Guest guest Posted November 27, 1999 Report Share Posted November 27, 1999 Hey Bob, Sounds like you should be concerned. Are you anemic? I'm not a doctor (but I play one on the Internet). Are you taking your B12? I'd see a blood specialist ASAP. Bob Altman Biliopancreatic Diversion (A Very Distal RNY) on 10/8/98: Loss=206+ lbs) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 27, 1999 Report Share Posted November 27, 1999 Bob, Hope everything turns out OK. Keep us posted. We've come too far to let something interfere with our now normal lives. I'll be thinking of you as you search for the answers. Maybe others on the net will have some ideas or can consult with their docs on your behalf. Keep fighting the good fight. BobA Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 27, 1999 Report Share Posted November 27, 1999 Bob, I must echo 's comments about B12. My nutritionist put me on B12 shots before I even had the surgery. Pernicious Anemia will develop later on when B12 is not absorbed. Even with a proximal you will malabsorb B12. Our nutritionist works with our surgeon and has worked with WLS patients for years. I trust her knowledge in this area. The drop in blood sugar levels is amazing. Mine dropped so much that my diabetes is gone and my eyesight improved so much as a result that I've had to have my eyeglasses changed 3 times! Please take care of yourself my friend. Bob Altman Biliopancreatic Diversion (A Very Distal RNY) on 10/8/98: Loss=206 lbs) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 27, 1999 Report Share Posted November 27, 1999 Thanks, Bob According to the primary doc I am not anemic and he says my blood is all right. I have another appointment in a couple weeks I will double check with him. but I can't keep from thinking that he somehow is dropping the ball. Problem is that I can't make a move without his o k. and my b12 is suppose to be all right. I have never taken a B12. both the reg Doc. and the surgeon says I'm all right with that Sog (Bob) sog@... Re: Blood Work From: RAltman813@... Hey Bob, Sounds like you should be concerned. Are you anemic? I'm not a doctor (but I play one on the Internet). Are you taking your B12? I'd see a blood specialist ASAP. Bob Altman Biliopancreatic Diversion (A Very Distal RNY) on 10/8/98: Loss=206+ lbs) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 27, 1999 Report Share Posted November 27, 1999 Bob, I don't know the answer on the blood cells, but I do know that you can have symptoms of low blood sugar when it appears normal. Actually if your body is used to blood sugars in the 200s, a normal blood sugar feels like very low to your body...I think the low blood sugar thing takes getting used to for your body to feel normal when your test says normal...do you have a meter to check it yourself? The shakes certainly are a symptom of low blood sugar....did you try eating something....usually a high sugar or carb will bring you out of it and then you drop even lower....the best thing is the same thing we have to do to lose the weight...concentrate on the protein spaced not more than a few hours apart... Good luck to you...let us know what you find out on your bloodwork. in Nebraska Blood Work > > >Hello Group :-) >It turns out which I have known for quite some time now that this fellowship >is as if not more valuable then the medical profession itself. I am starting >to think that my Doc. is not paying attention or I am paying to much >attention and that is what he says. Two weeks ago I started to shake on a >sun. A.M. and it lasted for several hours and caused me to lose a day of >work and I am not a person to give up work in fact it as one of the >motivating factors for this surgery. When I got some tests from the doc. he >says that everything is all right. But I notice that the platelets in the >blood count has been going down steadily, the last time it was just a little >low at 123 the norm starting at 150 and now it is 87 from Aug to a week ago. >any thoughts and or input to this I would be grateful for. He says what the >shakes was from was a low sugar even though my blood sugar is all >right.(Gloucose 90 normal 65 to 110) > > > Sog (Bob) >sog@... > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 27, 1999 Report Share Posted November 27, 1999 One more thing, Bob, From what I read and what Jan and I have decided....B12 should be started immediately after surgery. The deficiencies don't show up for nearly a year, but then they are much harder to correct. Jan can chime in and give you the right " language " , but you need to get those B12 shots...once a month at the minimum, unless for some reason you are running really high....my surgeon said once a month forever. in Nebraska Blood Work > > >Hello Group :-) >It turns out which I have known for quite some time now that this fellowship >is as if not more valuable then the medical profession itself. I am starting >to think that my Doc. is not paying attention or I am paying to much >attention and that is what he says. Two weeks ago I started to shake on a >sun. A.M. and it lasted for several hours and caused me to lose a day of >work and I am not a person to give up work in fact it as one of the >motivating factors for this surgery. When I got some tests from the doc. he >says that everything is all right. But I notice that the platelets in the >blood count has been going down steadily, the last time it was just a little >low at 123 the norm starting at 150 and now it is 87 from Aug to a week ago. >any thoughts and or input to this I would be grateful for. He says what the >shakes was from was a low sugar even though my blood sugar is all >right.