows the bile and pancreatic juices to mix with the nutrients at about 100-150 cm from the gastro-jejunal connection. Sleeve Gastrectomy25 subjects obese subjects with complications or morbidly obese subjects will be assigned randomly to this arm to undergo sleeve gastrectomyProcedure: Sleeve GastrectomySleeve gastrectomy Laparoscopic SG involves a longitudinal resection of the stomach on the greater curvature from the antrum starting opposite of the nerve of Latarjet up to the angle of His The final gastric volume is about 100 mL.

Hello folks... I am 23 months postoperative. I was 3.5 lbs from goal and decided to up the daily routine of exercise wanting to hit goal, I am a slow loser. More importantly the emotional victory was really all that I cared about, not the physical. So Instead of my normal 600 calorie a day burn on the elliptical I started burning 750 calories daily. I managed to lose 1.4 lbs in a month, but started to become ill. Having all the signs and at times severe, of hypoglycemia. After three weeks of fearing to drive at times, I finally went to see my Dr. My normally very nice blood pressure was extremely high and she followed up with lots of blood work, a kidney workup etc. I was asked to check my blood sugars randomly and especially when feeling ill . I'll call them spells. I would tremble, feel light headed, blurred vision, rapid heart rate and overall weakness with a strong desire to EAT. This at times woke me in the middle of the night accompanied with cold sweats, feeling much like a heart attack or my impression of one. There were times at work I'd have a project in my hand and not know why, my thought process was on "hold". I was lethargic and my memory would shut down. After googling hypoglycemia I was convinced that was what I had, yet my blood sugars were always within normal ranges, my A1C (three month average of blood sugars ) was great. So more testing was ordered, I do not have the results yet, of all the tests but one thing I do know is that I had a 2 hr fasting glucose tolerance test and that was not fun. The test is simple. They check your blood upon arrival, my number fasting was at 93, then they make you drink a bottle of sweet syrup within 5 minutes, then I was SICK. Many of the same symptoms were replicated, although not all, I was near passing out, blurred vision, not even being able to focus on my Ipad. I thought I was going to vomit, defecate in my pants and maybe even stroke out. I could barely speak. and actually didn't dare to in fear I'd throw up. This lasted nearly an hour. At hour two they draw your blood again and it is suppose to be 140 or less to be in normal ranges. Mine was 56. I have done further reading and honestly never read about this prior to my surgery, but this seems to be a delayed symptom of the Gastric Sleeve. It's called Reactive Hypoglycemia. Protein and vegetables. I've added a slice of 15 grain bread or a whole wheat English muffin to my diet daily and overall do feel better. I've had a few spells, not nearly as bad as before, and no more night issues. My question is there anyone else here with the same problem? If so why had I NEVER heard of this? If someone has had this experience I have questions about whether this is temporary, will I end up gaining because i'm eating more carbs etc. Thank you in advance for your help!

Reactive hypoglycaemia?

Daisy, I have no words of wisdom, I still get about 2-3 emails a day from POF. I thought i had temporarily suspended my account but did something to reactivate it. Most of them are just so... wildly inappropriate matches for me. I think you get best results initiating contact with men who interest YOU. I sometimes feel like these guys are just casting a net to as many women as possible without even considering if our location, interests and other things even make sense. I also think OKCupid is a better online service, but I DID manage to cancel my account on there. Depending on how things go... if I decide to start dating again next year I am thinking about trying some other ways to meet people like speed dating or something. Somehow, the online thing seems to deliver me a zillion possibilities but so rarely are they actually interesting to me. If I do restart online - it will be OKCupid because I found higher quality matches there over POF or Match.

css95, You are doing well. some of us do not lose very fast. I think it is part of the reason we are heavy, we are hypo metabolic. I was told by a Dr when I was 18 that this is my metabolism, ultra slow. We would be the ones who would survive famine,Oh goodie. But we just are slow loosers.He also told me to stay thin I would have to eat 1 lettuce leaf a day. How depressing. I find that if I keep carbs really low I can lose weight and maintain a normal body weight, so if this applies to you then you pick protein at the buffet. You can tell your friends you are doing the Atkins diet, and since protein fills you up fast you will not have to eat as much as they. Shrimp and cheese, turkey or prime rib. There is always that kind of thing at buffets. If there are crab legs they take a long time to eat and you can fiddle with the shells to get the last drop of sweet crab. I hope you have a great time, and come back lighter and happier than your friends who will be guilty at all they ate at the buffet.

