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I am also hypo - I keep taking my syntroid

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?

Benefiber , stool softener, walk walk walk.. 600 steps per hour is doable... walk wherever you are. I walk inside the house in a figure of 8 ... walking moves things along. I had bad bad constipation n I've been sleeved on 25 August. My nutritionist asked me to take fiber gummies too. I add half a banana in my shake + ground flax seed. I'll do whatever it takes to move things along. Stay positive & channel your energy to solving the problem. You'll be good I know it's frustrating.. but you will figure what works for u I promise! Make sure to take your thyroid meds if you have hypo & if u take iron that could slow things down big time too . Tc !

"Bottom line there is not a "easy" solution no matter what you do" I'm truly hoping that you didn't mean to suggest that those who get banded assume they've found an "easy" solution to their weight problem. The people here who've had success have worked their weight off. I have hypothyroidism. I have been taking medication for it since, oh, the early '90s. My level gets checked twice a year, and it's been stable for as long as I can remember. I've successfully lost over 100 pounds, so hypos can succeed at weight loss. (The only problem was me gaining the weight back by overeating high calorie foods and stopping my exercise program.) You are making a really strong statement to us about our personal health choices, but you also state "I'll take what I can get" when it comes to your own doctor and treatment. You "know more than any nutritionist", but have you consulted more than the one that disappointed you? I appreciate your concern for my well-being, but my own experiences and the faith I have in my own decisions will guide me.

I have been struggling with hypothyroidism for the past 6 years....still trying to get levels evened out! My Endocrineologist was very supportive and my Bariatric doctor said I would have NO PROBLEM with hypo and the band. I can still take my meds (they are small enough), but you do have to take caution when eating anything with Calcium within 3 hours of taking your meds....that makes Protein shakes something that I have in the afternoon or evening! It has been a great experience so far! Good luck!

