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Yeah I see a lot of people say they only had to do a few days before and my doc nutritionists is scary the daylights out if us saying if we have anything at all then there will be stomach residue which makes me think then how do other people only do a few days. Doesn't make sense to me. I Have lost 5 pounds in 4 days. But I have reactive hypoglycemia and the nausea and headaches are killing me.

I was never a ketosis kid either. I was very intent on avoiding post-bariatric reactive hypoglycemia, so I always tried to eat at least as many carbs as Proteins (grams). I reached goal (150 pounds at 5'5" and 69 years old) at 8-1/2 months post-op. And now I'm 3 pounds below that while trying to stop losing. I'm averaging about 1400 calories/day the last few weeks. But still losing very slowly. I eat extremely healthy -- lots of good veggies and fruits, typically 100 grams of Protein daily, whole grains, very little refined sugar and other refined carbs. Always take my vits/mins, and my big four-page blood panel results found everything was normal and good. Feeling good. Looking good. All going good here. So here's my challenge of the moment: It's a challenge for me to mentally *agree* to stop losing. Seeing the scale go down, even 0.2 pounds, is definitely a more positive feeling than seeing it stand still. Honestly, I'm a little worried about that. The idea that I could become anorexic is ridiculous to me. But I do realize that I've got to change my attitude into one that feels rewarded by seeing my weight stabilize. Anybody got any thoughts on that front? BTW, many thanks to @@Rogofulm for lobbying Alex to open this maintenance forum. Thank you, Rog.

I have a 8 year old stepdaughter that lives with us half the time. She is 4'7" and weighs 113lbs. (Hubby and I have only been married a year so I'm still adjusting to my new role.) I've expressed a huge concern about her weight at such a young age. We've discussed it with her mother but she feels like we are making a mountain out of a mole hill. (We don't discuss it with the daughter, just me, hubby, and her mom.) I wonder if I am not overly sensitive and reactive to it because of the way I grew up being fat. I want so badly to "fix" this in my stepdaughter so she won't have to deal with all of the cruelness that comes with being overweight. I've always sworn that I would NEVER let my kids get too big. Do you think I worry about it more than I should? In a way I feel like a hypocrite because I am trying to help control her portion sizes and food choices and exercise and then I look at myself. I didn't do a very good job of those things pre-band. The last thing I want to do is make her self-conscious about her weight and expose her to eating disorders and low self-esteem. But how do you get it under control with a delicate touch?

Had my surgery dec 16 and dropped the weight quite quick. I was 85kgs now 65kgs. With high BP and medicated with two lots of meds and hypothyroidism.. Off one lot of bp meds and halved the other bp med. hypo hasn't changed still on 200 micros a day Unfortunately I have developed reflux after the op which is ****...

HI I been concerned about dilation because of what i have read. I think your mind can work overtime sometimes. I was a little hypo at the begining and being a newie i no expert. I be honest i am four weeks post-0p and i begining to worry at the amount i can eat?:hungry: now? So just be strong if there no pain there probably no problem, my nurse explained i no if there wa a problem. i be in pain? :biggrin1: Hugs Lana

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.

Wow, long time since I've posted. Winter has gotten the best of me, was diagnosed with SAD (Seasonal Affective Disorder) and its time to get the winter weight off. Will post later when I have more time, just wanted to reactivate my journal!

Keep me posted on your date. What type of foods are you eating now? Are the gas pains gone? TIA Honestly I didn't have much gas pains. I stayed on water only for 2 days post op though. It was my choice to do so. I didn't feel hungry and water worked for me. I have bloating issues but I have had them since way before I had my surgery. I am Hashimoto's Hypothyroid and bloating, constipation and other gut issues are a norm for me. As far as gas, I get it on occasion but feel it is due to my hypo. As for food.....I am slowly introducing solids to my diet but only at night. I have a protein shake for lunch and breakfast and some type of solid soft food at night at home that way if my body doesn't like it I am where I need to be to deal with it. Protein drinks are a huge staple for me. Getting enough protein is pertinent and with just 2 a day, I am getting 86 grams of protein. What shakes are you using?

