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Showing results for 'reactive hypo'.
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3+ years post op having lots of issues need feedback
James Marusek replied to marie110's topic in WLS Veteran's Forum
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. -
Thanks everyone! Most days I may take in 1000-1500 calories, and I workout 5 days a week. Those workouts usually burn 1000+....so my net is too low for my body to recover. 1700 seems high but there were a couple times I did hit it and I lost weight. One of my problems is I need to eat more & but right now I am limited on funds to buy what I need to hit 1700. I've been having issues lately keeping food down...seems like I get food stuck easily lately. If my calorie net is too low or negative my body reacts by storing :/ I am still losing fat but it is frustrating. Can't net enough because I don't eat enough lol Did any of you have any underlying medical issues like with your thyroid by chance? That was the only reason I qualified for surgery because I was hypo & my surgery goal was only 60lbs. My body likes to horde anyway cause of the hypo part. I'll have to wait and see how my tax return looks to see if I can make an appointment with the doctor I went too. I did selfpay so it costs $200+ for a visit and I don't have that to go to it.
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As a bandster, I have to disagree with this statement. I'm not saying we need to rigidly schedule our meals and never deviate from that routine, but I've found that if I let myself get too hungry I almost always eat too fast and make myself sick. As a diabetic, here's what I have done (and I'm now off ALL diabetes meds since about three weeks post-op). I follow Supreme Band Rule #1 (I made that up, like it?) and eat my Protein first, then my green veggies, then any low GI carb source last (only if there's room). I am eating very low-carb by default. I also eat a little something every few hours, for a couple of reasons. First, until I am off meds for at least a year I still consider myself diabetic and try to avoid hypo episodes at all cost. Second, that helps to boost your metabolism and keeps the weight loss going. As for your original topic of head hunger, I think we all have to deal with that to a point. I haven't found any magic bullet for it yet. :phanvan
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Here is the run down... Had vsg 2 years ago. Lost 180 pounds. Pre-vsg I had a slew of health issues. PCOS, high lipids, high blood pressure, diabetes...you name it, I had it. Now...I am 10 weeks pregnant. I see a high risk ob with consultation from my Bari surgeon. However, I now have to eat every hour or two and for the first time in my life, I am constantly hypo! Docs are ok with 1 hour post meal bs at 70. My body is not. I also had two miscarriages pre-vsg and was constantly hyper with them. I am struggling to keep weight gain at a minimum but loading carbs is zapping me! Any advice?
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Thyroid Issues With Lap-band
54Shirley replied to mynuday's topic in POST-Operation Weight Loss Surgery Q&A
My Hypo thyroid is second only to Hashimoto Disease. My Endocrinologist put me on Armour Thyroid, and for the first time in years, my levels are within normal range. This is a Natural Medication. Meaning it is made from the Thyroid of a small animal, like a pig or porcupine. Never the less, it works for me, and nothing has worked for me for years. They put me on Generic Synthroid, and I felt terrible. I told her I want to see a specialist ! She agreed.. Explained it all to him, and he put me on the Armour Thyroid. Some people tell me they have a problem finding it, but I can go anywhere and they have it. Mention it to your Doc. Just to see what he thinks, as far as it's availabilitey. It can even be got on line, at Costco's. Good Luck, Hope you feel better. Also check out are Hypothyroid Bandster Thread. Happy New Year ! -
5 Days Post Op Chest Tightness?? Is This Normal?
judych replied to Treenz's topic in POST-Operation Weight Loss Surgery Q&A
perhaps you could have a glucose drink? or a lozenge? it could be a touch of hypo insulinism. -
I have hypo. If its under .3 then it's hyper. 4.9 is hypo. I havnt said anything to surgery yet bc I just found out today and I havnt even had my consultations yet but I know someone told me that they wanted your thyroid under control before surgery
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6 month post op issues
James Marusek replied to Skinny Steps's topic in Tell Your Weight Loss Surgery Story
After surgery some individuals experience low blood sugar (reactive hypoglycemia). This occurs to both individuals with diabetes and those who did not have diabetes prior to surgery. The easiest way to test for this is by measuring your blood sugar levels when you get tired after you eat. http://www.mayoclinic.org/diseases-conditions/diabetes/expert-answers/reactive-hypoglycemia/faq-20057778 -
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!
