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You aren't being a baby and I think it is general consensus that a colonoscopy is one of the more unpleasant procedures out there (as is anything that has to do with our bowels), but it really isn't that bad. Get the colonoscopy. You are so much better off to be proactive rather than reactive. I know you are worried because some pretty scary terms have been thrown at you, but it is always better to know what you are (or aren't) dealing with. Knowledge is power. Try to think about it this way - you are just ahead of some of your peers in getting the procedure, but then you will be an expert!!! Your specialist makes his bread and butter off doing this procedure, and he knows the benefit of early detection, so try to think of this a being a good, lucky thing that is happening. I kid you not - the preparation for the test is far worse than the test itself. When you get the test, they will give you a drug that will relax you and chances are you will sleep through the whole thing, or will remember very little of it. The drug (they use different ones) is administered by IV and also kind of works as a bit of an amnesiac. I remember the last time I had an endoscopy (camera down your throat rather than up your butt - hopefully a different camera - ha ha), I thought I was awake for the whole thing, but as time went on I became less and less sure of what actually happened. I will warn you that the preparation is really, really, really yucky. You have to drink this really awful stuff (recommendation: drink it with something really strongly flavored like cranberry juice - have the juice as cold as it can be), and then be prepared to stay really close to the bathroom for the next 8 hours. If I remember correctly they make you drink it again in the morning (I tried to block it out). Make sure you have some baby powder and really soft tissue available!! I can't remember for sure, but you also won't be able to eat solids for a day or two before the test. They need your bowel to be as clear as possible. During the procedure, they will have you lay on your side and they slip in a tube with the camera the length of your large intestine (colon), about 6 feet, they then draw it slowly out and can see everything on the way out. They can detect polyps, growths and other disease and can often treat at the same time. Once you are done, you have to stay for as long as it takes you to wake up. You will need a ride as you will be impaired by the drugs, but there really isn't significant pain afterwards. I know that this scary (terrifying really), but again, I firmly believe when you have the correct information, you can deal with the reality, whatever it is. Try not to get too stressed out over the rare possibilitites - easier said than done, I know. Right now you are in a position of worrying and wondering - in short the place where nightmares begin. Be good to yourself and make sure you have someone you can talk to to help you get through this. If you want to pm me - I would be more than happy to help in any way you think I can. Here is something to think about while waiting: In this strange world, who on earth grows up dreaming of looking up people's butts for a living? Can you imagine talking to people about their bowel movements all day every day? I mean did he like playing with poop as a child? When did intestines become fascinating and exotic? I always wanted to ask my colorectal sugeon what drew him to this specialty - I am not sure enough of myself (or his sense of humor) to do it though Maybe one day I will be brave enough...........(or maybe not) Jacquie

I finally think I have it figured out. Today I ate sushi and then ate a couple of fries. I mean I ate a small fry. It was one of those days when I was so hungry I just took what I could get. NEVER AGAIN!!! EVER EVER EVER! Basically I ate WAY TOO MANY CARBS...This is not dumping. I thought it was caffeine a few months back...but it isn't. So yeah...I will never eat a carb heavy meal again! Reactive hypoglycemia occurs in people who do not have diabetes. It's a different type of hypoglycemia than the one that affects people who have diabetes. Although the causes are unrelated, the symptoms of both kinds of hypoglycemia are the same. Symptoms of hypoglycemia: Trembling or weakness Lack of coordination Drowsiness or confusion Headache Dizziness Double vision Convulsions or unconsciousness What is the cause of reactive hypoglycemia? The exact cause of reactive hypoglycemia is still unknown, but there are several hypothesis that might explain why it can happen. Sensitivity to epinephrine, a hormone that is released in the body during times of stress. Insufficient glucagon production. Glucagon is also a hormone which has the opposite effect of insulin. It raises blood glucose levels. Gastric surgeries can also cause reactive hypoglycemia because food may pass too quickly through the digestive system. Enzyme deficiencies can also cause reactive hypoglycemia, but these are rare and occur during infancy. How to manage reactive hypoglycemia Limit foods with a high sugar content, especially on an empty stomach. For example, eating a doughnut first thing in the morning can trigger a hypoglycemic episode. Eat small, frequent meals and Snacks. Eat a varied, high Fiber diet, with adequate servings of Protein, whole grain carbs and vegetables, fruits, and dairy foods Carry pieces of hard candy with you, for those times when you feel your blood sugar dropping. What to do if you are having a hypoglycemic episode. Eat or drink something that is a fast sugar source, such as orange juice, regular soda, a few pieces of hard candy, or sugar cubes. This should relieve the symptoms within 15 minutes. Avoid choosing chocolate as a sugar source. The fat in chocolate makes it absorb more slowly and it won't raise your blood sugar up as quickly as you need it too. Make sure to eat a small balanced meal after the symptoms are gone. This will prevent another blood sugar spike and consequent drop.

