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A friend of mine was diagnosed with reactive arthritis last year. Is your Dr. taking care of your blood pressure and Fluid retention? I know that my friend has an awful time with mobility. Ok...so that was me checking on your health. Now...are you keeping track of what you are putting in your mouth? I know that you say that you don't eat a lot but do you know how many calories you are taking in? You might want to write down all of the calories that you are eating...the amount of Protein...and the amount of carbs. Get an idea of what you are taking in so that you can discuss it with your nutritionist. I know that it's difficult for you to walk but have you considered swimming. My friend says that this is very helpful to her and alleviates a lot of her pain.

Whole milk is "regular milk" It's "whole milkfat". If I drink cows milk it's also 1 to 2%. I like whole milk sometimes, but it's just way too fatty, and skim is nasty to me. I bought some of the Silk soy milk and thought it was alright. I'm going to try some other brands, and checkout the Ricemilk as well. And yes, Hypo-thyroid is the one you have, where your thyroid is slower... hyper is fast... like a hyper little kid . But see what your doc says? *edited for typos*

Yes I am also hypo. Have been since they did iodine when I was young. Went from hyper to hypo and been heavy ever since. I just got banded, but it seems to me it can be slower but stillpossible. Also depends what your eating habits or hangups are. Mine seem to be about portion control, so seems to be dropping pretty quick. We will see what the months bring

I have Hashimotos (hypothyroidism). I did gain weight, however Ive yet to find an endocrinologist who sees a correlation. They do not buy into hypothyroid= fatness. I did not/will not tell mine I was getting banded. I will be excited to see her reaction to my weight loss. I dont know where I stand on the hypothyroid and weight since Ive met far more thin hypos than overweight hypos. So I think the band is a personal decision. It still comes down to calories in vs calories out. For me the band is/has been the correct decision.. I WAS eating too much. I lost weight on my endocrinologists 1200 calorie plan just didnt keep it off because I wasnt able to stick to it. Low carb is great if you can stick to it. The band will make me stick to it because bread is a no no! Good Luck on whatever you decide.

Weight Loss Too much weight Loss Feeling cold all the time - was temporary only through the rapid weight loss phase. My body was in maintenance through the winter, minus 140lbs, I'm pretty sure it's okay to get cold easier considering I was half the woman I was pre-op Chronic GERD Take PPI never have refulx Strictures Only a 2% risk of this occurring(should be lower with an experienced surgeon) Leaks 1% or less risk Calcium deficiencies Taking the proper calcium supplement is essential, just like taking proper, high-quality adult multi-vitamins ensure this doesn't happen. Citrate is your best option Iron deficiencies not necessary, not common if anemia is not an issue pre-op. Multi with iron helps to keep levels normal Can't take slow release drugs Incorrect, there are zero medication restrictions with the sleeve No Aspirin Absolutely false, I take a baby aspirin every day and will for the rest of my life due to a rare, genetic clotting disorder, and aspirin therapy is the only treatment Issues from Surgery Could occur with any anesthesia procedure Twisting up the sleeve (There is a technical term for this but I don't recall it) Unsure of this condition would need to know medical terminology to reply intelligently Possible dumping reactive hypoglycemia is more common and is often confused with dumping, transit time has been studied some doctors believe transit time can effect dumping/hypoglycemia, others disagree Food tolerance issues Very minimal and usually resolve the further out you are from surgery Nutritional deficiencies Only if you do not take care of yourself and do not make good food choices Hair loss that grows back True gall bladder issues Ehhh can happen to anyone after weight loss, I lost mine at 8 months post-VSG Chronic fatigue until fully recovered Can be avoided with proper fluid, vitamin, protein intake. I napped a couple of times a day for the first month or so, but I had complications related to my revision from the band. B12 must be taken sublingually or by injection due to the intrinsic factor of the stomach being removed with the VSG. Lactose intolerance, or whey intolerance can occur making protein drinks limited. That's all I can think of at this point.

Some patients experience a condition called Reactive Hypoglycemia after bariatric surgery. But generally this condition appears much later than a few days after surgery. https://www.stjoes.ca/patients-visitors/patient-education/f-j/PD 7972 Reactive Hypoglycemia after Bariatric Surgery.pdf

I have hypo, and PCOS and had Lapband surgery July 06 in Mexico with dr. Kuri. Everything was fine. My levels were ok though. I don't think it will be a problem and maybe some of the symptoms with improve with weight loss. The Synthroid I am on is so tiny, it goes down pretty good. Good Luck!

