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the kind of reactive hypoglycemia that some people get after bariatric surgery isn't necessarily related to diabetes. It can happen to non-diabetics, too (I'm not diabetic). I've also seen it referred to as "late dumping", because it tends to happen a couple of hours after you eat (as opposed to soon after, as is the case with regular dumping). I mentioned in my response above that my physician couldn't find anything wrong with me when she did the workup, but she told me to let her know the next time I had that experience. The next time was a couple of weeks later. I'd been at a retirement party and had a whole piece of cake (instead of a couple of forkfuls, like I used to have back in those days). A couple of hours later, there it was again - dizziness, etc. She said it was likely reactive hypoglycemia (AKA post-prandial hypoglycemia), and it may not have shown up at the workup because my glucose might have been normal the day I went in for that. Anyway, yes - it's not uncommon after WLS, . It often appears when you're a year or so out (although sometimes sooner...or later). They say to eat protein - or a something paired with a protein - every three hours or so to prevent it (I know it's orange juice or something similar for regular hypoglycemia - but she specifically said protein with this type - may be something to specific to the WLS-caused version)

Thank you very much! Congratulations to you as well for your successful journey. It's amazing to finally be free of the fat and, more importantly for me, the addiction to food and the total control/power I have over food now. It's seriously my lifelong dream at 55 so staying motivated was baked in.. Thank you again. I am sure I didn't elaborate or explain my reasons enough but actually I am concerned about slowing down the weight loss. I still eat very small portions and am worried it would be hard to sustain on just protein, without carbs. I like my body running more ketogenic than carbed up with the ups and downs of carbs. Without adding fat, and with our malabsorption aspect of the surgery, I am wondering if its possible or not so much..If I am being honest, at 240lbs, I started eating dirtier with carbs to try and stabilize at 240 until I got my knee surgeries, but then just dropped another 20+ within a month and a half or so. My steps and activity increased, small by normal people standards, but a lot for where I have been, after I got another Cortisone shot to the knees. This just illustrates my concern once I reach goal weight and I am rucking, hiking, and lifting. Those three things will be lifelong for longevity and mobility going forward. Obviously everyone is different as far genetically and such, but I have been extremely low calorie, plenty of short fasts up to three days, and have plateaued at certain points during my weight loss, and after doing a refeed with carbs and basically whatever I want to eat, I recharged my metabolism for another huge run of weight loss. The refeed was usually only a couple days to a few days but less than a week. Now with this approach remember I am lifting weights. I mean hard as I can weight lifting 4 days a week. It sucks! Low energy lifting is not fun but the recomp.. I really believe the built-in calorie burn from lean muscle mass is the most efficient way to permanently stay in shape. Male or female doesn't matter. IMHO if your metabolism is slow and you are struggling with the last few pounds, I mean the literally like 5-10 pounds from goal BF, man or woman, start lifting weights. The body recomp will floor you. And that weight or really I think just your body composition after significant weight loss without adding lean muscle mass leaves you looking(Sometimes) like a no muscle bag of skin. Flat. It's not fun but the results.. Anyways thank you for the reply and just to make clear if any of the vets care to weigh in, the WLS gave me the tool, the only tool I will ever need again to lose weight. It's so powerful for me that I need to think about slowing down my weight loss combined with, if possible, being low carb and more ketogenic as a lifestyle choice I prefer. I just don't know if low carb is sustainable without the fat calories. that specifically is what I am looking for. Does anyone prefer low carb/ketogenic after surgery and is it possible? I already realize that fats can be problematic, is anyone doing carnivore after DS Sadi. Not my preference but the only option it seems for low carb without the keto fat plan. Thanks in advance for any tips.

Yes - I have that. Or at least that is what my physician thought after I had occasional symptoms like that and they couldn't find anything else wrong with me (had the workup about four years ago). She said to eat something about every three hours - preferably a protein or something paired with a protein. It works - I rarely have those symptoms any more. P.S. any kind of protein is fine - even a thing of yogurt.