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

I relied so heavily on this forum and others in the months leading up to my procedure that I promised myself I would provide a 12 month update, FAQ and experience summary for others planning the same thing for the same reasons. I recently posted this to Reddit and bariatricpal rounds out the plan. My story is positive – overwhelmingly positive – but I think most importantly my story is not emotional. I don’t have a psychological problem with food. I was never tormented or made to suffer for my weight (beyond finding flights uncomfortable and shirts being too short). I made this choice on statistical grounds – it would extend my life on average and go a long way to improving my diabetes. I wanted to provide a vanilla story to remind everyone this pretty survivable and the majority of people have non-descript and unexciting recoveries. My lift is pretty much the same - I just eat a lot less, dont shoot insulin and hopefully will live longer. Forums tend to have an over representation of negative outcomes - that makes perfect sense and it's absolutely fine for people to use them to get some reassurance and communicate with people in the same situation. For everyone else - just remember you're less likely to jump on a forum and tell your story if nothing went wrong or it wasn't any different from other people and as a result it can seem like a higher proportion of people are suffering than maybe is the case. I was a lower-BMI diabetic, not quite type 1 or type 2, but insulin dependent nonetheless. My BMI was 31, my surgeryweight was 126kg (277lbs) and I’m 196cm tall (6’5). I was diagnosed at 100kg (220lbs) but assumed type 1 as I wasn’t visually overweight. However in the 5 years since diagnosis I’ve continued to produce some insulin suggesting I’m not a pure type 1 or 2 - but closer to type 2. I gained 26kg in a year after diagnosis once i started on insulin. I’m broad shouldered/chesty with skinny legs - like an apple jammed on some chopsticks. Maybe like the fat Mr Incredible. My intention for having the bypass was not solely weight loss – I suspected that my diabetes was closer to type 2. I suspected the improvements people see immediately in diabetes management post bypass may apply to me. It was a gamble that paid off, My decision making process was quite straight forward – I had a young daughter at the time (now have a son too) and had lost my father to a heart attack when I was 7. He was fit and not diabetic but had a heart condition. I new statistically I was due for a similar fate carrying excess weight plus diabetes onboard. This was the best way to knock out one of those (the weight side) and hopefully improve the diabetes. I went from 126kg to 83kg (180lb), my BMI is low end of healthy. My biggest positive is my immediate cessation of insulin shots and a current HBA1c of 5.8 with oral meds only. It took about 6 months to get to my goal weight of 90kg. I'm still slowly losing and need to stop. Lead-up and Prep I was not obese to look at visually. The majority of healthcare professionals I spoke to did not think surgery, let alone Gastric Bypass, was necessary. In the end – my PCP, endo and surgeon all agreed that, while not essential, bypass was a prudent decision with potentially long-term benefits. The surgeon did not want me to bother with a gastric sleeve – if the endgame was diabetes improvement then the gold standard was a bypass. In Australia you need to be over 35 BMI or over 30 with a comorbidity to be eligible. I had slightly elevated Blood Pressure - that plus the diabetes made me eligible. I paid $2000 out of pocket, my private health insurance paid the rest. No psych required, I had a few meetings with a nutritionist and everything was greenlit. From first enquiry to surgery was four months. The fee I paid includes lifetime consults with the surgeon. I did not need a pre-op diet as i was not that overweight and my liver was not a concern. Surgery My procedure was in June 2018. My anaesthetic recovery was rough, but otherwise the process was fine. The most discomfort was immediately in the 12 hours following – in part due to surgical site pain but mostly because the bed could not accommodate my height so I was forever crossing my legs or scrunching them up, only to have a nurse slap them and wake me up for fear of DVT. Nurses kept promising to find a bed extender - eventually I lashed out in a post-anaesthetic haze at a nurse who slapped my feet - she took the end off the bed with a flourish. My feet shot out, I cried in relief, apologised profusely and slept for eight hours. Day two was stiff and sore but i was mobile, able to shower and sipping fine. I went home the morning of day three. I had PHENOMENAL life ruining headaches from day two. I went home with some serious opiates because I lived 90 minuts from my surgeon and couldn’t drive to get a script if they hit again. On day four my dietician cleared me for coffee and it immediately wiped out the headache – turns out I’d been in caffeine withdrawal. So I really recommend you taper that off in advance if you have a problem with coffee like i do. If you're diabetic then buy a freestyle libre glucose monitor for the procedure if you dont have a CGM. They want hourly blood glucoses, instead of being woken and pin pricked every hour I could just show them how to use the scanner and they'd take it while i slept. I had some minor aches 6 weeks out and one of the surgery sites oozed a little clear fluid. It subsided immediately. I was home for two weeks. I could have gone back at one week. I'm an accountant though and my starting weight was comparatively low so i was mobile quick. I completely understand if you're starting form a heavier weight then you should plan to take the full time. Food/Eating The normal progression of foods was fine and unremarkable from what is described on most forms. I graduated to solids a little earlier than I should have. I cheated like mad and was feeling fine, it was only when I snuck a tiny piece of casserole beef and vomited violently did I start to behave myself. I was vomiting once or twice a week from eating too much or too fast. Savoury ricotta bake, hearty soups and coconut water were my saviors. The vomiting subsided, 18 months out I vomit maybe once every two or three months and only when I do something stupid. My problem before surgery was eating very fast and taking large bites – that has been hard to deal with post surgery. In fact I tend to still eat large bites and then sit unable to eat for extended