I haven't been on this board in over a year, but I see this thread has been reactivated so wanted to put in my two cents. I was sleeved by Dr. Kelly in March 2012. I booked directly with him and had no problems doing so. I was originally going through a Lighter Me, and then chose not to do so after the Dr. they wanted me to see after they stopped working with Dr, Kelly had some really negative issues posted on this forum. I did know about the patient death with Dr. Kelly but did my research and found many people who had been happy with their experience with him. I have absolutely nothing negative to say about him, he came to see me several times before and after to make sure that all my questions and concerns were answered about the surgery. I felt that he honestly cared about my well being. As for my surgery, he did a great job. I had no complications, and my incisions healed really well. Weight loss surgery is hard, don't kid yourself otherwise. You can't eat very much for quite a long time afterwards, and it takes a while to kind of return to feeling "normal". I did have my sister go with me to Tijuana so I didn't go by myself. Anyway, just wanted to voice my opinion that Dr, Kelly is a good surgeon in my opinion and I have no reservations about recommending him to anyone who is considering surgery in Mexico. As for my weight loss, I am down seventy pounds from my surgery. Should be more, but...that's me, not Dr. Kelly! Currently a size ten, started out at a size 18. Very happy I had the surgery, it changed my life. Everyone has to make the right decision for themselves, but if you are considering a surgeon in Mexico, I would definitely recommend you consider Dr. Kelly.

I am hypo/ hashimotos thyroiditis and when I began my insurance process, I was told by my surgeon that they would not schedule my surgery unless my Tsh levels were under a certain number. For optimal weight loss. I think it was 5. My surgery has been scheduled for 3/14 since my levels are good now.

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!

GOOOD morning everyone! David here with an update i guess now over 2 years post op! ! Pretty exciting things have went on and continue to go on in my life and i really appologize for the delays in posting. Let me first start off by saying you are all too kind with you posts here. It's wonderfull to know that this post has at least helped a few people. Let me give a little update and brief recap for those of you wondering. I had RNY done in Bismarck ND with the only complication being some post op gas pain even after walking my legs off! 3 days after surgery i was home and realized a few things. 1. I am glad i know enough medically to realize that 5 weeks post op when i stood and felt like i was going to pass out it was likely my BP meds continuing to drop my BP when it was not needed anymore. Check my BP and sure enough i went from a 150's bp down to 90's without medication. A quick conversation with my PCP (primary care provider) and i dc'd my blood pressure meds. A word on reactive hypoglycemia now since I am one of the lucky individuals that has this wonderfull little side effect. My pancrease works really well, that being said when i eat high carb foods it releases plenty of insulin but the food moves thru so quickly that TADA my blood glucose drops. Lowest i have been so far is 38. I can tell you, not a fun experience. That being said go back to square one if you find yourself struggling with this. I re-evaluate my food choices and find EVERY TIME that i am eatting things i know better than to eat. Ok so here is the update.. Starting Weight : 330lbs Pre op weight : 299lbs RNY: 7/24/2012 10/13/12 : 233lbs 3/22/15 - 179 lbs I currently work as a Flight Paramedic (something that has always been a dream but always too large) I am almost done with my nursing progam and am pretty much just lovin life! I still love to cook and bake I just do so in moderation. I will post a few pictures in a few minutes so yall can see the changes. You can be successful. You can make positive changes and be the you that you need to be. Please know that this surgery is a tool that when used correctly can have life changing, mind blowing effects. I can run up and down stairs, i can get on the ground with my patients and get back up without hurting. If you have questions ask away i will be checking back for a few days to answer any questions you have. Nothings off limits ask away =-)