Well I read that like 26% of sleeve patients end up revising whether it’s because of GERD, inadequate weight loss or regain. My surgeon said that it’s less risky and it’s a very good surgery that works fine for many people but it’s just not enough of a metabolic change for some. I honestly think he leaned towards it because my BMi was low (for this surgery at least). I was barely 35BMI but I tried telling him that was only because I was literally dieting my whole life and even then I didn’t eat that bad. I just ate a lot of food. I’m sure he hears that a lot but I think I just needed the bigger change from a more drastic surgery. From day one with my sleeve I felt like I was on a diet. I never did find healthy foods that I enjoyed, I ate chicken breast and one of the three veggies that I liked and downthe road I ate a tiny portion of something not so good for me (nothing terrible but not good either). I also never felt the spurt of energy that I felt this time so I never got into the exercise. It just wasn’t the whole lifestyle change. It was like any other diet when my hunger came back and my portions got bigger but it was healthy food at first. Then I started gaining and it just made me so depressed I was trying so hard and I was gaining already. I went to my surgeon and asked about bypass and he said he didn’t think it was a good option for me. I still don’t understand why he said that and later changed his mind. Anyways, after that I stopped following up with my team, stopped posting on here and I never went to in person groups. All of my friends and familY had already told me how big I was before thinking it was safe to say because I was thinner then so as I continued to gain I knew what they were thinking of me so my confidence just plummeted and that just snowballed into my gaining all of my weight back and then I just said forget it I guess this is just my life and I didn’t even try anymore. Finally one day my doctor said that I should really go ask him why it is that he doesn’t think it’s a good idea because they felt I was a good candidate and he said he would do it and asked me if I ever heard of the SADI. He sent me home to do research on that surgery and come back and tell him which one I wanted. I said I think the SADI and he said he needed tests to make sure I was a good candidate. He did an endoscopy, a barium swallow study and a gastric emptying test and then he said I was good and put me on the schedule. Then at the last minute they figured out I needed the nutritionist visit and the psyc eval that they didn’t think I needed so I did those in a hurry and started my preop diet. This time I told everyone about my surgery. Even though I have terrible fears that I will regain again I know that I need them cheering me on to keep me going as well. I started the In person support groups before I even had my surgery and I started posting here again as well. I have done so much more with finding healthy foods that I don’t dread and adding exercise so I can have things other than chicken breast macro wise as well. I also know this time that even if I don’t reach my goal weight or my secret goal weight that I already feel so much better and hopefully I can keep that In mind and not get caught up trying to do this just to be skinny because that isn’t the most important thing. Last time I reached the first goal I had set for myself but I never did reach the goal that I secretly wanted to get to. But I was only 18 pounds away and I let that make me feel like a failure. I would give anything to be that weight now. I just lost perspective I guess. Being healthy is really why I did it then and now and I’m already on the road to being a lot healthier so if I do lose more that’s really just icing on the cake. I just have to remember that and I think I will be okay.

No capsule wardrobe in my house. I’m guilty of having far more clothes than I need. A example of the proof of me having too many clothes is this dress which I found in my wardrobe recently and couldn’t remember buying it. Obviously worn (no tags) but where and when I had no idea. Wore it last weekend because of my guilt & than I remembered the last time I wore it - to my friend’s daughter’s hens party three years ago. Oops. Where did you go for your holiday?

I used to be like this back in my fertile years (😉). I craved carbs and could eat a loaf of bread in one day. Sandwich after sandwich. I had to consciously stop myself. About year 2 after my surgery, & well into menopause, I’d get these random days where that carb craving for bread would hit me. I couldn’t do anything about it because bread sits so heavily in my tummy so I avoid it & I never buy it. Thank goodness there wasn’t any in my house. I doubt foamies or my restriction would have stopped me. LOL! You joining the hysterectomy club @Starwarsandcupcakes? I’m three weeks out since mine. Yesterday I was feeling pretty good. Even went to the theatre to see a contemporary dance production but today I’m wiped out. Even chose an afternoon session so I could have a little nap before I went. Also had a fun experience with alcohol hitting hard. Drank almost a 1/2 glass of Prosecco and as I took it into the theatre it hit me. Woozily climbed the steep stairs to my seat. Sat with a thump. The stage was moving (it wasn’t) then the electronic music began and lighting effects. OMG! It was not pleasant. Felt like I’d quickly downed a bottle & not sipped a bare 1/2 glass. Damn cheap theatre alcohol!

