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I was diagnosed hyperthyroid but all my symptoms match hypo. Does anyone else have had this? I am so confused, but I hope that my sleeve surg will affect.my thyroid positively. I will have it in april

If you exercise to improve your metabolism and prevent diabetes, you may want to avoid antioxidants like Vitamins C and E. That is the message of a surprising new look at the body’s reaction to exercise, reported on Monday by researchers in Germany and Boston. Exercise is known to have many beneficial effects on health, including on the body’s sensitivity to insulin. “Get more exercise” is often among the first recommendations given by doctors to people at risk of diabetes. But exercise makes the muscle cells metabolize glucose, by combining its carbon atoms with oxygen and extracting the energy that is released. In the process, some highly reactive oxygen molecules escape and make chemical attacks on anything in sight. These reactive oxygen compounds are known to damage the body’s tissues. The amount of oxidative damage increases with age, and according to one theory of aging it is a major cause of the body’s decline. The body has its own defense system for combating oxidative damage, but it does not always do enough. So antioxidants, which mop up the reactive oxygen compounds, may seem like a logical solution. The researchers, led by Dr. Michael Ristow, a nutritionist at the University of Jena in Germany, tested this proposition by having young men exercise, giving half of them moderate doses of vitamins C and E and measuring sensitivity to insulin as well as indicators of the body’s natural defenses to oxidative damage. The Jena team found that in the group taking the vitamins there was no improvement in insulin sensitivity and almost no activation of the body’s natural defense mechanism against oxidative damage. The reason, they suggest, is that the reactive oxygen compounds, inevitable byproducts of exercise, are a natural trigger for both of these responses. The vitamins, by efficiently destroying the reactive oxygen, short-circuit the body’s natural response to exercise. “If you exercise to promote health, you shouldn’t take large amounts of antioxidants,” Dr. Ristow said. A second message of the study, he said, “is that antioxidants in general cause certain effects that inhibit otherwise positive effects of exercise, dieting and other interventions.” The findings appear in this week’s issue of The Proceedings of the National Academy of Sciences. The effect of vitamins on exercise and glucose metabolism “is really quite significant,” said Dr. C. Ronald Kahn of the Joslin Diabetes Center in Boston, a co-author of the report. “If people are trying to exercise, this is blocking the effects of insulin on the metabolic response.”

As requested by one of my favorite fellow teachers, I am going to outline my journey through this process. Other than researching the surgery, my first step was visiting my primary care physician, Dr. Mark DalleAve. (This was around June 2008, I believe.) I was reluctant to ask him about the surgery because he tends to be very conservative. I feared he would want me to try more traditional methods--again. Surprisingly, that was not the case. He said he thought I would be a good candidate for the surgery and sent me for some preliminary bloodwork he knew would be required. The bloodwork revealed that everything was basically okay with the exception of my thyroid. I can never remember whether mine is hyper or hypo. I just know that the number on my bloodwork print out was higher than it should've been. I think the highest it should be is like 4.5 and mine was 9 something. Either way, he put me on synthroid for two months, and I had to be rechecked after that. The medicine worked well. My levels were down to 2 something when rechecked. As I said before, my other tests were "basically okay." However, as I researched the results and what they meant, I realized that I am VERY close to being a diagnosed diabetic. That was another real wake up call for me. I do NOT want to become diabetic and have to handle all the problems that come with that. This gave me even more determination to do this and make it work. After my thyroid was under controll with medicine, the doctor was ready to refer me to the surgeon. This is where the waiting game started again. (I was already disappointed by having to wait months on the thyroid tests.) It took nearly two weeks for me to even hear from the surgeon. (This surgeon had been recommended by the nurses at Dr. DalleAve's office because he said they knew more about who was good than he did.) When I did hear back from this surgeon, there was a huge packet of information for me to complete and they wanted a "Program Fee" of $150 before they would make my appointment. When I asked questions of the receptionist, she answered everything, but she didn't offer any information on her own. I was unimpressed. I was a little unsure if this was the surgeon I wanted to see, so I did a little more research on this website as well as others online. I called the office of Doctors Watson and Hodge in Johnson City, TN, and I'm very glad I did. The receptionist was happy to answer my questions and offered additional information on the expertise and experience of the surgeons. I had to wait nearly three months for an appointment, but they gladly made me an appointment. I met with Dr. Hodge for the first time on Dec. 17, 2008. (In the meantime I did have quite a lot of paperwork to complete but not nearly as much as requested by the other surgeon. All of this questions actually seemed relevant.) In the time while I had to wait for my appointment, I decided to do everything I could to prepare. I contacted my insurance company to find out exactly what requirements I would have to meet to qualify for the surgery. (I already knew it was a covered benefit.) I met every criteria, but I was disappointed to learn that I would have to undergo a 6 mo. doctor supervised diet before surgery. When starting this journey, I hoped to have the surgery in early 2009. At every turn I realized it would take longer and longer, and it seemed like it would take forever. I also found that I would have to attend four seminars on the lap band as required by my surgeon. I attended two of these in October, and I plan to attend the other two soon. At the October seminars, I learned that I would have a few more hoops to jump. December 17 came more quickly than I imagined. At that visit, I was given a list of my homework and directions for starting my 6 mo. diet. All my homework will be "due" by my 7th appointment, which will also be the end of my sixth month diet and my preop appointment. For my homework, I have to have statements from my primary care doctor once per year from 2004-2008 with my height and weight listed. This is to show my five year history of obesity. (No problem there; I was obese even as the captain of my high school cheerleading squad.) These records can be from any visit; it doesn't have to be a weight-related visit. I also have to have an EGD, which I have scheduled for my spring break. I do NOT have to have an ultrasound of my gall bladder because I had that removed in 2004. I also have to have a letter from Dr. DalleAve stating that he "recommends" me as a candidate for the surgery, a letter from myself to my surgeon stating why I want to have the surgery and what I expect, a visit to a nutritionist, and a visit to a psychologist. The surgeon's office was very helpful in recommending psychologists, and they actually offer complimentary visits to a nutritionist at the local mall's health services center. This is in addition to the seminars which I mentioned previously. I know this may sound like a lot of homework, but I have six months to do it, so I don't think it will be bad. The last thing I have done is my second visit to the surgeon. I didn't see him, but I saw his nurse practioner instead. She was very helpful and encouraging. I lost 5 pounds on the first month of my 6 mo. diet. I was apologetic that I hadn't lost more, but she was quick to let me know that any loss was a good loss. My next appointment is in a few weeks, and by that time I hope to have more of my "homework" completed. I will post again after that, if not before. Until then, wish me luck and let me know if you have any questions.