I know, once I hit 200lbs I knew I had to do something. I am trying to protect myself from diabetes, heart disease, and joint replacements in the future, but Alberta isnt working from a preventative medicine perspective, Just a reactive perspective. I would also like to add that I have visited my family physician and she is very supportive with me leaving the country to obtain medical care, She has informed me that she has had about a dozen patients obtain barriatric surgery in Mexico this year. That was important to me, because she has agreed to follow me post op. I believe its very important to be open and honest with my family physician, and had she said she thought it was a bad idea, I think my decision would have been different. I am going to see Dr. Oritz in three weeks! I have done more than enough research. I did look into additional travel insurance, however it is quite cost prohibitive. From what I have been able to find, regular travel insurance will not cover you if you are going down there for surgery. There are a few companies that will provide coverage for Medical Tourism, but the policy is spendy spendy. My plan, is at any sign of trouble, is to get on a plane, and get to a hospital at the first point of entery into Canada. I know this plan is inherently flawed, however its the best one I can come up with. The complication rate for my surgery is less than % and my surgeon's record is pretty good. My biggest concern is if I am one of the few that does develop complications. If anyone has a better idea, im open to suggestions.

OK, I have to defend Dr. K. He is NOT reactive, he is quite PROACTIVE. I went for my pre-op appt and had two scripts for ANTI-NAUSEA meds and pain meds. Those were filled before I left the hospital. It is clearly stated in his literature he provides well before surgery to help prevent nausea. It is listed in the orders as well. A patch was placed behind my ear and numerous stomach upset and nausea meds were pushed through my iv. This is Dr. K's protocol. The first two days post op were pure HELL for me. I don't do pain well and I was depressed with the realization that my love affair with food was pretty much over. Now, a couple days later, I feel a lot better and very positive. Everyone reacts differently - from what I read before the surgery, I thought this would be a piece of cake. Not true and quite a shock. But I'm different than the other people I read about. Dr. K was one of the most caring, gentle people I've ever met. And he was very, very proactive about nausea and vomiting. In fact he mentioned more than once how important it is NOT to vomit. Thanks - I just had to defend such a good man.

okay... I know it seems like a weird thing to be happy about.... but I'm thrilled. I have been a painfully slow looser since surgery. The most I ever lost in a month was 10lbs (one memorable month). I work out 2x per day most days... yoga (harder and more intense than it sounds) and weights. I also hike and bike and almost never watch tv. I eat mostly Protein and my calories stay between 600-1100 per day. My loss has slowed to the point where I loose about 1/2 lb per week (some weeks its a whole lb!). I am .1 bmi points away from being "normal" still, and would like to loose 20 more lbs to end at a bmi of 21. I had come to accept that that might never happen, and that if it was going to happen in would take me 8 mos or so (to loose 20 lbs post gastric sleeve.... seriously!!!!). Its been depressing but I reached a place of acceptance. Got my 3 month labs done (I know I know... I'm 5 months post op) and everything looks fabulous... great Iron, b12, D etc. Only thing is I have hypothyroidism. We are going to check again in 1 month... but if its truly hypo... that exlains my slow loss, and if I get on some meds that last 20lbs will more than likely come right off. So.... I guess I'm excited about the news that my thyroid isnt functioning well. has anyone started thyroid medecine post op???? how did it affect your weight loss?

