Bariatric surgery can achieve significant weight loss and lead to remission of medical conditions, including type 2 diabetes for some. Therefore, the number of bariatric surgeries performed increases yearly. However, with this metabolic success comes the risk of hypoglycemia, termed post-bariatric hypoglycemia (PBH). PBH is important to consider when performing a nutrition assessment for individuals who have a history of bariatric surgery and other upper gastrointestinal surgeries. PBH may not emerge for one or more years after surgery, and while some symptoms overlap with dumping syndrome, the severe and recurrent low glucose levels of PBH are distinct in terms of timing and pathophysiology. Individuals may experience changes in cognition, loss of consciousness, and even seizures. Medical nutrition therapy is the foundational treatment approach. You will walk away from this session with an understanding of PBH risk factors, etiology, workup, treatment, prescriptive MNT guidelines, and ongoing monitoring of response to MNT, as well as ways to address barriers to care to individualize your approach to MNT.