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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.
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I could have sworn I saw a post this morning about post-sleeve diabetes management. When I got to my office to post something, it was gone. So, I thought I'd start a thread - would love to hear from other diabetics in the group. Before my sleeve surgery, I was on 1.8 mcg of victoza, 2000 mg of metformin, 60 units of lantus and 60+ (sliding scale) of apidra daily. My surgeon reduced my meds immediately after surgery - no victoza, half the metformin and 10 units of each of the insulins. Unfortunately my blood sugars, particularly my fasting sugars, were not where I wanted them after I began solid food, so I consulted with my GP and we went back to 2000 mg of metformin (less chance of hypo), 25 units of lantus and 5-10 units of apidra. That's just freaking amazing. We also developed a plan to begin backing me off the medicines as the blood sugars come down. Both my surgeon and GP agree that if all continues to go well, I should be off the meds in a few months. I'm limiting myself to around 30 grams of carbs a day (my surgeon's plan allows for 60) and getting daily exercise. So, how's everyone else doing? Anyone off meds altogether? CJ
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On Soft Foods - Starting to Stray - Any Advice??
Melissa.GreenHands replied to Melissa.GreenHands's topic in POST-Operation Weight Loss Surgery Q&A
Thank you for ALL the advice!!! Today was a MUCH better - I have been on soft food since Sunday as per my meal plan from my doc. Foods on my acceptable list are : eggs, chicken, baked fish, crab, melon, pear, banana, yogurt, steamed veggies. (I had to be on pureed foods for 3 days before that and "full" liquid for 3 before that - and clear liquid for three before that. I have been VERY blessed to have very few complications and only felt that I have had "too much" restriction once when I didnt chew well enough before I swollowed. I was feeling hungry because I have reactive hypoglicemia because of my p.c.o.s. -but today I took Betsy's advice - and toughened up!!! I moved my meal times back later in the day and stuck with a skim milk with sugar free carnation this afternoon and NO cheating!!! Yeah!!! One good day down and many more to come. (My morning weigh in was a huge wake up call - only lost 3 ounces since Sunday!!) THANK YOU SOOO much to my new lap band friends - this has been a HUGE help and encouragement and look forwaed to many more pounds lost together!!!:thumbup: -
Fatique/sugar drops
TwirlinRnd replied to Cangel76's topic in POST-Operation Weight Loss Surgery Q&A
I have not been banded yet, but I can tell you that I also get dizzy and light headed if I haven't eaten. Usually it happens if I have sugar (like mocha coffee) and then not eat for a long time after. My family doctor said that there is two types of diabetes..hypoglycemic and hyperglycemic. He said I'm border line hypo and will be full blown if I don't get this weight off. I told the doctor who will be doing my banding that this is a concern of mine...not being able to eat enough if I start to feel dizzy etc...and he said he hears that all the time and isn't concerned. Do YOU feel like it goes away by only eating the little bit the band will let you? Do you have any regrets? I'm so worried about getting one. Take care and write back when you have time. -
Dumping is often the result of eating foods with too much sugar but it can also be the result of eating carbs (for example white rice). Although decidedly unpleasant, dumping is seldom serious and rarely requires medical attention. It's also important to remember that many bypass patients never experience dumping. It's a mistake to count on dumping as a benefit of bypass since it may never occur. From a weight loss standpoint it makes no difference. There is no scientific evidence that patients who dump are any more or less successful than those who don't. For folks who experience dumping, about two-thirds experience early dumping. Early dumping usually occurs twenty to thirty minutes following eating. The remaining one third experience late dumping which usually occurs two to three hours following eating but can occur twelve hours or more later. Late dumping is usually reactive hypoglycemia (low blood sugar) and symptoms can usually be resolved quickly by eating just about anything that contains sugar. I seldom dump but when I do it's late dumping. In my case, white rice and popcorn are definitely off the menu options. The list of things that might result in dumping would be pretty long. But probably of little value anyway on an individual basis. Person A dumps on "X" every time while person B has no trouble at all with "X" but dumps on "Y", and person C doesn't dump on anything.. Regardless of whether you dump or not, you're gonna love the new you!!
