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I have grave's...which is from hyperthyroid. At first I lost, then gained a bunch. My weight went up and down. Surgery...the band has helped so much...and I make sure to get my levels checked every 4 mths. I take my meds like I should(most of the time) which really helps. Having a thyroid disease can cause your weight to go up or down...whether your hypo or hyper. Everyone is different.

@Apple1 Actually, I don't mean to contradict you, but in my opinion, what you were experiencing from going from eating a low carb diet where you were in lipolysis (fat burning mode), to eating sugar or high carbs is a well-known phenomenon in the low carb world. Most of the low carb docs know of this. It is a benign blood sugar reaction--in many cases. That is why they will tell you that if you've been low carbing and are going to have a glucose tolerance test, then you must go back to being a carb burner (glycolysis) for a minimum of 3 days prior to the test--where you have to eat a minimum of 150g of carbs per day in order to have an accurate picture of what's happening in the GTT. It's almost in the nature of being a reactive hypoglycemic event where your sugars go super high, then crash. It can cause the same symptoms of dumping--fast heart rate, sweating, nausea, the big D, feeling super bad, etc. Happened to me once from having a margarita after years of low carbing. That doesn't necessarily indicate a persons diabetes 2 is out of control again--but it can.

I have too. ( Reactive Hypoglycemia ) But it was after the sleeve. And only a few months ago! I eat 6 times a day and very little refined sugar. I eat complex Protein. That means a carb with a protein and it seems to be working better for me......

The following is a list of abbreviations commonly used on this board. ACL = Anterior cruciate ligament AGB = Adjustable gastric banding AMRAP = As Many Rounds As Possible (crossfit) AT = Aspiration Therapy BB = belly button bc = because BCBS = Blue Cross/Blue Shield BDD = Body Dysmorphic Disorder 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 C25K = Couch Potato to Running 5K 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 CT = Computed Tomography (commonly called CAT Scan) cw = current weight CXR = Chest X-Ray DDD = degenerative disc disease Dr. = doctor DS = Dumping Syndrome or Duodenal Switch EBT = Endoscopic Bariatric Therapies EGD = Esophagogastroduodenoscopy EKG = Electrocardiography ER = emergency room ESG = Endoscopic Sleeve Gastroplasty ff = fat free f/u = follow up GB = gastric bypass GERD = gastroesophageal reflux disease GI = gastrointestinal GIF = Gastric Intrinsic Factor 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 IGB = intragastric balloons IF = Intrinsic Factor IMHO = in my humble (honest) opinion IMO = in my opinion IUI = Intrauterine insemination LAP Band = Laparoscopic Adjustable Gastric Band LES = lower esophageal sphincter lol = laughing out loud LSG = Laparoscopic Sleeve Gastrectomy med = medicine MFP = my fitness pal MGB = Mini Gastric Bypass msg = message NAFLD = nonalcoholic fatty liver disease 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 omw = on my way 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 OTC = Over the counter Oz = Australia PB = Productive Burps PCOS = Polycystic Ovary Syndrome PCP = Primary Care Physician PICC= Peripherally Inserted Central Catheter 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 Rx = Prescription medicine RYGB = Roux-en-Y gastric bypass SADI-S = single anastomosis duodeno–ileal bypass with sleeve gastrectomy s/f or sf = sugar free SG = Sleeve gastrectomy SIPS = stomach intestinal pylorus-sparing surgery smh = shaking my head, scratching my head SO = significant other SOB = shortness of breath st = stones (a unit of weight measurement) 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

I usually get my K and Na from propel or Gatorade zero - no sugar but electrolytes. Mu Fe is normal, I had medical issues before surgery, so I have elevated RBC, C - reactive protein, and platelet count, but low Na and low K. I by no means have a high sodium diet, my average intake is less than 1,000 and average around 700 with the propel or Gatorade. Sent from my SM-N950U using BariatricPal mobile app

I see a Endocrinologist for my Hypo Thyroid. He has me on Armour Thyroid. It is a Natural Medication made from the Thyroid of a animal. I was skeptic at first. But the other Meds did not work on me. So I thought, what have you got to lose? Anyway it is GREAT Stuff ! I feel wonderful ! I'm awake ! and the Vitamins with choline in it helps allot, then add in the Protein shake, and I am ready to Rock n Roll all day long :party:

Hello, I had my first fill on the 19th. I have a total of 5.6 cc's and it's taking some getting used to. I didn't have a problem with any foods prior to the fill, now I'm hungry but can't eat much. I've done the whole Pb'ing etc..... even with mushies. Tuna was the only thing that worked today. I'm happy that the weight loss has been reactivated, but it's hard to keep enough proteins in me so that I don't feel light-headed.