Mommy202... yes, I have lost 80 lbs 4 times in my adult life... the last 3 were adhering to a strict low carb diet. I have hypo thyroid and PCOS.. so for me the Low Carb is what helped SO MANY things..... but something would happen and I would go off plan and then it would spiral til I was all the way back up and this last time was no exception..... I have thought long and hard about the band, and it took me a year of debating it in my head before I really decided to go for it. I was really ticked off that I just couldn't maintain a loss on my own. So, for ME I view the band as a FORCED committment to a LC way of eating WOE. Protein First, Veggies Second, Carb 3rd....... Yes, I know I will be able to eat around the band, but I KNOW what my body needs.. so I believe I will be fine.. most of my problem is VOLUME, and the band will help with that too..... I am the first person in my Real Life that will have a band. I do have 2 friends that went the bypass route (now 2 and 4 years) post op.. I always knew that surgery wasn't for me.......... Lemme see.... I am 37, divorced in 2002 but with a great guy now going on 2 years... we share a life and kids but not married.. I have a son who is now 3 and the light of my life.. although he is often to smart for his own britches... I think my light bulb moment was at his skating party I could not get up off the floor of the rink without help (I was in skates, and on one knee to tie his laces) I was humiliated and p.o.'d!!!!!!! I want to be the active mom not the "let mommy rest" mom.... so here I am with baited breath (as you said it perfectly) waiting for a surgery date, so that the rest of my life can begin!

Any of these procedures may predispose you to some kind of problem as a result of the anatomical changes that the surgery makes; this doesn't mean that you will have such a problem, just that the problem shows up in more often than in the general population. With the sleeve, the main predisposition is for GERD, as a result of cutting back the stomach volume more than its' acid producing potential - usually the body adapts and adjust things over time, but sometimes it doesn't. I have mild GERD which is well controlled with mild OTC medication; a few get it so severe that no med controls it and they have to get their sleeve revised to correct it, while others - most people - have no problem with it at all. GERD problems may also result from poor surgical technique, and was more common when the sleeve was new to the WLS world 8-10 years ago and most surgeons were still figuring it out (this is why I traveled to a practice that had already been doing them for some twenty years, so avoid this kind of "learning curve" problem. Most surgeons in the US today are experienced enough with it that this isn't much of a problem anymore, but it does seem to show up more in countries that are farther down that learning curve, such as Canada and Australia. People with the bypass will also sometimes develop GERD, though usually more in line with general population numbers, and seems to often be associated with chronic over eating, volumetrically if not calorically.. This may also be why some with the sleeve also develop GERD after some years. The bypass is predisposed to dumping and its close cousin, reactive hypoglycemia, as a result of rapid stomach emptying from the lack of the pyloric valve in the active GI system metering the stomach contents into the intestines. Some people with the sleeve, or even no stomach surgery at all, may dump as well, but it is rare. It is generally controlled with additional dietary restrictions. The bypass is also predisposed to marginal ulcers, typically around the anastomosis between the stomach pouch and intestine. This is a result of the section of intestine being used not being resistant to stomach acid like the duodenum is (the part of intestine immediately downstream of the stomach in the natural anatomy, which is bypassed along with the remnant stomach in the RNY), leaving a very sensitive suture line that is easily irritated. This is why NSAID pain relievers and other similar medications are a big NO-NO with the RNY, but are better tolerated with the sleeve based procedures; one still needs to be cautious with them, but they are more usable with a sleeve than a bypass. For the benefit of the OP, with no prior GERD history, but a history of orthopedic problems, I would be inclined to go with the sleeve, owing to its better tolerance for the various pain relievers that you are inclined to need at different times. Good luck - none of this is easy, as it is often a matter of trade offs, and sometimes it's less a matter of good vs. bad as it is bad vs. less bad, or bad vs. not-great.

Thank you everyone. I've been gone for awhile because I got busy again but I got my blood test back and my hemoglobin was low (10.6) and my fasting blood sugar was 106. ???? I still am having the strange sensations of pressure coming down from my head and being dizzy when I stand up. At first, it was just after eating food but now it's after I take my medicine and after I eat food. My PCP still isn't doing anything and my surgeon hasn't called back yet to schedule any test. I see my APRN tomorrow afternoon and I am going to talk to her about the medication and how it's affecting me. I've been on zoloft, wellbutrin, and risperidone since 2011, its not working and it's time for a change. I also took my medical symptoms into my own hands and did some research on it. It seems I really do have reactive hypoglycemia or POTS. Also, my surgeon isn't doing anything about my bleeding because its bright red blood...its not in his "medical jurisdiction". ???? It was dark red one time but that wasn't enough to worry him? I just can't figure out why no one is helping me down here other than the fact I have medicaid and they treat us badly.

