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Please visit our web site WeightWise.com: Comprehensive weight loss programs and surgical options for a healthier lifestyle | WeightWise™ Bariatric Program. We have completed hundreds of procedures and have comprehensive bariatirc programs and hospitals in both Oklahoma City, Oklahoma and San Antonio, Texas. We also developed the site Search Results for "thiscitysgoingonadiet.com" for the Mayor of Oklahoma City, Mick Cornett. Thank you, Thomas A, Michaud, Chairman/CEO Foundation Surgery Affiliates WeightWise

Hi Noosh, I did have my surgery on 12-29-08. It went well, and although the incision where the port is was a little more painful that I expected, it hasn't been bad at all. I've lost about 15 pounds (not surprising, since there's not a whole lot that i can eat!), so I've got about 60 more to go. The first week was a little rough, between some pain (though not bad) and wanting to eat. Since then, it's been easier. I will be getting my first fill on 2-11, and I am looking forward to being able to eat real food again soon. As far as the process went with Aetna, it was really painless! The insurance guru at my surgeon's office did basically everything, and the fact that I had been seeing my primary care physician for about 6 months (and had 3 consecutive monthly visits...make sure you get those done) and had tried other way to lose (Meridia, Pfen-Fen, Weight Watchers, etc.) really helped. My out of pocket expenses were about $2000, including my co-pay and the classes that I took through the Bariatric Program that works with my surgeon. I've submitted the fees for the program to Aetna to see if I can get reimbursed, so we'll see how that goes! Good luck to you, and if I can do anything to help, please let me know!

Welcome welcome. We hope you'll hang around and get to know us better. There are people at all levels of the weight loss journey, newbies like yourself, pre surg like me who have or are in the process of finishing up requirements, ones whose surgery dates are shortly coming up, people who have just had their surgeries and are in the process of recovering and many seasoned veterans who are still active. We[emoji173] them especially as they mentor the rest of us. We treasure their advice for they have walked the walk ahead of us. Ask any questions you like,if I don't have an answer somebody else on Bariatric Pal will. We all may be having different approaches and viewpoints but we are unified in wishing you well and hope we can ease things for you. Welcome again, we think you'll find yourself at home here. [emoji14] Sent from my VS880PP using BariatricPal mobile app

I have gotten Medicare to reconsider accepting the Sleeve Gastrectomy. you need to view the psoting. They are soliciting public comments. http://www.cms.gov/medicare-coverage-database/details/nca-details.aspx?NCAld+=258&ver=2&NcaName=Bariatric+Surgery+for+the+treatment+of+Morbid+Obesity+(2nd+Recon)&bc=ACAAAAAAAAAA Please visit this site and post any information in favor. Thanks. Marcia name='likasulema' timestamp='1318798760' post='219248'] i have medicare as my primary coverage, but empire blue cross as my secondary. MEDICARE does NOT cover the sleeve yet because its relatively new (few years or something. ) Medicare DOES cover the lapband and gastric bypass. (but i want the sleeve) My surgery for the sleeve is 12/7 - medicare will send the "official" denial for the sleeve after hospital sends bill, empire needs to see the "official" denial first, and then empire looks at my qualifications in having the sleeve. I have all the qual.. (BMI, diabetes, high chlolesteral, and high blood pressure, and sleep apnea (aren't I lucky???!!!) The insurance companies know that Medicare doesn't cover the sleeve, but they need the official denial after the surgery. Then the other insurance company can proceed. I know this sounds weird, its the beurocracy (msp) but thats how it was explained to me. Empire does cover the sleeve - so they told me after all the paperwork is sent in I will be 99% positive I will be approved. They can't officially guarantee it for obvious reasons. But they did tell me unofficially of course that everything looks fine. so the bottom line is MEDICARE doesn't cover the sleeve, no if ands or butts, but your secondary might cover it, like my empire blue cross. hope i've helped - without confusing you too much - write back w/any more questions )

I went to Obesity Contol Center. It is an International Center of Excellence in TJ. My surgeons were Dr. Ariel Ortiz and Dr. Arturo Martinez, both Bariatric Surgeons of Excellence. Dr. Ortiz is also a Fellow of the American College of Surgeons and has actually taught laparoscopic surgery technique in the US and Canada. Fantastic care while there - the entire staff is dedicated exclusively to bariatric surgical care, they were friendly, incredibly helpful, skilled, and spoke perfect English. The followup communication is also great. They have been available for any and all questions I had both before and after surgery via phone and email, including the surgeons, cardiologist, nutritionist, anesthesiologist, office manager and followup Doctor. Much easier to get a hold of than the US surgeon that removed my gall bladder! My PCP has taken care of my postop bloodwork. That's really the only followup care I've needed. My OB/Gyn actually offered to do it, too.

