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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.

I will pray for your family. My daughter and I have Hashimoto's. My daughter's goiter was very larger a few months ago and the endocrinologist increased her medicine. That disorder comes and goes.....hyper and hypo....so many doctors don't treat it. We take medication. I hope she gets the treatment she needs. Hypo or Hyper can really make you feel bad. Cheri, the info about muscle helping you burn calories came from DietandNutrition@EverydayHealth.com I thought you could just go there and get the information. I hope everyone has a great weekend! Lori, I wish I could go to Las Vegas with you! Have fun!

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

I'm the leak queen and becuse of my leak i've been re-banded. Most lesks are in the port, very easy to be re-placed. Do a search in the above bar for "Just my luck back to Mexico" under Vera or any other leaks stuff I said. (hypo-link??? help Penni?) There are leak checks your doc can perform any questions PM me good luck

Good on you for walking out. She's a f**king idiot -- uninformed and passing along wrong information to people who need good info. Jeez! Yes. I also forgot to mention that she made me climb on a machine supposed to calculate my muscle mass, fat, water and bones weight. It seems that I have around 90 pounds of muscle. Then I was trying to explain that it is physically not possible for me to have the same Protein intake (the famous 60-70 grams a day) as for a woman of 160 pounds that would have 60 pounds of lean muscle. Any fitness instructor, website or magazine would also customized to protein intake in function of the activity and goals. Giving the same recommendation for everybody is just dumb. Anyway, I am looking for a different NUT, but not easy to find one that is experienced with VSG patients. I've seen another one that wanted to put me on a regular hypo caloric diet...of 1200 Cals a day when I am barely reaching 900 a day. I guess I need to contact other clinics / surgeons that are used to VSG to get names of the NUT they work with. I'd it does not work, I will stick to the program I found on the web (Ottawa hospital) which is very detailed. For anybody can recommend me a website or program, it would be great.

BJean, I'm still trying to figure out why I bought the scale but it is fun to use! It has one function where you can calculate whether you have "average" muscle mass related to your age and height...as some people can be at ideal weight but undermuscular or over fat. I liked that even though it describes me as overweight, I am also overlymuscular, or have more muscle than the average person for my age and height. It describes me as "stout".....but I'll take that as a compliment! Great news....I went to my regular doctor for a follow up on cardiac concerns....had what's called a highly specific c-reactive protein drawn pre-band. It is an indicator of arterial inflammation and was off the charts. My bad cholesterol was high and good cholesterol too low. Well, the bad cholesterol is still high (they want it under 100 since I have a bad c-reactive protein) but the good cholesterol is still high. So...I start on Zocor. Seems it is genetic and even though I run about 10 miles/week now and have lost weight it hasn't changed it enough. But the good news is that my blood pressure is that of an athlete's.....90/60 and my pulse is at 60 while sitting. That means my heart is in such good shape that it doesn't have to pump hard to get blood out to the extremities. The doc says I can eat all the salt I want! So.....I am genetically predisposed to arterial disease but I have strengthened my heart significantly. Frankly it is nice to hear that even though I will have to take a pill to reduce my cholesterol, it is not entirely my fault No weight loss for me...still at 183. Had another NSV this week though...I went out and bought some size 14 clothes in resale shops and most of them fit nicely. THAT was a huge motivator and reaffirmation for me. I can now say that I really am losing inches, even though the pounds aren't dropping. I may have to reconsider my goal weight of 138 and move it up to 145 or 150. I would like to be in a size 10, maybe an 8 but don't want my face to look too drawn either. What a dilemma :mad:

It might be, but probably not. Presumably, the doc has prescribed omeprazole, or similar PPI medication for it. The sleeve is predisposed toward reflux problems as the stomach volume is reduced much more than the acid producing capacity, and it takes a while for the body to adjust (doesn't mean that one will have that problem, just that the odds are higher than the general population, in comparison, the bypass is predisposed toward marginal ulcers, dumping and reactive hypoglycemia, so there are potential problems with whatever procedure one chooses. ) Usually, the problem goes away as the body adjusts, but sometimes it doesn't completely and one needs to stay on some type of medication for it, or in extreme cases, revise the surgery.

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.

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.

I've been wondering the same thing! I deleted my Facebook (gave it up for lent) and then reactivated when the Facebook group was mentioned. I never received an invite, so I deactivated it again.

I am also hypo and I haven't had a problem at all since banding, EXCEPT when I had an issue a couple of weeks ago with my band being too tight. I couldn't keep anything down, so I was constantly lightheaded, passed out twice. Once I had a small unfill, presto, no more problems. So the Protein definitely helps. leenerbups - I have actually passed out at work - how embarresing is that! They called an ambulance and made me go to the hospital - no fun at all.

