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I just love this thread! I am pre band and also have hypothyroidism. I have lost almost 40 lbs over the past year just trying to get approved for the band and it has been incredibly hard, but I haven't given up. I always come here and read all these posts from the "hypo bandster" and y'all keep me going! I just wanted to say THANK YOU ALL for sharing.

Hey y'all! So I'm scheduled for vsg March 14th and went in for blood work on Monday to make sure all my levels were ok. The results came back saying my cholesterol was a little bit high and my thyroid levels were low. The nurse then called me back to say the Dr told her to tell me that I may have hyperthyroidism... which is od because I thought low levels meant your thyroid was under active and hyper meant it was over active, yes? I'm assuming she just got it backwards and meant to say I may have hypothyroidism. ANYWAY! The Doctor wants me to come back in 6 weeks for more blood work... why he wants to wait 6 weeks is beyond me, I guess to see if the levels change and maybe it was just a one time thing? I don't know. Either way, for those who have either hypo or hyperthyroidism... how has it affected [effected? lol] your journey? Did you find you lost slower than others? Thanks in advance! TLDR: How has hyper or hypothyroidism impacted your vsg journey?

Fessie, I am hypo-thyroid also and I definitely feel your pain in how slow our weight loss can be. I have lost abt the same amount as you and am 8 weeks post op. I am just thankful to finally be losing weight. What was getting me was seeing people post 25-35 pds lost that were banded around the same time as myself. These same people were posting about eating oreo Cookies and pizza, while I was staying strictly to the band diet, portion sizes and excersing. Even in the early stages on a liquid diet I lost very little. I am over being bothered by that now and will just be thankful for my pound here and there. I started a post last week for hypothyroid bandsters you should read. Shirley54 had some very encouraging things to say and shared her slow weight loss as well.

normally the moisture absorbing packet is a non-reactive (inert) substance when it is used in food type products, so I would not worry about it being toxic, but it could certainly make you sick. Always best to contact someone in your area just to be on the safe side though.

I think some people might be confused on the thyroid stuff -- If your TSH level is HIGH, it means you are hypo-thyroid (not enough thyroid hormone). The doctor explained to me that your brain is sending out the message to pump out TSH (thyroid stimulating hormone) because your body needs more but your thyroid is not producing enough. If your TSH level is LOW, it means you are hyper-thyroid (getting too much thyroid hormone). Normal levels are down between something like .5 to 5.5 -- when I was first diagnosed hypo-thyroid my level was over 25 (instrument didn't read higher than that) --- so it meant my brain was pumping out tons of TSH to try to get my thyroid to pump out what my body needed but the thyroid was just laying around doing nothing.

Yes mere. I have high thyroid .. Whatever that is. I just haven't been scheduled for surgery yet. This is my last month for the journey and I meet w the surgeon June 4.. Super excited If you have high thyroid then you have HYPERthyroid. Do you think I'll be approved ? Yes, I don't see why not... SOme docs say that after your surgery maybe your thyroid can resolve itself. It's not a guarantee and I am no doctor but I do read like a mad woman and research everything. If you have hyperthyroid that means you have a super fast metabolism and maybe you will lose weight. Do research it, it's called graves disease, my husband was diagnosed with it (hyperthyroid) and I have the hypothyroid (slow thyroid) maybe opposites do attract. Ask your doc all the questions and then go home and look it up. Take good care of yourself as hyper or hypo affects all of your cells, your entire body and brain. Good luck. I am here for you if you need.

Yes, that's correct. Same as what I read and Doc told me. It's another young lady last night that didn't know what exactly she was when she wrote I think (I think I'm hyper something) as a patient you must know and be specific with what you have or what you were told. So we all jumped and gave her advice from what we know. I for sure am hypo and my hubby is hyper, trust that I know how it feels but 25 wow, that's super high. Some people can't function not even past a 5... also, I was told different labs have different thresholds for what they think is high. What I love about my new doctor is that he also asked me about all my symptoms. Some doctors don't really sit and listen. That's why I hate doctors at the VA, it's like pulling teeth with them. Glad to know you are doing great!