periods. I was very sensitive to sugar post-op and frequently had dumping. That subsided in a month with changes in eating, changes in my appetite and better food/liquid rules. I currently only get dumping in the morning, and only if I eat something sugary. I do get nauseous easily in the morning too – it’s something I’m working with my nutritionist on to find out why. Otherwise I can eat whatever I want within reason. I don’t drink soda, but had quit it before my procedure. Milky protein makes me nauseous too (any type of creamy protein really) so I use a water protein additive from costpricesupplements. This helps me hit 2L fluids daily. I can eat about a cup and a half food. Liquidy foods – stews, soups, casseroles – I can eat a lot more than that. Tougher foods like steak or dry chicken much less. I gulp liquids. I had a sensitive stomach before the surgery and took Metamucil religiously to keep my gut regular. I have not had any issues post op with flatulence but have had looser bowels. Metamucil still helps – but no worse or in any way less manageable than pre-op. Diabetes I went off insulin immediately after my surgery. It wasn’t a cure – I’m still diabetic – but metformin and trajenta keep me in an aggressively managed hba1c. I have a so-so diet – I eat too much sugary junk food and carbs. I could go without diabetic meds I believe but my diet would be depressing so ive truck a compromise. On this basis alone this was the best decision I could have made for my physical wellbeing. My blood pressure is fine, my cholesterol is non-existent and I'm able to even job a moderate distance without discomfort. Random observations • I’m cold. So cold. It’s 35 degree outside where I am (90’s Fahrenheit) but as soon as I go into any office I need a sweater. I really became dependant on sweaters, long johns and socks this last winter. Im not cooler in summer – just as hot and bothered as before. Maybe a better way to describe it is that I feel the temperature more in general, like I lost my insulation. • I am too skinny. Clothes don’t fit that great – most men this tall have a bit more chest/gut on them. Australia has limited/no tall clothing ranges domestically so I’m importing loads of stuff from the UK/USA. i still think i look fat when i look in the mirror. • My bum is bony and I need cushions to sit comfortably. I also had a cyst on a butt cheek I didn’t know about – now im so bony there I’ll need to get it removed so I can sit on kitchen chairs comfortably again. • I gained about 1.5” of penis length. It was a welcome addition. I needed to learn how to be more gentle and patient using it. With a young family and little sleep it's yet to be fully road tested – but I’ll be ready when we start to sleep again. • I have a little loose skin. nothing dramatic. mostly around the gut and love handles. • I am very sensitive to meds and drugs. I'm not much of a drinker but i like weed edibles - what would give me a mild buzz before gets me quite high now. I sober up quicker now too. I take xanax on flights to help sleep - i take a quarter of the dose now. • I drink red wine socially and now cannot really get drunk. I sober up quite fast but get a mild buzz pretty quickly too. • Dumping sucks but it should not be a discouraging factor. Its not life ruining – anyone who’s had a hypo as a diabetic it’s a bit like that with some gastro thrown in. It resolves pretty fast (30ish minutes for me) and is a self-reinforcing feedback loop for shitty food behaviours. For this reason alone I consider the bypass as the better choice for me. • I’ve lost a fair bit of muscle tone and will need to somehow up my protein and start some weight training to recover it. This needs to be balanced with not losing for further weight. • I have to remind myself to eat. Not just because of low appetite, but because once my pouch shrinks for a day then eating again can be uncomfortable and time consuming. As long as I eat fairly frequently my pouch is all good and I can eat quite a lot pretty fast – forget about it for 2 or 4 hours and I’ll need to take some time to eat a bit and get my appetite back. • I was hungry for 33 years and bordered on a pathological inability to waste food. I ate my meal and anything my wife or kid didn’t eat. I’d eat a meal out, go home and have a sandwich. We ate at bars and pubs because the servings were larger. I would eat until I was very uncomfortable if the portion was large enough. Now I still can’t bring myself to leave food – so I have this silly aversion to ordering anything more than something off the appetisers list. I don’t like asking for to-go containers (it’s an Australian thing – it’s really stupid because we pay so much for food out we should keep every bloody morsel) but have started to now order what I actually want instead of what I think I can finish. It’s funny – I went from ordering what I thought would be the biggest portion so I didn’t feel hungry (instead of what I thought looked good) to ordering what I thought I could finish and not waste. Regrets? None to speak of specifically. In a very minor way travel is less fun. I looooove travelling to southeast asia and the USA and love eating all the different things. My appetite is so low now, and eating can be so inconvenient, that I don’t get to eat anywhere near as much variety when I travel. I was recently in SE Asia and looking forward to a huge array of currys. I ate only two in five days as I had no appetite at all. I just need to travel differently now - actually plan to stop for meals instead of just charging all over a city and snacking on the way. I wish id been more sensitive to my wife's emotional processing of the scenario. She's gone from having the tall, chubby guy that was the physical build she was attracted to, to having a skinny beanpole. This was while she was having our second kid and all the very natural weight gain associated. She's not overweight and is, objectively i reckon, absolutely gorgeous but definitely feels marginalised by the process and is quick to colour me as vain or obsessed with my image now I am buying new clothes. I think i could have been more mindful of what I said or did. She was overwhelmingly supportive though and agrees this was worthwhile. Closing thoughts If you are considering this process and maybe you're on the margins of eligibility my experience would say go for it. my hope here was to give a vanilla experience to the mix, unique only in my taking the more permanent bypass on despite my lower starting weight. Sent from my SM-A705YN using BariatricPal mobile app

