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@dkoehne
Have you tried acarbose? This may help with the late dumping hypoglycemic episodes. My husband has similar issues. We just tried Octreotide but that made him sick (similar to early dumping). We are now going to try acarbose. There are also some studies showing SGLT2 inhibitors like Jardiance and Invokana may help with late dumping episodes as well.

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Replies to "@dkoehne Have you tried acarbose? This may help with the late dumping hypoglycemic episodes. My husband..."

@supportivewife thanks for the kind thought. I did try acarbose for a time after an endocrinologist consult with no relief. Her final suggestion was Ozempic but given my already dramatic weight loss the side effects seemed worse than the possible relief.