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We had Chinese about a month ago, or so. I had Hunan Chicken with steamed rice and Chicken Lo Mein. I did not eat the fortune cookies. I didn't dump. But, I took very small amounts and, like you, I definitely stopped before I was full. I don't dump, but I do get reactive hypoglycemia. So, if I'm going to eat something high in carbs, I know that I'm going to have to eat something low carb and high protein within 2 hours, or my blood sugar will crash.

I have experienced "late stage" dumping (which normally occurs two to three hours following eating) in the form of reactive hypoglycemia a few times. First time it happened I checked my blood sugar and it was 37. In my case, eating just about anything with sugar sees the symptoms resolve within 10-20 minutes. But this is not a daily occurrence for me and without exception, I have always been able to identify the food that caused the problem. How long after eating your breakfast does the hypoglycemia occur? Would appear to be a totally different scenario to experiencing low blood sugar on a daily basis unless your breakfast is normally Cereal or something else with a high sugar content. Have you talked with your doctor? If not I would recommend that you do. Hypoglycemia can be serious in some cases. I don't think it's common but it can result in loss of consciousness and worse under certain circumstances. The good news is that it's usually very treatable. Huge congratulations on your weight loss!!

Sorry to hear about your scary episode. It is a little bit common for some individuals to experience a type of hypoglycemia called "reactive hypoglycemia". It seems a little soon because you are less than 5 months post-op. But in your case the alcohol may have played a part. I remember the first time I had a little wine post-op, it almost threw me for a loop. Here is a couple links to the condition. https://www.ridgeviewmedical.org/services/bariatric-weight-loss/enewsletter-articles/reactive-hypoglycemia-postgastric-bypass/ https://www.stjoes.ca/patients-visitors/patient-education/f-j/PD 7972 Reactive Hypoglycemia after Bariatric Surgery.pdf

Hey I had the same procedure hernia n sleeve. I am 2 weeks post op n I feel horrible. No energy I can not drink those premier proteins nor insopure liquid protein all taste disgusting to me. I also have hypo thyroid & I feel like I need to do lab work soon. I'm just not in the best of spirits ... Idk what to do . Going to try in making my own shakes adding fruits etc. I guess this is gonna last for the next 3 months ?

Hi thank you for this. I'm only two weeks out but have already reactivated my membership at the gym. I will start with light weights when I start next week...thanks again....

Its like once I realized I can eat more foods then I could. My mom (and another therapist) made a deal with me that I live over the summer rent free if I just get out two hours a day instead of being locked up in the house like I usually do. So I did. A friend worked at a coffee shop, I thought it was nice and cozy, and started getting drinks there. So I developed a habit of relating to going outside = spending money, because otherwise....why go outside? I dont know if that makes any sense.. I at max get 40oz of Water a day, usually 20oz. I know, I know. Its hard. :|. Ive basically been living off of greek yogurt, soup, and eggs since I started puree. Now none of that fills me up. Sure its head hunger maybe, but that **** used to fill me up plenty before. I would feel sick eating 6oz of it instead of 4, now I can probably eat 12oz of yogurt and maybe feel sick. I know its bad because I only come on here when I have truble and it feels selfish but I really dont know who else to go. Im doing the right thing by being proactive with a therapist. Maybe not proactive, but I am being reactive, and reacting fast (instead of waiting for another week to spiral out of control....). Im going to put the Cookies and **** I bought down the garbage disposal. That way I will never get to it..

There are two types of dumping, early and late. I had plenty of experience with early dumping. Anytime I ate a little bit too much, it would lead to early dumping. Because of this I learned to detect the signals my body gave me to tell me that I was at the edge, such as hiccups, sneezes etc. and then I would just abruptly stop eating not one more bite. But I never experienced high blood pressure or fainting symptoms. There is another type of dumping syndrome called late dumping or reactive hypoglycemia. The following link explains the two types. I met someone with this late dumping condition at a bariatric surgery support group meeting. He was not diabetic prior to surgery but after surgery, he experienced severe reactive hypoglycemia. He even fainted a couple times before he figured out this was a problem. Once he knew the problem, he knew what he had to do whenever he felt dizzy afterwards and found he could easily manage and live with that condition. Dumping Syndrome After Gastric Bypass Surgery But when I looked at your meal, I did not see anything to trigger this reaction. If you had a blood sugar monitor, it might be interesting to know what your blood sugar levels were during your dizzy episodes.