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....

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.

I also developed Reactive Hypoglycemia about a year ago (I probably had it longer, just didn't realize) I wear a Libre CGM and have discovered it reads a bit lower than my one touch meter. I have been following The Glucose Godess for tips on how to eat without creating a huge spike and a deep drop. I feel like so much food is out of my reach now as almost everything causes a spike. I see an endo for this issue and strive to keep my spikes under 150. I have heard this can be reversable, but not sure if this is true.

Several people who underwent RNY gastric bypass surgery developed hypoglycemia. It is somewhat common. It doesn't seem to make any difference if they were diabetic prior to surgery or not. This is a specific type of hypoglycemia called "reactive hypoglycemia". These are a few links to this condition. https://www.ridgeviewmedical.org/services/bariatric-weight-loss/enewsletter-articles/reactive-hypoglycemia-postgastric-bypass/ http://www.weightlosssurgery.ca/before-after-surgery/reactive-hypoglycaemia-post-gastric-bypass/ http://www.todaysdietitian.com/newarchives/060415p48tip.shtml Probably the main point is that there are steps you can take to significantly minimize the effect of this condition on your body.

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.

@@rose1504 Definitely get your Thyroid checked, and not just TSH and T4, but T3 as well. I have Graves Disease (autoimmune thyroid disease), this kept me slim my whole life, till 2014 when it did 180 degree turn, and I was piling on weight at a frightening speed. I went from 60kg to 101kg between 2014 and March 2016. I also developed astonishing sweet cravings during that time, which made a mess of me. Graves is Hyper-thyroid. I had every symptom of this disease, except of bulging eyes and goitre. There is also Hypo-thyroid (under-active), Hashimotos etc which also can really mess with metabolism and general well being. Good luck @@rose1504 I hope you don't have thyroid disease, as I wouldn't wish it on my worst enemy ...... Had my both ear Daiths pierced 3 weeks ago, to see if they would help my thyroid migraines and severe headaches. They (the acupressure point piercings) helped me tremendously! I was living almost daily on very strong pain killers. Now, I don't take them, and so those piercings really helped me. I have a huge stock of heavy duty pain killers at home, and now I forget all about them. So, Good Luck with all your tests. Please let us know how you went.

Hello everyone, my name is Terrie and I am one month away from having the Lap-Band Procedure performed. I am scheduled with Dr. Jason Brodsky here in the District of Columbia. I decided to have the procedure performed after my last appointment with my endocrine specialist. My doctor suggested that I consider surgical procedures to aid in my weight loss in an effort to get my thyroid gland functioning normally. I have a condition known to many as hypothyroidism, it is complicated by the fact that despite continued symtoms my blood work routinely fluctuates from hyper to normal to hypo. My thyroid gland is currently twice the normal size. Over a four year period up to 4/2003 I gained an average of 15 to 25 pounds per year despite dieting and exercise. Since I started going to my current thyroid doctor in 4/03 I have gained only 15 additional pounds topping in at a whopping 263 lbs at only 5' 5 1/2''. Well, I have decided that now is when and I started making arrangements for the surgery. I considered (although briefly) having the gastric bypass procedure done with Dr. Fullum (who does not perform the Lap Band) and after one meeting and a ton of research I decided against it and decided the lap band was the best thing for me. Well, this is my story and I look forward to sharing my progess with everyone.

I will be four years out from sleeve surgery this June. Maintained at 130's first two years easily. My third year I had a gain 10 to 15 pounds. I got it back down. Maintaining for me is chasing the same 10 pounds up and down the scale. My health is fantastic, Type one pre surgery my a1c is in the non diabetic range. I'm in the best shape of my life, I am making up for lost time. Only one small complication. Reactive hypoglycemia ( Low blood sugars ) Its manageable with food. I've been managing my blood sugars all my life so this is nothing new.

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?

I dont have a sleeve. Does that matter? I had gastric bypass. Plus I have reactive hypoglycemia, what do I do about that? Sent from my SM-G970U using BariatricPal mobile app