My doc suggested I ask ya'll...

I, too, have had this experience, probably about a month or two ago, very reminiscent of menopausual hot flashes, I do know that fat stores estrogen and I have wondered if that was the culprit even though I am further out from surgery.  So it will be interesting to see what all you learn, based on the suggestions you were already given. . .  my bloodwork has been consistently good and I take my supplements as I am supposed to. . .  though I can admit to overeating the "bad" carbs within that time frame, so that might be what it was too. . .  I sure hope you get answers and more importantly a solution, so that you can enjoy the life you wanted as a result of having chosen this path.

  Sounds like the carbs are the culprit.  How many do you limit yourself to in a day? 

For me, it's all about the carbs.  If I eat too many of the bad ones, I have hot flashes within 20 minutes.  If I eat them before I go to bed, I wake up either flashing or sweating through my sheets.  My energy level varies wildly, but I'm finding that a lot of it is in direct relation to carb intake.

I hit menopause at age 39, stopped hormone replacement therapy 12 years ago, and had my rny 3-1/2 years ago.

Your post sounds like you're doing everything really well.  From the reponses you're getting, carbs may be the culprit.  I'd try tracking them, especially in the evening before you go to bed. 

It's a learning process, probably forever.....

Candy 

Thanks Candy,  Cutting the carbs is an easy fix and I'll get right on it.  I hope this is all it is, lol.

I also hope it is the carbs. some of the symptoms,feeling fine a coupler of days,then feeling bad,achy,etc for a few sounds like it might be RA or fibromylgia. I see they are checking you for that ,so you should know about that soon.

Good luck!

Holly

 I too have been on a roller coaster for the past year or so....  I'm now Hypo-glycemic and am currently having tests run to see of the pancreas is the culprit.  I have found out that the balance between carbs and protein is essential.  I don't have it all together ( and may never -lol).  

The Dr and the gal who runs the CAT Scan department said they are seeing more and more RNY and sleeve patients in their Dept due to pancreatic "situations".   I haven't posted any of this... easier to say nothing when I have so many thoughts wandering around.   I'll let you know when I find out the results.

Millie

Thanks Millie.  I suspect my sugar bottomed out the night I passed out in the kitchen a few weeks ago.  I need to get a new meter and start keeping an eye on that too.  I have been checking it randomly at work just to keep an eye on it and it has been ok during the day.  Every now and then I get this incredible urge to eat right now and figure my sugar is really low.  At least that's what would happen when I was still on my bs meds.  I just need to get a new meter and start checking it regularly again.  Let me know what they say about your pancreas.  Thanks, Sybul

Hi Sybul,
I don't know if your symptoms are related to your surgery or not.  So many of them mirror my own, and I know my issues are not related.  I'm no doctor, but I will tell you that the achy thing and feeling terrible for days on end, in my case, is from fibromyalgia and chronic fatigue.  Yep, I know we don't usually have to deal with that post-op, but some of us still do.  I do know extra vitamin D will help the achy thing.  It sounds to me like you need to look further.  In the meantime, I'll keep you in my prayers for a solution.  Blessings to you, Mary

Thanks Mary,  The doc is actually looking at that too.  She said that one of the tests she is running will be elevated if it might be fibromyalgia.  I hope not.  My surgeon asked me about it pre-op but since I never used to go to the doctor, I never had it investigated.  I just attributed all my aches, pains, and extreme fatigue to being almost 200 lbs overweight, lol. 

Anyone checked your estrogen and testosterone/progesterone levels? If they're outta balance.........

Otherwise, here's a list of labs to request. The problem might be something they're not testing for.

***




Not to be construed as medical advice, this list includes labs we have had performed as gastric bypass patients. The first group, every 3 to 6 months for life, as we are able. The second group, annually, as long as the results were comfortably within normal limits for more than 2 years in a row.



1st Group



*80053 Comprehensive Metabolic profile: (sodium, potassium, chloride, glucose,BUN, creatinine, calcium, total protein, albumin, total bilirubin, alkaline phosphatase, aspartate aminotransferase) (10231)

* 84134 Pre-albumin:

* 7600 Lipid profile: (cholesterol, HDL, LDL, triglycerides, chol/HDL ratio)

* 10256 Hep panel: includes ALT (SPGT) & GGT)

* 84100 Phosphorous - Inorganic: (718)

* 83735 Magnesium:

* 84550 Uric Acid: (905)

* 7444 Thyroid panel: (T3U, T4, FTI, TSH) (84437; 84443; 84479; 84480)

* 85025 Hemogram with platelets: (1759)

* 7573 Iron: TIBC, % sat

* 83550 Ferritin: (457)

* 84630 Zinc: (945)

* 84446 Vitamin A: (921)

* 82306 Vitamin D: (25-hydroxy) (680)

* 84052 Vitamin B-1: (Thiamin) (4052)

* 84207 Vitamin B-6: (Pyridoxine)

* 7065 Vitamin B-12 & Folate: (82607; 82746)

* 83970 Serum intact: PTH

* 83937 Osteocalcin:

* 84597 Vitamin K:

* 85610 PT:

* 85730 PTT:



2ND GROUP



* 593 LDH:

* 31789 Homocysteine, Cardio:

* 83921 MMA:

* 367 Cortisol:

* 84255 Selenium:

* 84590 Vitamin E:

* 82525 Copper:





For diabetics: *496 - HEMOGLOBIN A1C













POSSIBLE DIAGNOSIS CODES





269.2 Hypovitaminosis



268 Vitamin D deficiency



275.40 Calcium deficiency



266.2 Cyanocobalamin deficiency (B12)



281.1 other B12 deficiency anemia



281.0 Pernicious anemia



280.9 Iron-deficiency anemia



281.2 Folate deficiency anemia



285.9 Anemia, unspecified



269.3 Zinc deficiency



244.9 Hypothryoidism



250.0 Diabetes



401.9 Hypertension



276.9 Electrolyte and fluid disorders



272.0 Hypercholesterolemia

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - -



*579.3 Surgical malabsorption*



*579.8 Intestinal malabsorption *





* Bands or sleeves should not use these codes as they are not accurate.



*Some insurance companies will not pay for any procedure that uses these codes.





LAB TARGETS





This is NOT medical advice, just my own targets for the main blood levels I watch.



Protein: 7's

Albumin: 4's

Pre-Albumin: 20-30's



Iron: 80-100

Ferritin: 200-300

HGB: 12+

HCT: 36+



Vit A: 60- 80

Vit D: 80-120



Calcium: 9.0-9.4

PTH: 20-40



Vit B1: Mid to top of range

Vit B6: Mid to top of range

Magnesium: Mid range (but also go by if we have leg/foot cramping)

Zinc: Mid range



Vit B12: 1000 +

Folate: Top of range



AST (sgot): Below 40

ALT (sgpt): Below 40



We usually want to "meet or beat" pre-op levels. In some cases, higher is better, and in other cases (Cholesterol, PTH for example), lower is better.



The only things *I* don't mind being on the high end of out of range are Ferritin and B12. But that applies to ME.



My doctors don't show interest in any of these until I am out of range. *I* am interested when I begin heading that direction.