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thank you guys very much. i am very nervous. but i cant take another minute. i was always thick. but when i had my last daughter i gained alot of wait and began to have thyroid problems. i am hypo active and no matter what i do i cant lose anymore weight. @ sweetheart what is bandster hell. i havent heard of that one. lol

I have a bmi of 44 right now. I'm getting the sleeve done, mainly because I have reactive hypoglycemia... I suffer dumping syndrome frequently if I'm not minding what I eat, anyway, and the doc worried that it would be too hard on me to get RnY. Sleeve it is. Sent from my iPhone using the BariatricPal App

No, the band will not prevent the symptoms of hypo/hyperglycemia. I was hypoglycemic for decades. Now I'm hyperglycemic. In both cases, I had to eat something every 3 hours to keep my blood sugar stable. Still do. .

I had my op October 2021, Doing great, the weight loss is coming off. 5 and a half stone so far, I feel so much better and able to move more, I am happier thats for sure! However I do have a question......Just recently when I eat, straight after I get all hot, sweaty and shaky and have palpitations almost like a diabetic Hypo(low blood sugar) . However I checked my blood sugar, and it is normal. Am I eating too fast? I have no other symptoms. This is just weird!!! Love & Light

hi, i am hypo also, i take 112mcg of synthroid 2 times a day plus cytomel 25mg.. i was sleeved on jan 31st and i have lost 16lbs so far....from what i have read, seem like everyone is losing at the same rate as others without hypo,,,,congrats everyone!!!!

All us HYpos. Need to support each other..Im so worried it wont work...im doing everything tight I was sleeved 4/24. Lets all be each others support team...we are slow looser from what I read but truth is I was not looseing before sleeve I was gaining.13 lds last year 15 each year prior..so looseing steady even if its only 2 a week. Ill take iy...any one haveing issues with hiccups or gas in shoulder....also are u crushing your thyroid or taking hole.

Hi @@Phoenix40! So last Thursday I went for my Nutrition/Surgeon/Coordinator appointment. I'll describe each appointment below: First you are weighed in and your height is taken Nutrition: The nutritionist is a very nice lady and she will ask you about what type of diet you have been on (I started following the 1200 calorie diet after orientation). You will have to describe what you usually eat for Breakfast, lunch, dinner, Snacks,etc. She also talks about Vitamins and what type you will need post op (this will depend on if you get the sleeve or bypass) and what to expect as far as diet goes in the first weeks after surgery (i.e. liquids, soft foods, etc) She also informed me about the different types of Protein drinks and answered any questions I had. Surgeon: Dr. Hahn was very patient. He went over my BMI, co morbidities, medications, etc to ensure that I would be a good candidate for surgery. He said it would be my choice whether to go for sleeve or bypass as I would be great candidate for either (I don't have acid reflux). We talked about the differences between sleeve and bypass (right off the bat he discouraged from the lap band so we were in agreement about that). He reiterated that regain was possible with either surgery and so is dumping (so it really comes down to the patient being willing to put in the work to not only lose the weight but keep it off). He went into detail about possible complications withe each procedure (ulcers, reactive hypoglycemia, reflux, etc). He then set a weight loss goal for me. Normally they ask the patients to lose 10% of their body weight but Dr. Hahn only requires a 7-8%, of total body weight, loss. For me 7-8% was 19 pounds (I had already lost 9 pounds since orientation and he credited me so I needed to lose 10 pounds to get a surgery date and 5 pounds to get a psych appointment). The only other requirements Dr. Hahn set out for me, besides weight loss, is attending at least one support group, and an EKG (I already finished my bloodwork). Coordinator: She was very pleasant. She informed of what my next steps to surgery are (support group, psych appointment, etc) and that to be sure I call monthly to update them on my weight and progress. Before the psych appointment each patient must fill out a surgery quiz (located in Chapter 9 of the Bariatric binder) and send it in before the appointment. Overrall it was an interesting yet quick appointment. I was told to expect to be there for 3 hours but for me it was more like 2 hours. Sent from my SM-G925T using the BariatricPal App