MichiganChic got it right. So that being said, I'll going to address a few things I learned with whatever medical resources I have. Please note that I have a local medical school with the best librarians in the world, and I use those resources a lot. I realized I don't have all of them on me, so I'll go this weekend and get specific references. Always pays to ask your doctor as the references I have come to 2 different conclusions (regarding Protein binding of calcium, whether or not its charged on the negative areas or truely is free of the protein molecule itself). I'll try to keep to the "lighter" end of things so you get useful info rather than a lot of scientific snooze material (or as my sister calls it, my reading & video material). Calcium: Several ways calcium can be measured: Serum blood Ionized Urine (24 hour collection) Differences between blood levels and ionized levels is serum blood calcium (what you find in a BMP (basic metabolic panel)) is your total calcium level, whereas the ionized calcium is the free in plasma type only. ** My sources differ on this** Serum blood calcium measures calcium that is attached to albumin/globulins or Proteins AND the free or ionized calcium in plasma OR it attaches to the negative charged sites on protein OR it is bound to proteins, bound to anions, and free/ionized. Parathyroid hormone & Vitamin D regulate your calcium. However, the kidneys assist in getting rid of the excess, so if they are not functioning right, you can find this out by doing urine studies. Many molecules attach to proteins or other blood particles and use them as a sort of "ferry" to get to where they need to be. If you have problems with abnormal levels of proteins like albumin or globulin, this may be one reason you need ionized levels checked. I'll list some items here that would be pertinent to us. Normal ionized calcium levels with high total calcium levels is called pseudohypercalcemia. It can happen due to hyperalbuminemia (basically an edema type condition where the Fluid leaks from your cells surrounding the tissue) or excess Vitamin D. Normal ionized calcium levels with low total calcium levels is called pseudohypocalcemia. It can happen due to hypoalbuminemia from liver/kidney disease. Low ionized calcium levels with low total calcium levels can happen due to parathyoid issues, Vitamin D/Magnesium deficiencies, and high phosphate levels. High ionized calcium levels with normal total calcium levels can happen due to hypoalbuminemia, parathyoid disorders, or acidosis. High ionized calcium levels with high total calcium levels can happen due to parathyroid issues. I'll stay away from high levels because lower levels would make more sense to us, excess Vitamins A & D would probably be the main causes for us. If you have lower levels, hypoparathyroidism, malabsorption, osteo types of problems, but mostly Vitamin D deficiency would be the big issues. Increases in pH levels in the blood, aka alkalosis, will cause more of the calcium to bind to the protein molecules and will decrease your ionized calcium levels. Decreased in Ph levels in the blood, aka acidosis, causes less of the calcium to bind to the protein molecules and will increase the free calcium levels. I add this due to authors' interest, as since the surgery, metabolic acidosis and alkalosis seem to be my buddies. Acidosis in the hospital after the surgery, alkalosis doing a number of endurance athletic competitions. When you get these tests done, make sure to review things such as your other electrolyte levels, PTH levels, Vitamin D, and phosphorus & magnesium. A change in this electrolyte can cause or be influenced by changes in other electrolytes. Calcium is excreted out of the body in urine and feces (a few other things but those are the most important). An increase in pH, alkalosis, promotes increased protein binding, which decreases free calcium levels. Acidosis, on the other hand, decreases protein binding, resulting in increased free calcium levels. Total calcium measurements, as you've seen, can be misleading. If you have hypoalbuminemia, you will have normal ionized calcium levels but total calcium levels decrease. There are ways to compensate for that, what I cheat and do is look online for the medical calculators. If you have kidney or low bicarbonate or serum albumin levels, you should measure the ionized free calcium to diagnose hypo/hypercalcemia. A few of the reasons to test the ionized calcium would be liver or kidney issues, abnormal total calcium issues, parathyroid issues, numbness or muscle spasms around the mouth, hands or feet. Drugs that can increase your ionized calcium levels would be things like thyroxine. Drugs that can decrease your ionized calcium levels would be things like heparin, epinephrine, alcohol. Urine tests measure how much calcium gets excreted out by the kidneys. It can look for problems with the parathyroid glands or the kidneys, or to check and see where the body is getting calcium from. Normal levels for urine calcium can be anywhere from 100-150 to 300. A calcium free diet goes from 5-40, low diets are 50-100 or 150. High levels can be caused by kidney issues, taking too much calcium, too much parathyroid hormone, and very high Vitamin D levels. Low levels can be caused by too little parathyroid hormone, low Vitamin D levels, and not enough calcium and/or malabsorption. If you show up with higher levels of serum calcium, lower levels of urine calcium, and possible bone loss changes, what is happening is that your body is leeching calcium from the bones (bone loss), causing the higher levels of blood calcium, the kidneys are holding on to the little bit you have and not urinating it out (low urine calcium).