You have to keep on them. Tell them if they got “pre approval” then you want the pre authorization number to call the insurance and give to them so they can pay it. Ask for the BOD or whoever is the higher up at your hospital. They don’t want to do more work rebilling but you only have so much time to appeal things before it’s too late. Also ask insurance how you can get to start an appeal on your own. I had a bill that my local doctor didn’t get prior approval for the procedure so it wasn’t covered but should have been because it was medically necessary and I had to fight for like 6 months until they finally wrote it off and that was only like 5 grand. I called three times a week to see what they were doing to rectify it. I actually used my headset and walked back in forth in my house while I was on the phone to get my exercise in when I was post surgery. Keep detailed notes of everyone you call, email, leave vm, etc with dates.

Not that uncommon and comparatively not more strict. There are variations between surgeons and surgeries with many of these things. Sometimes it’s also related to you, your health, how much weight you have to lose, your relationship with food, etc, Not being allowed carbonated drinks is common. The differences arise in length of time of this avoidance and then whether you can tolerate it. Also you may be allowed sparkling water that you let go flat a bit but not sodas. Same with alcohol avoidance but there are three main reasons often behind this. One is concern for addiction transfer which can occur after weight loss surgery. Secondly, alcohol is calorie dense and offers no nutrients which are vital while we are losing and eating small portions and lastly it will slow your metabolism & dehydrate you. Again some surgeons just put a time frame on it but it does depend on your surgery too. Caffeine is another thing that is allowed by some surgeons and not by others and again there can be differences in for how long you should avoid it. Deconstructing meals is not a forever thing. Certainly while losing, focussing on eating the protein component of your meal first is very important. If you are able after you’ve eaten the protein in your meal. you then can eat your vegetables then any carbs you are allowed. (There were many times I could only eat my protein at a meal and nothing else.) This is because of the small portions we can eat initially & the necessity of getting that protein in to meet your protein goals. It does make tracking your food much easier too. When you near your goal, and are eating larger portions, it’s not as important to eat your protein first but you must continue to hit your protein goals forever so it will be something of which you are aware when you’re eating. In saying that I often ate soups, stews & casserole type dishes, omelettes, etc. which combined protein & vegetables while losing but not every meal and not every day. Actually not allowing protein shakes is also not uncommon. For example, in the UK, many aren’t allowed protein shakes in the pre surgery diet (they drink milk instead). Protein shakes aren’t the sole source of protein & nutrients in that first stage after surgery. Bone broths, consommés and cream soups are also options. Thank goodness too because after surgery those protein shakes can be disgusting. I found them unpleasantly grainy and crazy sweet & struggled to drink one a day. Best advice is to follow your plan while you are losing.However, if you find it difficult to tolerate your food options or to reach your goals ask for alternatives that will allow you to still meet protein goals & other nutrient requirements within any calorie guidelines you are given. How and what you eat once your weight has stabilised is up to you, what you’ve learnt about your eating and relationship with food and if it allows you to maintain a lower and healthier weight & lifestyle.

Do you like seafood? I mean have you tried it post surgery. I didn’t like it presurgery. Would occasionally have a little Mahi just because I knew it was good for me but never really liked it. Post surgery I usually eat seafood at least twice a week, I also have things with ground turkey such as a Mexican skillet, meatballs or turkey taco filling (I just do the meat and toppings without the taco shell or the lettuce). The lettuce would be fine of course but it just takes up valuable room. I also do things with lean beef such as chili. I will also do a “pasta” dish once a week which is either the ricotta bake which I make with a protein and veggies added, zucchini noodles with fresh basil pesto, or a low carb Italian bake that I found the recipe for online although I make mine with turkey sausage to cut the fat a bit. There are quite a few bariatric recipe sites that have some great recipes. I did like 3 weeks of all different recipes. You can also do like a white chicken chili or southwest chicken with peppers and onions. Just so your don’t have to eat just plain chicken nuggets. If you don’t love to cook the southwest chicken and the chicken chili are recipes from seasoning packets so they are fairly simple if you have a Walmart the southwest ranch is a street taco seasoning from McCormick and the white chicken chili seasoning is by McCormick as well. Those two and the McCormick tex Mex chili are three of my favorite meals that are relatively simple and the chili Freezes well so I have been doing a double batch and then use my souper cubes to freeze single servings. The chili does have healthy carbs though so of course be mindful of that. I am allowed some carbs because I’m pretty active but I still budget for them by doing pretty low carb for breakfast and lunch on days I know the plan is chili is for diner.