Hi Forestcat Yes, I was definitely getting hungry by my first follow up appt w/the surgeon! Increasing your protein:carb ratio should help decrease your risk of reactive low blood sugars. I've had intermittent problems like that before too. To be honest, Forestcat, I was able to tolerate regular food a few wks after surgery just as long as I chewed it well. It was easier for me to get in Protein that way. That first appt took maybe 1-1.5 hrs. Not too long. I don't think they were expecting any records, but you do fill out a sheet which asks details about how much Fluid, protein, calories you are taking in, and symptoms. The dietitian reviews it w/you. There was one other person there who also had a band; we met w/the dietitian at the same time. I had my first experience w/PBs tonight! Not pleasant. Went to Red Lobster and had salmon, which was a little dry. I didn't puke, but it really felt stuck and I wanted to throw up but couldn't and didn't (thank goodness!). I got up and walked to the bathroom and stood in a stall for a while, burped as much as I can. I can definitely tell I had a fill this time, unlike the first fill! Not hungry for Breakfast anymore (Ben Meir said this would happen b/c the band is most tight in the morning). So I'm back to coffee w.protein powder only (was eating Cereal before the fill). Was warned that turkey frequently gets stuck too...will have to be careful! Happy Thanksgiving!

Im not a diabetic however sine being banded 8months ago i have been dealing with low sugars. Its called RHG reactive hypoglycemia for me its when i would eat carbs an not include a protein. So for me i am sticking to a low glycemic index diet an it helps

Day 16 and I ain't got a clue I really think my doctors have failed me with information being dibetic to everyday hypos and they expect me to inject my self with insulin which I refuse I dunno if I should of had surgery now I'm clueless the nhs is a big con system ???? Sent from my SM-N910F using the BariatricPal App

I'm the crazy one who actually gives people radioactive iodine for a living . Its not as bad as it sounds. A lot of times the "anti" thyroid medicines don't cut it and eventually the thyroid will work so hard it actually goes hypo, sometimes inactive. So, by giving the radioactive iodine, we just speed up the process and it typically makes people feel a whole lot better, sooner. I'm a thyroid patient myself. YES, the stereotypical hyperthyroid patients are skinny, but we see many many people with the opposite. One iodine treatment isn't going to impact fertility. Especially for hyperthyroid. Our cancer patients get 15-20 times the amount and there still isn't much of a risk. There's ALWAYS a slight risk with any kind of medical procedure. Its just radiation sounds so terrible, people are usually afraid of it. Most people don't think twice about traveling on an airplane, going to the mountains, spending a day out in the sun, etc. You get more radiation doing some of those things than what you would get with a treatment. I'm thinking the doctor wants it under control before surgery because the thyroid controls so many things. Its probably best this way, even though it puts your surgery off, which stinks!!!

People that don't take their medicine drive me crazy! I don't see how she can function when she isn't on meds. I've been on Synthroid (hypo) since 1992. I went w/o meds for one week years ago. I was dragging so badly that I could barely function; it was awful. Additionally, my dingbat uncle has very high BP. He would take his meds for a while, get to feeling better, and then stop. ARE YOU KIDDING ME? His BP was so high that it's amazing he didn't have a stroke. Ig-nernt. Jaime - pls pop your friend in the back of the head for me. Think how low her metabolism is w/o meds, sigh.

I have a low thyroid and a goiter from being undiagnosed for so long. My doctor cannot get a proper level.She keeps bumping the meds up, then it gets hyper,then back down only to become hypo again.For sure it's frustrating but i cannot see why this would cancel you as a candidate? Good luck!!

Welcome! My weight gain came on with hypo-thyroidism also. Welcome to the group! My surgery is April 8th.

It is common to feel cold after WLS. Fat is a good insulator. As you lose fat, that insulation layer is gone and you will feel cold. Whenever I shovel snow, I now know how good hand warmers are. They are almost essential. When a person is overweight, many times they have existing hernias that they are unable to detect because they are overweight. So hernia operations are common for those undergoing WLS. Before I had WLS, I had two hernia operations. They were spread around 10 years apart. I do not remember pain being associated with these hernias. When I coughed, I could detect them. I suspect that if you are feeling pain, these are more severe and need to be corrected through surgery. If you are getting sleepy after meals, it may be due to low blood sugar, a condition called reactive hypoglycemia. Several individuals that underwent RNY surgery experienced this condition. I do not know if it is common for sleeve patients.