I have definitely had the hungry/not hungry feeling since surgery, so I totally get where you are coming from @Arabesque! 🥰 Anything too greasy has been completely unpalatable. I am very thankful I tolerate protein bars and shakes or I would be in a bad place for getting enough protein. I know I need protein to heal, but meat has not sounded good at all since surgery. We had dinner at some friends’ house last week. They served salmon and flank steak. I only manage a couple bites of the steak and gave the rest to Husband. I managed about 2 ounces of the salmon. 🤷‍♀️ I bought a jar of no stir peanut butter to keep at work to eat with fruit. The fat and protein should help with the reactive hypoglycemia to stabilize my blood sugar from the fruit. 🤞🏻🤞🏻I also have walnuts, sunflower seeds, pumpkin seeds, dips, cheeses. I already use high protein milk for my protein shakes, so they are protein packed. My goal is to maintain my weight at 130-135. I need to gain a pound 🤣🤣 I plan to start working out as soon as I am healed, which will help with appetite, but conversely burn those extra calories. 🤦🏼‍♀️🤷‍♀️ So many skinny girl problems! 🤣😂🤣

Honey congrats on the amt. of weight that u did loose.. U have to realize that most people get more than 3-fills in a year after time goes on the fill evaporates over that much time... Make an appointment and go get another fill... U can do this u already have the tool inside u just have to reactivate it... :incazzato:

The three most important elements after weight loss surgery are to meet your daily Protein, Fluid and Vitamin requirements. food is secondary because your body is converting your stored fat into the energy that drives your body. Thus you lose weight. You are at least 10 weeks post-op. If you can't keep Water down, you may have a stricture. If you are unable to meet your daily protein, fluid and vitamin requirements, you need to seek medical attention and resolve the issue. Your problems may be caused by dehydration. They may be caused by a lack of Vitamins and minerals. It may be caused by reactive hypoglycemia. The fact that you were dizzy and took soda (sugar) rested and then felt better does point towards reactive hypoglycemia but you may have a whole slew of problems to deal with.

13. One skill or hobby you want to take up. I have three and I can't choose between them. When I get down a bit more, Imma reactivate my scuba license; take up horseriding with my daughter and start doing zumba/aerobics Sent from my SM-G930F using BariatricPal mobile app

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

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 Thank you for posting this! Your timing was perfect! I was struggling with one of my bad habits when I saw this and it helped me get passed it. Hearing about the appointment made me excited for my next step and reminded me why I am doing this. You are very welcome! I can't wait to hear about your appointment. Always remember..you are not alone in this journey:) Sent from my SM-G925T using the BariatricPal App

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 I am also going through kaiser Fremont the haven't weighed me yet .. Did they weigh you at the surgery orientation? I would love to start dieting again I feel awful not doing anything .. but I'm scared if I drop down below the 40 BMI it will disqualify me for the surgery Sent from my iPhone using the BariatricPal App

If hypo is the one where you have an unnaturally slow metabolism that's what I have, and I take medication for it. It didn't interfere at all with my getting banded or my weight loss!