Yikes. That sounds terrible. I don't currently experience either hypo nor hyper glycemic issues. I have a friend who had roux-en-y surgery and she is having terrible light headedness from low blood sugar. Her doc wants her to refocus on eating plenty of Protein and eating it first (going back to her early ways again now that she is several years post surgery). He is hopeful that it will "fix" her. I have seen a big drop in my blood glucose. I was running about 99 for fasting glucose prior to surgery. I now run about 84 not even fasting. I am surprised by the "improvement" as my doc said he doesn't see improvements to "normal fasting blood sugars. I wonder if I may start having hypoglycemic issues with time. Hang in there. I am sure there will be a fix. Do you qualify for Obamacare health insurance? I'd love to see you get good care for your medical issues.

Anyone have the symptoms of either one since being sleeved? Im a little over 3 mths out and it's one thing after another. Very unhappy so far.. But mostly blurred vision and very shakey after I eat or don't eat, and very fatigued after I eat. The blurred vision is driving me crazy. I keep having to go to the doctor and it's stressing me out financially because I don't have insurance anymore. Anyone relate to my symptoms?

I agree with JerseyGirl, slow and steady. I just turned 60 and am 5 weeks post op. I lost 20 pounds pre surgery and I have lost 24 pounds since surgery. I also have hypo thyroid, had a total hysterectomy 5 yrs. ago. With 44 pounds gone I am now off 2 of my 3 blood pressure medications! I knew it would come off slower than my younger sleevers but at least it is coming off which is something I could not do by myself. Hang in there

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.

There are still some unanswered questions regarding the causes of dumping but it is generally thought to be the result of food being “dumped” too quickly (because the pylorus valve is no longer present) from the pouch into the small intestine. Early dumping usually occurs roughly 30 minutes after eating food high in sugar or simple carbohydrates (aka “simple sugars”). They can create a rapid increase in blood sugars (hyperglycemia). The rule of thumb is that white foods (e.g. potatoes, rice, Pasta, white bread, etc.) are usually simple carbohydrates. The sugars rapidly pull Water out of the bloodstream and into the small intestine. A number of the symptoms of dumping including severe diarrhea can result. With “late” dumping, the body responds to the rapid rise in blood sugars with an increase in insulin to process the sugars. The increased insulin can cause the blood sugars to “crash” producing low blood sugar (reactive hypoglycemia) and dumping symptoms follow. Symptoms may or may not include vomiting. It is called late dumping because it usually occurs two to three hours after eating but can occur as much as twelve hours later. The delay is partially explained by the time needed for the brain to signal the pancreas to produce more insulin in response to the blood sugar spike. It then takes time for the pancreas to produce the insulin and for the insulin to make its way to the small intestine via the bloodstream. Because the intestine is shorter as a result of the surgery, the partially digested food passes more quickly through the intestine and blood sugar levels may have returned to normal before the insulin reaches the intestine - which is why the blood sugar crashes. Somewhere between 25% to 50% of patients never experience dumping. It is difficult to determine an accurate number because some folks experience dumping without realizing what it is and others think they are experiencing dumping when the cause of their symptoms may be something else. Of those that do experience dumping, about two-thirds experience early dumping with the remaining one-third experiencing late dumping. Although decidedly unpleasant, dumping is rarely serious. As you can see from the responses above, dumping may occur for years following surgery and possibly even for life. Or it may subside and even disappear over time as the body makes adjustments to its new physiology.