My insurance Blue shield of CA paid for 6 months of the Vitamins, bariatric multi, c and Iron, and, Calcium, and b12 by nose. After about 2-3 months I could not tolerate the sweetness of the chewables, so I went to Centrum. My insurance would not cover the shakes, good luck.

A report in a scientifically based press source lists the following as areas for follow up studies to look at: "Previously suggested reasons for the association between bariatric surgery and the subsequent risk of self-harm include: permanent changes in body image, diet-related stress and unmet expectations of weight loss, which could increase mental health problems, leading to behaviors such as binge eating, substance misuse and self-harm behaviors. Changes in metabolism of alcohol could play a role, as well as changes in neurohormonal levels, which could lead to depression, addiction and suicide."

Thanks, everyone, for the great responses. I will keep all these words of wisdom in mind while on my journey! P.S. Yes, I lost waaay less weight on Weight Watchers, but the reason why I chose bariatric surgery is precisely because the other methods weren't working. So, yeah, I have high expectations. But as someone put it, once that weight is loss, it's not coming back. I know I have to concentrate on the direction of the scale, however slow it's moving.

My previous insurance, Kaiser, had a secret 'exclusion' that the sales person LIED about when I bought my individual insurance a few months back and specifically ASKED about bariatric surgery, so naturally, when my paperwork came back that was my reason for denial. Some people have told me not to waste my time, how could I fight it when something as simple as "We told her, her insurance doesn't carry that surgery!" OR SHOULD I? HAVE ANY OF YOU ever fought this and won? It's so silly, I can't believe they can treat it like it's something cosmetic...

Well that is a tough one, Thing is my Dr is the one that will do my fills and this was included with the cost of the surgery, However in a conversation with my Dr, someone local had the lap band surgery from someone that was not local, this person ended up with a problem that My dr had to fix in the ER and he did not get compensated at all for it. Things happen. I had to make a 2 year committment to my Dr to stay in this area so that he can keep up with my progress and do my fills etc. I will see him every 3 months after the next couple of visits and then when 2 years is up I will only have to go 1 time a year. Not a big deal, If I do leave the area I am in now he said that most of the bigger cities have Bariatric Dr's that can take care of emergencies etc. Of course if you research DRs before you have it done then that Dr may wonder why you are going elsewhere for the surgery. Just some thoughts. Sorry I can't help with the main questions. Keep digging for info, Call the clinics that are closer to you and ask them the questions you have listed here, they may be able to help you.

I realize how fortunate I am. Our techs are amazing. Actually, I work on a med/ surgical floor which specializes in bariatric surgery. I was on my own floor postop. so my coworkers have been on my journey since day one.