Denmark, Norway, Sweden,Finland and Iceland. Trolls are Scandinavian in origin. Ever notice how people who have lost their favorite coping vice....and are really freaking hungry...can be really really...bitchy? And also really touchy and reactive about other people who they perceive are being bitchy? Hell, I'm guilty of it. Probably of both. Sure don't mean to be. I'm not pointing fingers at any particular party....just something I've noticed. People get extra angsty and on edge when they're stressed and have one of their main coping mechanisms missing. This whole adventure has tough moments you don't expect. Emotionally difficult spots that might show up as fangs instead of tears. Something to keep in mind. PS...if anyone asked me if I went to the gym in real life, I'd probably smack the **** out of them. If they're not a close friend whose kind intent I was certain of...without the context of real love and support....it's a rude question. Just sayin'

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

I agree with JerseyGirl, slow and steady. I just turned 60 and am 5 weeks post op. I lost 20 pounds pre surgery and I have lost 24 pounds since surgery. I also have hypo thyroid, had a total hysterectomy 5 yrs. ago. With 44 pounds gone I am now off 2 of my 3 blood pressure medications! I knew it would come off slower than my younger sleevers but at least it is coming off which is something I could not do by myself. Hang in there

I am not a doctor nor do I have medical experience. So take what I say with a grain of salt. I am 3 years post-op RNY gastric bypass surgery. It seems like you have multiple conditions, so let me talk about these individually. General The three most important elements after RNY gastric bypass surgery are to meet your daily Protein, Fluid and Vitamin requirements. food is secondary because your body is converting your stored fat into the energy that drives your body. Thus you lose weight. Weight loss is achieved after surgery through volume control. You begin at 2 ounces (1/4 cup) per meal and gradually over the next year and a half increase the volume to 1 cup per meal. With this minuscule amount of food, it is next to impossible to meet your protein daily requirements by food alone, so therefore you need to rely on supplements such as Protein shakes. It looks like you have lost the weight are in the Maintenance phase. So generally your meal volume allotment is now large enough that if you concentrated on eating high protein meals, you might not need to add protein supplements (protein shakes, protein bars). I found it difficult to transition to solid foods (such as steak and chicken) after surgery so I primarily relied on softer foods such as chili and Soups. I fortified these with extra protein. I have included the recipes at the end of the following article. http://www.breadandbutterscience.com/Surgery.pdf But if you are having difficulty keeping food down, then you may have to go back to protein supplements just to ensure you get the proper amount of protein in daily. Ulcers Nausea and vomiting are the most common complaints after bariatric surgery, and they are typically associated with inappropriate diet and noncompliance with a gastroplasty diet (ie, eat undisturbed, chew meticulously, never drink with meals, and wait 2 hours before drinking after solid food is consumed). If these symptoms are associated with epigastric pain, significant dehydration, or not explained by dietary indiscretions, an alternative diagnosis must be explored. One of the most common complications causing nausea and vomiting in gastric bypass patients is anastomotic ulcers, with and without stomal stenosis. Ulceration or stenosis at the gastrojejunostomy of the gastric bypass has a reported incidence of 3% to 20%. Although no unifying explanation for the etiology of anastomotic ulcers exists, most experts agree that the pathogenesis is likely multifactorial. These ulcers are thought to be due to a combination of preserved acid secretion in the pouch, tension from the Roux limb, ischemia from the operation, nonsteroidal anti-inflammatory drug (NSAID) use, and perhaps Helicobacter pylori infection. Evidence suggests that little acid is secreted in the gastric bypass pouch; however, staple line dehiscence may lead to excessive acid bathing of the anastomosis. Treatment for both marginal ulcers and stomal ulcers should include avoidance of NSAIDs, antisecretory therapy with proton-pump inhibitors, and/or sucralfate. In addition, H pylori infection should be identified and treated, if present. So the general advice from above if I am interpreting it properly is to eat undisturbed, chew meticulously, never drink with meals, and wait 2 hours before drinking after solid food is consumed. Also avoid NSAIDs (such as Aspirin, Ibuprofen, Diclofenac, Naproxen, Meloxicam, Celecoxib, Indomethacin, Ketorolac, Ketoprofen, Nimesulide, Piroxicam, Etoricoxib, Mefenamic acid, Carprofen, Aspirin/paracetamol/caffeine, Etodolac, Loxoprofen, Nabumetone, Flurbiprofen, Salicylic acid, Aceclofenac, Sulindac, Phenylbutazone, Dexketoprofen, Lornoxicam, Tenoxicam, Diflunisal, Diclofenac/Misoprostol, Flunixin, Benzydamine, Valdecoxib, Oxaprozin, Nepafenac, Etofenamate, Ethenzamide, Naproxen sodium, Dexibuprofen, Diclofenac sodium, Bromfenac, Diclofenac potassium, Fenoprofen, Tolfenamic acid, Tolmetin, Tiaprofenic acid, Lumiracoxib, Phenazone, Salsalate, Felbinac, Hydrocodone/ibuprofen, Fenbufen] and but use proton pump inhibitors [Omeprazole, Pantoprazole, Esomeprazole, Lansoprazole, Rabeprazole, Dexlansoprazole, Rabeprazole sodium, Pantoprazole sodium, Esomeprazole magnesium, Omeprazole magnesium, Naproxen/Esomeprazole, Esomeprazole sodium, Omeprazole/Bicarbonate ion] and/or sucralfate [Carafate] antacid. After RNY gastric bypass surgery, my surgeon put me on Omeprazole [Prilosec] for a year to lessen the affects of surgery on my stomach. Passing Out The fact that you have passed out a few times might be due to a condition called Reactive Hypoglycemia. This is a low blood sugar condition that affects some RNY patients. Here is a link that describes the condition. https://www.ridgeviewmedical.org/services/bariatric-weight-loss/enewsletter-articles/reactive-hypoglycemia-postgastric-bypass