(Gloucose 90 normal 65 to 110) > > > Sog (Bob) >sog@... > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 27, 1999 Report Share Posted November 27, 1999 said: .....but you need to get those B12 shots...once a month at the minimum, unless for some reason you are running really high....my surgeon said once a month forever. ----------------------- I'm just wondering for those who do do the shots - are you still tested to see what your levels for B12 are? are they in a healthy range? I was taking sublingual daily and my B12 went sky high - on a scale of 300-900 mine was up to 1810 so I had to stop taking them. what led me to start was that I was tired and it was my low iron, which didn't show up as low initially on bloodwork. now its corrected with a time released iron pill taken daily. [i tried ones that were not time released and my levels fell even further.] there is also B12 and C in the time released iron pill. I guess my point is that not everyone needs the extra B12 - at least not according to my bloodwork - I didn't need it. Sue Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 27, 1999 Report Share Posted November 27, 1999 Bob, I've been doing some investigation because of my own low iron & because myself & 2 other WLS'ers have gotten Restless Legg Syndrome (RLS) ... here's a small contribution directly copied from a pamphlet I got from my hemotologist (for what its worth): There are 3 basis types of cells that " swim around " in your blood 1) red cells, 2) white cells & 3) platelets. It takes all three types of cells working properly together to perform your blood's vital bodily tasks. Red: these are the greatest number of blood cells & are made in the bone marrow & main job is to carry oxygen. Red cells have an iron-containing substance called hemoglobin that gives your blood its red color, & gives red cells their ability to take up oxydent in the lungs. White: Made in bone marrow & in certain lymphoid tissues. White cells are larger than red cells & are fewer in number. Main role is to safeguard body against infection & disease. Platelets: The smallest cells & are responsible for clotting. Platelet Deficiency: a shortage of platelets in the blo0d is called " thrombocytopenia " and results in leaks in the blood-vessel walls. Signs of platelet deficiency include easy bruising. I just looked at a copy of my last blood test & its says 385 K/ul for platelets... I think doctors don't pay attention when its something they are unfamiliar with. I would find a reputable hemotologist... take a copy of your blood test to her/him... ask them for help & refer you to another doc as needed. Please keep looking into this. Request a legible copy from every test you get from every doctor. I have all of my counts if you ever want to compare numbers with me... Wishing you well, Trish Sog wrote: > attention and that is what he says. Two weeks ago I started to shake on a > sun. A.M. and it lasted for several hours and caused me to lose a day of > work and I am not a person to give up work in fact it as one of the > motivating factors for this surgery. When I got some tests from the doc. he > says that everything is all right. But I notice that the platelets in the > blood count has been going down steadily, the last time it was just a little > low at 123 the norm starting at 150 and now it is 87 from Aug to a week ago. > any thoughts and or input to this I would be grateful for. He says what the > shakes was from was a low sugar even though my blood sugar is all > right.(Gloucose 90 normal 65 to 110) > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 27, 1999 Report Share Posted November 27, 1999 Bob, I hope your doctors are right, but this is one time you don't have to completely rely on their word. If you don't have them, call the receptionist at the doctors office (or drop by) & ask if she would please mail you a copy of all your blood tests... you can see these things for yourself. It may not be anything big, but shaking does not sound typical... I would find another doctor who understands or will investigate to see what this might mean. If you have to rely on his referral to another doctor (hmo - type insurance), please tell him you WANT him to refer you, even if he doesn't want to... all he can do is say " no " , but please say the words & ask... I sure hope a list member(s) has a thought or direction that might lead to help. Trish > > According to the primary doc I am not anemic and he says my blood is all > right. > I have another appointment in a couple weeks I will double check with him. > but I can't keep from thinking that he somehow is dropping the ball. Problem > is that I can't make a move without his o k. and my b12 is suppose to be all > right. I have never taken a B12. both the reg Doc. and the surgeon says I'm > all right with that > Sog (Bob) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 27, 1999 Report Share Posted November 27, 1999 Since everyone is talking about blood work and all I have been told that I have low blood sugar. At