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 !

Accompany your firstborn to her/his university, and then say goodbye. My heart goes out to all the parents going through these separations at this back to school time of year. Whether you are watching them walk into kindergarten or dropping them off at their dorm...it is just one more step of theirs towards independence. Which is, of course, a great thing. Anyway, suddenly my band is newborn, with a level of restriction such as I've never known. And this reminds me how our bands are so reactive! Heat, stress, cold, colds, some mention flying (that's not one of mine), our bands inhale and exhale along with us. It's something you can't know until you are banded (and something I wasn't educated on by my surgeon, but that's ok). I was just about to go get another fill but I think I'll just take advantage of this "free" restriction before facing the needle again. Hope you all are doing well and enjoying fall (if in the northern hemisphere) or spring (if below).

Even if you have never had bs issues before WLS, it is common with RNY to have reactive hypoglycemia. I have read many posts on this subject. I know that some RNYers that suffer with it carry the sugar tablets with them. You really need to follow Drs orders with this because it can be quite dangerous if you get to the point that you are fainting. Would not want that to happen while driving, etc. Hopefully someone with more knowledge than I have will come along and add more information here. Good luck to you!

Elektralite Buddy, don't give up hope. Your GP (Aussie-talk for doctor) has already told you that he doesn't know much about the band, but then says he wouldn't recommend it anyway!?!?!? You know from your research that for YOU, the band is the safest way to go, with the option of being reversed should complications (God forbid) arise. As for the bypass being a 'fast' way to lose weight (as your GP advised), did he also mention that studies have shown that after a 5-year period. weight loss for both banding & bypass patients is relatively the same anyway? If you already have your referral, as hard as it may be, you may have to agree to disagree with your GP, and go ahead & make your appointment with the surgeon. He (surgeon) may know of a GP who can see you regarding any banding appointments/issues. (?) I don't have a regular GP so just went to my closest bulk-billing medical centre. The poor old GP I saw there had to ask me 3 times what I wanted the referral for, and even then I'm not sure if he was 100% sure on what it was. He didn't seem that interested in hearing what research I'd done, so I ended up not saying much to him at all about it (had the 'spiel' prepared & everything too, darn it) I used to have a regular GP, who I'd been going to for years. I last saw him 15 years ago about suffering hypos (low blood sugar). He actually said to me "What are you worried about. Diabetes skips every second generation - your mother and sister already have it, so I doubt that you will 'get' it. Stop worrying". :faint: I suppose what I'm trying to say is even those he's your GP & you respect him for all the training/experience he has, GP's are not infallible and don't always have the best/most extensive knowledge on a certain illness/procedure - that's what specialists are for. If you've done the research, and you (& your family) feel that this is the best step for you to take, and are happy with your decision, go for it Buddy. We're all there for you too - that's what these forums are all about, hey?

yes. I'm hypo. I've lost 157lbs from my recent high of 287lbs. I'm in normal BMI and weight range and am my final Goal #3.

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.

About three months after surgery, I started experiencing episodes of low blood sugar, usually after eating something bad for me. I was never diabetic and I've learned to deal with this and have learned what triggers the episodes. I'm 17 months out from surgery, down 110 lbs (20lbs more than goal weight), and have had no other complications. Anyone else with this same issue? Just looking for someone to commiserate with!

were you hypo?