I had the same question when I was thinking of getting the lapband surgery. I had thyroid cancer 8 yrs ago, no thyroid at all now, but just taking meds. My Endo keeps me hyperthyroid which is overactive, hypo IS underactive. {to keep the cancer at bay} on high doses of thyroid meds. I've lost 50lbs in 5 mths, I'm 57, not a young 'chick' but still young. My Endo has been decreasing my medication each month as I've been losing weight and so far so good. I've plateaued for the past month but I believe it's due to my not working out due to the heat. I am back working out and know I'll see the numbers on the scale going down. Besides making the right food choices, exercise is crucial with keeping on the program losiing weight and maintaining. Good luck.

Natalie - A PB is the result of the stoma or the entrance to the stoma getting clogged so that the pouch above the band does not empty. Stoma=the passage way between the pouch and your lower stomach. When something gets lodged in the stoma, or blocks the entrance to the stoma, food, Water and saliva start backing up in the pouch. If the obstruction doesn't get moved, eventually all the stuff you swallowed backs up into your esophogus and then your body reactively throws it back up. Usually the quick return of your pouch contents is considered a PB. Heaving repeatedly is considered more as vomiting, but in actuality both are technically vomiting. Chewing well and eating slowly helps eliminate the risk of blocking the stoma, but certain foods can recombine in your pouch and effectively make a thick paste/glue which doesn't easily pass through the stoma. Those types of foods are generally breads, rice, potatos and Pasta. Hope this helps...

Congrats! Only 17 days! I think it really doesn't "get real" until you are in pre-op getting poked and prodded. Yes you can experience hair loss, you can attempt to reduce this by making sure your protein levels stay high through out the process, you can take Biotine supplements as well, but the sad fact is, this doesn't guarantee you won't lose hair. It's not even really "hair loss" because you aren't really losing hair... like we typically think of when we hear "hair loss" it's not generally not permanent. the loss happens because surgery causes your follicles to enter a rest phase, which is normal, but the shock causes more of them to go into rest than normal. So when they finally reactivate, they push out the hair they were holding onto, in order to grow a new strand. Since a larger than normal percentage of follicles are doing this at the same time, the appearance of "hair loss" happens. The hair generally grows back normally.

