Question:
How much sugar causes the "dumping syndrome"?

I'm 3 months post op and gave into my first dessert today expecting the dumping syndrome et al. NO reaction other than extreme guilt and concern because my body didn't negatively react... I have successfully avoided sugar for 3 months and I guess was a bit curious when we were at another social event today and another yummy dessert was placed before me... I seem to be able to hold down larger portions, more foods, and now sugar! I've lost 70lbs. since June and don't want to go back up, so I'm a little scared! I think I'm in control and didn't allow this fall to lead me into bindging afterwards. I'm ready to learn from my mistake and move on, but was just wondering if I'm alone in this? Any suggestions? Thanks!    — zoeysgrami (posted on October 15, 2006)


October 15, 2006
This is a great question. Finally, a question that has not been asked. Thank You.
   — [Deactivated Member]

October 15, 2006
Its EXTREMELY individual! I am over 5 years out. General rule sugar fat combo is generally worse than sugar or fat alone. Ice cream is a example of a BAD combo. I dump mildly, but one day I ate a single small brownie at a church flea market and felt like I died. Had to be driven home, slept for a couple hours, woke up feeling fantastic. others report feeling really good after serious dump. Its better if you hadnt found out you didnt dump, about 1/3 never dump. I WISH I dumped bad all the time.
   — bob-haller

October 15, 2006
Hi! I am 3 days out (yay me!) and having absolutely NO problems except for the yucky face my husband makes when he changes the bandage where my drain was... On the sugar-- My brother is 3 years out, and recently found out he doesn't have any adverse reaction to sugar, his mortal enemy. I can take it or leave it, but he had a real problem with chocolate. So yea, it's an individual thing, and I'd be curious to see stats on that! Vanessa
   — vosh

October 15, 2006
DO NOT GO THERE!!! One little bite turns into another bite & than you are right back to th way you were eating before you had the surgery. Treat Sugar as posion always & you will be so much better off. O am 2 1/2 years out & have regaine 30 lbs I did not touch it for 8 months than a little here & little there & no problems. I can eat anything & quite a bit At one meal. Make strict rules & Keep them as when this honeymoon period ends things get much harder & if you are not set on a new way of living & eating the surgery will not work for you. Don't give into your old habits trying to tell you it all right to do. It is not. It will hurt you down the road. Take care & hope this helps. Marilyn, the Bearlady
   — Marilyn C.

October 15, 2006
For me, I think it is even on an individual occurrence basis. I have given in to temptation before with no ill results, yet there were times when I barely had a bite of something with sugaar and became violently ill. So the question, for me, is...if this does make me sick, is it worth it and do I have time for it. Most of the time I answer no and avoid it. Sometimes the temptation gets me and I give in, sometimes with no problem yet sometimes I pay for it. So just because you ate something once and it didn't bother you doesn't mean you can eat anything you want without ever dumping. But even if you never do dump, just because you can eat something doesn't mean you should. So try to remember why you had the surgery and resist the temptations when possible and eat healthy. Be careful, sugar can sneak up on you and hit you out of the blue one day. Best wishes for health and happiness always.
   — djfoz

October 15, 2006
I am 15 months out and have lost 175 pounds. I have not tasted sugar in almost 2 years. I am afraid that I will not dump either. I know that sugar is a big weakness of mine. And so I refuse to try it. There are so many good tasting desserts out there with splenda in them that I see no reason to take a chance. I am afraid that if I taste it and don't get sick from it I will never stop eating it again. Whenever a sugar dessert is presented to me or if I see some that I can choose I ask " is there sugar in that" if the answer is yes, I say "please, no thank you, sugar makes me deathly ill." Please love yourself enough to never put sugar in your mouth again, Rita
   — Incredibleshrinkinglady