Many team will just start you out on the vitamins that people tend to become low on to try and get ahead of it, but you should be getting labs every three months for a while and then at least once a year once you are on track. Your team should tell you what to change based on your labs.

Three days until my surgery. I'm feeling anxious and I'm definitely not handling the stress very well! Shouting at DHL parcel couriers and my phone company over minor issues. I'm really ashamed of myself and I hope this grouchy time ends soon. I'm still worried that something will happen and my liver won't have shrunk enough or they will say I haven't lost enough weight or something. @Candace4283 well done on getting your surgery done! Wishing you a speedy recovery!

So a quick update. I saw a skin specialist today who is pretty certain I have Chronic idiopathic Urticaria. I say pretty certain because there's another possibility (with joint involvement), but we have to wait for my pathology results to rule it out. He has started me on montelukast today and increased my fexofenadine tablets to three times a day. After just one montelukast dose, I could feel the itch subside and I was so happy! Imagine how ill be in a week! He mentioned that these hives can be brought on by stress. Given that the mini gastric bypass is incredibly stressful to the body, this ties in well with the onset time etc.

Thanks. I think it may actually be more than 4500 a day. Isn’t one pound 3500 calories? I swear I read that somewhere. Not sure if it was accurate, though. But yea, it unrealistic to think when the scale goes up a couple of pounds it’s because we had one thing off plan. I think I just panicked a little because I know that I cannot maintain two or three hours or exercise a day forever so if I’m doing all of this and still not really losing then what happens if I slow down. I figured once I get to maintenance I would probably cut that slowly but probably down to half that. I mean physically I feel like I could do it forever but it’s a very big time commitment between that and the healthy meals taking more time too. Maybe I will get to where I can do like one hour of more intense exercise. And then my Yoga a couple times a week. I really like that. It is a pretty good workout for me still but I can tell it’s eventually going to be really relaxing and feel good. I think I may ask my hubby to hide the scale. Someone else on here said they did that and it seems like a pretty good idea.

I bet it is just because they are too loose. I am about ready for the next size but I think they will still be a little too snug. You know how In the extended sizes they make you go a couple of inches before the next size which is so unfortunate. Once you get down to the “normal” sizes, there are more sizes in between so I’m sure I will find some to fit me better down the road. I actually am still within the return period for Amazon, maybe I will just send these two back and get the smaller size. If they are not comfortable anyways I may as well wear something I already have that isn’t perfect. At least that’s free. Or maybe I will be pleasantly surprised and they will just fit. If that doesn’t work, I will check out Nike. I just hate to spend a lot knowing that I’m still losing. Then again the ones that I got were not super cheap either, $30 bucks. I ordered some that were three in a pack for $30 and the material was just horrible so I went with the same brand as my bicycle shorts and I really like the material. I only have two pairs of the shorts so I have washed them every other day for over a month now and they still look brand new (navy and black not faded). Plus, they are really soft.