C-reactive protein (CRP) - in a nutshell. It is a protein produced by the body at times of inflammation and infection. Other causes can be high blood pressure, pregnancy, being overweight, trauma, stress / mental issues etc (anything that puts stress on the body). Having a high CRP reading can be indicative of increased chance of Cardio Vascular Disease. Continued high levels of CRP cause "Fatty plaque" which lays down in the arteries, increase chance of stroke and heart attack. Good ways to counteract an increase CRP level is with Vitamin E, Fish Oil, Flaxseed, lose weight, and of course, good old exercise. There, now everyone knows what all this darn mumbo jumbo is. I'll be scoffing the E and heading to the gym to continue my light cardio and muscle strengthening. I guess the major reason the doc is putting of chatting about this, is I am already doing the things I am supposed to to correct it. Now, stop distracting me, I'm supposed to be working.

It did not effect my surgery date for next week 4/23/13, I just found out I was hypo thyroid a month ago.

It definitely sounds like reactive hypoglycemia, but with your meds and medical issues you need to see your doctor. An English muffin and peanut butter has too many carbs in it. To many simple carbs and your blood sugar shoots up then crashes. The crash is going to make you feel horrible. You'll struggle to keep your eyes open, your hands get really shaky and you may start sweating. You feel like you need to eat more carbs, but resist and eat some protein like cheese, nuts, or lunch meat. The best way to manage it is to have 5-6 small meals a day and avoid simple carbs. No bread, Pasta, rice, sugar, or peanut butter with sugar in it.

Absolutely. When I had my VSG ten years ago, most bariatric surgeons were just learning how to do them - while they are in concept simple and straightforward to perform, like anything else technical, there are subtleties and techniques in doing them correctly - "twenty years of doing bypasses and they think they know how to do a sleeve..." was the refrain from one prominent surgeon at the time. While the sleeve does have some predisposition toward GERD (much like the RNY is predisposed toward dumping, reactive hypoglycemia and marginal ulcers,) this was compounded in the early days by surgeons who hadn't yet figured out the technique to consistently get them right to minimize that predisposition, and to some extent continues today in areas that were slower to adopt the sleeve and are behind the learning curve. This is a good part of the reason that I travelled 400 miles to a practice that had been doing them for twenty years (at that time) rather than a local practice that had been doing something else for twenty years. Talk to your doctor on interpreting this. Hiatal hernias are common with morbidly obese people, and a common cause of heartburn. They can easily be fixed during the WLS procedure, so if that is the cause of your heartburn, things look better for you. A hiatal hernia can be described as a diaphragmatic hernia, but not all diaphragmatic hernias are necessarily a hiatal hernia - so get some clarification on that.

Hmmm, changes within the inner ear would account for the dizziness, but not for the darkening of vision while standing. That is almost always related to blood pressure. Either hypo or hypertension can cause vision issues like the ones described.

It could be mild reactive hypoglycemia. I get it with carb-heavy meals but more extreme and need to be careful. Try adding a bit more fat and protein to your meal and reducing carbs a bit. You can test your blood sugar using a tester you can get at the chemist. It shouldn't go much below 4. Test when you are feeling worst.

Hi everyone.Well, I am on day one of the preop modified very low calorie diet and hoping that two Optifast meals a day won't give me a rash or violent tummy problems.(If anyone else here is interested I can post the modified preop diet for people who are reactive to the opti).My three year old curious son who always wants to eat what I do is very puzzled.He is slurping on a milo dessert he wanted because I was soldiering thru a optifast choc dessert for lunch-he is so cute Dr Mosse is still ordering urgent tests for me even tho the surgery date is in 2 weeks.I have to have an oesphageal manometry test now (to check for swallowing problems).So his final words to me on Mon were to start the diet, fill in the hospital paperwork and consent, but that he may not do the operation! He is so thorough I have already spent over $1000 on tests alone. Trying to stay positive and really appreciating reading this forum.

So, this is going to sound crazy, but I'm not so sure I'm looking forward to moving on to pureed foods on Thursday (day 17). I seem to finally be in my groove now with the liquids! Ha! I'm quite satisfied to drink a cup of soup or broth with protein powder, or drink some greek yogurt thinned with Fairlife milk. Will moving to pureed, then soft foods, then regular, reactivate my former appetite? I know, I know, I told you it was crazy. I'm just worried. I've only felt hungry once, and today, I had to make myself drink some soup. I'm reaching my protein and water goals. I read about all of you eating these itsy bitsy meals and I wonder how in the heck I'll get a minimum of 60g of protein and if I will feel satisfied as I do now. AND I've lost 14 pounds, so I'm a happy girl!

I was hypo before surgery, and still am. It has not "decreased" for me; I am still on the same dose of synthroid as I was before surgery, which keeps it under control.

TES, I am also Hypothyroid. I had Graves Disease and had a complete Thyroidectomy two years ago and have been Hypo since. I wonder if that is why i lose slow too?

