Hi All, I am 26, live in Germany and I am glad to be in such an informative forum which is perhaps more helpful than doctors themselves, particularly in this rare RH case. Below is my journey until I was diagnosed by RH: MAR,20 - I had heavy acid reflux and indigestion problems: Did Gastroscopy and Colonoscopy: Came out H-Pylori positive APR,20 - Given 10 day therapy (Pylera oral dose) - During and after taking this therapy, I was in terrible situation due to the side effects of the medication. I was barely able to move, Back pain, Pain in groin area, Dark colored urine in morning, Muscle twitching and tingling, Mood swings.. etc - I ignored these symptoms because I already knew that this medication has terrible side effects but I had to complete the dose to get free from h-pylori - Sooner after completing this therapy, I started getting RH episodes (Sugar crash some time after eating). However, I could not recognize it at first place. I ignored it thinking it as side effects of medicine. APR,20 - I did detailed blood tests that tested sugar, cholesterol, organs, TSH, and many more things. Every thing came out normal. APR,20 - Lactose tolrance blood test: Negative - Still this RH episodes were not going away. JUL,20 - I did Gastroscopy again to confirm if everything is alright. No findings. H-pylori gone. JUL,20 - Lactose tolrance H2 breath test: Positive AUG,20 - This continued for few months and one day RH symptoms went to terrible stage where I also had muscle twitches on face, lips, Nausea, etc. Still I was not aware of RH. Forget RH, I was not even aware that its sugar crash to take some quick sugary things. AUG,20 - EKG and sonography normal. - Unfortunately, its difficult to convince doctors when they are also not very much aware of it. They started thinking that its psychomatic and everything is in my mind. I myself some how went to different doctor and took referral of diabetologist. Even at diabetologist, I had to convince them to make extended GTT test because they are like robot! If you are refered to their place, they will just do diabetes test i.e. measuring glucose after 2 hrs and determine if you have diabetes. I some how convinced them to do OGTT test for 3-4 hrs. SEP,20 - Finally, I was relaxed that now atleast I know what is happening in my body. Below were my sugar levels in OGTT test of 75 solution: - HBA1C: 5.4% - Fasting: 102 mg/dl - 1 Hr: 116 mg/dl - 2 Hr: 88 mg/dl - 3 Hr: 43 mg/dl - They diagnosed RH and gave me referral for Insulinoma to rule out possibility of benign tumor on Pancreas - Other than normal RH symptoms, I have other noticeable symptoms like foamy urine at middle of the night (regularly) , hand (Biceps) muscles squeezing (sometimes) and weight loss of around 8 Kgs throughout this journey OCT,20 - Abdominal MRI done. No remarkable findings. - Waiting for Insulinoma related consultation. Please let me know if someone here know about Insulinoma as a cause of RH and if it is possible to confirm it. Because as I told earlier, out of all the tests I have undergone, 80% were insisted by me rather than the doctor. So may be I still have to drive it further. Thanks! PS: I have mentioned details of all the tests I undergone so that it will help to find relation between gastric problems and RH.