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JennyJ, I too am very allergic to metals. I decided not to get banded because of the titanium and stainless steel component in the Band. Even though you can get lapbands that just have titanium and silicone, and even though everyone keeps swearing to me that titanium is an inert, non-reactive metal, I do not believe it for a second. Titanium is an amalgam (composite) of metals that ARE reactive, and therefore i believe it itself is reactive too. Anyway, in the past, when i've had metal poisoning issues, I underwent Chelation IV therapy. This helped a great deal. You can find out about this from most naturopathic doctors. If you live in Toronto, I could give you more details about where to find chelation doctors. All the best.

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!!!

I thought this was a really great FAQ that answers a few more questions beyond the usual what is a band/how is it adjusted type of question. Also, interestingly, the doctor talks about the causes and repair of erosion, slippage, and pouch dilation. This docter says erosion has to do with the way the band is stitched to your stomach. If that's true, it might explain why erosion is more likely to happen with some surgeons than with others. Just a thought. liquids. That said, average weight loss is 50% of excess weight at 5 years. But this includes all patients, including those who have lost little or no weight. How is the Band adjusted? The Band is tightened by accessing the port with a needle. This is most commonly done in the office. Some surgeons do it at the hospital under x-ray guidance, but this is generally not necessary, and makes the procedure much more expensive. For patients with very thick abdominal walls, it may be more difficult to find the port. In our office we have an ultrasound machine which makes it possible to access most ports without need for x-ray. Can I adjust my own Band? In theory, yes. But the answer is NO. NO. NO :confused: (you just know somebody has tried this at home) Why do I have to take Vitamins? The LapBand operation is purely restrictive, so technically you don't need to take vitamins if you are eating a healthy diet. On the other hand, by definition you are eating a hypo-caloric diet, one which will cause you to lose weight. Because of this, we worry that you won't get all the vitamins and minerals you need. This is the main reason we ask you to take vitamins after the surgery. What about the gallbladder? We don't remove the gallbladder unless you already have gallstones that are causing symptoms. Weight loss is slow and natural, so the risk of gallstones is not sufficiently elevated as to make gallbladder removal worth doing. Can the Band be rejected by my body? The Band is made of silicone rubber, and cannot be rejected. Of course it can become infected and require removal, but this is not the same as being rejected like a transplanted organ. What happens after I lose my weight? The Band causes you to lose weight by restricting your caloric intake to less than your caloric expenditure. As you lose weight, your calorie requirements diminish. Once intake matches expenditure, you stop losing weight. How long does the Band stay in? The Band stays in forever. If it is removed you will regain all the weight you lost. What is a slipped Band, and what causes it? There are two types of slippage; anterior and posterior. This refers to whether the front or back side of the stomach slips. There is something else called concentric pouch dilation, but this is not the same as slippage. Slippage or prolapse is when the stomach slides up through the Band, making the pouch bigger. If this happens the Band usually becomes too tight, and patients experience symptoms of reflux (heartburn) as well as nausea and vomiting. This is because the amount of stomach being “squeezed” by the Band is increased, thereby obstructing the Band. There are several causes. Posterior slippage was more common when the Band was placed by the “perigastric” technique. With this technique the back side of the stomach was free to slide up through the Band. These days most surgeons use the “pars flaccida” technique, which was developed to prevent posterior slippage, and has more or less eliminated the incidence of this problem. Anterior slippage is when the front of the stomach slips up through the Band. We try to prevent this by suturing the stomach below the Band to the stomach above the Band, “locking” the Band in place in the right spot. In spite of this, slippage still occurs. It can happen because we haven't placed enough stitches, or they haven't been placed in the right place. Slippage can also occur if patients eat too much and vomit frequently. How is a slipped Band diagnosed? Fortunately, this is very easy. Often the diagnosis is made based on the history alone. A patient who has been going along fine, with no problems, and then suddenly develops reflux symptoms or symptoms of a too-tight Band will most likely have a slipped Band. The diagnosis is easily confirmed with an x-ray and barium swallow examination. Endoscopy is rarely necessary. How is a slipped Band fixed? A slipped Band needs to be fixed with an operation. The Band has to be dissected out, all the sutures removed, and the position of the stomach made right. Some surgeons remove the Band and place it back through a new tunnel. Others just straighten things out and re-suture the stomach over the Band. What happens if the Band slips again? That's a tough one. One could certainly try to fix the slip again, but my personal view is that, for whatever reason, the Band is just not working for that particular patient, and ought to be removed. What is a Band erosion? This is when the Band actually erodes into the stomach. It is a more serious problem, and generally requires removal of the Band. Band erosion is thought to be related to placing too many sutures (or too tight sutures) at the time of Band implantation. Surprisingly, Band erosion is often unnoticed. Occasionally the port will become infected if bacteria track along the catheter out to the port. Other times patients will stop losing weight. Diagnosis often requires an endoscopy. What is concentric pouch dilation? This is technically not the same as slippage. In this case the pouch just seems to be enlarged. Sometimes partial emptying of the Band may help with this. What is esophageal dilation? This is when the esophagus enlarges over time, and is probably related to either too tight a Band, or possibly improper placement of the Band around the junction of the esophagus and stomach. This requires loosening or removal of the Band. What happens if my Band has to be removed because of complications or failure to lose weight? One option, of course, is to give up on weight loss surgery. Another option is to convert to another procedure such as Roux-en-Y gastric bypass. This can be done at the same time the Band is removed, and is generally done laparoscopically. If you have questions that have not been answered by this FAQ, please send them to me and I will try to answer them for you. Mark A Pleatman MD 43494 Woodward Ave. #202 Bloomfield Hills, Michigan 48302 Office Hours: 9:00 AM to 5:00 PM Phone: (248) 334-5444 Fax: (248) 334-5484 Email: pleatman@laparoscopy.com

