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1. Iv been eating like this for about 6 months now. 2. 5 foot 11inch (180cm) male. 3. The only thing I do suffer from is reactive hypoglycemia which means when I eat cars my body produces to much insulin and my sugar levels drop very low that's why I try to avoid cars. When I spoke to the hospital last I was talking to them about portion sice and calories ect and there reply was as long as I stick to the bariactric place then calories and portion size will never be an issue

thank you both for the comments! nice to know people are reading my musings @Stella S thanks mama and congratulations on maintenance! @MiniGastricBypassDude thank you! i find it easy to maintain late 170s no problem i did for over a year. i actually would like to drop pounds and get to say 160 if i dont look too small. im about 5'8 and around 180 i look pretty normal. wearing a US 8 or UK 12 in jeans and US6/UK10 on tops. i often crave popcorn and i think thats to do with zinc. cookie dough currently because there is a chocolate orange version i saw and chocolate orange is my absolute favorite LOL. Yesterday i went running, and then just ran errands with my friend, i havent brought a new scale or been able to locate a battery so just really thinking about what i am eating and physical activity. im sure calories came in at about 1300, so i do need to watch it more. I have a friends birthday tonight and will be drinking. my day should look like 2 protein shakes, 2 cocktails, and small amounts of what i want to eat, im off to Hakkasan! i think from monday i will stop eating at 7pm, also want to reach out to my GP as i think i might be reactive hypoglycemic,

Reactivated my fb please add me kristy Kirby Paquette

I have not been tested for reactive hypoglycemia. How do you test for that? Also, an interesting development...a family member I live with was just diagnosed with acute Epstein Barr (mono). I'm thinking reactive hypoglycemia and possibly mono might be what is going on.

late dumping syndrome is reactive hypoglycemia (also known as postprandial hypoglycemia). It's not that uncommon in RNY patients - I don't know about sleeve patients. It seems to start when you're a couple years out.

I had this issue about a year out from surgery and had a complete workup because it could be due to many things - orthostatic hypertension, inner ear imbalance, low blood sugar, even a UTI. In my case, everything from my workup came back completely normal, so they were baffled. But a couple weeks later, I was at a retirement party and ate a piece of cake. A whole piece - not just my usual one or two forkfuls. About an hour or two later - dizzy. Very dizzy. I told my PCP. She suspected reactive hypoglycemia, sometimes known as "late dumping". She said to try eating something about every three hours - a protein. Or if a carb, then pair it with a protein. I haven't had that issue in a long time, so in my case, that was likely the culprit. It's just that my glucose level might have been normal when I was there for the workup; thus, they didn't catch it. In your case, it could be one of those other things mentioned, too (orthostatic hypertension is pretty common - although that tends to hit pretty early out from surgery - although that could definitely be the culprit, too..) P.S. I just re-read your post. Since it seems to be happening when you're standing, sitting, etc - then it sounds like it might be orthostatic hypertension in your case. Hopefully you'll get some answers soon!

Since you haven't given any specifics regarding whether you are pre or post-op; what food stage you're in, what your eating habits are, and even if you're male or female, it's kind of hard to answer! Generally speaking, the body is constantly adjusting to it's environment and reevaluating what it needs to do biochemically to adapt. So if you're losing weight in "patches" (as most of us do), it's because your body is reacting to fewer calories, changing food amount/type intake, hormonal shifts, exercise (or lack of), etc. You are not a static human being that is identical all the time, so your body needs time to "catch up" to the current situation. By the time it does, you've moved on and are introducing whole new set of variables. As long as you stick to your plan (be it pre-op, post-op or whatever), consistency will get you to your goals. This journey is a marathon, not a sprint. Use this time to build up your new good habits, work through frustrations with a balanced approach and try not to be reactive to the scale. Better yet, measure your progress in other ways (fitness level, clothing fit, body measurements, stamina, quality of sleep or energy levels, etc.). The scale can be deceptive and demotivating at the best of times.