times I shake, sweat and feel like I am going to faint and get dizzy and feel terrible. Anybody else with this problem and what do you do? It just comes out of no where. My ears also ring. Sue in Phoenix RNY 04/22/97 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 27, 1999 Report Share Posted November 27, 1999 These darn doctors... I keep asking for a full chemistry test, & when the test comes back I find that not everything was tested. I received irregular shots after 9/97 rny... tested 5/98 & count was 992 which *is* high.... haven't been tested since... some people definately need B-12 help, but I'm not sure that I am one of them... Trish Sue Rudnicki wrote: > I'm just wondering for those who do do the shots - are you > still tested to see what your levels for B12 are? are they > in a healthy range? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 27, 1999 Report Share Posted November 27, 1999 The doc said something similar to this. I have never had a high blood sugar. always on the low normal side. When this happened my sister gave me some coke and she said that it seemed to have bring the shakes to a stop. That's why the doc said it was a low blood sugar Blood Work > > >Hello Group :-) >It turns out which I have known for quite some time now that this fellowship >is as if not more valuable then the medical profession itself. I am starting >to think that my Doc. is not paying attention or I am paying to much >attention and that is what he says. Two weeks ago I started to shake on a >sun. A.M. and it lasted for several hours and caused me to lose a day of >work and I am not a person to give up work in fact it as one of the >motivating factors for this surgery. When I got some tests from the doc. he >says that everything is all right. But I notice that the platelets in the >blood count has been going down steadily, the last time it was just a little >low at 123 the norm starting at 150 and now it is 87 from Aug to a week ago. >any thoughts and or input to this I would be grateful for. He says what the >shakes was from was a low sugar even though my blood sugar is all >right.(Gloucose 90 normal 65 to 110) > > > Sog (Bob) >sog@... > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 27, 1999 Report Share Posted November 27, 1999 Thanks...Will do Re: Blood Work From: RAltman813@... Bob, Hope everything turns out OK. Keep us posted. We've come too far to let something interfere with our now normal lives. I'll be thinking of you as you search for the answers. Maybe others on the net will have some ideas or can consult with their docs on your behalf. Keep fighting the good fight. BobA Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 27, 1999 Report Share Posted November 27, 1999 Now that you say that. I notice that I can read without glasses now Re: Blood Work From: RAltman813@... Bob, I must echo 's comments about B12. My nutritionist put me on B12 shots before I even had the surgery. Pernicious Anemia will develop later on when B12 is not absorbed. Even with a proximal you will malabsorb B12. Our nutritionist works with our surgeon and has worked with WLS patients for years. I trust her knowledge in this area. The drop in blood sugar levels is amazing. Mine dropped so much that my diabetes is gone and my eyesight improved so much as a result that I've had to have my eyeglasses changed 3 times! Please take care of yourself my friend. Bob Altman Biliopancreatic Diversion (A Very Distal RNY) on 10/8/98: Loss=206 lbs) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 27, 1999 Report Share Posted November 27, 1999 I have print outs of all my blood work. The surgeon from Boston is thorough and does lots of tests but my pcp from Salem is a cheapo and does fewer tests. That's why I like the surgeon but my pcp is starting to hedge on the referral. I have appts.with both and if my pcp does not snuff the visit I will hopefully get somewhere and I'll ask about the B12. but I've asked in the past and they both have said that I am all right with that Re: Blood Work From: zedora@... These darn doctors... I keep asking for a full chemistry test, & when the test comes back I find that not everything was tested. I received irregular shots after 9/97 rny... tested 5/98 & count was 992 which *is* high.... haven't been tested since... some people definately need B-12 help, but I'm not sure that I am one of them... Trish Sue Rudnicki wrote: > I'm just wondering for those who do do the shots - are you > still tested to see what your levels for B12 are? are they > in a healthy range? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 27, 1999 Report Share Posted November 27, 1999 Another thing you can try (unless you don't tolerate it well) is cheese...as the fat tends to stabilize the sugar....please don't flame me....I know very well from personal experience that this works for people with really bad low blood sugar problems. There is a really good book on this subject...Diabetes Solution by Dr. Bernstein...really explains what happens with food and low blood sugar. in Nebraska Blood Work > > >> >> >>Hello Group :-) >>It turns out which I have known for quite some time now that this >fellowship >>is as if not more valuable then the medical profession itself. I am >starting >>to think that my Doc. is not paying attention or I am paying to much >>attention and that is what he says. Two weeks ago I started to shake on a >>sun. A.M. and it lasted for several hours and caused me to lose a day of >>work and I am not a person to give up work in fact it as one of the >>motivating factors for this surgery. When I got some tests from the doc. he >>says that everything is all right. But I notice that the platelets in the >>blood count has been going down steadily, the last time it was just a >little >>low at 123 the norm starting at 150 and now it is 87 from Aug to a week >ago. >>any thoughts and or input to this I would be grateful for. He says what the >>shakes was from was a low sugar even though my blood sugar is all >>right.