If hypo is the one where you have an unnaturally slow metabolism that's what I have, and I take medication for it. It didn't interfere at all with my getting banded or my weight loss!

Hey my peeps, question? Has anyone had an issue with hypo thyroid prior to seeing their doc? If so what did he/she say? Does thus interfere with getting banded? Sent from my iPhone using LapBandTalk

Im hypo. Too, and wasn't familiar with EPO. I'm 8 weeks out and expect to lose hair due to surgery and stent in ICU, and difficulties with protein -- the surgery is worth the hair loss but I dread it -- I already can fill a hairbrush in a couple of days.

It has been a very long time since I've posted mainly because I couldn't log in with my password, but that is definitely not the point here. Just thought I should explain the absence!!! A little history of me! I started preop on Halloween last year and had my surgery on November 12, 2012. To date, I have lost 135 pounds!!!! I went from 327 to 192. I was a size 26 jeans, 4X shirt. I am now in a size 12 jeans and an XL shirt (the "girls" haven't shrunk hardly at all, unfortunately!!!). I've even had to get my wedding ring sized down two sizes and probably needed to go down one more. My feet are smaller too and I now wear my beloved "hooker heels" simply because I can!!! I had been working from home for the past 5 years because I couldn't physically handle my nursing job anymore. I am now in the process of getting my nursing license reactivated so I can get back out in the real world. I never knew life could be so good! When I met my husband when I was a senior in high school 13 years ago, I weighed 208 pounds. Even he has never known me this size! I made a surprise visit to my surgeon's office last week. Unfortunately he was not in hype office, but my coordinator was and she was thrilled with my progress! She asked me if I would be willing to come back to town (we've since moved 3 hours away) to be a guest speaker on my success at my surgeon's seminar he is hosting in December. I accepted and now am trying to write my journey down on paper. I sure wish I would have kept a journal. Fat the first time in my entire life, two people have told me that it was time for me to stop losing weight. If I keep losing too much, I won't look healthy. Never did I ever think I would hear those words. So, I present my latest progress pics!!!!

I don't know if this is relevant for you but when that happens to me, it's my thyroid and the meds are over correcting and making me hypothyroid or over active thyroid. Could you have a thyroid problem? Random guess here but prominent in my mind since I had to get my dose reduced today for exactly this reason. Maybe worth looking ip other hypo symptoms to see if they fit.

GomeKast How are you doing on your recovery? Has the surgery helped with your hypo or help stopped Meds for it? How is your hair holding up? any complications? I hope you're doing well

I had a bad case of hypoglycemia after eating some pasta, turns out to be reactive hypoglycemia anybody else have or had this problem ?

Well, Here I am! New to all of this and hoping I can meet new friends and different opinions on this whole new life! My life changes started when I learned that I had developed Diabetes, along with already having High blood Pressure and hypo thyroid. Along with my mother getting sick and having to go to the hospital and when I rode in the ambulance with her, I couldnt even buckle the seat belt! I was soooo embarrased! I made an appointment with Dr. Shroder and went in January of 2013. As required, I had to get a nutrionionist consult, a psychaitric evaluation, and letter of support from my Family Practice Doctor. I completed all of this by the end of April this year. All information was submitted to my insurance company, and within several weeks I was approved for surgery! No problems! The insurance company covered it 100% other than the 250$ a night I had to pay out of pocket. My surgery was scheduled for August 12, and was I excited! I had preop work done the end of July. Surgery date came and I was at the hospital by 7am. Of course I had bad veins and it took a few sticks, but finally got the IV started. I was wheeled into the OR at 9am. By 1pm I was out of surgery and back to my room. I do remember being in some pain in Recovery room, but hey, they were well equipped with drugs to keep me happy. I never had any extensive pain while I was in, just being a little uncomfortable. My doctor has his patients in the step down unit to ICU, so there for I was under constant nursing supervision the whole time. I had the BEST care at my hospital and dont regret a thing. I stayed a total of 2 days, and then went home with my JP drain. Yes, not too pretty, but hey, it was only in for a week. Totally painless to remove. I have 4 incision sites, that are just a light red now, 2 months post surgery! So, Please, take this step for surgery if you are considering it! Totally worth it!