SuzyB Banded April 23, 2008 Lost 25 lbs before surgery from liquid diet Nothing lost yet, just getting started Just got my 2nd fill today, which was a big one, now I think Ill have restriction. I have been rather depressed. I thought I would have lost quite a bit by now, but haven't. I also have Reactive Arthritis and have been having alot of foot pain. But my family doc changed a med for me which seems to be helping both with depression and pain. So....Im doing better and am optimistic. :biggrin2:

5 of my 6 sisters as well as myself have thyroid disease/conditions and we all have children,,my mother also had hypo and had 8 kids. I'm sure if you let your thyroid condition go and not treat it, it would cause all sorts of problems.

I don't have a thyroid due to cancer so I'm definitely hypo. When I was at 286, I was on 200 mcg of synthroid. At 240 I was placed on 175mcg. Just last week at 208, I was placed on 150mcg. What I do is call my endocrinologist, leave a message with the nurse, stating my current weight and whether or not I need an adjustment. The Dr. Calls me to say go to the labs and get the bloodwork done, then based on the results decides whether to change my meds. It is not always immediate based on the weight loss alone. The Dr said it takes awhile for the body to adjust so they wait until lab results to determine if it's time to lower the dose.

Here's another topic with really great information and others who have the same symptoms; http://www.verticalsleevetalk.com/topic/22734-reactive-hypoglycemia/

MichiganChic got it right. So that being said, I'll going to address a few things I learned with whatever medical resources I have. Please note that I have a local medical school with the best librarians in the world, and I use those resources a lot. I realized I don't have all of them on me, so I'll go this weekend and get specific references. Always pays to ask your doctor as the references I have come to 2 different conclusions (regarding Protein binding of calcium, whether or not its charged on the negative areas or truely is free of the protein molecule itself). I'll try to keep to the "lighter" end of things so you get useful info rather than a lot of scientific snooze material (or as my sister calls it, my reading & video material). Calcium: Several ways calcium can be measured: Serum blood Ionized Urine (24 hour collection) Differences between blood levels and ionized levels is serum blood calcium (what you find in a BMP (basic metabolic panel)) is your total calcium level, whereas the ionized calcium is the free in plasma type only. ** My sources differ on this** Serum blood calcium measures calcium that is attached to albumin/globulins or Proteins AND the free or ionized calcium in plasma OR it attaches to the negative charged sites on protein OR it is bound to proteins, bound to anions, and free/ionized. Parathyroid hormone & Vitamin D regulate your calcium. However, the kidneys assist in getting rid of the excess, so if they are not functioning right, you can find this out by doing urine studies. Many molecules attach to proteins or other blood particles and use them as a sort of "ferry" to get to where they need to be. If you have problems with abnormal levels of proteins like albumin or globulin, this may be one reason you need ionized levels checked. I'll list some items here that would be pertinent to us. Normal ionized calcium levels with high total calcium levels is called pseudohypercalcemia. It can happen due to hyperalbuminemia (basically an edema type condition where the Fluid leaks from your cells surrounding the tissue) or excess Vitamin D. Normal ionized calcium levels with low total calcium levels is called pseudohypocalcemia. It can happen due to hypoalbuminemia from liver/kidney disease. Low ionized calcium levels with low total calcium levels can happen due to parathyoid issues, Vitamin D/Magnesium deficiencies, and high phosphate levels. High ionized calcium levels with normal total calcium levels can happen due to hypoalbuminemia, parathyoid disorders, or acidosis. High ionized calcium levels with high total calcium levels can happen due to parathyroid issues. I'll stay away from high levels because lower levels would make more sense to us, excess Vitamins A & D would probably be the main causes for us. If you have lower levels, hypoparathyroidism, malabsorption, osteo types of problems, but mostly Vitamin D deficiency would be the big issues. Increases in pH levels in the blood, aka alkalosis, will cause more of the calcium to bind to the protein molecules and will decrease your ionized calcium levels. Decreased in Ph levels in the blood, aka acidosis, causes less of the calcium to bind to the protein molecules and will increase the free calcium levels. I add this due to authors' interest, as since the surgery, metabolic acidosis and alkalosis seem to be my buddies. Acidosis in the hospital after the surgery, alkalosis doing a number of endurance athletic competitions. When you get these tests done, make sure to review things such as your other electrolyte levels, PTH levels, Vitamin D, and phosphorus & magnesium. A change in this electrolyte can cause or be influenced by changes in other electrolytes. Calcium is excreted out of the body in urine and feces (a few other things but those are the most important). An increase in pH, alkalosis, promotes increased protein binding, which decreases free calcium levels. Acidosis, on the other hand, decreases protein binding, resulting in increased free calcium levels. Total calcium measurements, as you've seen, can be misleading. If you have hypoalbuminemia, you will have normal ionized calcium levels but total calcium levels decrease. There are ways to compensate for that, what I cheat and do is look online for the medical calculators. If you have kidney or low bicarbonate or serum albumin levels, you should measure the ionized free calcium to diagnose hypo/hypercalcemia. A few of the reasons to test the ionized calcium would be liver or kidney issues, abnormal total calcium issues, parathyroid issues, numbness or muscle spasms around the mouth, hands or feet. Drugs that can increase your ionized calcium levels would be things like thyroxine. Drugs that can decrease your ionized calcium levels would be things like heparin, epinephrine, alcohol. Urine tests measure how much calcium gets excreted out by the kidneys. It can look for problems with the parathyroid glands or the kidneys, or to check and see where the body is getting calcium from. Normal levels for urine calcium can be anywhere from 100-150 to 300. A calcium free diet goes from 5-40, low diets are 50-100 or 150. High levels can be caused by kidney issues, taking too much calcium, too much parathyroid hormone, and very high Vitamin D levels. Low levels can be caused by too little parathyroid hormone, low Vitamin D levels, and not enough calcium and/or malabsorption. If you show up with higher levels of serum calcium, lower levels of urine calcium, and possible bone loss changes, what is happening is that your body is leeching calcium from the bones (bone loss), causing the higher levels of blood calcium, the kidneys are holding on to the little bit you have and not urinating it out (low urine calcium).

