WLS Center E-Newsletter

A FREE publication from


Hosted by Barbara Thompson
Author of:
Weight Loss Surgery:
Finding the Thin Person Hiding Inside You.

Issue #121

July 15, 2007

Barbara Thompson
The Voice of Obesity

Hello Everyone,
Because there are so many thousands of you who read this newsletter, this is a great forum to learn from each other. I had previously received a few emails from people describing their problems with reactive hypoglycemia with a request to see how many others suffer from this. When I asked for emails regarding this, I received many.  This condition is not as rare as I would have thought. And what is also surprising is that it often occurs years after surgery. I have included many of the responses in the article below.

Hope you are enjoying your summer!

In This Issue


* Reactive Hypoglycemia
* Blogging Along
* Obesity Sensitivity

* Summer Sale

* Recipe: Low Calorie Shrimp Salad  
* Success Story: Kathy Roat

Reactive Hypoglycemia

In the last newsletter, I asked for those who are suffering from reactive hypoglycemia to write in and I received many replies.  Hypoglycemia is low blood sugar and normally occurs after fasting. Reactive hypoglycemia is hypoglycemia that occurs within 4 hours of eating and is a very serious condition requiring a doctor’s supervision. Patients may feel sweaty, shaky, dizzy, hungry, nervous, confused, sleepy or flushed. It can be very dangerous and even cause seizures and coma. Some don’t develop symptoms until years after their surgery.

Ordinarily after you eat, food stays in your stomach for a long period of time and is slowly released into the intestines. After gastric bypass surgery, much of what we eat goes rapidly into the small intestines and there is a rapid absorption of carbohydrates. This rapid absorption is followed by a big insulin release which can drive the blood sugar level very low.

The treatment is a dietary adjustment. This includes more frequent meals of protein and complex carbohydrates rather than simple carbohydrates which are broken down rapidly and cause your glucose to spike and bottom.

Two excellent books on this topic are The Low Blood Sugar Handbook by Patricia Krimmel and Hypoglycemia for Dummies by James Chow.

To read what some patients who have reactive hypoglycemia have to say, click here.



Blogging Along

If you haven’t stopped by my Blog lately, please do.  There are some new articles there such as the one on Robby the Robot, MD.  And please feel free to leave me some comments or pass the blog article on to others. I would love to hear your thoughts on any of these topics.

You’ll see new posts on:
Having a robot for a surgeon
Tailbone pain
Starting life after surgery
When hunger returns

Visit my blog at http://weightlosssurgeryblog.net/

Obesity Sensitivity

Bariatric Coordinators

Does your hospital need obesity sensitivity training and do you feel it would be more effective coming from someone other than you? Call me about speaking. Sponsorships are often available!

412-851-4195 or Barbara@WLScenter.com

Summer Sale

This is the last newsletter that this sale will appear in,
so take advantage of this great sale now!

For the month of July, my books and CDs are 10% off.  To receive the discount, enter the Code word Summer just above where you enter your credit card number on my shopping cart

To reach my shopping cart, go to http://www.wlscenter.com/1shopmain.htm

Here is a Summer tip for those of you
who are having problems with Emotional Eating.
(Don't forget the code word: Summer)

Check out my audio CD created especially for YOU!!

Click Here

 Low Calorie Shrimp Salad

Here is a wonderful high protein, low calorie summer salad.

Low Calorie Shrimp Salad

8 ounces cottage cheese, small curd
1 pound cooked shrimp, chopped
2 eggs, boiled
2 large tomatoes, sliced
Salt and pepper to taste

Mix together cottage cheese and chopped shrimp. Peel eggs and mash until fine. Mix with cottage cheese and shrimp. Add salt and pepper to taste and sprinkle with paprika for color. Arrange sliced tomatoes and pile shrimp salad on top.

If you have a recipe that you would like to share in future issues of this newsletter, please send it to me at Barbara@WLScenter.com


Success Story:
   Kathy Roat

I want to offer Kathy Roat a very special thanks. Here is her story:


My name is Kathy Roat.  I am 49 years old.  My highest weight was 240 pounds and my height is 4'10". I started my journey toward weight loss surgery just because I needed to lose the weight but couldn't. I would diet with my husband and he would lose 30 pounds and I would lose 4.

After going to the doctor to try to get approval for weight loss surgery, I found that I had high blood pressure, high cholesterol, acid reflux, irritable bowel syndrome, arterial plaque buildup in the main artery of my leg, and sleep apnea.  The doctor told me that I was fast on my way to a heart attack or a stroke.

They gave me a C-PAP machine but I could never adjust to it so they could never get the sleep apnea under control. When they did my sleep study, they found that I never went into the restful sleep mode. My sleep apnea was so severe that I was a walking zombie. I was physically and mentally exhausted from lack of good sleep. I knew that I would not live another year unless I made a change in my life.

I started my journey toward surgery in 2003. I was turned down by my insurance company due to lack of dietary notations by my doctor. I went to my general practitioner and he was glad to help and stated that he would notate my dietary plan and resubmit my claim in 6 months.