(Gloucose 90 normal 65 to 110) >> >> >> Sog (Bob) >>sog@... >> >> > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 27, 1999 Report Share Posted November 27, 1999 Ah, higher blood sugars cause eye problems which have now probably disappeared for you!!! in Nebraska Re: Blood Work > > >From: RAltman813@... > >Bob, > >I must echo 's comments about B12. My nutritionist put me on B12 shots >before I even had the surgery. Pernicious Anemia will develop later on when >B12 is not absorbed. Even with a proximal you will malabsorb B12. Our >nutritionist works with our surgeon and has worked with WLS patients for >years. I trust her knowledge in this area. > >The drop in blood sugar levels is amazing. Mine dropped so much that my >diabetes is gone and my eyesight improved so much as a result that I've had >to have my eyeglasses changed 3 times! > >Please take care of yourself my friend. > >Bob Altman >Biliopancreatic Diversion (A Very Distal RNY) on 10/8/98: Loss=206 lbs) > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 28, 1999 Report Share Posted November 28, 1999 Thank you very much Blood Work > > >> >> >>Hello Group :-) >>It turns out which I have known for quite some time now that this >fellowship >>is as if not more valuable then the medical profession itself. I am >starting >>to think that my Doc. is not paying attention or I am paying to much >>attention and that is what he says. Two weeks ago I started to shake on a >>sun. A.M. and it lasted for several hours and caused me to lose a day of >>work and I am not a person to give up work in fact it as one of the >>motivating factors for this surgery. When I got some tests from the doc. he >>says that everything is all right. But I notice that the platelets in the >>blood count has been going down steadily, the last time it was just a >little >>low at 123 the norm starting at 150 and now it is 87 from Aug to a week >ago. >>any thoughts and or input to this I would be grateful for. He says what the >>shakes was from was a low sugar even though my blood sugar is all >>right.(Gloucose 90 normal 65 to 110) >> >> >> Sog (Bob) >>sog@... >> >> > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 29, 1999 Report Share Posted November 29, 1999 In a message dated Sat, 27 Nov 1999 1:50:51 PM Eastern Standard Time, " Sog " writes: > > > Hello Group :-) > It turns out which I have known for quite some time now that this fellowship > is as if not more valuable then the medical profession itself. I am starting > to think that my Doc. is not paying attention or I am paying to much > attention and that is what he says. Two weeks ago I started to shake on a > sun. A.M. and it lasted for several hours and caused me to lose a day of > work and I am not a person to give up work in fact it as one of the > motivating factors for this surgery. When I got some tests from the doc. he > says that everything is all right. But I notice that the platelets in the > blood count has been going down steadily, the last time it was just a little > low at 123 the norm starting at 150 and now it is 87 from Aug to a week ago. > any thoughts and or input to this I would be grateful for. He says what the > shakes was from was a low sugar even though my blood sugar is all > right.(Gloucose 90 normal 65 to 110) > > > Sog (Bob) > sog@... ******************** Bob, I have low blood sugar AND anemia and I have not experienced the symptons you've described. Low blood sugar and anemia both make you feel very tired but you don't really get the shakes from it. I did miss work the first day of my menstrual cycle a month ago because my anemia is quite bad and I could hardly get out of bed because I was so tired. I have been taking large dosed of vitamins/minerals since and didn't experience as much of a " run down " feeling this last time around. However I have had " dumping " reactions to food that have resulted in the shakes and a clammy, " flu-like " feeling. And yes it also knocked me off my butt and I had to go home sick one day at work because of it. Are you sure it might not have been a reaction to something you ate (or perhaps because you didn't eat for a long time). I know if I go too long without food I get shaky and feel sick. I try to eat something every 3-4 hours or so. It's worth investigating further. Shakes and tremors can be symptoms of a more serious problem. Betty D. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 29, 1999 Report Share Posted November 29, 1999 Thanks for the response, The more I find out about this and listen to " my people here in this group " I think it's a combination of things but mostly dumping because I've noticed and other people are reporting that a couple years down the road we can develop more sensitivities. And the morning this happened I had some very sweet cereal because it was there and I was in a hurry. And one thing that I forgot to say was that when they opened me up on 6/6/97 they found that I have cirrhosis of the liver and the doc said that makes a low blood sugar even lower and that people with liver disease tend to have low blood sugar. Re: Blood Work From: Valadybnkr@... In a message dated Sat, 27 Nov 1999 1:50:51 PM Eastern Standard Time, " Sog " writes: > > > Hello Group :-) > It turns out which I have known for quite some time now that this fellowship > is as if not more valuable then the medical profession itself. I am starting > to think that my Doc. is not paying attention or I am paying to much > attention and that is what he says. Two weeks ago I started to shake on a > sun. A.M. and it lasted for several hours and caused me to lose a day of > work and I am not a person to give up work in fact it as one of the > motivating factors for this surgery. When I got some tests from the doc. he > says that everything is all right. But I notice that the platelets in the > blood count has been going down steadily, the last time it was just a little > low at 123 the norm starting at 150 and now it is 87 from Aug to a week ago. > any thoughts and or input to this I would be grateful for. He says what the > shakes was from was a low sugar even though my blood sugar is all > right.(Gloucose 90 normal 65 to 110) > > > Sog (Bob) > sog@... ******************** Bob, I have low blood sugar AND anemia and I have not experienced the symptons you've described. Low blood sugar and anemia both make you feel very tired but you don't really get the shakes from it. I did miss work the first day of my menstrual cycle a month ago because my anemia is quite bad and I could hardly get out of bed because I was so tired. I have been taking large dosed of vitamins/minerals since and didn't experience as much of a " run down " feeling this last time around. However I have had " dumping " reactions to food that have resulted in the shakes and a clammy, " flu-like " feeling. And yes it also knocked me off my butt and I had to go home sick one day at work because of it. Are you sure it might not have been a reaction to something you ate (or perhaps because you didn't eat for a long time). I know if I go too long without food I get shaky and feel sick. I try to eat something every 3-4 hours or so. It's worth investigating further. Shakes and tremors can be symptoms of a more serious problem. Betty D. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 29, 1999 Report Share Posted November 29, 1999 Can you recommend a time-released iron supplement? I'm having trouble complying with my Dr's recommendation to take iron and a time-released pill might take away the need for three pills a day. Also, I'm only getting B-12 once every 3 months (and I've only just started that three months ago, despite my surgery date 6 months prior to that on 2/4/99). The supplements issues worry me because I used a surgeon who is not a WLS surgery specialist. He mostly uses RNY to treat stomach cancer rather than for weight loss. As a result, my only support network is here and through my own independent research. Part of the complicating factor is that I *am* having some very new symptoms I'd like help with: fatigue, decreased libido, hair loss, poor color. zzzz, -Hillary (now 10 lbs. below my original goal and still loosing, still looking like I can loose more) At 05:07 PM 11/27/99 -0500, you wrote: > > > said: >....but you need to get those B12 shots...once a month at >the minimum, unless for some reason you are running really >high....my surgeon said once a month forever. >----------------------- >I'm just wondering for those who do do the shots - are you >still tested to see what your levels for B12 are? are they >in a healthy range? >I was taking sublingual daily and my B12 went sky high - on >a scale of 300-900 mine was up to 1810 so I had to stop >taking them. what led me to start was that I was tired and >it was my low iron, which didn't show up as low initially on >bloodwork. now its corrected with a time released iron >pill taken daily. [i tried ones that were not time released >and my levels fell even further.] there is also B12 and C in >the time released iron pill. >I guess my point is that not everyone needs the extra B12 - >at least not according to my bloodwork - I didn't need it. >Sue > > --------------------------- Hillary M. Russak Technical Writer Stanford Linear Accelerator Center hrussak@... '97 R1100RT, DoD #2106 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 29, 1999 Report Share Posted November 29, 1999 >Can you recommend a time-released iron supplement? I'm having trouble >complying with my Dr's recommendation to take iron and a time-released pill >might take away the need for three pills a day. -------- I'm taking Fetrin which is distributed by Lunsco who just happens to be about 20min. up the road from here. I assume they are only 'distributors' and not the manufacturer but Fetrin is the name - it's iron with vit. B12 and vit. C in it. I take two each night and they are time released. Sue Quote Link to comment Share on other sites More sharing options...
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