I am hypo and I had my blood drawn on the 18th and it showed I was low in Iron. I just started taking an iron supplement so I hope that helps. I've also noticed that on days I eat a Protein bar I have more energy and can easily get through my walk, but on days I have something like eggs and milk for Breakfast my legs are just dragging. Like today I had a protein bar and took mile walk, and when I came home I still had enough energy to stretch for another 35 minutes. So maybe the way I feel depends on a combination of things? I guess I just have to find the right formula to keep myself moving.

okay... I know it seems like a weird thing to be happy about.... but I'm thrilled. I have been a painfully slow looser since surgery. The most I ever lost in a month was 10lbs (one memorable month). I work out 2x per day most days... yoga (harder and more intense than it sounds) and weights. I also hike and bike and almost never watch tv. I eat mostly Protein and my calories stay between 600-1100 per day. My loss has slowed to the point where I loose about 1/2 lb per week (some weeks its a whole lb!). I am .1 bmi points away from being "normal" still, and would like to loose 20 more lbs to end at a bmi of 21. I had come to accept that that might never happen, and that if it was going to happen in would take me 8 mos or so (to loose 20 lbs post gastric sleeve.... seriously!!!!). Its been depressing but I reached a place of acceptance. Got my 3 month labs done (I know I know... I'm 5 months post op) and everything looks fabulous... great Iron, b12, D etc. Only thing is I have hypothyroidism. We are going to check again in 1 month... but if its truly hypo... that exlains my slow loss, and if I get on some meds that last 20lbs will more than likely come right off. So.... I guess I'm excited about the news that my thyroid isnt functioning well. has anyone started thyroid medecine post op???? how did it affect your weight loss?

yes. It's probably reactive hypoglycemia (RH), which isn't that uncommon among RNYers. It usually appears when you're a year or two out. I have to eat something every 3-4 hours and limit my sugar intake. If I eat a carb, I have to eat a protein with it. As long as I follow these "rules", I rarely have the problem oh - if you're getting sweats and dizziness right away after eating, it's more likely dumping. If it's an hour or two later, it's most likely RH.