Pseudotumor Cerebri Details Pseudotumor Cerebri Symptoms The common symptoms are headache, dizziness and impaired vision. Headache is often worse on awakening, and can be intensified by coughing, laughing, bending over, crying, and increased physical activity. Impaired vision shows up in several ways. It can be visual blurring, brief moments of dimming or loss of vision called transient visual obscurations (TVO's), small specks appearing or vision distortions (items moving up or down). Blindness can occur. Other symptoms affecting PTC patients include: shoulder/arm pain, neck pain, memory problems, awkward coordination, muscle weakness, fatigue, back pain, and depression. Possible symptoms include dizziness, hearing loss, ringing in the ears or noises within the head called tinnitus. Regarding headaches: a study showed 92% of patients interviewed had headaches; 93% of those with headaches said it was the most severe headache they had ever experienced. The head pain was described as a pulsing headache that kept increasing in intensity. Another description was a "pressure" headache, resembling a percolator. Seventy four percent of those with headaches had it on a daily basis. Can also experience neck stiffness or nausea. Pseudotumor Cerebri Characteristics By appearance, a person looks well. PTC can last for months or for years. It can go into remission. For those in remission, PTC can re-occur 5% to 10% of the time. 80% of PTC patients have some positive response to treatment. (This means that the PTC symptoms improve, not that the PTC necessarily goes away.) Pseudotumor Cerebri most commonly appears in women of child-bearing age. However, this disease also occurs in children and teenagers (both male and female) and adult males. For women of child-bearing age, there is often a history of menstrual problems. Frequently these women are overweight and/or have had a recent weight gain. Although physicians recommend weight loss, there are patients whose weight loss has not affected their PTC. A number of PTC patients have had a previous history of sinus problems. Many patients are light-sensitive; bright lights bother them and fluorescent light will fatigue and bring on confusion. Endocrine studies can appear normal. Often PTC is complicated with high blood pressure. PTC does appear to have a relationship to adrenal hormones. Things Linked to PTC Secondary PTC has appeared with the use of oral contraceptives, prolonged use of corticosteroids, large doses of Vitamin A, use of tetracycline , nalidixic acid, nitrofurantoin, sulfa drugs, lithium, indomethacin, and phenytoin. Rapid recovery often occurs when drug use is stopped. Chlordane toxicity (an insecticide) can also cause PTC. Other things linked to PTC include: Tetracyclines (including doxycycline and minocycline, antibiotics for chlamydia and acne) Lithium carbonate (a mineral salt to treat bipolar or manic-depressive disorder) Systemic lupus erythematosus Lyme disease Addison's disease (a condition in which the adrenal glands hypofunction) Cushing's disease (a condition in which the adrenal glands hyperfunction) Prednisone (and other steroids, possibly by any route including topically, nasally, orally, etc.) Hypo-thyroidism Hyper-thyroidism Pregnancy Obesity Head Trauma Irritable Bowel Syndrome Empty Sella Syndrome (condition in which the pituitary hypofunctions) Licorice (the inciting ingredient is glycericic acid) Vitamin A or its derivatives (used in bone marrow transplantation patients and to treat acne) Respiratory infections sleep apnea (a condition in which the patient snores and has headaches upon awakening) Norplant (a contraceptive that is implanted under the skin) Growth hormone therapy Climacteric (the start of menopause) Kidney disorders and kidney transplants

I didn't think sleeve patients got it either, but who knows. Maybe some do but it's just not that common? Or it may not even have anything to do with your sleeve - I think even non-WLS people can get reactive hypoglycemia.

Sounds like everybody else recognizes it as reactive hypoglycemia. Be careful what you eat going forward.

It could be reactive hypoglycemia, but you said you've checked your blood sugar. It could be a form of dumping (are you eating things that are higher in sugar or fat when this happens?), it could be that you are eating too fast. I would keep track of when this happens and see if you can identify what the common factors are. Also... definitely try to reach out to your doctor.

I'm going to Tijuana. Mi Doctor with Dr Valenzuela. I'm on clears too. Diabetic and felt so sick earlier that I had some apple sauce. Head is pounding, can't stop crying because my blood sugar is way too low. Other doctors recommend 200g of carbs per day pre surgery for diabetic patients to avoid hypos and keypads.

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!