This has me somewhat baffled - and same as catwoman, I've never heard of this being done as a normal pre-op test. I would be interested in hearing what their rationale is, as my understanding of it all is that stomach emptying in a normal person is largely a function of the pyloric valve, which is being bypassed along with the remnant stomach in your RNY. I can understand that if you were having a sleeve or DS done, which preserves the pyloric valve, then faster than normal emptying could imply a higher risk of post-op dumping or reactive hypoglycemia, which are rare with the sleeve based procedures but relatively common with the bypass (owing to the existence or non-existence of that pyloric valve.) Maybe a tendency toward rapid empyting implies that the surgeon should give you a tighter stoma to slow things down post-op? Call me confused - but curious!

So I was reading an post yesterday and now I am having serious second thoughts. I may not even show up tomorrow to surgery. The post was about Reactive Hypoglycemia, a side effect to bypass that can develop 2 the 10 years post bypass. In the post, the patient had symptoms 1 to 2 times a year at first and now is having them 2 to 5 times a week. Patient occasionally passes out because of it. When I had my sleeve six years ago I had experienced those symptoms and I just thought it was because I forgot to eat. It was a weird feeling of dizziness, confusion, and I was with a client at the time and I nearly passed out. It scared the crap out of me. I started doing research online and discovered an article from 2017 that identified that this is happening to 1/3 of bypass patients and is not something that is discussed typically with there doctor. Reactive hypoglycemia may be related to dumping syndrome but can be far more dangerous. In extreme cases the bypass needs to be reversed to fix the problem which brings me to my fear. In my case they will not be able to reverse my bypass after I have it as they are removing the stomach because the polyps I developed taking PPIs for Gerd. So now my challenges is do I live with Gerd and run the risk of getting Barrett’s syndrome and Possible esophageal cancer or do I have a bypass and run the risk of getting reactive hyperglycemia ? Thoughts anyone?

We had one individual in our support group that developed reactive hypoglycemia after gastric bypass surgery. He even fainted. As a result he looked into the condition and found that he could easily control it with his eating habits and by being sensing the pretriggers to the condition. So it did not really bother him except for the first time it happened. The figure you cited "happening to 1/3 of bypass patients" seems overly high. I would not give it much weight. But since you experienced this condition before, it might be more of a concern in your individual case. It is your decision, but if it were me I would eliminate the Gerd by gastric bypass and be hyper-vigilent about monitoring the potential for reactive hypoglycemia and using dietary means to control it should it arise.

Keep your head up and stay positive. I experienced a couple of setbacks too. I started my quest for wls in March of last year. I was recovering from sudden cardiac arrest that I suffered in October 2015. I had an emergency tracheostomy while in ICU which I had several setbacks to have removed months after being discharged from the hospital. I had to have surgery to remove scar tissue around my vocal cords. Also had a DVT which left me on blood thinners temporarily. By June, I had all my requirements completed to have weight loss surgery and was waiting for medical clearance. My second setback occurred my employer switched insurance companies from Blue Cross Blue Shield to Aetna. Aetna's requirements were different from Blue Cross Blue Shield and I had to start the whole process all over again and this time I had to do the documented weigh-ins which with Blue Cross Blue Shield I did not have to do. My third setback occurred this past October. I completed everything that was required of me by Aetna. By that time I had medical clearance and had my surgery date set for early November. I then received the worst news of all, I was told the policy that my employer provided did not cover bariatric surgery even after I was told that they did when they first changed to Aetna. As you can imagine I was really upset even after Aetna covered the visits I had with the dietitian and surgeon. I also lost money with those visits as I had to pay a $50 copay for three visits with the dietitian and my surgeon. While I was very frustrated, I stayed focused and determine to have my surgery. I dropped in during open enrollment switch back to Blue Cross Blue Shield. I had to wait until January for of the new policy to go in effect. This time I made sure that the policy I had chosen covered bariatric surgery. Luckily for me all the lab work that I had done and October was good for 6 months. My chart with my surgeon was reactivated and I just had minor documentation that needed to be submitted to Blue Cross Blue Shield and I was approved surgery. After 13 months of starting my weight-loss Journey, I had gastric bypass surgery on April 11th and I'm out a week out from surgery. So I'm here to tell you to keep your head up because sometimes obstacles do get in your way but you have to stay focused in order to reach your goal.