I'm hypo had half of mines removed due to goiter I take pills for it daily was just sleeved on 6th of September Sent from my iPhone using the BariatricPal App

Hello, My name is JJ. This week I have taken the first step in getting my health together. My insurance covers weight loss surgery after 6 months of supervised dieting. Today I saw my GP and she is completely supportive of this journey, and was genuinely honest about it being a tool, not a cure all. I appreciate the honesty. I have chosen a Dr. and will attend his seminar in a few days. At that point I will fill out the paperwork and go from there. About a year ago I had a major surgery that improved my health by 75%. Since then I realize how great I can feel, and the immense pleasure of being a part of life without pain. My BMI is 41. I am 5'1" and 219lbs @ 39 yrs of age. I have thyroid disease (hypo), high triglycerides, mild sleep apnea, depression (after losing a child) and am pre-diabetic. Around 10 years ago all self-esteem issues vanished for me after the birth of our child. I finally started living life as much as possible, only being held back by pain. I buy clothes that fit, and look nice, and never agonize about what I am wearing or how it fits. I take care to look up to date, and presentable for me. I like looking nice and feeling good. My husband is FABULOUS. When we met I was around 150 and as I grew through the years his devotion and commitment to me grew even deeper. He's not a chubby chaser, but loves me and respects me. He looks like a male model still, and I have grown obese. I know I have a good, good man. My goal is to feel as great as I can, be 100% a part of life, and come off of all my meds. I am ready for this change. Thank you to everyone that is so forthcoming on this site. Just what I have read in the last few days has helped with questions and curiousness!

If your TSH was low, then your thyroid levels were too high. Hyperthyroid can be dangerous. Been there, done that, got the t-shirt. Rapid heartbeat (resting pulse was 120), twitching muscles, shaking limbs, foggy brain, racing thoughts, can't sleep.... But being hypothyroid is no fun either. I think that is where I am at right now. I don't have a thyroid any longer as mine was overproducing hormones and would not shut off, so I had to have it radiated. Now I have to take meds daily, and I think I need to have it upped. My PCP tends to just treat the numbers on the tests. I was a little low, so he adjusted me up to barely get into the normal range, but I still have hypo symptoms. So I have an appointment with my Endo in March. I am hoping to convince him to treat ME and not my test results and bump my dosage up. Test results have a normal RANGE! But it seems so many docs don't want to invest the time in tweaking the dosage to get us to where we feel well and are happy. OK, my rant is over. But I am right there with you!

Well I am hypothyroid. But I've been on meds for about 2 years now. However I had been at 88 mcg's for a long time. But during that time I lost about 30lbs. So when they did a recheck I was in the HYPERthyroid range...however I felt amazing for once, hypo symptoms were gone and I had no racing heartbeats or other hyper symptoms (in fact I was actually losing weight-instead of only maintaining on 1000 calories a day). However due to the TSH number she lowered my levothyroxine dose to 75 mcg's. I believe I was at .19 for TSH. and .3-3.0 is the range...I'm just wondering how much my levels have risen again because I'm struggling to maintain weight right now. It's irritating.