Day 19 post-op and so happy to be here. Until September I'd never heard of a sleeve gastrectomy and was not looking at doing bariatric surgery. Being overweight/obese most of my adult life I assumed I'd carry the burden and the health consequences to my grave. I was diagnosed with diabetes in 2004 and have done a fair job of losing small amounts of weight, eating clean food and staying active BUT not enough to stop it's progression. At the age of 54 SO much of my mental energy has been spent on what to eat, how to eat it, shame over emotional binges, isolation due to my size and downright self- loathing. Several people I know had the Lap-band and I was curious about it. I got on the internet and Googled surgeons in the Dallas area (not my home) and filled out a form requesting information. That same day I got a call from a representative of Dr. Nicholson's Clinic and shared my heart and they offered a solution/tool in a Bariatric Vertical Sleeve. To make a long story short I planned my trip to Dallas for an informational class and personal Dr. consultation. I was sold and set my surgery date for Oct. 18th, 2011 at Forest Park Hospital, Dallas, TX. I was about a month out of surgery when I started doing some research and asking different questions. Because I live on a ranch an hour drive from any medical services the sleeve is an ideal choice. Three weeks post op the risk of surgical complications are nil. That has been a big peace of mind for me. I started my pre-op diet on Oct. 4th and found it to be a bit of a struggle. I despise sweet, milky drinks and gagged down Slimfast, HoneyMilk and Carnation Instant Breakfast Sugar Free. I did not know about the Bariatric Advantage Products or Unjury.....boy I wish I had. If I had one piece of advice it would be to hunt like crazy till you find something that you find pleasant and drinkable. It will make the days after surgery much less stressful. I've since ordered some of the above products. During this time I also meet with the psychologist, nutritionist and went through the pre-admit process. The whole time I wasn't sure I would go through with it. The Nicholson Clinic is really good about letting you know that you can cancel or delay until you are ready. Even the night before going in I was not sure. So many changes, so much to give up, so much unknown. It was by faith and the grace of God that I made it to the OR the next day.....and sooooo thankful that I did. My check-in was noon on the 18th of October. It went smoothly and I was in the holding area shortly after that. My husband went with me and was a huge support. It is good to have someone with you. Being dehydrated made some of the IV stuff a bit trying but that was over quickly and I was resting when the anethesiologist (sp) came in. I'd had a horrible cold the week before and had a nasty cough. He promised me he would get that cleared out and he was true to his word. Don't remember a thing after he injected a relaxing med into the IV. Woke up being moved to my bed. The whole day I kept dozing off and dreaming that the surgery was the next day and feeling the dread. Then I would realize it was OVER and feel utter elation. The 24 hour hospital stay is a bit of a blur. Good drugs. I will say that it was challenging to get up and walk regularly, not drink, and battle a crazy head hunger. I just wanted to eat big bites of some comfort food like mac and cheese or enchiladas. I thought I was starving to death and ask myself what the heck had I'd done. It was an internal battle. I'm not sure if anyone else has had a similar experience but it has really reinforced for me the need for the Sleeve surgery. It will be the tool that helps me finally overcome obesity and achieve my goals in life. It's just too short to waste sitting around in a love affair with food that doesn't love me back. Leaving the hospital and going to a hotel in the area worked out fine. I slept and sipped. On day three I was able to stop the pain medication and Tylenol...both were so sweet and gagging that I did better without. I used ice packs on my left side and it seemed to help. I must say that the pain was more than I had expected but not anything to keep someone from doing it. If I could have choked down the meds I probably would have taken them a few more days. Also, do practice sipping before your surgery. I used the one ounce cup for a week before just to get the hang of it. A week post-op and I was able to drink at just the right pace without thinking about it and loved feeling normal again. On the 8th day I flew home and had a 2.5 hour car ride. It went great and there is no place like home! I really began to heal quickly once I was in my own home. I've been following the Dr.s orders as well as possible and was back in Dallas for the 2-week post op exam. I've lost 22 pounds, yea, and can begin soft foods this coming Tuesday! Hello scrambled eggs! One note, I had really felt sore on my left side and was concerned that there was a problem. Turns out it is text book for week 2 due to the healing process and increased activity. This may not hold true for all Dr's patients but for Dr. Nick's he adds extra stitches in the left side muscles and they begin to pull. Who knew? Living in an isolated area it was recommended to me to find an online support group. My nutritionist suggested this one. I look forward to this part of the journey! It will be a pleasure to hear about each of your stories and learn from the experiences of others. There is no time like NOW! Source: Day 19 and I Can't Stop Smiling!

I also have blue cross blue shield so I had to pay all the same copays you did. Plus, and this sucked, a 300 program fee to my bariatric office. I was super bummed parting with that $300 but I guess it's worth it! Sent from my iPhone using the BariatricPal App

This is interesting. You are the second person I've come across not on the regular list of Vitamins & nutrients. From everything I have read bariatric patients need a multi Vitamin 2x's a day, Calcium, Vitamin D, & B12 supplements and some may even require extra Iron. It was my understanding that our bodies no longer can absorbs all the nutrients we need and thus require supplements for life. I'm wonder if this is a new thing. It may be why you are feeling so tired and week. Here's the discussion with the other person I came across.