Good Mornong everyone. I know I have been the one to say trust the process and we are all different and all of that so far but today I need the reassurance. I have been exercising quite a bit. Walking at minimum two extra hours a day and also including yoga now and more movement in general throughout the day. The way I figure it, with the added exercise alone I should be losing like pound a week but last week I lost only 2 pounds and it’s been five days now and I haven’t lost anything so far this week. I have not had ONE thing that was not from the fresh sections of the supermarket other than the occasional brown rice and zero carb wrap. I am tracking every thing that goes into my mouth even my calcium chews which are four carbs and I log and my fiber powder too. I measure and weigh everything I onclide in my calorie count for the day. I am doing exactly what the nurse practitioner says I should be doing but I’m getting scared that if my weight loss has slowed to one and a half or 2 pounds a week already with this level of activity that I’m in trouble. I mean, physically I feel like I could keep this level of exercise up forever but timewise, I don’t know that I can work it in ever day forever. I figured I would get to maintenance and gradually cut it back to maybe yoga or aerobics or one hour of the walking but not necessarily two or three hours every day. I know that I’m at least losing and that’s better than any other diet. That’s what I would tell one of you, but it just feels like I shouldn’t be slowing down this much this soon. I’m wondering if I should maybe decrease my carbs I increase them when the nurse practitioner told me too based on my activity and I was losing more before I did that.

Now for a boring food pxt after those drool worthy food pxts from @ms.sss & @Lilia_90. Made zucchini fritters yesterday. Recipe said serves 2 as a light lunch. I’ll get three meals from the seven I made. Ha! As usual I started with a recipe (actually 2 different recipes this time) and then made up my own out of what was in my fridge and freezer. Peas, corn, chives, a little cumin, garlic & Parmesan with the zucchini. Forgot to add the celery I also had.

Wins -- Well, I let myself have a few more carbs yesterday, bringing my net carbs up closer to 30 when they have been running in the teens or single digits the past eight weeks (one other time in the 30s on a day I had chili) and seems to be so far so good. I started spacing out my three meals to having more like 4-5 meals per day every three hours and find that works SO much better for me. It also helped me get past my 3.5 week stall that lasted about a week. I went out walking a couple of times this past week and also started using my exercise bike. Noticed that walking around is not leaving me as sore and my stamina is increasing. I also had a couple of NSV - I had to scoot up my car seat a bit, was able to wear a pair of jeans that were WAY too tight before my surgery, and I tried on a shirt yesterday that used to be tight in the arms and across the shoulders and found it fit comfortably! I'm starting to get comments on the weight loss being visible, so that's nice. Portion sizes remain very small - I don't dare eat more than 1/2 - 3/4 of a cup of combined foods per meal. I did add in a few bites of things that aren't just protein based, and that has been a nice switch.

Yea. The mind is pretty powerful and it is possible to swap disordered eating patterns. Going from emotional overeating or binging to under-eating. Talking to someone about your fears and guilt is a great idea. But from a non professional two chicken wings is definitely not a lot and your food choices sound great to me. The one thing you have to realize is you’re not going to eat your 2 ounce or half a cup portions forever. eventually you will land somewhere close to a normal serving size. Everyone is a bit different, but you will get back to a new normal at some point it just looks like a lot of food after eating so little for a while. Will you get to follow up with anyone at 3 months? I actually asked to meet with my nurse practitioner more often than they require just because of my anxiety. I always have too many questions to email or call and ask, but they normally require it at three months because they do labs to check your vitamins. If so, you could ask them what to expect in terms of portion size. What you should be aiming for over the next how many of months until you see them again. Do you find that you do not crave your sweets as much after the surgery? Before I had my sleeve, I was actually a salty snacker, and after the sleeve I started craving sweets, which I think may partially have to do with why it wasn’t so successful for me. so far since my Sadie, I do not crave sweets, so I think it reverted back to where I am a salty snacker again. Well, I mean right now my snacks are not something that I actually feel like I need because I’m not hungry but something that’s necessary to reach my protein goal.