October 15, 2006
I am a registered dietitian with several years of bariatric surgery experience and would like to add some extra comments on this question. As previously stated, it is very individualized and can vary from food to food. We generally recommended a limit of 4-6 grams of sugar (not carbohydrate) per meal time right after surgery. Many people after the first 12-18 months would find that they may tolerate up to 15 grams of sugar at one time. However, many would not be able to progress from the 4-6 gram range and even worse there were SEVERAL people that could tolerate as much as they ate. I would also like to add, those who found out they could tolerate "unlimited amounts of sugar" 1 were not happy to find that out and 2 it made it much more difficult from them to avoid. I recommend, just don't push to see how much you can tolerate out of curiosity. Also, usually with that first or second introduction time of sugar you really don't consume very much out of fear...just tell yourself a bite or two EVERY NOW AND THEN is ok, but that 3rd bite will make me not feel well (physically or emotionally). Good luck and congratulations on your weight loss!!
   — RDatUNJURY

October 15, 2006
I am 2 and a half years post-op. I have not regained any of my weight and I eat what I wan't. I have not ever had the dumping syndrom. I have felt really light headed and weird after eating certain sugary items. I can eat a small piece of cake and it not bother me. I do not eat sweets on a daily basis just in moderation. My husband on the other hand is 2 and a half years post op and he can only tollerate certain sugars and in small amounts. If you need any help please feel free to e-mail me at any time. Godd luck and God bless you on your journey.
   — red_neck_girl561

October 15, 2006
I'm right about where you are - surgery in June, about 70 pounds lost.. I rarely dump - or what I consider dumping - a violent reaction with sweating, pain, etc. I do find that if I munch on processed carbs in general (including sugar), I find myself very low energy, very tired. It's taken me a while to corelate that to the processed carbs but I don't like that feeling and it takes me days to get over it. So I try to avoid them for that reason.
   — KC

October 16, 2006
As everyone said, it is individual and it can also vary from day to day. One day something is fine, then the next I get sick. Just because you got away with it once doesn't mean it will be the same experience the next time. Different sugars react differently to me also. Muffins or cake will make me sick most of the time but hard candy and chewy things don't. Thin pizza crust will make me sick over thick. For me, it depends on how quickly the carb (not just sugar) exits the pouch into the intestine. Now as for avoiding sugar: That too is an individual thing. Everyone has their own path that they have to navigate where they think they will find long term success. For me, I lived my life dieting and avoiding certain things in fear of going nuts and gaining weight back. I would diet, then "fall off the wagon" and binge on what I "shouldn't" eat. For me, I had to change my relationship with food in order to feel like I could succeed. What that means for me is allowing myself some of my trigger foods from the past. It takes knowing yourself in order to find that comfort zone though. I've been through a lot of counseling to understand myself and that has helped a lot. But apparently there is a new diet method out there that is very similar to what I started to do. It involves surrounding yourself with your triggers at all times, and eventually the compulsion goes away. I have sugar/candy and such all over the house. Because it's there all the time, I'm not really interested in it. But if I want something, I will have a bite size candy bar...and that's all I need/want. I don't focus on it so much anymore and I don't binge like I used to. My past was filled with deprivation and bingeing. When you take away the deprivation, the bingeing can subside. It doesn't mean you don't have to put effort in to continue losing weight, but not having anything completely off limits keeps you from feeling that deprivation that triggers the "falling off the wagon." So I allow myself a little bit here and there. I started off at 325 and am 181 now. My goal was 150 and I haven't made that after 2.5 years, but I do continue to lose a little here and there. I've lost maybe 10 lbs in the last year...after my honeymoon was over. So for me, keeping myself getting on the scale and watching it if I start to creep up, not having anything 100% off limits and trying to keep my wits about me has helped me a lot. For you it may mean avoiding these things altogether. But if you have already tested those waters, you may find yourself needing to re-evaluate how this will work for you. The goal is to keep yourself from bingeing on the foods because that is where most of the damage will occur. That and eating these kinds of food all day long. Also, you want to watch for late dumping syndrome which is hard to recognize at first. You may find a few hours after eating that you are having what feels like a hot flash....very hot, sweating and weak and shakey. That is essentially hypoglycemia and you'll need to eat some crackers or something carby to bring your blood sugar up. Something with a bit of protein & carb will help bring up the blood sugar and help keep you from rebounding again. Some choose peanut butter crackers. I didn't start having this until about 18 months out myself, so it was long enough that I didn't recognize what was going on right away. Good luck to you and try not to obssess on all this stuff. That is what we've done for years and that is why many people are overweight. For me, taking the focus off food is what I needed to do. That means getting rid of the "dieting" mentality.
   — Dinka Doo