:crying: Hi, I have the same concern. People do have allergic reactions to nearly anything foreign put into their bodies as their immune system recognizes it as non self. These reactions can take several forms however an autoimmune reaction entailing stiff joints in the fingers similar to arthritis was experienced by myself from the "inert" mesh (made by the manufacurers of gortex) for a hernia repair. This and a low grade fever and the fact that the mesh never bonded to the repair and I ended up oozing out serous Fluid led my surgeon to remove it. Silicone has been the subject of much autoimmune scrutiny with auto immune reactions from breast implants etc. So I say buyer beware. Don't let anyone tell you silicone or mesh is non reactive. We are reactive. I am a nursing student also.

It looks like us Hypo's lose weight at a slower rate then normal. This is good to know so that I don't get frustrated. Thanks, you all have been a big help.

only about 30% of RNYers dump, and for those who do, it can be prevented by limiting or avoiding sugar (which we all should be doing ANYWAY). A minority of dumpers dump on fat, so they can prevent it by limiting their fat intake (for most dumpers, though, it's sugar - or rather, too much of it at one setting - that sets it off). I've never dumped - and many of us haven't. I wouldn't call it a horror story, to be honest. It's mostly preventable, and again, a majority of us don't dump. blood sugar issues: Not sure what exactly you're referring to. Some people develop reactive hypoglycemia (RH), but like dumping, that can be controlled. I have it. I just have to eat something every 3-4 hours - and if I eat a carb, I have to eat a protein with it. Haven't had an episode it probably three years. So it's not a horror story - it's kind of a minor issue that can be controlled. In my mind, dumping in RNY patients (30% of them) vs acid reflux in sleeve patients (also 30% of them) is kind of a wash. Although at least dumping can be controlled. RH is a lot less common, but again, it's largely controllable. I've been really happy with my RNY - I'd do it again in a heartbeat! P.S. there seems to be a Wisconsin theme going on here...

It is SO frustrating!! My scale said I gained 2 lbs. I'm hypo as well.

No weight loss surgery is perfect for everyone. One has to realize being overweight has its own risks for surgery. The band haters, they seem to focus on the fact that this "foreign obeject" is messing them up ( excuse me what are hundreds of titanium staples?). I have read enough profiles in seven years to read between the lines and figure out a lot of them ambushed themselves. For some reason or another if a sleeve or gastric bypass or a duodenal switch fails there is not as much hate. Even though a lot of them are ruined for life physically (and eventually mentally). Research has shown that a lot more disparaging things are being discovered about the sleeve. The stomach has a lot of nerves and hormones that keep our system in balance. Sleeve surgery was only used in the past for extreme medical emergencies. There must have been a good reason for this. All the yahoo about removing ghrelin, well it has been shown a lot more depression happens when ghrelin is removed. I have also read about a lot of sleeve patients groaning about hunger. The band reduces the size of the opening that food can go through. Gastric bypass does this, but over time it stretches. Also the pyloric valve is bypassed. Food rushes too fast through the digestive system. Reactive hypogylcemia can happen and this can result in seizures. Malnutrition in the bypass and duodenal switch, that is a whole other dissertation. Monthly iron infusions for the rest of your life, and how many times have I heard people who don't know any better go on about band maintainance. How about iron infusion maintainance. I can go on and on, but I won't. Take care everyone.

Thanks for the reply! I am happy to hear that the LB has the potential to help me. I have been hypo since I was 16 years old and I am now 30 years old. I definitely have always felt that I am doomed to be fat forever because of my thyroid ( well, now lack there of since I have it entirely removed last month ).

I am hypo, I was hyper after having my son. I had to have radio-active iodine to "kill" it. I feel like I am hitting my head against a wall trying to lose weight, I do not think it is the thyroid, I am on 112 Synthroid and my levels are fine. What do you all eat, how often (3 or 6 meals) and how many calories? Just wondering how the weight is coming off? I have not lost anything since my daughter was born 20 months ago, aside from the 35 pounds I gained with her. I am very frustrated, had a fill Monday and still don't really feel restricted. Anyway, just thought I would ask, to see if anyone had any ideas.