@@Wayward Traveler Hey! Thanks for the reply, I have ventured to the gym twice. The first day was just 40 minutes on the treadmill, I found medium incline and a moderate walking pace was my best bet. I definitely feel like running is a little far off, I get the feeling that the jarring motion would make the balloon... uncomfortable? I can't say I feel it specifically in my stomach, but I'm aware of the weight of it and it can move a bit. For instance, if I'm in bed and I roll onto my right side to turn off a lamp or grab my phone I can feel the balloon sort of bear down on the remainder of my stomach. It's not painful by any means, but certainly peculiar and unpleasant. I think if I were to run any great distance/duration I might get the same sensation in an up/down kind of way (I'm trying to avoid saying the balloon would 'bounce' because I feel it's pretty secure in situ, but it would definitely maybe push as I move up and down). So running, short term, maybe for a warm up or something I think would be fine, but not as a complete form of exercise. At least not for me after only one week. Today I tried my hand at the cross trainer, basically fine, though I did get a little... er, fullness (?) around the diaphragm (not heartburn, but like something was sitting low in my chest?) when I started to get a bit too high intensity, I think it was the twisting through the torso that caused that. I calmed it down by shifting my hands from the long moving grips to the short, stationary ones for a minutes or so, so that I twisted a little less. So, anyway, I was pretty happy with the outcome. Now, Krav Maga! Oh my goodness I love it! I started it last year and I have zero regrets. Not only is it a great workout, but its a useful skill to have under your belt. The practice I go to is for people 18 and above and it's pretty serious about what it does, but that works for me because no one is there to waste time. For my first class I rocked up feeling like I'd be this loser 30 YO woman, far too overweight and surrounded by hotheaded dudebros tripping on testosterone. I persevered only because I had watched a doco years ago about Krav Maga and had promised myself I'd investigate when I moved to an area that had a class. Anyway, so I was expecting some sort of quasi UFC thing: not at all what happened. People there came from so many different backgrounds and fitness levels. Young women, older women, fit guys, unfit guys... you get the point, all different and all there just to learn. The class is essentially at whatever difficultly level you require, if you're a beginner there's a grade for that and other students to work with, I progress when I am ready. Some people pick it up quickly and some don't and that's fine. You stay at your level until you are confident to move on. It also isn't really a 'martial art' as much as it is a system of self protection. You won't see people competing for belts (or at all, though there is a grading system) because in Krav Maga the best fight is the one you see coming and can avoid altogether (or with a swift knee to the groin). The warm up is typical of any fitness class, jogging in a circle, a few push ups (on your knees if you need to), sit ups, stretches. Then usually it's about learning new techniques then consolidating them with a partner and protective pads. The part that I found most challenging when I began (and still struggle with) is the confrontational nature of it. I'm not sure why (because it seems obvious in hindsight) but I was shocked in my first class to realise actual people would be attacking me (in a controlled and force-appropriate way, no one was trying to beat me or anything). I think the first thing we drilled what getting out of a front-on chokehold so there I was with a stranger trying to choke me. I learned very quickly that I freeze and panic in aggressive situations, but now that months have passed and I'm slowly teaching myself to have more reactive and useful responses to stress (not just in terms of physical violence, but in very useful situations like unexpected traffic panics, dropping things etc). So the thing that I hated about the class at first is actually the cause for one of the things I love about the class: I haven't just gotten fitter, I've become more situationally aware and better at handling pressure. As for backs and knees, my class is about working with what you've got, so if you're older or have injuries you learn to compensate and work with what you can do. Plus I'm sure you'd be able to opt out of any drills that cause pain. I'm sure all classes and teachers vary a bit. My class is affiliated with Krav Maga Global, and I know they are everywhere but it can't hurt to get in touch with the people near you and see if you can get in on an info session or beginners class. In my experience if you actually like what you're doing it won't feel so much like having to work out. For me, Krav Maga gives me those few nights a week that I can look forward to and work on myself, that fact that there's an element of fitness is just a bonus. I am so vey keen to get back to class and I'm aiming for the first week of June. @@flamingfeather_fly The balloon is a Fluid filled orb placed in the stomach to inhibit appetite and limit space. I have an Orbera but if you'd like to know more I'd suggest looking at Google.

Dumping is really rare with the sleeve even though some report it. Considering only 30% of RNY'ers dump, the % is even lower for VSG'ers. However, I developed lactose intolerance and your symptoms sound more like lactose issue rather than dumping. I was able to eat cheese and yogurt, but milk would do me in every time. Reactive hypoglycemia can also be common with the sleeve especially further out, when you have heavy fat or sugar foods after months of not consuming those foods. The lactose intolerance lasted for about a year for me post-op, and I still couldn't drink a lot of milk, but at least I could have some. Around the 3rd month of my pregnancy, it's back in full swing.

I do not have reactive hypoglycemia . . . I am a full-blown diabetic . . . and for that reason alone, I should not have tried drinking chocolate milk (I had a serious moment of weakness!). My blood sugar was high for a couple of hours after that episode . . . But it's interesting that what some people mistake for dumping does have another possible cause.