Give it time. It took me about 3 weeks with the gel, and then it wore off because it's a temporary solution to a life long problem, and I was given a vial of Test. cyp and the doors of heaven were opened! If you guys aren't getting pinned for T, and using the gel, I'd recommend talking to your doctor about injections instead. It's a more stable delivery platform and it's easier to manage doses to make sure you're not on a roller coaster ride of T. Plus, why get on T therapy if you're gonna have to worry about your wife getting a mustache because you got sweaty bumping uglies and it reactivated the gel.

I am 9 yrs out from RNY...have had reactive hypoglycemia for about 7 of those. It started when I stopped counting sugars. Dont go over 15 grams per sitting and see if that helps. I know RNY is differs from sleeve so this may be too many grams for you...just pay attention to your grams til u get it right. I am only treated with diet. 9 yrs. out

Where is that statistic? Geez, I'm gonna get the meanie award I know it but your port coming out of your skin WAS YOUR FAULT! You need to address an infection ASAP...no matter what the cost. I do not know the makeup of the band but in other implants.....we use silicone, titanium, silastic tubing,silk, nylon etc all NON REACTIVE to MOST people. There have been people who rejected knees/hips. Hell, I know people whose teeth won't hold a filling. This is your lot in life. It sucks yes. And I KNOW I would be infuriated reading replies here....its the nature of the beast. The beast being text on a screen without voice, tone and inflection. B U T, you posted here....I assume you wanted to have this conversation. One of the replies suggested you make a blog....that's a great idea...you can go on and on and no one will bother you. you can disable comments if you so choose.

Unfortunately we cannot change the behavior of others. She is probably very concerned and maybe even miffed that you "did this to yourself". I suggest you find a way in your own head to let these comments pass right by you without being reactive. It's sometimes the same thing we have to do with most negative comments people make regarding our choices. You've done something very proactive for your life. Be proud of that, and over time as you heal, you will be able to resume normal eating in small but healthy portions. Good luck on your journey!!

No but I do have PCOS and endometriosis and I am insulin resistant. I used to be Hypo thyroid and right around surgery it was fine and I am due for my blood test because it changes often so I might have to go back on meds for that (my dr took me off ) if its out of balance now.

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,

I managed to lose my weight and keep it off, but about a year ago they diagnosed me with Reactive Hypoglycemia. I wear a monitor and eat very low carb. I recently spent the day in the ER due to being light headed and the only thing that showed up was my red blood counts were slightly low. Otherwise I feel pretty good, like the way I look (except some loose skin) Love wearing a size 4, but sometimes it is hard to find my size. Funny, that was an issue when I was in the 200's. Now I look at the larger sizes and wish they were in my size, lol. Picture of me on the right.