Hi all! I need some help! I have been struggling since I've had surgery on November 4th. I have "only" lost about 30lbs since surgery but 50 overall (2 week liquid diet before surgery). As you can see I lost more on the liquid than I did after surgery. I have hypo thyroid as well. But listen - I weigh over 300lbs at 5'7". I should be dropping fast...I should be down at least 60 or so pounds...or more. Some of you, I look at your stats and go...OMG how come I'm not like that. I know I've lost inches.. I know I have... I'm looking better every day....clothing fits differently nearly every day. BUT it isn't the same. I want the pounds gone. I want to be under 300 by January 1 (my birthday) and that isn't going to happen in two days. I've never had a big dramatic loss, simply just pounds...then I hold for days. I wasn't eating enough calories for a long time - so between me and the NUT we increased... and it is still not working. I'm getting in my Protein and Water... those are my goals for every day...protein and water. BUT I'm not losing. I'm so frustrated...sad and pissed off. What am I doing wrong????? What is a good menu to stick to ???? I know I eat too fast... and probably don't chew my food small enough. I'm seriously thinking I broke my RNY. Can anyone give me some constructive ideas? I don't eat junk (ok, I did once but I won't do that again). I eat healthy meat, yogurt. I rarely have veggies...just eat protein. I'm so sad.... does anyone have any good thoughts for me? Christina

I know, once I hit 200lbs I knew I had to do something. I am trying to protect myself from diabetes, heart disease, and joint replacements in the future, but Alberta isnt working from a preventative medicine perspective, Just a reactive perspective. I would also like to add that I have visited my family physician and she is very supportive with me leaving the country to obtain medical care, She has informed me that she has had about a dozen patients obtain barriatric surgery in Mexico this year. That was important to me, because she has agreed to follow me post op. I believe its very important to be open and honest with my family physician, and had she said she thought it was a bad idea, I think my decision would have been different. I am going to see Dr. Oritz in three weeks! I have done more than enough research. I did look into additional travel insurance, however it is quite cost prohibitive. From what I have been able to find, regular travel insurance will not cover you if you are going down there for surgery. There are a few companies that will provide coverage for Medical Tourism, but the policy is spendy spendy. My plan, is at any sign of trouble, is to get on a plane, and get to a hospital at the first point of entery into Canada. I know this plan is inherently flawed, however its the best one I can come up with. The complication rate for my surgery is less than % and my surgeon's record is pretty good. My biggest concern is if I am one of the few that does develop complications. If anyone has a better idea, im open to suggestions.

He was so much fun, and no they dont stink if you feed them right and they are hypo-allergenic and clean- he loved to take baths- and honestly just flippin cute!

@@Daisee68 Yes, I kept my beta blocker for "just in case". I have both propranolol and atenolol, and I am glad that I kept both. This disease can make life so much harder, especially when trying to get back on track with all the responsibilities, and social interactions. I have been on 100mcg of Thyroxine since January this year. 4 months after my RAI and thyroid destroyed, I swung to TSH 17.4 Now, back to square one .... My Endo doesn't want me to cut my pills (ironically I got another refill for more 100mcg script, recently, and still have 1/2 box of the currrent 100mcg .....) She just wants me to take my med for 6 days, then not take it on 1 day per week. So, I am to take it Monday-Saturday, then not take it on Sunday My blood tests are due in 6 weeks time, then again 6 weeks later. Yes, I have to monitor it carefully. If in 2-3 weeks I don't see a change, I may have to cut the tablet, and try it that way. I don't want to go hypo, but hyper is tough too ..... Thank you for your support.