Thanks. Really appreciate the replies. I'm trying not to be so hard on myself I know it's not like the worst thing in the world what I've eaten, and I'm probably still in my calorie range...but it's that feeling of lack of control that's forcing me to take action. I refuse to let food control/beat me anymore. Wheetsin, thanks - good advice. My stats are current. I may avoid the scale until my normal weigh-on on Monday. I haven't been too reactive emotionally to what's been on the scale, so hoping I won't be this time either (regardless of the outcome). But, man, it's this lack of control feeling I'm having which is making me anxious and like I'm wanting to get out of the environment. The food gremlin is a nasty little sh*t!

My Doctor is Dr Mark Pleatman in Bloomfield hills Mi. I'm scheduled May 28, 3013..I'm doing all fluid day before only. I'm 5'6 and weight is 204..with co morbities...and hypo thyroid..I'm ready for a new journey and being healthy!

Yeah I thought it would be okay for the steamed vegetables because I love them but then the nutritionist is like no absolutely nothing so I feel like they don’t really understand the reactive hypoglycemia and the terrible nausea.

Thanks so much. I do plan to do exactly what the Dr tells me to do. I really need to do this. I was scheduled to do surgery in 2008 and at the last minute my thyroid test came back Hyperthyroid. I had been having issues with my heart rate and BP going up but not much weight loss. The Drs couldn't believe I had Hyper thyroidism (Graves Disease) and not hypo since I was a big girl. I had to have it ablated with radiation and now I'm on meds the rest of my life for HYPO thyroidism. After having it ablated, I gained another 50 pounds. I'm devastated by the weight gain and I just can't lose on my own. This really is my last option. I keep praying for GOD's guidance and I have to have faith that whatever happens God is in control. Thank you for your comments. It helps alot.

My nutritionist said the same amount (actually she said 1300!!) and then I told my DR and he said NO WAY THAT WRONG. So Id go by the Dr over ab nutritionist. He said that for the next six months should stay between 500-700 and if I find I am exercising A LOT then maybe 800-900 max so I think your calories are way too high. My surgery was 9/4 and Im at around 600 average but some days Im in the 400s others im in closer to 700 and i am working out about 4 days a week. I am hypo as well so I think we just lose slower because of that but I dont even know how i Could get in 1200 a day unless i ate all day long. My Dr said 1200/day Once i reach maintenance.

I haven't eaten any of the Jello mousse either. Was just sharing the recipe. But I am equally terrified of dumping syndrome! Nothing is worth that feeling in my book! But, with this mousse being very low fat & sugar free it's a nice option. I have many diabetics in my family and instead of cakes for birthdays, we typically have fresh fruit and the jello mouse as options. I actually have low blood sugar - reactive hypoglycemia. So, I kind of know what dumping feels like. Don't ever want to do that to myself intentionally! I wish you luck with your surgery! I'm thrilled I had it done! Sent from my iPhone using the BariatricPal App

I believe there are Protein powders you can mix with fruit juices ? Also it does not have the MOST protein in it ,,, i am not sure if there is any dairy in the mix itself. you might try Carnation instant Breakfast mix. Anything "Whey" will have dairy in them . So careful with that. Check out "Celiac Forums" for Celiacs disease . They have to stay away from dairy . Just did a quick search and found these .. Protein from Rice, powder, Dairy Free, Vegetarian / Vegan, Hypo Allergenic, Plain - 1 lb. 5 oz. Go Dairy Free | beverages - smoothies & Mixes If you find a mix you can mix it with Lactose free milk could you not ? Can you drink that ? If you have a whole foods near you they should have tons of info or stuff. HTH mindy PS I just googled " Dairy Free Protein Mix" and came up w/ quite a bit Mindy

I have had an endoscopy, upper GI, and cat scan of the abdomen/pelvis. Except for the cat scan showing an enlarged ovary and a cyst on my other ovary, these tests were normal. I am waiting now to have an ultrasound to get more info about my ovary abnormalities. I am anemic, probably from the heavy periods I've had the last year. I'm on iron supplements now. Also, my c-reactive protein was high. My RA factor was within normal range. I'm going to ask for an ESR lab and a CA-125. It's very frustrating.

I don't dump either. I do have a reactive hypoglycemic though, which makes my blood sugar spike than crash....so, I try to be very careful with sugars. I passed out once from low blood sugar since my surgery, and I really don't want that to happen again. Sent from my iPad using the BariatricPal App

I was at 35. I gained some weight before I requested the surgery - I was at 37 and got approved. I have diabetes 2 and hypo thyroid. It has been 4 weeks since the surgery and I am at 33 BMI. I lost 28lbs in 4 weeks since the surgery - isn't that awesome? You can always appeal if they deny you.