October 16, 2006
After bypass surgery you can range from no dumping at all to extreme distress. Many people fall somewhere in between. For instance, unless it is a GREAT deal of refined sugar (that makes me feel a little icky), my symptoms are usually gas, gas pain and diarrhea because my body simply doesn't process sugar the way it used to. So if you have different symptoms than just the extreme distress, they could just be your version of dumping. But believe me when I say, even the bad gas will be enough for you to avoid those foods or else nobody will ever want to spend time around you! :)
   — j_coulter

October 16, 2006
I was one of those brutal sugar addicts who could binge on donuts (glazed crellars were a favorite as were Little Debbie bonut Sticks), ice cream and chocolate. As a result, I have needed to establish very bright line rules about avoiding sugar-- given my addictive past with it, I don't view myself as being deprived, I just explain to myself that for me sugar was poison (I don't complain that I can't drink antifreeze which is also sweet for the same reason). I found out early one that I dump on even trace amounts of sugar (found out the hard way in church taking a sip of the grape juice used for a communion Sunday celebration), so it is relatively easy to avoid. Fortunately, I have coffee to fill the void that desserts once filled.
   — SteveColarossi

October 16, 2006
Oct 17th will be my one year!!! I have to say I had my first taste of surgar about 4 mths after surgery and didn't really get sick but a bit shaky, I can drink sweet tea but I hardly use any surgar but I am staying at 135 pounds with no problems. I can eat just about anything just can't eat allot of it. It's best not to get used to eating like you used to but for myself I tend to treat myself once in a while to something good. I did found out that milk shakes and ice cream is a BIG No No for me so far I stay away from it and I kinda miss it but my body tells me otherwise! For being 3 mths after you surgery I would strickly stay on your diet and do all you can the first year is very important. I have no health issues any more thank God but having back, hip and leg pain which really never went away but when your heavy Dr.s seem to point out that is the only reason why you hurt in my case any ways so I am currently working out on finding why I am in pain! Best of luck to you hun...
   — TracyDubyak

October 17, 2006
I'm 12 yrs out. Our technical limit was 6g per meal. That includes natural sugars, like fruit, milk, etc. That was the official rule that I followed for at least 2 yrs. I still dump, and have in fact reset my dump-o-meter so that it is very sensitive again. BUT over time, a little sugar here, a little sugar there, wasn't making me fat, wasn't making me dump and PRESTO, I could eat a lot of sugar (maybe 30g?). That is not a brag or a good thing. That's kinda like running to many red lights that you don't even notice them any more, you know? Very bad. And sooner or later, you get nailed. I've had 3 wt gains, now. Straight sugar, fruit, and the final one, FUDGE. Um, what part of "no sugar" is fudge? The first 2 times the extra lbs fell off as soon as I went cold turkey on sugar. But THIS time, it's been a LONG time since sugar passed these lips and I've only lost a few of the fudge pounds. (10 total, mostly 8 now). I had to keep testing, keep testing. Or the cravings got me. Or I thought I was bullet proof or, or, or. Whatever, it's done and I can't undone it now!
   — vitalady

October 20, 2006
Oh MY!!! Anything over 3 grams of sugar. Sick! Sick!! Sicker!!! Terribly Sick!!! Dumping syndrome, and I'm almost 5 years out.
   — tatterpuddin

January 7, 2007
I am only 2 months post-op and tried sugar and did not get the dumping, I almost wish I did. I have lost 35lbs even though I have had sugar a few times. I wonder if I will still lose weight?
   — angel19




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