Coneflower- I have graves too and was treated with RAI to slow my thyroid. yep, it's gone... on sinthroid. I was banded in March 2010, and have been working really hard for every pound lost. I can barely muster -4 a month. Proper eating and lots and lots of exercise. I am up to 5cc's now, with better restriction- but I would think I'd be loosing more... I think I might post something today. I'm super curious what the loss rate is for bandsters with a thyroid diagnosis. Hyper, Hypo, they all suck. I'm just wondering if it is what makes me slow. I know the graves really messes with me, by my thyroid levels seem to be steady. Has anyone had thier sinthroid level lowered after weight loss? Take Care!

Wikipedia states here http://en.wikipedia.org/wiki/Reactive_hypoglycemia that reactive hypoglycemia "is a medical term describing recurrent episodes of symptomatic hypoglycemia occurring within 4 hours[1] after a high carbohydrate meal" It also states "There are different kinds of reactive hypoglycemia:[4] Alimentary Hypoglycemia (consequence of dumping syndrome; it occurs in about 15% of people who have had stomach surgery)" So this it's saying that re-active hypoglycemia is a form of dumping, which I've experienced pre-surgery. You sound like your suffering from low blood sugar as eating relieves your symptoms, although wikipedia terms this as hypoglycemia and it's back to citing dumping again. I'd say you have hypoglycemia in the common usage sense and not the way it's most commonly used in the WLS community. See here for further wiki details: "Hypoglycemia (common usage) is also a term in popular culture and alternative medicine for a common, often self-diagnosed, condition characterized by shakiness and altered mood and thinking, but without measured low glucose or risk of severe harm. It is treated by changing eating patterns." http://en.wikipedia.org/wiki/Hypoglycemia It's something I used to experience more in my skinny teenage years due to not eating enough. The main things are to try and low carb/high protein it and to eat little and often (you have to be vigilant to not get into grazing though). I hope you can get into a better routine with your new job soon.

I think I have a blood sugar meter somewhere, and I'll try to dig it up. I guess I've been avoiding directly measuring my blood sugar because FWIK non-insulemic hypoglycemia is usually caused by problems with your pancreas, which I do NOT want to contemplate... For now, since the problem seems to be related to/worsened by my caffeine intake, I'm weaning myself (further) off caffeine, and trying to stick with the "many small, protein-heavy meals," and I'm going to try to have a protein-heavy "snack" before bedtime (probably just a Protein shake). Oh, and cardio exercise, since that seems to help people with hypo-g.

@ Grave's disease here too. Had my thyroid destroyed by RAI (radioactive iodine) swallow when I was in the Navy Sometime in 1999. Been Hypo and on Synthroid since 1999. I am Pre-op and hope my thyroid does not hinder my weight loss progress. Time will tell. Currently on 300 Mcg tablet once a day and skipping Sundays. I never knew about taking it with Calcium..will have to watch for that. I take it everynight at bed time and my levels have been steady ever since. I see an Endo once every 6 months, I find the Endo knows a bit more about Graves then my PCP.

This may be a silly question---if your TSH is WNL, but your T3 or T4 is high(toward hypo range) other than raising Synthroid, what can the doc give you? This is me.

OK, I have to defend Dr. K. He is NOT reactive, he is quite PROACTIVE. I went for my pre-op appt and had two scripts for ANTI-NAUSEA meds and pain meds. Those were filled before I left the hospital. It is clearly stated in his literature he provides well before surgery to help prevent nausea. It is listed in the orders as well. A patch was placed behind my ear and numerous stomach upset and nausea meds were pushed through my iv. This is Dr. K's protocol. The first two days post op were pure HELL for me. I don't do pain well and I was depressed with the realization that my love affair with food was pretty much over. Now, a couple days later, I feel a lot better and very positive. Everyone reacts differently - from what I read before the surgery, I thought this would be a piece of cake. Not true and quite a shock. But I'm different than the other people I read about. Dr. K was one of the most caring, gentle people I've ever met. And he was very, very proactive about nausea and vomiting. In fact he mentioned more than once how important it is NOT to vomit. Thanks - I just had to defend such a good man.