I was turned down again because my general practitioner did not notate my dietary plan in my chart or in his letter to my insurance company. I even went to the Insurance Commissioner with my situation, because I did the dietary plan for six months. It was not my fault that my GP did not do what he had promised. In essence, they told me to jump thru the hoops that my insurance company had given me and I would eventually get approval.

At the time of my denial, I was going to the Holzer Medical Comprehensive Weight Loss Program in Ohio with Dr. Canady and Dr. Grandi. Dr. Canady's office personnel are the best. They did my 6 months dietary plan at no cost. They have an approval rating with insurance companies for dietary proof for weight loss surgery patients of 99% and the 1% was because someone lost so much weight, they didn't need the surgery. It was well worth the 4-hour trip to and from home to Holzer to get the care that I received.  

At the time of my surgery I was taking 9 medications and using a C-PAP machine.  I knew that this was my one chance to make a difference in my life. I finally got my letter of approval in Nov. 2005.  My surgery was scheduled for Dec. 19th.   I was excited, yet, terrified. My doctor offered to do my surgery laparoscopically, but I opted for open surgery. 

I was up and walking the evening of my surgery. I walked out of Intensive Care after my surgery to my regular room. I only had minimal pain with my surgery.  I did great!!!!!  I went home after 4 days in the hospital.

I am now one year post-op. The first time I noticed the difference in me was when my grandson, Joey, came to visit from South Carolina.  I caught myself running and playing with him, something that was impossible before. I no longer take all the medications. I take my prenatal vitamins and my calcium tablets. My energy level has gone straight thru the roof. My husband now says that he can't keep up with me. I feel that I have a new lease on life. I recently drove to Tennessee to vacation with my mother. I would never have been able to do that with my severe sleep apnea.

I went from a size 2 XL to a size 8. I now weigh 133 pounds, one pound less than when we got married 25 years ago. I love it when my husband teasingly tells someone, “Have you seen my “little wife?”

I never liked shopping for clothes because I always ended up in the dressing room in tears. Now, you can't keep me out of the mall.  I recently helped my husband remodel 2 rooms in our home to make way for a new grand baby due in March.  My advice to anyone thinking about this surgery is this:


 1.  Never give up!!!!! No matter how many times the insurance company turns you down. If you have to, change your job or your husband’s job and try another insurance company.  If you really want to change your life you can.


 2.  Read Barbara's book, “Weight Loss Surgery; Finding the Thin Person Hiding Inside You,” http://www.wlscenter.com/Announce_Book.htm  and then, after surgery, pass it on and help someone else on their journey toward weight loss surgery.


 3.  Listen to every detail that the doctor and staff give you. This surgery really is a tool not a miracle cure. If they tell you, "Don't do this", then don't do it.


4. The support of family and friends is so important. My husband has been my biggest support. He has cut down his portions with me and has lost over 60 pounds and his diabetes is under better control than it has been in years. It has been a journey we have traveled together.


5.  Always read Barbara’s newsletters, they really give sound advice!!!!


 6. Always offer to help others on their weight loss surgery journey.  


 7. And enjoy your new life!!!! 


Kathy Roat


Congratulations Kathy

I Need More Success Stories!!

If you have good news, a success story to share, or inspiration, please send it to me at Barbara@wlscenter.com so that I can include it in future issues.

It's Time to get Back On Track

If you’re not happy with your weight loss, then join the
Back on Track with Barbara Internet Mentoring Program.

Back On Track with Barbara is a 6-month or a 12-month membership program that provides an internet mentorship for those who are struggling with weight regain after weight loss surgery.  It also benefits those who have never reached their goal weight after surgery

Here is a recent comment from a new member:
“I sure wish I had come here when my eating started slipping. But we are all on our own journeys--even though we have so much in common.  I highly recommend listening to some of the audio seminars. I just joined last week and already I have a ray of hope I haven't had in quite some time.”  Cindy

For more information or to join the Program, go to



Permission to Reprint
You may reprint any items from this newsletter in your own print or electronic newsletter. But please include the following paragraph:

Reprinted from Barbara Thompson’s free e-newsletter featuring helpful information and research material to help patients succeed following weight loss surgery.
Subscribe at http://www.barbarathompsonnewsletter.com  ”

Subscription Corner

Did someone forward this newsletter to you? Would you like to receive a personal notification  when it is ready for you to read? It's simple! Just go to http://www.barbarathompsonnewsletter.com  and scroll down to the subscription form. After filling out the form and submitting it, watch for an email that asks you to CONFIRM your subscription. 

Your subscription is not complete until we get this confirmation back!

If you like this newsletter, please pass it on to your friends and family and have them signup for our notification service.

Do you want to unsubscribe? Go to the bottom of your newsletter notification email message and click the unsubscribe link.  You will be automatically deleted.

If you have any problems with this process,
call our office toll free at (877) 440-1518.



Copyright © 2000-2013 Barbara Thompson All Rights Reserved