Case Presentation: A 34-year-old female with history of Systemic Lupus Erythematosus and gastroparesis status post Roux-en-Y gastric bypass (RYGB) surgery, was admitted for intractable nausea and vomiting. CT scan of abdomen and pelvis showed large stool burden. Conservative treatment was implemented. During her hospital course, she developed symptomatic hypoglycemia (blood glucose <40mg/dL), that recurred despite [...]