This is an article from the Amerian Society of Metabolic and Bariatric Surgery: http://www.asmbs.org/Newsite07/resources/Updated_Position_Statement_on_Sleeve_Gastrectomy.pdf This is an article I found on another site: The VSG is the Vertical Sleeve Gastrectomy or Gastric Sleeve, a newer type of WLS in which most (approximately 85%, depending on the surgeon and patient) of the stomach is permanently removed, leaving a slender "sleeve" of stomach about the size of a Sharpie marker, with normal connections between esophagus and stomach and stomach and small intestine. At one time, it was performed most commonly as the easier, less-invasive first stage of a two-stage procedure (the second stage being a Duodenal Switch, for example) on super-super obese people (BMI above 60) who were not physically in good enough shape for a RNY. After losing the first 100 or more pounds post-VSG, the patients were then fit enough to go through the second surgery to lose the rest of their excess weight. Presently, it's also done as a stand-alone WLS procedure on people who have less weight to lose, and the surgeons are finding that many people with high BMIs like mine lose all the weight they need even without a second surgery. The sleeve, like a RNY pouch, cuts gherelin production (which suppresses physical sensations of hunger), but unlike the RNY pouch, it still produces stomach acids so that meds (including anti-inflammatories) can still be taken normally once the sleeve has healed post-op. The VSG procedure is strictly restrictive, like the LapBand, rather than restrictive and malabsorbtive, like RNY, so calories and nutrients are better absorbed during digestion. Nutritional supplements are still necessary, however - I have to take the same Multivitamins, Calcium, Iron, B12, etc. as RNY patients, although I could get my calcium as carbonate rather than citrate (I don't - I use the same calcium citrate products as everyone else here on TT). The surgery is irreversible, unlike the LapBand, but has a better weight loss rate than LapBand - more like RNY. Most insurance companies don't cover VSG yet because they still consider it "investigational", but it tends to have a lower complication rate because it's a simpler procedure and many WLS surgeons believe it will eventually be widely performed. Through my own research, I have found some information which would be helpful to those considering WLS. This is neither authored by nor endorsed by the owners of this forum but is simply the gathering in one place some useful information I personally have come across. Let's look at an overview of the major WLS options out there: http://www.thinnertimes.com/weight-l...omparison.html http://www.lapsf.com/weight-loss-surgeries.html Restrictive versus Malabsorptive Surgery There are a number of weight loss surgery procedures available to treat obesity. Bariatric surgery has two primary approaches to achieve weight loss, and treatment typically emphasizes either the restrictive or malabsorptive approach or a combination of the two. Restrictive Weight Loss Surgery This type of bariatric surgery involves closing off parts of the stomach to make it smaller, thus decreasing the amount of food that can be eaten. The LAP-BAND?, Vertical Sleeve gastrectomy and Vertical Banded Gastroplasty procedures are restrictive types of bariatric surgery. LAP-BAND? Surgery The Laparoscopic Adjustable Gastric Band procedure, more commonly known as LAP-BAND? surgery, is growing in popularity. This restrictive procedure involves using a Silastic? band to create a smaller stomach pouch, causing patients to become full after eating a minimal amount of food. Vertical Banded Gastroplasty (VBG) The Vertical Banded Gastroplasty weight loss surgery procedure creates a smaller stomach pouch by stapling off a section of the stomach, then using a band to restrict the passage of food out of the pouch. After stomach stapling, the patient is unable to consume large amounts of food in one sitting. Once the food leaves the pouch, it goes through the normal digestive tract. Malabsorptive Weight Loss Surgery This weight loss surgery approach entails altering the digestive system to decrease the body's ability to absorb calories. The Biliopancreatic Diversion and Extended (Distal) Roux-en-Y Gastric Bypass procedures are malabsorptive types of bariatric surgery. Biliopancreatic Diversion (BPD) Biliopancreatic Diversion involves first creating a reduced stomach pouch and then diverting the digestive juices in the small intestine. The first part of the small intestine, where most of the calories are normally absorbed, is bypassed. That section, which contains the bile and pancreatic juices, is reattached to the small intestine much further down. There is a variation of this procedure called Biliopancreatic Diversion with "Duodenal Switch." This operation utilizes a larger stomach "sleeve" and leaves the beginning of the duodenum attached, but is otherwise very similar to standard BPD. Extended (Distal) Roux-en-Y Gastric Bypass (RYGBP-E) This weight loss surgery procedure is a variation of the Roux-en-Y Gastric Bypass operation. It differs in that a somewhat larger stomach