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Question for Sleevers with hypothyroidism....
shortsleevedkay replied to JMS's topic in POST-Operation Weight Loss Surgery Q&A
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!!!! -
Hi. I had Graves Disease & now I'm hypo, so I shared your concern. You will def lose weight. I'm about a month out & so far have lost about 24 lbs. I think that's pretty good! My hypo dose of med is 225 mg and I have to crush my pills before I take them & that's not as bad as I thought it would be. Talk to your dr about your concerns. It really might make you feel better. Anyway, good luck & see you on the "losers bench"!
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Under active thyroid
patiscuba replied to lori68pink's topic in PRE-Operation Weight Loss Surgery Q&A
I have hypo thyroid and i am 2 months out. I have lost 45 pounds so far. My doc is a debbie downer as he thinks that is slow, but ai m half way to goal so I am concidering it a win -
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!
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So ever since Friday i haven't been feeling all that great. I was feeling a bit swimmy in the head and my insides actually felt sore. It almost felt like I was coming down with something. Last week I found out my thyroid was way out of whack so instead of hypo i was hyper. My Doc changed my dosage and the swimmy feelings went away. I still felt sore inside and it hurt mildly to take a deep breath. I was thinking because I started taking Iron may be I was constipated, I took some miralax. Friday I felt so full and couldn't eat anything after my attempt at lunch. Well it doesn't appear as though I am constipated and I still feel sore inside and randomly without warning I get a pain in my left abdomen that makes me cringe. It really has me baffled. I don't feel full anymore and am able to eat normally. I am not one to freak out but I can't imagine what it could be. I will be calling the surgeon's office tomorrow. I am 11 weeks out. Does anyone have a similar experience? Just looking for clues.
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Too many symptoms...
James Marusek replied to venomousflowers's topic in Gastric Bypass Surgery Forums
Your list of symptoms included: * Extreme fatigue * Feeling dizzy upon standing * Feeling fainting when standing up too long * Feeling weak after eating. Several individuals that undergo RNY gastric bypass surgery experience a condition called Reactive Hypoglycemia. It is a form of low blood sugar. This occurs in individuals that had diabetes prior to surgery but also in those that don't. You experience a large drop in blood sugar around from 1-3 hours after a meal. It catches some people by surprise because they faint, dropping onto the floor. But it can also be corrected by recognizing the signs of low blood sugar and reacting or by modifying the way you eat. https://www.ridgeviewmedical.org/services/bariatric-weight-loss/enewsletter-articles/reactive-hypoglycemia-postgastric-bypass This link describes some of the symptoms of the condition. http://www.weightlosssurgery.ca/before-after-surgery/reactive-hypoglycaemia-post-gastric-bypass/ If this matches some of your symptoms, you might read up on the condition using the internet. I am not sure about some of the other symptoms but you are taking quite a bit of medication (vistaril, remerom, zoloft, wellburtrin) and you may have some bad interactions happening. The most important elements after RNY gastric bypass surgery is to meet your Protein, Fluid and Vitamin daily requirements. food is secondary because your body is converting stored fat into the energy that drives your body. Thus you lose weight. Weight loss is achieved by meal volume control. At 10 months post-op, this should be around 3/4 cup per meal. So back to basics, reverify that you are meeting the prescribed requirements for protein, fluids and Vitamins. This article describes my experience after RNY gastric bypass surgery. http://www.breadandbutterscience.com/Surgery.pdf Life is full of trade offs. In my case I had high blood pressure, diabetes, sleep apnea and severe acid reflux (GERD) prior to surgery. I traded my love of food for good health. At 3 years post-op, I am content with that decision. I have been able to find some pleasure in eating again. I found mixing food groups together provided some flavor. I also found that softer foods such as chili and Soups went down much easier than harder foods such as steak. I hate Protein shakes and no longer take these. But I did this by fortifying the protein that I consume in meals. "Protein First". Anyways at the end of the article, I have included some recipes if you care to try them. -
Question fo folks 6+ months out
mommyofLDS replied to Rev Me Up!'s topic in POST-Operation Weight Loss Surgery Q&A
I'm 9+ months out and I still have days where I feel weak/shaky. I talked to my NUT and she talked to me about something called reactive hypoglycemia. Basically what happens that that our bodies sometimes still produce the amouts of insulin that it did when we ate so much more, and it can cause a low blood sugar. I started snacking on turkey jerky during the day, just a piece here and there. and I feel so much better. For me, I also feel really rundown and get winded exercising if I am even a little bit dehydrated. Did you do labs a 6 month out? -
Question fo folks 6+ months out
Amanda131 replied to Rev Me Up!'s topic in POST-Operation Weight Loss Surgery Q&A
Hi Rev- I am with you to an extent. I have "off" days and have noticed some definite changes with my menstrual cycle (like it lasts forever) and my emotions. I also get weird about food on occasion and will struggle with not being able to figure out what to eat. I've recently gotten that under control. I found I really like Muscle Milk light. So, when I start stressing over what/where to eat and I'm alone I hit the gas station for a Cafe Latte Muscle Milk. Problem solved. I have had reactive hypoglycemia since I was a teenager. For years I've controlled it with diet alone. But, since having surgery I've noticed it is much more prevalent and harder to manage. Feeling "shaky" and "weak" are major side effects of low sugar. Where we differ is that I picked up running about four months ago. I really feel that excercise has helped me tremendously. I agree with the other posters that it's probably time to see the dr. for some bloodwork to rule out any insulin or Vitamin issues. Good luck to you! Amanda -
Diminished mental capacity?