I have never had Hypoglycemia before nor have I ever been Diabetic. I have previously been diagnosed as insulin resistant but since my sleeve surgery a year ago I have recently developed the symptoms and have had a number of scary 'hypo' episodes when commencing exercise especially in the morning. This is causing me great concern, I didn't sign up for this surgery to become sicker than I was before it. I hope I can get some help on how to manage the symptoms as from what I've read up about, many bariatric patients end up developing reactive hypoglycaemia which I had no idea about until I started getting the symptoms. Does anyone know how best to deal with this? I want to be able to exercise but for the last few weeks I've been unable to manage much before the sweats, the shakes, and feeling like I'm going to pass out, and worse I want to eat!! My weightloss is at a stall, nearly 2 months and no change. Would appreciate any guidance. Please also be aware that this problem occurs to many many Bariatric patients quite often some time after their surgery and from what I've read there is no cure, just guidelines to manage it. Essentially though our Pancreas are delivering too much insulin into our bodies which is what causes the hypo. I'm seeing my surgeon next week for my 1 year review and my GP next week for bloods to see if there is any help I can get for this condition.

you have to ask your doctor to write a script for a monitor so you can start checking your BGL. usually the pharmacy has coupons that make the monitor free and insurance covers the strips. if you start checking your BGL several times a day (first thing in the morning, 1 hour, 2 hours, 3 hours after a meal and before bed) you will get an idea of how food affects you and if eating before bed helps how you feel in the morning. i had this issue when pregnant, my GBL was really low in the morning and i would fall over while doing yoga... i learned i needed to eat more carbs than i thought in order to get my level up to normal. this is not reactive hypoglycemia, its different. the only way for you to know what is actually happening with you is to check with a monitor for a few weeks. good luck!

Oh I am in for sure but have to figure out how to set up my PM. I need to update my account setting I will work on that this afternoon. YOu have Dr. Baggs everyone likes him and likes going in to see him. :-) I love talking to him because he really gets it. I always tell him things are easy when he sets goals (than don't make them) and he wants me to quit saying that!! LOL. He keeps telling me nothing about this is easy don't keep saying that!! I am registered over at Obesity.com but haven't checked in a year or so. I might need to reactivate my account again. WHat is going on over there?? SO Bella 25 is about 8 pounds a month........Maybe I should do that as well. It is probably more realistic than the 30 I would like!! I can't keep getting discouraged by setting outlandish goals it has been a whole 7 months of that. I need some successes to keep me moving! forward! :-) I think Pam is right small goals ......so if you instead of 25 pounds focus on the 8 X 3 or if you want to break it down more 2 pounds a week.................LOL. Yea Bella I will do the 25 pounds too that seems health and realistic..........and if I end up with more I won't complain! :-) That would still but me firmly under 200! I am lacto ovo vegetarian. And yep I am on top of the vitamins. Even when I was gaining weight I stuck with the vitamins......... Getting ready to watch Invitus and fold laundry.......trying to give myself an incentive to get the housework done!! LOL.

Sleevers are already losing the weight much quicker than regular dieting. Plus, the faster you lose the more loose skin you have when you're done. Malabsorption is neat in that it helps people lose weight, but you also lose a significant part of your intestines that help you absorb important Vitamins. That means you will likely have to increase the number of supplements you take. It's a personal decision, and RNY may be right for some people, but I guess the big points for me were: 1. No intestinal rerouting with VSG 2. Decreased ghrelin production - no hunger makes things a lot different 3. Generally no dumping with VSG - this sounds like it would make me miserable at work/school 4. Intact pyloric sphincter - this takes away the risk of stoma stricture/dilation 5. Fewer long term food/medicine restrictions 6. Delayed reactive hypoglycemia in RNY patients - scares me! 7. Losing weight fast can mean looking unhealthy even though you're skinny - someone called them "fat skinny people" on a thread the other day, which seemed to fit. People who lose weight but a lot of it is muscle, not necessarily the healthiest thing. I guess #1 is the biggest for me. Apparently I'm okay with the doctor taking out the majority of my stomach, but I really don't want them touching my intestines (Is that silly? =p). Maybe make a list of pros and cons for each and see how you feel about it after you lay out your options? You are not forced to have the surgery on the date you're scheduled if you are not sure/aren't ready. If you need to, give it some time. Maybe it is just nerves - I was scared as crap before the surgery and second guessed myself on and off, and now that I'm post-op, I'm really happy I did it. Feel better!

I had to start seeing an endocrinologist because my PCP wouldn't do anything for mine? I just had all my labs done for surgery so it must be OK otherwise I think they would have said something??? Trust me you don't want it done it hurts!!! I cried both times they did it, and I have a high tolerance for pain!!!! It is very hard to lose weight with a hypo thyroid and very easy to gain it and that's why I am having the surgery too!!!

Hi Hefftynetty, Welcome! Sorry I can't answer the first question, that would be one for the surgeon. But as far as Synthroid goes, that's not a problem. The only issue would be if you had uncontrolled hypo- or hyperthyroid function, but if you're well controlled on meds that's no worry. Good luck and keep asking questions!!

Hi Cindy, my white count has always been at the high end of normal but never over 10,400. It usually ran around 9000-10000 or so. It is the lymphocytes that are high. She also did a C reactive protein (which measures inflammation) and it was high....around 10 I think. I'm told normal is around 3 or less. She also did a SED rate which also measures inflammation it was at the high end of normal. Thanks for the reassurance. I keep telling myself that even if it is something horrible, we have probably caught it really early since I'm not having symptoms and its only slightly elevated at this point.