pouch is created, but a significantly longer section of the small intestine is bypassed. There is less emphasis on restricting food intake quantity and more on inhibiting the body's ability to absorb calories. The Combined Approach - Restrictive and Malabsorptive Surgery The Roux-en-Y gastric bypass procedure is a combination operation in which stomach restriction and a partial bypass of the small intestine work in tandem as one of the most effective treatments for severe obesity. Roux-en-Y Gastric Bypass The most commonly performed weight loss surgery in the United States is Roux-en-Y Gastric Bypass. This operation involves severely restricting the size of the stomach and altering the small intestine so that caloric absorption is inhibited. Open versus Laparoscopic Surgery There are also varying techniques that can be used during bariatric surgery procedures. The two techniques are laparoscopic and open bariatric surgery. Open Bariatric Surgery While laparoscopic bariatric surgery can be performed through several small incisions in the stomach area, open bariatric surgery requires one larger incision that begins directly below the patient's breastbone and ends just above the navel. While both the open and laparoscopic procedures produce similar long term results, open bariatric surgery is associated with a longer recovery period. Laparoscopic Bariatric Surgery As opposed to "open" bariatric surgery, laparoscopic bariatric surgery involves making several small incisions and performing the operation by video camera. A laparoscope, the device used to capture the video, is inserted through an abdominal incision. This provides the bariatric surgeon a magnified view inside the abdomen, allowing the operation to be performed using special surgical instruments and a television monitor. The long-term results for laparoscopic bariatric surgery and gastric bypass surgery should be similar to those for open procedures. The advantages of the laparoscopic approach include less post-operative pain, a shorter recovery period, and less extensive scarring. The Vertical Sleeve Gastrectomy procedure (also called Sleeve Gastrectomy, Vertical Gastrectomy, Greater Curvature Gastrectomy, Parietal Gastrectomy, Gastric Reduction, Logitudinal Gastrectomy and even Vertical Gastroplasty) is performed by more and more surgeons worldwide. The earliest forms of this procedure were conceived of by Dr. Jamieson in Australia (Long Vertical Gastroplasty, Obesity Surgery 1993)- and by Dr. Johnston in England in 1996 (Magenstrasse and Mill operation- Obesity Surgery 2003). Dr Gagner in New York, refined the operation to include gastrectomy(removal of stomach) and offered it to high risk patients in 2001. Several surgeons worldwide have adopted the procedure and have offered it to low BMI and low risk patients as an alternative to laparoscopic banding of the stomach. It generates weight loss by restricting the amount of food (and therefore calories) that can be eaten by removing 85% or more of the stomach without bypassing the intestines or causing any gastrointestinal malabsorption. It is a purely restrictive operation. It is currently indicated as an alternative to the Lap-Band? procedure for low weight individuals and as a safe option for higher weight individuals. Anatomy This procedure generates weight loss solely through gastric restriction (reduced stomach volume). The stomach is restricted by stapling and dividing it vertically and removing more than 85% of it. This part of the procedure is not reversible. The stomach that remains is shaped like a very slim banana and measures from 1-5 ounces (30-150cc), depending on the surgeon performing the procedure. The nerves to the stomach and the outlet valve (pylorus) remain intact with the idea of preserving the functions of the stomach while drastically reducing the volume. By comparison, in a Roux-en-Y gastric bypass, the stomach is divided, not removed, and the pylorus is excluded. The Roux-en-Y gastric bypass stomach can be reconnected (reversed) if necessary. Note that there is no intestinal bypass with this procedure, only stomach reduction. The lack of an intestinal bypass avoids potentially costly, long term complications such as marginal ulcers, Vitamin deficiencies and intestinal obstructions. Comparison to prior Gastroplasties (stomach stapling of the 70-80s) The Vertical Gastrectomy is a significant improvement over prior gastroplasty procedures for a number of reasons: 1) Rather than creating a pouch with silastic rings or polypropylene mesh, the VG actually resects or removes the majority of the stomach. The portion of the stomach which is removed is responsible for secreting Ghrelin, which is a hormone that is responsible for appetite and hunger. By removing this portion of the stomach rather than leaving it in-place, the level of Ghrelin is reduced to near zero, actually causing loss of or a reduction in appetite (Obesity Surgery, 15, 1024-1029, 2005). Currently, it is not known if Ghrelin levels increase again after one to two years. Patients do report that some hunger and cravings do slowly return. An excellent study by Dr. Himpens in Belgium(Obesity Surgery 2006) demonstrated that the cravings in a VSG patient 3 years after surgery are much less than in LapBand patients and this probably accounts for the superior weight loss. 2) The removed section of the stomach is actually the portion that ?stretches? the most. The long vertical tube shaped stomach that remains is the portion least likely to expand over time and it creates significant resistance to volumes of food. Remember, resistance is greatest the smaller the diameter and the longer the channel. Not only is appetite reduced, but very small amounts of food generate early and lasting satiety(fullness). 