Sam.J.S.

Hi! I am very new to this community and to the idea of WLS in general. I have tried (and failed) for years to lose weight, so I am finally reaching out for help! I am 24 years old, 5'5", and currently weigh 310lbs, putting my BMI at 52. My question is... where do I even begin? I just made an appointment with my PCP for next week and said the reason for the appointment was to discuss my weight. I started weight loss management with her back in August 2020 (~6 months ago), so I do have some documented proof of trying to lose weight through diet change and exercise. But... it hasn't worked. I only lost about 15 pounds and have since plateaued. I am now interested in my WLS options. How do I even breach this subject with my doctor? Do I just outright say I am interested in bariatric surgery? My health insurance (Harvard Pilgrim) requires a referral, so I know this is the first step to take, but I am not sure how to get the ball rolling or what to expect. What can I expect out of this initial conversation? What was your experience like? Has anyone been denied a referral from their doctor? Any advice or info would be greatly appreciated! Thanks in advance 🙂

Hey everyone! Thank you for all of the advice with insurance, but I'm all set on that front! I actually called my insurance prior to making this post and made sure the surgery was covered, asked what my out-of-pocket cost would be, and if I needed a referral or not (and I did, which is why I made this post ) In my previous comment, I just meant I will leave the insurance paperwork to the doctor's team! (Though I do plan to be a burden and double/triple check that all referrals are in, everything is on-track, etc.) Also, minor update: my PCP gave me the referral! She was so supportive of my decision and made me feel even more excited about this opportunity. Now, I am waiting to book a consult with the surgeon. I can't wait! Thanks again for all your advice ❤️

Good luck! That is so exciting

Thank you all for your advice! I really appreciate it 🙂 I have an appointment tomorrow with my PCP and I am hoping she agrees this is the best option for me. As far as insurance goes, I reviewed my benefits so I am aware of out-of-pocket costs-- but I may follow PolkSDA's advice and leave the details to the doctor's office team (as I'm sure they know more about that process than I do). Thanks again!