We also call the rice paper ones Summer Rolls. It’s actually pretty confusing here when you say Spring Rolls because some people assume the ones that popped in your mind and others think of the rice paper ones. But to further confuse you, egg rolls and fried spring rolls are two differnt things here 🤣 I love them too, though. I just tried them for the first time post SADI with chicken, avocado and julienned veggies (I used cucumber, carrots, red pepper and red cabbage but you can just clean out your fridge). The recipe included a super simple peanut sauce that I love. It’s quite salty but I like salt anyways and you don’t use as much of the sauce that was. It calls for 2tbsp soy sauce and one tbsp peanut butter just mixed. I used fresh ground peanuts so it was better for me. My husband didn’t want to try them or I would make the sauce with reduced sodium soy sauce but easier for me because I like it the other way better. Anyways I get about three servings out of that sauce recipe because it is salty so it goes a long way. actually whipped it up to have on some leftover chicken breast last night because I didn’t feel like doing anything fancy. I also learned for anyone who hasn’t made them it’s best to prepare the bowl of fillings but only roll up what you plan to eat. They didn’t do well on the fridge. The next day they stuck to the bottom of the container and broke apart and the second day the wraps got hard and I had to remove them and eat just the filling.

Went out to a Michelin star Peruvian place this weekend and here’s what we ordered: Red snapper ceviche, truffle ponzu, chives served on rice crackers. This was PHENOMENAL. Tiger prawn gyozas with pea cream and edamame. Spicy beef fillet (medium) with crispy shallots. Crispy cauliflower, chipotle mayo, chives and sesame seeds. Tres Leches (three milk cake), vanilla ice cream and salted dulce de leche. I only had 3 small bites of this as it was too sweet but good albeit. But over all the food was 10/10!

It could be the three week stall. Remember the first one can occur anywhere around the third week. Also you won’t feel your restriction until your nerves are healed (this can take 6 or so weeks) when the messages (like your restriction, feeling full, etc.) start to get through again. Even though this was a tightening of your tummy, you’ll still have the same basic experiences as you did with your initial sleeve.

Congrats and enjoy wearing the clothes now as they probably will be getting loose in the coming weeks/months 😀. Did you get all of what you tried on? I still honestly don't see a thin me a lot of the time. I know that I don't have to shop in the plus size shops or sections anymore but I find it difficult to comprehend at times that number of sizes I have come down. In my jeans and trousers I have gone from a UK 22/3XL to a UK 8. I think part of my problem though is also the inconsistency of sizing across different brands, it doesn't always help with a healthy body image. I mentioned it in another post this week about my holidays in the US last week, I found it very hard to find clothes as in some cases even size 0 and XXS was too big, all I came back with was a rain coat, t-shirt and blouse in XS, tracksuit bottoms in a small and a youths small t-shirt and tracksuit top (thankfully the shop had the same tracksuit for youths and adults 😂). Seriously disappointed as I had brought an extra suitcase with me which came back empty though on the plus side I came back with more than half of my spending money. I still do double takes at times when I see myself in the mirror. Today I brough another three suitcases of clothes to the recycling center. It took me three trips to walk there with the full bag each time but it also helped me get my steps in.

No, no difference, however, it is important to remember that everyone loses at their own rate & there is no right or wrong rate. So many get very anxious that they’re not losing enough or fast enough. It’s not a race and every pound is a win. I always say celebrate every pound you lose. You’ll discover there is a lot of variation in the pre surgery diet @RuizAyres but we always say it’s best to follow your plan and not someone else's. I know my surgeon gave different patients different plans based on their health status, current weight, etc. it could be three shakes a day or two shakes & one protein plus vegetables meal a day. It could be no shake but milk like @summerseeker. The 3 or 2 shake plans tend to be the most common. He put me in keto for the two weeks prior. There’ll be slight variations in the post surgical plan too. Also, not sure your age, I was almost 54 when I had my surgery and there are people here who were in their 60s and 70s so you’ll be fine. There was a thread a little while ago called 50 and over I think. You could search for it as you might find it interesting. Found it:

I’m not allowed to eat any tortillas for three months. I know it sounds dramatic but it’s driving me insane! I love the tiny zero carb ones and they were always in the house prior to surgery. I felt like it made portion control a cinch.

I technically have a cat. She's 10 years old and when my we got her, I was still living at home. As much as she loved me, she was definitely my mother's cat, and after my mother died, I had to take her to live with my friend who has a more than enough room and a landlord that allows pets. She hates me now, and I understand even though it makes me sad when I see her (usually three times a week. However, she is still my mothers baby and my little fur sister and she is named Wilhelmina Felicity Biggleswade