3) Finally, by not having silastic rings or mesh wrapped around the stomach, the problems which are associated with these items are eliminated (infection, obstruction, erosion, and the need for synthetic materials). An additional discussion based on choice of procedures is below. Alternative to a Roux-en-Y Gastric Bypass The Vertical Gastrectomy is a reasonable alternative to a Roux en Y Gastric Bypass for a number of reasons Because there is no intestinal bypass, the risk of malabsorptive complications such as vitamin deficiency and Protein deficiency is minimal. There is no risk of marginal ulcer which occurs in over 2% of Roux en Y Gastric Bypass patients. The pylorus is preserved so dumping syndrome does not occur or is minimal. There is no intestinal obstruction since there is no intestinal bypass. It is relatively easy to modify to an alternative procedure should weight loss be inadequate or weight regain occur. The limited two year and 6 year weight loss data available to date is superior to current Banding and comparable to Gastric Bypass weight loss data(see Lee, Jossart, Cirangle Surgical Endoscopy 2007). First stage of a Duodenal Switch In 2001, Dr. Gagner performed the VSG laparoscopically in a group of very high BMI patients to try to reduce the overall risk of weight loss surgery. This was considered the ?first stage? of the Duodenal Switch procedure. Once a patient?s BMI goes above 60kg/m2, it is increasingly difficult to safely perform a Roux-en-Y gastric bypass or a Duodenal Switch using the laparoscopic approach. Morbidly obese patients who undergo the laparoscopic approach do better overall in their recovery, while minimizing pain and wound complications, when compared to patients who undergo large, open incisions for surgery (Annals of Surgery, 234 (3): pp 279-291, 2001). In addition, the Roux-en-Y gastric bypass tends to yield inadequate weight loss for patients with a BMI greater than 55kg/m2 (Annals of Surgery, 231(4): pp 524-528. The Duodenal Switch is very effective for high BMI patients but unfortunately it can also be quite risky and may be safer if done open in these patients. The solution was to ?stage? the procedure for the high BMI patients. The VSG is a reasonable solution to this problem. It can usually be done laparoscopically even in patients weighing over 500 pounds. The stomach restriction that occurs allows these patients to lose more than 100 pounds. This dramatic weight loss allows significant improvement in health and resolution of associated medical problems such as diabetes and sleep apnea, and therefore effectively ?downstages? a patient to a lower risk group. Once the patients BMI is lower (35-40) they can return to the operating room for the ?second stage? of the procedure, which can either be the Duodenal Switch, Roux?en-Y gastric bypass or even a Lap-Band?. Current, but limited, data for this ?two stage? approach indicate adequate weight loss and fewer complications. Vertical Gastrectomy as an only stage procedure for Low BMI patients(alternative to Lap-Band?and Gastric Bypass) The Vertical Gastrectomy has proven to be quite safe and quite effective for individuals with a BMI in lower ranges. The following points are based on review of existing reports: Dr. Johnston in England, 10% of his patients did fail to achieve a BMI below 35 at 5 years and these tended to be the heavier individuals. The same ones we would expect to go through a second stage as noted above. The lower BMI patients had good weight loss (Obesity Surgery 2003). In San Francisco, Dr Lee, Jossart and Cirangle initiated this procedure for high risk and high BMI patients in 2002. The results have been very impressive. In more than 700 patients, there were no deaths, no conversions to open and a leak rate of less than 1%. The two year weight loss results are similar to the Roux en Y Gastric Bypass and the Duodenal Switch (81-86% Excess Weight Loss). Results comparing the first 216 patients are published in Surgical Endoscopy.. Earlier results were also presented at the American College of Surgeons National Meeting at a Plenary Session in October 2004 and can be found here: www.facs.org/education/gs2004/gs33lee.pdf. Dr Himpens and colleagues in Brussels have published 3 year results comparing 40 Lap-Band? patients to 40 Laparoscopic VSG patients. The VSG patients had a superior excess weight loss of 57% compared to 41% for the Lap-Band? group (Obesity Surgery, 16, 1450-1456, 2006). Low BMI individuals who should consider this procedure include: Those who are concerned about the