Several individual on this site have reported the condition. It is officially called "reactive hypoglycemia". Here is a link to the condition and the recommended approaches to deal with it. http://www.mayoclinic.org/diseases-conditions/diabetes/expert-answers/reactive-hypoglycemia/faq-20057778 For the majority of people, reactive hypoglycemia usually doesn't require medical treatment. It may help to pay attention to the timing and composition of your meals: * Eat several small meals and Snacks throughout the day, no more than three hours apart during the waking hours. * Eat a well-balanced diet, including lean and nonmeat sources of Protein, and high-Fiber foods, including whole grains, fruit and vegetables. * Avoid or limit sugary foods, especially on an empty stomach. * Be sure to eat food if you're consuming alcohol and avoid using sugary soft drinks as mixers.

Hi, I have Type II Diabetes and am wondering how to manage my "hypos" (blood sugar drops) when you are preparing for surgery and post surgery on the liquid diets? I know when I have prepped for a colonoscopy before and had to be on a liquid diet for 24 hours, I had a very tough time managing my blood sugar on that diet! I am worried about this. I know many people who go through with the Lap-Band surgery have Diabetes. How does this work? Thank you for any advice/insight you have! Vacationgirl

Matt, thank you so much for taking the time to reply. My doctor told me about dumping syndrome before he did the surgery, but he emphasized that it would be caused if I ate sugary products (which I don't). I did a search of this site AFTER I wrote the hypoglycemia post (duh, I'm a new person here and didn't know I could search this site) and found almost 700 issues of people talking about "reactive" hypoglycemia (not fluctuating - which is what the doctor in the ER called it). With that new terminology I searched the web and found many scientific articles written since 2014 about this "new phenomena in gastric bypass patients." I'm really scared at this point, but I now see that I have got to find a gastroenterologist or endocrinologist to get some serious advice. I can't manage this on my own. I moved to a small town about three years after surgery and at that point was no longer followed by the physician who did my surgery. So, do you really think reactive hypoglycemia and dumping syndrome are the same thing?

Boy am I glad that this thread was started, and I am thankful that I am not alone...I got into the dr tomorrow for my 3rd fill...I was banded 10/29 and have only lost 20 pounds...lately I feel hungry all of the time...did have my thyroid checked and found that I am hypo and started meds...hopefully with a new fill and thryoid meds, I will feel like exercising more...I am so tired some days that I could sleep from 4:00 in the afternoon until morning....I thought losing weight was to help with energy and instead I feel more emotionally tired and physically exhausted. Thanks everyone for posting, it gives me hope that I can start each day new.:thumbdown:

I am severely HYPO with no function at all. i am under the impression that as you loose weight, there is less of you to medicate. BUT, it all boils down to your TSH numbers and your t-3/t-4 balance. I get tested at least once a year. Nothing makes you feel worse than an imbalance. But, i am told I will never get better.

there are different kinds of hypoglycemia. the only way to know what kind you have is to get a monitor and start checking your BGL and see how food and eating and not eating is affecting you. you might just need to adjust how and when you are eating, you may have reactive hypoglycemia, or something else. the only way to know is to track and get info.