James Marusek replied to Losebig's topic in Gastric Sleeve Surgery Forums
Confusion can be caused by a variety of problems. This website lists 80 causes. https://www.healthline.com/symptom/confusion The ones I would focus on are numbers: 1, 7, 27, 28 and 62. #1 Hypoglycemia (low blood sugar). Many people develop a type of hypoglycemia after bariatric surgery called reactive hypoglycemia. https://www.ridgeviewmedical.org/services/bariatric-weight-loss/enewsletter-articles/reactive-hypoglycemia-postgastric-bypass This can also occur if you were diabetic prior to surgery and did not reduce your prescription medicine after surgery. #7 Low blood pressure. If you had high blood pressure prior to surgery and were taking prescription medicine for that condition. This may be an indicator that you may need to come off some of that medicine. # 27 Hypokalemia (low potassium levels). Make sure you are taking vitamin/mineral supplements for potassium. # 28 Hyponatremia (low blood sodium). Make sure you are getting enough electrolytes. # 62 Beriberi (B1 deficiency). I would also lump B12 deficiency into this one. After Gastric Sleeve surgery, my surgeon recommended 100 mg. Thiamine (vitamin B1) weekly and 500 to 1000 micrograms sublingual B12 weekly. While you were in the hospital, you were probably given a shot of B12 which is good for one month. Since you are 4 weeks post-op that is probably wearing off and you need to begin taking B12 weekly. I am not a doctor, so take everything I say with a grain of salt. But those are the areas I would explore. -
I’m 11.5 months post op and I have lost 175 lbs total since this process. Starting weight was 358, surgery day weight was 331, current weight 183! Prior to my surgery, I was terrible at logging food, exercising regularly, and had a terrible relationship with food (addiction, portion control, etc). Of course I knew what to do conceptually but the follow through was the issue. I told myself (and truly believe) that the surgery was not the fix! It’s just a tool! A tool that allows me to fix the broken things. What I’m getting at is, although logging food is “difficult”, it’s necessary! You have to be willing do do things differently and consistently if you want to reach your goals. Set up your environment to help you be more consistent: meal plan, log your planned foods the night before or first thing in the morning. Proactivity rather than reactivity is key! I treat my food log like I budget my finances, I track input and output and plan ahead! You got this! You just have to tell yourself you’ll do what it takes. The habits that got you in this situation won’t get you out of it! Embrace your second chance at becoming the best version of yourself and focus on the inputs and the desired outputs will happen! Don’t be afraid to consult your medical team and seek mental health help if need be. We all decided we can’t do it on our own which is why we took this journey. You owe it to yourself to be better than you think you can be! Good luck!
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Some patients that undergo weight loss surgery experience reactive hypoglycemia. The following are a few links to this condition. https://www.ridgeviewmedical.org/services/bariatric-weight-loss/enewsletter-articles/reactive-hypoglycemia-postgastric-bypass/ http://www.todaysdietitian.com/newarchives/060415p48tip.shtml https://www.stjoes.ca/patients-visitors/patient-education/f-j/PD 7972 Reactive Hypoglycemia after Bariatric Surgery.pdf