Sweet....got insurance approved...Sour I learned i might have thyroid condition. Anyone's doc tell u to hold off surgery?? Due to thyroid condition? Or did you have hyper or hypo and still pursued the surgery??? If you had the surgery having a thyroid condition, did it help or make you feel worse. I started to see a new Endricologist doctor right before I decided to consider surgery since I'm a type 2 diabetic, high blood pressure and wasn't happy with my 1st doctor who was for my surgery, just was too busy for me and I was not feeling well, meaning unbalanced, light headed, sudden vertigo feeling, along with anxiety attacks that would turn into panic attacks. Last week I got lab results from my Endricologist and told me she found too much Protein in my prescribed RAMIPRIL and also told me I'm super low deficiency on Vitamin d and prescribed 4 pills of 50k mlg to take 1 a week for a month When I mentioned to her I wanted to have the surgery she was appalled and told me no, to wait But my primary doctor is ok with me having the surgery. Today I was called my the WLS doctor office my insurance approved me. I'm excited and not sure what to do, feeling so confused and still want to pursue my surgery but haven't heard much from ppl having the WLS while having a thyroid condition. My health is first and foremost my priority but adding 2 new pills is not where I planned to be, my goal and WLS is to get me healthier and get off the Meds. I'm 5'7 Today Weighing 267 I month ago I was 255 Goal would be 160 or 150 Any and all info is much appreciated Thank you!

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.

I was also hoping this surgery would magically fix all my body pain. I have Hashimotos, Fibromyalgia, and a few other autoimmune disorders. The other reason I wanted to lose weight was to keep my weight from being brought up as a reason for my pain. Doctors are so bad about saying if you lose weight you'll feel better. I have lost 78 pounds and I'm running 3 times a week, but still in pain. I think I remember reading that you have hypothyroidism, but can't remember if it was Hashis? Many docs are now saying that 90% of patients with hypo do have Hashis. I've been doing an enormous amount of reading on it to try to find a solution to my issues. I have never gotten any relief for my thyroid symptoms from taking Synthroid and getting my TSH to the low end of normal. I am frustrated that I still have a tremendous amount of hair loss, cold hands/feet, dry skin, losing the outer part of my eyebrows, severe brain fog, lack of concentration, slow weight loss, etc. I've started going to an acupuncturist that specializes in guiding Hashimotos patients through bloodwork and supplements to help decrease symptoms. Although the acupuncture seems to help, he has said that my solution lies with western medicine, not eastern. He recommended the book "Stop the Thyroid Madness". There's also a pretty good Facebook group called Hashimotos 911. Based on my bloodwork, I am adding some T3 hormone, sublingual Vit D, slow release Iron, and magnesium. Have you had your Vitamin D and iron levels checked since your surgery? I have trouble absorbing Vit D from food and the prescription supplement that I take is not absorbing as well as it did before surgery. I have had to add some sublingual Vit D. The pain that I get is deep and aching. Since I've added the sublingual, I'm not in as much pain. My endo got me up to 35 on the Vit D levels (I was at 11!), but according to my research, I need to be above 80 to be at the optimal levels.

Sorry for your panic, but one thing is for sure - it will be much easier to obtain new employment being 50 pounds lighter. Take a deep breath, try to make a game plan to continue to succeed with your sleeve, and pull your resume together to look for a new job. I find being proactive rather than reactive helps me feel in control.

3.5 years post op.. My blood pressure came down, hypo thyroid meds decreased.... Blood sugar lowered... Cholesterol lowered... I have a herniated disc in my neck that I had to have an epideral injection into ever 3 months but with the weight lose I only get one a year. Joint pain has greatly improved. I didn't have a lot of diagnosis medical problems but if I did nothin for another two years it would have been bad.. I'm 35 now.. And wish I would have done this sooner, just for the health benefits