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.

I'm 16 months post op and haven't lost a thing in 6 months! I've been having a terrible time with low blood sugar (they think I might have reactive hypoglycemia). Whenever I get these lows I feel ravenous and eat more than I normally would! I feel like an epic failure. I want to get back on track and I've tried, but every time I try to eat like I did before having these low blood sugar episodes I get the episodes again. It's a vicious cycle! I'm discouraged and ready to give up on ever being a normal weight again.

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

@freetobeallofme, I would love to stay in touch of your progress with your revision to RnY. I don't know why I'm so nervous now. Maybe, the closer I get to the 9/19 revision date then the more I find more frighten possible complications that goes hand to hand with the gastric bypass. My gerd is mild, per my latest upper GI. The pantoprazole 40 mg is suppressing my acid reflux for now. I'm still experiencing some mucus buildup in my throat and lump like feeling if I eat more than 4 oz of food or eating too fast. 4oz seems to be my sweet spot for comfort level and no gerd like symptoms. I use to be under the believe if I reach the 24 bmi; then my gerd goes away. However, I see some fit people posted on YouTube or othe wls boards still experiencing gerd. I have to lose 25 more pounds to be at a 24 bmi. I'm blame myself for worrying about possible side effects of the gastric bypass. The dumping and reactive hypoglycemia. I worry too much about things that have not happened yet. Up until June of this year, my gerd was not as pronounced. Not until an asthma/allergy attack put my acid reflux to being extremely bad while taking omeprazole. My doctor switched me pantoprazole and that medicine has controlled the daily acid reflux for now. On top of all of this, I will be making a major relocation to Europe, moving to the county Netherlands. So I'm worrying about would the Dutch doctors know how to handle my new medical case if I should still proceed with the bypass. My aunt had a revision from VSG to gastric bypass last year. She has no problems. She's happy. My aunt is super positive and do not let life worry her. I not at that level yet. I still have time to decide if I need to continue with the revision. I pray that I have a sense of peace about this decision. Thank you all for sharing your experiences with me and offering your kindness.

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.