What is the difference between hypo and hyper glycemic and diabetes? I should probably just search the net... ?

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?

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!

Has anyone been denied by UHC and did you appeal? My claim has been submitted but I'm afraid it will be denied because my BMI has not been over 35 for 5 yrs. - only 3 yrs. I do have several comorbidities (sleep apnea, arthritis, fibroids, back & knee pain, high blood pressure, high cholestral, hypo-thyroid, etc) Does anyone have any suggestions to help with an appeal?:thumbup:

Food and liquid timing, pyloric sphincter function, and how it pertains to VSG function and GERD: The pyloric sphincter (PS) is located at the bottom of your stomach/sleeve, and connects the sleeve and duodenum. When open, this valve is roughly the diameter of a dime. When closed, it’s roughly the diameter of the tip of a ballpoint pen. In terms of VSG function, dense proteins and foods that take longer to digest (i.e. fibrous foods) cause the PS to close and hold food in the stomach for pre-digestion, allowing acids begin to break down these foods. This is why we’re instructed to eat protein first: to close the PS so that food stays in the sleeve longer, providing a sense of satiety. It takes ca. 30-60 minutes for food to clear the PS. This is also why we’re instructed not to drink liquids for 30-60 minutes after eating. Incidentally, "slider" foods do not close the PS: instead, these foods "slide" directly through the open PS into the duodenum. In terms of GERD, after you consume a protein-dense meal, the PS closes, holding the contents of the meal in the sleeve for pre-digestion. If you drink liquids within 30-60 minutes after a meal, the liquid has nowhere to go but up, where it hits the lower esophageal sphincter (LES), and above that, a flapper valve. The function of both of these valves is to prevent food, bile, and acids in the stomach from backing up into the esophagus. This is an exceptionally high pressure system, and is the reason why it hurts when you eat to much or too fast, or drink too soon, after eating when the PS is still closed. Vomiting and/or foamies is the only available pressure release. Even in a full-size stomach, the addition of liquids to food speeds gastric emptying by roughly 15%-20%, and some studies indicate that the transit time is anywhere between 25%-35% after VSG. *It’s also interesting to note that after VSG, simple carbs passing through the PS are less liquified due to fewer digestive enzymes being available than with a complete stomach, which is also what causes dumping and reactive hypoglycemia. These unhealthy simple sugars pass directly through the pylorus, causing pancreatic enzymes to flood the bowels in order to be able to digest them. The pancreas then reacts by “dumping” large amounts of insulin into the common bile duct, causing a massive reduction in sugar absorption and feelings of weakness and other diabetic symptoms. It’s very similar to dumping syndrome in RNY patients.

Has any one else been diagnosed with reactive hypoglycemia after bypass. Just got the diagnosis today. My blood sugar was dropping so low my symptoms made me appear drunk. It finally got to the point it went to low and I passed out. Just wondering if anyone else has gone through this and how they are doing. Thanks

Well, have to tell you all ... my baby turns 21 at midnight!!!!! YIKES!!! Talk about a restless and nerve racking night!!!! She just left for the evening and I am a bundle of nerves!!!! I can't wait til these next few days are over!!!! She just thinks her dad and I are way to over reactive, but man, it scares the daylights out of me!!! She did promise not to drive and will stay at a friends, but nonetheless, they are going out too!!!!:nervous Oh well, besides that, we took her to Red Lobster tonight, because that is where she wanted to go ... I'm thinking well, what am I gonna eat there? ... it wasn't bad, I had about 3 bites of salad, 5-6 bites of mashed potatoes, probably 1/4 cup of cooked veggies, and 1/2 of a haddock broiled and lightly seasoned haddock fillet. So wasn't bad, no problems and I am feeling great this evening!!! So there is life after the band!!!! I do enjoy going out once in awhile, it is nice to know we can!!!

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

i've self-diagnosed myself with reactive hypoglycemia (i think alot of us have on here probably)...aka late dumping syndrome. i noticed it the first time i had (like 2 sips!) of a very sugary drink about 1 month post op. i've had it ever since, though i will say it is not as horrible as it used to be. A bad episode before was like wanting-to-die-on-the-bathroom-floor bad, bad episodes now are me passing out on couch for a couple hours. management of it basically consists of not having too much sugar at one time, or on an empty stomach (note that what "too much" means to me will be different for someone else...so people need to figure out what thier own limits are). as well as having small regular meals throughout the day. unfortunately i don't always do that so, yeah. p.s. i'm 5+ years out.