I am on the other side! Going pretty good. Just a lot of gas pain in lung area. Can't walk hypo much bcuz my bp drops. Overall good! Excited now to move forward

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

It's funny... I've always wished I was hyper rather than hypo.. That way, the weight would just fall off... make it a great day Hope you get stable soon, krakow! make it a great day

hair loss is another thing that most (maybe all?) of us vets, in retrospect, wonder why we worried so much about. It's temporary - and for many of us, we're the only ones who notice the loss (I know some people lose a lot - a very noticeable amount - but most of us don't). It's a minor annoyance in the grand scheme of things. whether or not you need Spanx depends on where your loose skin is - and how much you have. I was apple-shaped, so I don't/didn't have much on my hips, butt, and thighs. Mine was almost all in my gut. And yes - I just tucked it into jeans or "tummy control" leggings, and always wore a slightly oversized, long-ish top. Ta da! Excess skin gone. I'm sure I was the only one who noticed it. Spanx would work, too, if you're not wearing something that it can be tucked into. as far as 500 calories, that's really just the first month or so. From about that point until maybe a year out, I was eating 600-800 calories a day, usually closer to 800. At around the year mark, I was at around 1000-1200. Now, in maintenance, I eat 1500-1700 a day. I did develop what we think was reactive hypoglycemia at about two years out, but I was told to eat something every 3-4 hours and, if I eat a carb, to be sure to pair it with a protein. That seemed to take care of it...

Dumping is diarrhea and that was not mentioned. Several other posts have these exact symptoms and more like reactive hypoglycemia where too much or little sugar in the system and insulin is released.

@It's all new Did you eat very low-carb during your weight-loss phase (first year)? A pattern I think I'm seeing is that those who a year or two after losing weight begin to suffer from post-bariatric reactive hypoglycemia are those who ate very low-carb for a long time. This doesn't happen to a lot of VSG patents (less than 10% -- maybe closer to 3% say some studies). But for those to whom it happens I understand it can really cramp your lifestyle. What do you know about this kind of hypoglycemia and its cause(s)?