My advice would be if it makes you dump avoid it , there has to be a reason your body is rejecting it. Don't try to mask it with pills or other things it will still happen. Late dumping... ....has to do with the blood sugar level. The small bowel is very effective in absorbing sugar, so that the rapid absorption of a relatively small amount of sugar can cause the glucose level in the blood to "spike" upward. The pancreas responds to this glucose challenge by "cranking up" its output of insulin. Unfortunately, the sugar that started the whole cycle was such a small amount that it does not sustain the increase in blood glucose, which tends to fall back down at about the time the insulin surge really gets going. These factors combine to produce hypoglycemia (low blood sugar) which causes the individual to feel weak, sleepy, and profoundly fatigued. Late dumping is the mechanism by which sugar intake can create low blood sugar, and it is also a way for gastric bypass patients to get into a vicious cycle of eating. If the patient takes in sugar or a food that is closely related to sugar (simple carbohydrates like rice, pasta, potatoes) they will experience some degree of hypoglycemia in the hour or two after eating. The hypoglycemia stimulates appetite, and it's easy to see where that is going.... The reason that sugar does not cause dumping in non-operated people is that the stomach, pancreas, and liver work together to prepare nutrients (or sugar) before they reach the small intestine for absorption. The stomach serves as a reservoir that releases food downstream only at a controlled rate, avoiding sudden large influxes of sugar that can occur after a Roux-en-Y. The released food is also mixed with stomach acid, bile, and pancreatic juice to control the chemical makeup of the stuff that goes downstream and avoid all the effects outlined above

I was a runner in my college days and the first half of my 20's. I started running again about a month ago and things have been going well. I am working up to running, non-stop for 20 minutes, then I will set a new goal. I get in extra fluids on the days I run, as well as the day after. I have a problem with dehydrating very quickly and then having black outs. I also do a protein shake or bar after working out and eat a light meal about an hour or so before running. As far as working up to running a distance....start slow and do intervals of walking and a light jog. I push myself as far as I can go, then go to a fast walk while checking my pluse. I walk for 30 seconds to a minute and then run again for 1 to 3 minutes. After the 20 minutes of intervals (I am up to 13 minutes of running with in 20 minutes), I will either do another 10-15 minutes of walking at a steep incline on the treadmill (I set the incline high, then bring it down a 1/2 setting every 30 seconds or a whole setting every minute until its time to cool down). Sometimes I will warm up before running on the eliptical for 20 to 30 minutes, or on the day I don't run, I will do 50 to 65 minutes on the eliptical. Also, weight training is important. I do a whole body weight training workout 2 to 3 times per week which usually takes me 45 to 60 minutes. Start with whatever works for you. You don't want to push too hard, but you do want to push hard enough to challenge yourself. You may also want to work with a personal trainer to get you started on a program. Make sure you warm up and cool down and really do some good stretching afterwards. And...enjoy yourself!! Have fun running!! Heather

Yep. I am having problems with Iron, too. I was told to double my iron supplement and also added a chewable prenatal vitamin with minerals to my vitamin regimen every day. That might be something to look into. I go in for a check in another 3 months to see what it is doing. Hopefully, it will be up! Here's hoping. Good luck to you! Let me know how things turn out for you. I heard that if it gets too low and they can't get it up, they put you on injections or periodic IV. Somehow, they'll get it in us!

Hey Christine, I have also been there, I am 7 months out and about 6lbs away from the 100 mark! I go through a bit of that every month, I drop a few lbs in a week then sit like a duck for like 2 weeks, somehow it picks up right at the end of the month! It's like my body knows 'she's gonna blow a gasket if we don't pick up the pace!' I concur with the other ladies, you definatly need to start getting into the habit of hibitual exercise... you think it's rough now.. this is how it will be from here on out- MAJORLY dependent on exercise. The weight loss slows and if your not doing your part it will stay slow or constant. I see that now if I decide to skip the gym-granted the scale doesn't go up but it's the honeymoon phase, milk it for all it's worth sister! Good Luck!

Wow, Karen...WTG!! That sounds great but I'm already up at 5. Maybe I'll have to give up one of my jobs in favor of going to the gym. Some nights I don't get home until 7 and they're all closed then. I live in a pretty rural area. I guess it's time to get religious about my workout dvd's. Summer will be better. Most of my piano students take the summer off and I will have much more time then. Thanks for responding! Chrissy