Hi; I have not read about this topic on here and so I thought I would share my latest health issue. I found this article on it and thought others might find it interesting because it does happen to WLS patients more then you think! What is reactive hypoglycemia? After bariatric surgery you may experience reactive hypoglycemia: • Hypoglycemia means low blood sugar • Reactive hypoglycemia is having low blood sugar after eating a meal or snack This may happen after eating foods that are high in sugar or simple carbohydrates. It is thought to be related to dumping syndrome. How do I know if I have reactive hypoglycemia? You have reactive hypoglycemia if you have: • any symptoms listed below a few hours after having a meal or snack and • these symptoms go away after eating or drinking What are the symptoms of reactive hypoglycemia? You may feel one or more of these: • hungry • sweaty • shaky • anxious • dizzy • weak • sleepy • confused What should I do if I think I have reactive hypoglycemia after having a meal or snack? Having low blood sugar is not good for your overall health and can be life-threatening. • If you think you have reactive hypoglycemia, check your blood sugar. • If your blood sugar is less than 4 mmol/L, you need to treat it to bring your sugar above 4 mmol/LWhat is reactive hypoglycemia? After bariatric surgery you may experience reactive hypoglycemia: • Hypoglycemia means low blood sugar • Reactive hypoglycemia is having low blood sugar after eating a meal or snack This may happen after eating foods that are high in sugar or simple carbohydrates. It is thought to be related to dumping syndrome. How do I know if I have reactive hypoglycemia? You have reactive hypoglycemia if you have: • any symptoms listed below a few hours after having a meal or snack and • these symptoms go away after eating or drinking What are the symptoms of reactive hypoglycemia? You may feel one or more of these: • hungry • sweaty • shaky • anxious • dizzy • weak • sleepy • confused What should I do if I think I have reactive hypoglycemia after having a meal or snack? Having low blood sugar is not good for your overall health and can be life-threatening. • If you think you have reactive hypoglycemia, check your blood sugar. • If your blood sugar is less than 4 mmol/L, you need to treat it to bring your sugar above 4 mmol/L. Follow the steps on the next page. If you do not have a meter, talk to your family doctor, health care provider or the diabetes educator in the Bariatric Clinic to get a meter. When your blood sugar is less than 4 mmol/L: 1. Take 15 grams of a fast acting carbohydrate right away. This will raise your blood sugar quickly. Examples of fast acting carbohydrate include: • Chewing 3 to 4 dextrose or glucose tablets (read the label) or • Drinking ¾ cup (175 ml) of juice 2. Wait 15 minutes and check your blood sugar again. 3. If your blood sugar is still below 4 mmol/L treat again with one of the fast acting carbohydrates listed above. 4. Repeat these steps until your blood sugar is above 4 mmol/L. 5. If your next meal or snack is more than 1 hour away, you need to have a snack that contains carbohydrate and Protein that fits into the stage of diet you are at. Examples of Snacks are listed on the last page. You may feel like eating sweet foods like Cookies, cake and candy. Even though these foods are high in sugar and can raise your blood sugar, your blood sugar will go too high too fast which is not safe. This can then lead to another low blood sugar because too much insulin is released. How can I prevent reactive hypoglycemia? You can help prevent reactive hypoglycemia by following your diet guidelines for bariatric surgery. • eat 3 healthy meals and 2 healthy snacks each day • space meals and snacks 2 to 3 hours apart • eat protein at each meal and snack time • avoid skipping meals andsnacks • avoid or limit alcohol depending on what stage of diet your are at • avoid or limit caffeine depending on what stage of diet your are at • avoid sweets like cookies, cakes, candy, pop, juice and sweet drinks Instead of sugars and simple carbohydrates, eat complex carbohydrates because they release less sugar over a longer period of time. Having a complex carbohydrate with protein will slow this release even more. Try putting any of these together when they fit the stage of bariatric diet you are at: Complex Carbohydrates • whole wheat crackers • whole wheat bread • whole wheat pita • whole grain rice • potatoes • cereal Protein • nuts • cheese • meat • lentils • peanut butter • eggs • yogurt Here are some snack ideas to have after treating a low blood sugar: • crackers and cheese • pita and hummus • nuts and yogurt • melba toast and Peanut Butter

I believe that there is a difference between beatings and spankings. Though I do not know whether I would personally be comfortable, notionally speaking, with spanking a child or any other creature, I also know that I have given my cats a smack when they have lovingly sunk their teeth into my flesh. Now, smacking a cat is not a good way to train it (it only engenders fear in the animal) but my actions were always purely a knee-jerk response. Fortunately the animals were sufficiently comfortable of my goodwill that they easily got over it. There was never any sign of a neurotic aftermath. In just such a way I can easily understand a terrified parent swatting a young child after the kid has broken a cardinal rule and has narrowly missed a major disaster. Under the new and Draconian legislation these parents can be and sometimes will be charged with child brutality. I believe that children, just like my cats - creatures which rank far, far lower in the arena of intelligence and sensibility - are also able to easily differentiate between the reactive smack of a terrified but loving parent and the blunt brutality which arises from family dysfunction. Beatings are wrong. Any display of brutality towards a child, be it physical or psychological, is wrong. A smack, well, that may well fall into another category. And as for my street cred, well, here it is: my father was beaten as a child. We were never, ever physically touched but we were psychologically beaten. This was, I feel, much worse. It leaves the child confused as to the nature and the extent of his or her injuries.

Can i please ask for some advice, I am an insulin dependant diabetic and the pre op diet they have me on includes some carbs...a weetabix for Breakfast, 2 crisp breads at lunch and 3 tablespoons of rice at dinner...along side that I am having a small amount of lean meat, salad, and some vegetables. My surgery is next Tuesday.. Will this still shrink my liver enough? I am following what the hospital gave me. Many thanks X (I am still experiencing the had aches, irritability, feeling lethargic, and have had a hypo) Sent from my iPad using the BariatricPal App