Does this happen to you? I had my RNY in March of 2014 and some days the struggle to keep my blood sugar steady is a challenge. Sometimes it is because I eat too many carbs in a meal, but sometimes I can have a balanced Breakfast and I still get shaky after an hour or two. I'm getting much better about managing it. Here is the thing I can not figure out. I have a diagnosis of ADD. I take Adderall (which is a stimulant) but the side effects in combination with my dietary needs can be hard to manage so I do take days off. But the strangest side effect of all is that when I'm on it my blood sugar stays very steady. Initially I thought it was because I'm eating a lot less but I can eat the same thing for breakfast and my blood sugar will drop a few hours later if I haven't taken the Adderall. My other other hypothesis is that I'm much more active on weekend mornings than I am on work day mornings so maybe that's causing my blood sugar to drop faster. I really have no idea but I'm thankful for the unexpected side effect. So anyone else struggling with this? It's a pain, like when I blacked it at the gym or almost passed out getting tattooed, but I am slowly learning to manage it.

That is so wonderful that you have such great control of your diabetes. Are you a Type 1? I'm just curious because most diabetics (T2's) go into remission. That isn't to say that they still wouldn't have a reactive hypoglycemia happen if they ate just a carb with no protein follow up. I am T2 and still wearing my pump, however my numbers are behaving much better than they were prior to surgery. Actually, aside from the weight I gained from insulin use and not being able to drop it, and the horrible insulin resistance I have is why I had this surgery done. Keeping my fingers crossed that at some point the insulin will not be needed. I'm only 3 weeks out, and I've been diabetic for over 21 years, so it may take the weight loss to lower the insulin resistance. I'll be patient; I have no choice. But, much happier that I'm not pumping in tons of insulin with my numbers staying high anymore.

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.

So I am one of the unlucky ones who gets reactive hypoglycemia. It is not fun and I am still trying to figure out the combination of foods that cause if for me. I have had it happen about 12 times since surgery 20 months ago. When it comes on, you don't even realize it is happening until it is almost too late. I suddenly don't feel right, I start shaking and I crash very fast. It takes a lot to get my sugars back to normal. I was a very controlled diabetic before surgery. I will usually have a Protein shake for break fast but occasionally I like a small bowl of cream of wheat. On the days I have that cream of wheat I have to be very careful eating some protein within an hour of the cream of wheat. If I don't do that I am almost guaranteed a episode. Once you have an episode it is very difficult to get control of it without eating more carbs all day long so the trick is never getting there in the first place. I had an episode last week and looking back at why, I know my carbs were higher than normal and my body simply does not like that. It is a very scary condition and if it gets too severe and you don't figure out what causes it, the only cure is having your bypass reversed which is absolutely not a solution for me. So, I have to be diligent about eating right and checking your sugar the minute you feel weird. Last week when I felt it I tested my sugar and I was at 43. Scary! I hope you figure out what might be causing your situation. Make sure you get to the bottom of it so you don't break your face!

So you don't think I've got reactive hypoglycemia? Sorry a bit confused as I'm not oregnant I'm 48 and a year post op these symptoms only came on a few weeks ago and this is what another experienced sleever said I had and fits my symptoms. I will ask my GP for a blood monitor when I see her next week and as I'm in the uk I hope they supply it on the NHS even though I'm a self pay bariatric patient.

yup, i had this when i was pregnant. i highly recommend getting a blood sugar monitor to check blood glucose levels before and after eating and exercise to see how food and exercise affects you. it's different for everyone. some people get high surges and then drops. some people are only reactive to high GI foods, so people are reactive to not eating enough carbs, some people have sudden drops whenever they eat. if you track your BGL you will be able to more easily treat it.

The following abbreviations are commonly used on this website: ACL = Anterior cruciate ligament AGB = Adjustable gastric banding 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 Biliary Pancreatic Diversion bs = blood sugar btw = by the way C25K = Couch Potato to Running 5K 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 DDD = degenerative disc disease 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 LES = lower esophageal sphincter lol = laughing out loud LSG = Laparoscopic Sleeve Gastrectomy med = medicine MFP = my fitness pal 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 omw = on my way 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 PICC= Peripherally Inserted Central Catheter 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 RYGB = Roux-en-Y gastric bypass SADI-S = single anastomosis duodeno–ileal bypass with sleeve gastrectomy s/f or sf = sugar free SG = Sleeve gastrectomy 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 Ty = Thank you. [but according to the urban dictionary “Ty” is also an abbreviation for “a total stud with a massive carrot”.] 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