I am not a doctor nor do I have medical experience. So take what I say with a grain of salt. I am 3 years post-op RNY gastric bypass surgery. It seems like you have multiple conditions, so let me talk about these individually. General The three most important elements after RNY gastric bypass surgery are to meet your daily Protein, Fluid and Vitamin requirements. food is secondary because your body is converting your stored fat into the energy that drives your body. Thus you lose weight. Weight loss is achieved after surgery through volume control. You begin at 2 ounces (1/4 cup) per meal and gradually over the next year and a half increase the volume to 1 cup per meal. With this minuscule amount of food, it is next to impossible to meet your protein daily requirements by food alone, so therefore you need to rely on supplements such as Protein shakes. It looks like you have lost the weight are in the Maintenance phase. So generally your meal volume allotment is now large enough that if you concentrated on eating high protein meals, you might not need to add protein supplements (protein shakes, protein bars). I found it difficult to transition to solid foods (such as steak and chicken) after surgery so I primarily relied on softer foods such as chili and Soups. I fortified these with extra protein. I have included the recipes at the end of the following article. http://www.breadandbutterscience.com/Surgery.pdf But if you are having difficulty keeping food down, then you may have to go back to protein supplements just to ensure you get the proper amount of protein in daily. Ulcers Nausea and vomiting are the most common complaints after bariatric surgery, and they are typically associated with inappropriate diet and noncompliance with a gastroplasty diet (ie, eat undisturbed, chew meticulously, never drink with meals, and wait 2 hours before drinking after solid food is consumed). If these symptoms are associated with epigastric pain, significant dehydration, or not explained by dietary indiscretions, an alternative diagnosis must be explored. One of the most common complications causing nausea and vomiting in gastric bypass patients is anastomotic ulcers, with and without stomal stenosis. Ulceration or stenosis at the gastrojejunostomy of the gastric bypass has a reported incidence of 3% to 20%. Although no unifying explanation for the etiology of anastomotic ulcers exists, most experts agree that the pathogenesis is likely multifactorial. These ulcers are thought to be due to a combination of preserved acid secretion in the pouch, tension from the Roux limb, ischemia from the operation, nonsteroidal anti-inflammatory drug (NSAID) use, and perhaps Helicobacter pylori infection. Evidence suggests that little acid is secreted in the gastric bypass pouch; however, staple line dehiscence may lead to excessive acid bathing of the anastomosis. Treatment for both marginal ulcers and stomal ulcers should include avoidance of NSAIDs, antisecretory therapy with proton-pump inhibitors, and/or sucralfate. In addition, H pylori infection should be identified and treated, if present. So the general advice from above if I am interpreting it properly is to eat undisturbed, chew meticulously, never drink with meals, and wait 2 hours before drinking after solid food is consumed. Also avoid NSAIDs (such as Aspirin, Ibuprofen, Diclofenac, Naproxen, Meloxicam, Celecoxib, Indomethacin, Ketorolac, Ketoprofen, Nimesulide, Piroxicam, Etoricoxib, Mefenamic acid, Carprofen, Aspirin/paracetamol/caffeine, Etodolac, Loxoprofen, Nabumetone, Flurbiprofen, Salicylic acid, Aceclofenac, Sulindac, Phenylbutazone, Dexketoprofen, Lornoxicam, Tenoxicam, Diflunisal, Diclofenac/Misoprostol, Flunixin, Benzydamine, Valdecoxib, Oxaprozin, Nepafenac, Etofenamate, Ethenzamide, Naproxen sodium, Dexibuprofen, Diclofenac sodium, Bromfenac, Diclofenac potassium, Fenoprofen, Tolfenamic acid, Tolmetin, Tiaprofenic acid, Lumiracoxib, Phenazone, Salsalate, Felbinac, Hydrocodone/ibuprofen, Fenbufen] and but use proton pump inhibitors [Omeprazole, Pantoprazole, Esomeprazole, Lansoprazole, Rabeprazole, Dexlansoprazole, Rabeprazole sodium, Pantoprazole sodium, Esomeprazole magnesium, Omeprazole magnesium, Naproxen/Esomeprazole, Esomeprazole sodium, Omeprazole/Bicarbonate ion] and/or sucralfate [Carafate] antacid. After RNY gastric bypass surgery, my surgeon put me on Omeprazole [Prilosec] for a year to lessen the affects of surgery on my stomach. Passing Out The fact that you have passed out a few times might be due to a condition called Reactive Hypoglycemia. This is a low blood sugar condition that affects some RNY patients. Here is a link that describes the condition. https://www.ridgeviewmedical.org/services/bariatric-weight-loss/enewsletter-articles/reactive-hypoglycemia-postgastric-bypass

I would love to go vegetarian but am highly reactive to soy which is problematic to meeting Protein goals. Any suggestions from the vegans? Sent from my iPad using the BariatricPal App

I was hypothyroid and have been taken off my synthroid now. Weird because I was told I would be on it for the rest of my life... Just to be clear though, my hypo was NEVER due to any disease or malfunction of the actual thyroid gland, it had to do with how my body USED the hormone. It was like no matter how much my thyroid made, my body would scream for MORE because it couldn't use it properly. Now that I'm off WHEAT, my body is no longer suffering inflammation and is better able to use the hormone that my body makes. Being able to get off of thyroid medication is really rare, I don't want to give people the impression that getting sleeved or giving up wheat will heal their thyroid.

I have heard of others farther out getting hypo glssimic. I think that is how you spell it. Also if you have high blood pressure medicine it may need adjusting. No matter how you may think your doc feels your health is more important. Maybe call you primary doc. I hope all gets better for you soon.

