DevilBlueDress2

Our insurance is Premera BCBS. They require 6 mos supervised program. I'm on month 5 seeing a nutritionist. At my last appointment, she said it was time to start working with the bariatric clinic. I also saw my PCP last month to discuss next steps and by the end of that appointment, I was scheduled for the initial surgeon appointment, the psych tests (done last Tuesday) and the psychologist appointment (tomorrow) and bariatric nutritionist this Thurs. I also have an endoscopy scheduled for July 3rd. I'm not sure yet when the paperwork will be sent to Premera or how long before I'm approved. I am definitely in the "action phase", as determined by my PCP and NUT. I've been measuring foods and tracking everything that I eat and drink for 5 months so far. It's pretty easy to do with the app MyFitnessPal. This week, I've started not drinking with my meals to get accustomed to that. I've tried to be more mindful when I eat so I recognize satiation. The piece that is hardest for me is adding exercise. The wonky ankles and time pressures are my biggest barriers right now. When my younger autistic son (I have 2) is finished with this school year next week, I should have more time because I won't have to be the homework warden until September again. I'm strongly leaning towards the sleeve for all the reasons mentioned. I'm most afraid of dumping syndrome and getting all the nutrients ill need if I go bypass. The whole rerouting doesn't seem appealing either.

Thanks so much for your thoughtful replies! The Hawaii vacation is really special, not a typical vacation for our family. I turn 50 around Xmas. This will be my Hawaii 5-0. :-)