I am happy to see this thread has been reactivated. My name is Llyra and I have thirteen years of clean time. My banding was done on March 3 of this year and I have lost 26 pounds with approximately 60 more to go. Until I got the second fill, I was afraid I was in line to be one of the lap band failures- the weight simply was not coming off. The second fill helped immensely as has a gradual adjustment to a new way of eating. I teach belly dance, garden and maintain two horses so exercise is not as big a problem for me as for some, though I do tend to spend too much time on the couch if I am feeling low. After six years of not attending meetings, I returned to the rooms in October. The catalyst was the death of a friend in a motorcycle accident. I saw so many old faces at his funeral and realized I missed them. Didn't expect to be recognized after so many years and a 75 pound weight gain, but I was welcomed back with open arms.

They are a non reactive metal (titanium) so it's pretty unlikely

Never give up, chatted with a lady who was worried because she was 3 years out, wondered if it benefited her? Reminded her You're still alive, there's a bonus right THERE, when you start out at 300 or 400 pounds all you hear is Doom, Gloom and You're Gonna Die Soon! Are you still hearing this from doctors? No? Good Step! I even had my pastor get on my case, wondered how soon he would have to preach my funeral? Told him put the prayer books and Bible away, I am not plotting my demise in the near future, if anything happens , I'll have my son call YOU!❤ Yeah I too have Thunder Thighs and a Hubba Hubba Heinie, joked I could feed an entire cannibal family off one butt cheek for Easter dinner! As I lose weight, I hardly recognize myself, I used to have pudgy chipmunk cheeks, round-square shaped face, now my face has narrowed out and I am starting to resemble several dead relatives, never saw a likeness before. I think my color is off, live in Ohio so winter pallor, sunshine has yet to kiss my face, of course when it does I will either freckle or it will reactivate my rosacea, the curse of a Celtic ancestry. Its hard to be accused of being a lush ( just because I'm Irish) for my blotchy cheeks and 👃. Few attempts I made at alcohol made me only sleepy, if I'm gonna get taken advantage of, might as well stay awake to enjoy it! Yeah, I once might have been as big as the Blarney Stone but inside me resides a leprechaun spirit, don't take a lot serious anymore, I'm more fun at 73 and losing down weight than I was at 30, or even 50-60, I now have hope and that enlivens all the facets of my life. The world had discounted me as fat, worthless, might as well die, well I am proving them wrong, they were looking at a. fat shell, they didn't try to know me, the real me inside. For a while I couldn't visualize any changes in my exterior, thought it was useless. Then I started being able to sit in chairs I used to have my son help pry me out of. I could stand up off of furniture without him holding and yanking me up. I was having better luck having strength to go places, pay my bills, do all those little errands. And clothing that used to split me where I was trying to sit, suddenly I had wiggle room. And those little things kept mounting up. One of my latest, bought an outfit for an upcoming doctor appointment, hung it in the closet, morning of the appointment I started dressing, pulled on the pants and they fell down! Good thing I had saved all the tags. Back they went to get a size smaller. Still didn't believe it totally so I tried the next lower size on! OMG I really was that much smaller, fit better than any others had recently. I had a lot of " well it's close to right, I'll just have to settle for that." All of the sudden I can try clothes on, choose what I really want, not to panic and buy something just because you're afraid they won't get that size again. And it is so blasted cool to have such an option. Now I Am not the Largest size they carry!💦Tears of Joy!

Just saying hello to fellow Feb 2013 buddies. How is everyone doing? I'm down 136' to 155. That's where my body wants to be. I had two problems-- hernia with small bowel obstruction and reactive hypoglycemia. The hernia was repaired and then it was found I needed abdominal wall reconstruction and a re-repair of the hernia. That I had done with a panniculectomy in Dec. I have the hypoglycemia under control by eating right. I wear a size 10-12, down from a 24/26. I can wear high heels and have energy and feel great! Best decision ever to have RNY.

This is a real bummer, grrl. Can the docs give you meds to fix the hypo-thyrodism? And I am also deeply in love with stuffing and gravy! :hungry: By the way, you Americans do much better on the Thanksgiving front than we Canucks. You get a 4-day weekend out of it. Ours falls on a Monday and so we only score a 3-day weekend. blehhh! And because we have already had ours we are already subjected to non-stop Xmas music in all the malls. Double blehhhh! :angry