My journey began around 3 years ago. I was under the treatment of a number of specialists most recently Endocrinologists. I received a diagnosis of Hypo-Pituitary and Hypo-Thyroid. I could not pursue weight loss surgery until I had a release from my endo. I received that approval in December 2010 and began my journey with Atlanta Bariatric and Dr. Christopher Hart. My insurance is Aetna and the approval I sought required 6 months weight loss consultations. I met with a primary care and a nutritionist. I was approved in August and my surgery to place on August 31, 2011. My highest weight was 567 with my endo and my weight before surgery was 479. I am sensitive to wheat and gluten, corn and potatoes. I was well aware of what I could not eat. I needed those six months to get a good idea and what I could eat and lose weight eating. In my teens and 20’s I had experienced some events in my life which caused me to want to alter my appearance. Believing that if I made myself unattractive I could keep myself out of harms way. In my 30’s I got the help that I needed and I realized that I myself was putting myself into harms way. But I struggled with ending this cycle of self-abuse. In my late 30’s I was married and lost my appetite with my second pregnancy. It never fully returned and I thought nothing of eating once a day. If I got hungry I knew the pain would eventually subside. So fast forward into my 40’s I commit to do a better job caring for myself, but my body refuses to respond. I start to get recurrent infections, my weight loss efforts plateau soon after diets start, and I just literally feel like I am slipping away. Maybe I waited too long. The weight loss Doctor told me that I needed to see a specialist because there was something going on internally that diet and exercise alone could not address. I went to Progressive Medical and they referred me to my first Endocronologist and after extensive testing I received my diagnosis Hypo-Pituitary and Hypo-Thyroid. You know when you receive medications that help in one area but can make you ill in others? Well that was my experience. We stopped the infections and lessened the fatigue. The trade off was weight gain and becoming Insulin resistant due to the medication. That was not an acceptable trade off for me. I changed Endo’s and was freed from the medication. My body was responding positively to the positive food choices and I was infection free. So here I am it is a new day and a new chapter in my life. I have learned so much about listening to my body and I have experienced so much love and support. I look forward to being apart of a community who happen to be headed in the same direction, Health and Joy and Peace.

Ugh. Your poor thing, that sucks. I have reactive skin and will welt up with some adhesives, so I know how that feels.

Hi Angela, thanks for your post, my pre-op diet is only for one week, thank goodness, today was really bad, i am diabetic and started to go into a hypo, so i had to phone my doctor and ask for advice, she told me that as my blood sugar was so low, i had to eat something, aaaagh! so i had to have real food, instead of just the youghurt that i am only supposed to eat, i am praying that it wont cause problems for the surgery, oh well 6 days to go so hopefully if i get right back on the diet tomorrow everything will be ok. as for my prepartion, well i was supposed to have the op 3 months ago when i was having my gallbladder out, but some piece of equipment broke just before surgery, i was able to have the gallbladder removed but not the sleeve, so i think since then i have become more prepared and have more of an understanding of what will happen, although as the days go by i am getting more nervous, normal emotions i know, the post op preparations are going ok, reading, reading and more reading, and of course coming to this site is fantastic, if you need any help give me a shout, and i wish you all the best for your op in 3weeks time, i will let you know how things go, take care! viv xx

13. One skill or hobby you want to take up. I have three and I can't choose between them. When I get down a bit more, Imma reactivate my scuba license; take up horseriding with my daughter and start doing zumba/aerobics Sent from my SM-G930F using BariatricPal mobile app

I have definitely had the hungry/not hungry feeling since surgery, so I totally get where you are coming from @Arabesque! 🥰 Anything too greasy has been completely unpalatable. I am very thankful I tolerate protein bars and shakes or I would be in a bad place for getting enough protein. I know I need protein to heal, but meat has not sounded good at all since surgery. We had dinner at some friends’ house last week. They served salmon and flank steak. I only manage a couple bites of the steak and gave the rest to Husband. I managed about 2 ounces of the salmon. 🤷‍♀️ I bought a jar of no stir peanut butter to keep at work to eat with fruit. The fat and protein should help with the reactive hypoglycemia to stabilize my blood sugar from the fruit. 🤞🏻🤞🏻I also have walnuts, sunflower seeds, pumpkin seeds, dips, cheeses. I already use high protein milk for my protein shakes, so they are protein packed. My goal is to maintain my weight at 130-135. I need to gain a pound 🤣🤣 I plan to start working out as soon as I am healed, which will help with appetite, but conversely burn those extra calories. 🤦🏼‍♀️🤷‍♀️ So many skinny girl problems! 🤣😂🤣

I finally had my first fill this past Saturday ~ 2 1/2 CC's. There are a couple of reasons why I wasn't able to gett a fill sooner.... 1) my insurance would only cover it if it was at least 90 days after surgery... and 2) I was going on vacation... and my Dr. didn't want me traveling across the country for my first fill (just in case I would be too tight). So........... this past month I was totally stalled. It was pretty frustrating... plus I found myself to be REALLY hungry. Well, so far the fill seems to be working.. and I'm not hungry. My Dr. has me on liquids for 2 weeks... YES ... 2 weeks. Seems everyone here is only on liquids for a couple of days. Well.... I asked why.. and they told me that they have found it very successful in "jump starting" the weight loss again. I have a hypo-thryroid... so I definately could use a "jump start". I'm gonna give it my best shot. So far.... so good. If a few more days go by and I find myself craving solids... I'll call my Dr. and see what he says. I also have to admit that prior to my fill, I was able to eat everything and anything. On vacation, I found myself going back to "BAD" habits. So, maybe, if nothing else, the 2 weeks on liquids will get me back on the right track.