CHART 1 Correlation of nutrient deficiency and its cutaneous repercussions NUTRIENT Biotin Alopecia, glossitis, keratosis pilaris, periorificial dermatitis, seborrheic dermatitis and erythroderma Copper Depigmented and thinning hair, alopecia, delayed wound healing Iron Pallor, koilonychia, glossitis, alopecia Selenium Delayed wound healing, psoriasis, skin cancer Vitamin A or Retinol Xeroderma, acne, brittle hair, and keratotic follicular papules most commonly in the anterolateral surface of thighs and arms, which may spread to the extensor areas of the upper and lower limbs, shoulders, abdomen, dorsal region, buttocks and neck; phrynoderma Vitamin B2 or Riboflavin Mucositis, lip and angular cheilitis, glossitis, xerosis, seborrheic dermatitis, scrotal and vulvar eczema, erythroderma and toxic epidermal necrolysis. Vitamin B3 or Niacin Pellagra, photosensitive dermatitis in symmetric areas, cheilitis, glossitis. Vitamin B5 or Pantothenic acid Purpura, leukotrichia, seborrheic dermatitis, angular stomatitis and glossitis. Burning feet syndrome. Vitamin B6 or Pyridoxine Seborrheic dermatitis, glossitis, oral mucosa ulceration, lip and angular cheilitis, photosensitive pellagra-like lesions Vitamin B9 or Folic acid and B12 or Cobalamin Lip or angular cheilitis, Hunter's glossitis; diffuse, symmetric hair and mucocutaneous hypo-and hyperpigmentation Vitamin C or Ascorbic acid Poor wound healing, keratosis pilaris, perifollicular petechiae, ecchymosis, purpura, brittle hair, scurvy (gingivitis, bleeding gums, keratosis pilaris), Sjogren-like syndrome Vitamin D Atopic dermatitis, psoriasis, skin infections, acne, autoimmune cutaneous diseases and skin cancer. Vitamin E Atopic dermatitis, acne. Vitamin K Purpura, petechiae, ecchymosis, hematoma Zinc Acrodermatitis enteropathica (alopecia, acral and periorificial symmetric, erosive and eczematous rash), dry, brittle and thinning hair, delayed wound healing, paronychia, stomatitis, psoriasiform dermatitis, blepharitis, angular cheilitis, vitiligo-like lesions Protein Aged appearance, erythematous or hypopigmented lesions most evident in flexure areas; hyperchromic lesions with smooth, fissured or erosive surface; brittle, slow growing nails, onychomadesis; follicular hyperkeratosis, pale extremities accompanied by edema; dry, brittle, dull, and thin hair, with brownish-red color before becoming grayish-white, flag signal with alternating dark and light stripes in the hair; angular cheilitis, xerophthalmia, stomatitis, vulvovaginitis

I missed my six month bandaversary which was 11/26. I was at my mom's who saw me for the first time since before my surgery. She was very suprised when I walked into baggage claim at DFW. I got a lot of positive reinforcement at her house (not from her but from everybody else). Since I decided to do lap band back in January I'v lost about 84 lbs. I'm under 200 for the first time in 6 years and I wear size 14 pants. My arms are horrendous and I am going to focus on them with a trainer (still in 16W), but I'm very very pleased with it all. I had a terrible Thanksgiving. I am still very reactive to stress, and I was stressed out that morning trying to get everything done. At 52, you would think I wouldn't feel like a bad child around my mom, but I do. I took the first tiny bite of mashed potatoes and it CAME RIGHT BACK UP. Luckily in my napkin, but it was like potato slime. Nothing else would work so I just pushed food aound my plate and pretended to eat but my aunt and daughter caught me. I got better by Friday but I realize how stress affects me. This never used to happen. I just got home last night and I feel somewhat better. We worked out every day but Thursday and I lost another 4 lbs last week so I'm happy. My goal is to be at goal by my 1 year anniversary which is 6 months and about 50 lbs away. I have to go back to work this afternoon; I have an interview with a company closer to home this morning. Nice to "see everyone" again and wish me luck today!

Gem - I can totally relate..good bye Butterfinger, BabyRuth and Snickers!... so long Papa Murphys, pizza Hut and Dominoes....and toodle ooo to pastry, maple bars, and scones. Seriously I have found that getting my pantry ready for the "after" has helped and clearing out the Cereal and Pasta dishes satisfied my hunger and cravings. The new immediate challenge is they just built a Sonic and a Little Ceasars Pizza two blocks from my house. So I will do my best to visit before we start that lovely lardless luscious liquid lifestyle on August 29th. . I'm right up there with you but we can do this liquid diet thing. I just plan on not making mine all low-calorie because I am smart enough to recognize I will faint dead away faster than you can say hypo-glycemic! So do your best and leave the rest up to God! See you soon sleeve-sis. Reb