What kind of issues has Anyone had that were discovered in pre op tests, and were not allowed to have your surgery? I'm 2 weeks away and wondering about my low Iron levels and hypo thyroidism. I'm so worried I'll b turned down. Please anyone give me any kind if positive feedback

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

Glad you have a meter to monitor what's going on. I was diagnosed with reactive hypoglycemia. (complication from surgery) I worked with my bariatric, sports medicine and diabetes dietitians to get better control over my blood sugars. Here is an article: If you are diagnosed, Work with your team to find what foods and meal frequency work for your body specifically. June 2015 Issue CPE Monthly: Nutrition Tips for Reactive Hypoglycemia After Bariatric Surgery Reactive hypoglycemia (also called postprandial hypoglycemia, hyperinsulinemic hypoglycemia, or noninsulinoma pancreatogenous hypoglycemia) is characterized by recurrent episodes of symptomatic hypoglycemia occurring two to four hours after a high-carbohydrate meal (or oral glucose load). Patients who have undergone bariatric surgery, especially those in whom the pylorus is bypassed (gastric bypass, biliopancreatic diversion/duodenal switch), may experience reactive hypoglycemia. The dietitian is key to helping these patients manage symptoms. Symptoms Patients may experience any of these symptoms one to three hours after a meal high in carbohydrates: hunger, feeling shaky, dizziness, sleepiness, sweating, anxiety, feeling weak, confusion, heart palpitations, fatigue, aggression, tremors, fainting, or loss of consciousness. Dietary Modifications Work with your patients to help them identify and eliminate from their diets simple sugars, concentrated sweets, high-fat foods, alcohol, caffeine, and lactose (possibly). They also should avoid skipping meals or consuming meals comprised only of carbohydrates. Focus on how you can help patients modify their diets, including the following: plan mini meals spaced equally throughout the day (three to four hours); make low-volume choices; consume high-protein levels at each eating occasion, pairing protein choices with complex carbohydrates, fruits, and vegetables; choose healthful fats; and separate food and fluid intake by 30 to 60 minutes. Soluble fiber from guar gum, glucomannan, and pectin and alpha-glucosidase inhibitors, (eg, acarbose) or somatostatin analogs (eg, octreotide) can help delay gastric emptying, increase small intestine transit time, and slow glucose absorption. Patient-Specific Tips Acknowledge that everyone may have different triggers for low blood sugar or reactive hypoglycemia. Advise patients to keep detailed food journals that you can review to identify patterns (eg, timing and amount eaten as snacks, meals, and drinks; blood sugar levels; feelings). Encourage patients not to use foods or drinks with added sugar to boost low blood sugar levels, as this can cause blood sugar crashes and spikes.

Make sure that whatever doctor you go to, you monitor your heart disease risk... you have to ask for a few tests that are not typical, but these are a few tests for the some of the biggest indicators of heart disease... make sure you ask for C-Reactive Protein levels and fibrinogen levels.... also, many overweight/obese people have thyroid disorder and it goes undiagnosed in many people for years.... the range levels are set too high... although recently I know they have been lowered. Your TSH should be under 2.0 to be under control, but also your other T4 and T3 levels are very important in your thyroid profile. I post this on here because I have learned the hard way that my traditional medicine doctors never tested me for any of this and when they did do thyroid screens per my several requests, they all said they were in the NORMAL RANGE, but for years it was way too sluggish and I should have been treated. I now to a naturalpath and thyroid is tightly controlled and I have a baseline for my C-Reactive protein and fibrinogen levels. Don't know if this is helpful to anyone, but I have rampid heart disease in my immediate and extended family and wish I knew this info earlier! Kammi in Everett, WA DOB 5/27/08 335/302/180 Dr. Kuri - TJ Mexico

I'm 42 with Celiac. Had Lap Band in 2005. Had acid reflux and couldn't eat with the band. Had Fluid removed 2 years ago. Just wanting to know if anyone has celiac, solution to not loosing chunks of hair, how soon you can go back to a desk job, drive to work etc. I"m in the approval process right now. Hope to know a date soon.

wondering if anyone has any insight into this post WLS? i get so sore several days after i exercise... 2, 3, sometimes even 4 days later... it's really making me miserable and curtailing my desire to workout. i have just pushed thought the soreness and gone and worked out again, but then i am doubly miserable later on. i have talked to my chiro, a good friend who a very experienced trainer and done research online, but i have not found any revelations about why this might be... i eat my Protein, drink my Water, take extra magnesium and glutamine... i warm up, stretch, follow all the suggestions. there have been some concerns in the past i might have fibromyalgia, but my "C reactive protein" markers in my blood were back down to normal before the surgery... maybe i need to have another blood test? anyone know anything about this being specific to WLS? or maybe this is just me and not connected at all.

if it's RH (reactive hypoglycemia), it wouldn't be that you drank it too fast - it's most likely the sugar in the whipped cream. Or some other sugar you ate within an hour or two before you had the symptoms. I'd run it by your surgeon or your PCP. It could be something else - but it does sound a lot like RH.