UUGGHHH, feeling so disgusted,. not looking for a pity party, just venting.. its been over a yr. since my surgery, and I'm STUCK @ abt a 50lb loss. I just reactivated this acct and see that I am up abt 5lbs since I joined in March,. I've unfollowed people/groups on IG & FB, not that I'm a "hater", (I salute & congratulate everyone)...I just don't see anything in common w them anymore.. (also my nutritionist recommended it to focus on me) my diet is usually: eggs & sausage,avocado for bkfst, lots of protein (mainly chicken) in salads or w sautéed veggies, etc. (have just started the "keto" diet) don't like carbs believe it or not, not that I haven't "cheated" & had sweets here or there, but I'm not a bread/pasta/pastry person (thank God for @ least that I guess) don't wanna go see my Dr anymore, I feel he's not helpful @ all, just recommending a book to follow. #wtf.. and the nutritionist was so/so.. have only met w her once. my low points are not drinking enough water & I'm CONVINCED I can eat too much @ one sitting. I even got a kitchen scale, haven't used it yet though. don't expect what I haven't put in, BUT I don't get why I've stalled so bad if I'm eating pretty well balanced & "clean".. what's the point of the surgery if we still have to follow a "diet" (and by that I do NOT mean I expect to still eat any & every thing that got me fat to begin with bc I don't) thx for listening....

The following are some of the common abbreviations used on this message board: ACL = Anterior cruciate ligament AMRAP = As Many Rounds As Possible (crossfit) BB = belly button bc = because BCBS = Blue Cross/Blue Shield BED = Binge Eating Disorder bf = best friend BM = bowel movement BMI = Body Mass Index bp = blood pressure BPD = Borderline Personality Disorder or Biliopancreatic Diversion (Scopinaro procedure) bs = blood sugar btw = by the way 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 cw = current weight CXR = Chest X-Ray Dr. = doctor DS = Dumping Syndrome or Duodenal Switch EGD = Esophagogastroduodenoscopy EKG = Electrocardiography ff = fat free GERD = gastroesophageal reflux disease GI = gastrointestinal 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 IMHO = in my humble (honest) opinion IMO = in my opinion IUI = Intrauterine insemination LAP Band = Laparoscopic Adjustable Gastric Band lol = laughing out loud LSG = Laparoscopic Sleeve Gastrectomy med = medicine msg = message 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 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 Oz = Australia PB = Productive Burps PCOS = Polycystic Ovary Syndrome PCP = Primary Care Physician 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 SADI-S = single anastomosis duodeno–ileal bypass with sleeve gastrectomy s/f or sf = sugar free SIPS = stomach intestinal pylorus-sparing surgery smh = shaking my head, scratching my head SO = significant other SOB = shortness of breath sw = weight at surgery tmi = too much information TPN = total parenteral nutrition TT = tummy tuck TTC = trying to conceive 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 : ) or :-) = = smiley face : ( or :-( = = sad face

I was connected to sliding scales with insulin pump in hospital. My insulin was monitored by my diabetic consultant. My rates dramatically changed after operation. No complication post op! No problems with infections. No leaks. Had a test 6 weeks after my op. All was good. Left hospital 48 hours after surgery. Weight loss was spectacular in the first 6-8 months. It slowed down later on but with help from yoga and pilates classes plus lots of walking body shape is continuously changing, for better! Took me up to 4-6 month to up my energy levels. Problem mostly with finding a correct balance between carbs an proteins. Not enough carbs means very tired and slowing down with a weight loss. You will soon learn by trial and error! Had a great support from my pump clinic: meeting with my nurse every month to change my pump's settings. Insulin resistance "vanished" after 6 months!!!! Wonderful! Today, over 2 years after my surgery, I'm nice UK size 16. I'm full of energy and my body is still changing shape. I eat absolutely everything in small portions.I eat in public places and attend dinner parties. I don't advertise that I had VSG. It's my business only! When pushed and questioned: "have some more" I very firmly respond- "no, thank you". No explanation added. I love my life and wish I had this done years ago. No bigger problems with hypos now than before sleeve if anything situation is better. Good luck!