potential long term side effects of an intestinal bypass such as intestinal obstruction, ulcers, anemia, osteoporosis, protein deficiency and vitamin deficiency. Those who are considering a Lap-Band? but are concerned about a foreign body or worried about frequent adjustments or finding a band adjustment physician. Those who have other medical problems that prevent them from having weight loss surgery such as anemia, Crohn?s disease, extensive prior surgery, severe asthma requiring frequent steroid use, and other complex medical conditions. People who need to take anti-inflammatory medications may also want to consider the Vertical Gastrectomy. Unlike the gastric bypass where these medications are associated with a very high incidence of ulcer, the VSG does not seem to have the same issues. Also, Lap-Band ? patients are at higher risks for complications from NSAID use. All surgical weight loss procedures have certain risks, complications and benefits. The ultimate result from weight loss surgery is dependent on the patients risk, how much education they receive from their surgeon, commitment to diet, establishing an exercise routine and the surgeons experience. Advantages and Disadvantages of Vertical Sleeve Gastrectomy Vertical Sleeve Gastrectomy Advantages Reduces stomach capacity but tends to allow the stomach to function normally so most food items can be consumed, albeit in small amounts. Eliminates the portion of the stomach that produces the hormones that stimulates hunger (Ghrelin). Dumping syndrome is avoided or minimized because the pylorus is preserved. Minimizes the chance of an ulcer occurring. By avoiding the intestinal bypass, almost eliminates the chance of intestinal obstruction (blockage), marginal ulcers, anemia, osteoporosis, protein deficiency and vitamin deficiency. Very effective as a first stage procedure for high BMI patients (BMI > 55 kg/m2). Limited results appear promising as a single stage procedure for low BMI patients (BMI 30-50 kg/m2). Appealing option for people who are concerned about the complications of intestinal bypass procedures or who have existing anemia, Crohn?s disease and numerous other conditions that make them too high risk for intestinal bypass procedures. Appealing option for people who are concerned about the foreign body aspect of Banding procedures. Can be done laparoscopically in patients weighing over 500 pounds, thereby providing all the advantages of minimally invasive surgery: fewer wound and lung problems, less pain, and faster recovery. Vertical Sleeve Gastrectomy Disadvantages Potential for inadequate weight loss or weight regain. While this is true for all procedures, it is theoretically more possible with procedures that do not have an intestinal bypass. Higher BMI patients will most likely need to have a second stage procedure later to help lose the rest of the weight. Remember, two stages may ultimately be safer and more effective than one operation for high BMI patients. This is an active point of discussion for bariatric surgeons. Soft calories such as ice cream, milk shakes, etc can be absorbed and may slow weight loss. This procedure does involve stomach stapling and therefore leaks and other complications related to stapling may occur. Because the stomach is removed, it is not reversible. It can be converted to almost any other weight loss procedure. Considered investigational by some surgeons and insurance companies. Much of the above information was garnered from information from Laparoscopic Associates of San Francisco. The following links provide additional important information you may want to consider in your research: http://www.hopkinsbayview.org/bariat...ion_sleeve.pdf http://www.iabsobesitysurgery.com/Me...eDietGuide.pdf http://www.cornellweightlosssurgery....astrectomy.pdf Happy Re-Birthday to Me - One Year Out, 244 Pounds Down Post-Op! Aviator's Log Book

https://www.buzzfeed.com/carolynkylstra/mason-jar-salads?utm_term=.iu9MzP7pQO#.fjMqE6XOap Bariatric patients look at these and think....would be nice, but WAY too much bulk there to eat.. And it's true...it's a lot of food for a bariatric patient. But if you're eating six small meals a day, it can be nice to have leftovers handy for the next little meal:) Also...you can make these geared a little more to the bariatric diet. Consider the following layers: Hummus Turkey bacon Tuna salad Tofu Shrimp Chicken breast Black beans Chick peas Lowfat hard cheeses Cottage cheese Fetta cheese Olives Banana peppers Avacado chunks Sweet potato chunks Hard boiled eggs Yogurt Pickles Reduced fat reduced sodium salami (great in greek salad!) Protein Pasta (made of chick peas, lentils, and whole wheat) Think of all of your favorites. Include some fruits. A few raspberries, peach slices, fresh apple chunks, pineapple, blueberries Some nice finely diced veggies like peppers, cukes, tomatoes, mushrooms, brocolli bits, onion, fresh herbs Make homemade dressings with low sugar and fat Oh! and if the idea of carrying glass jars around scares you....consider stopping at Gordon's food service and picking up tall plastic deli containers. You can get 50 containers and lids for under ten bucks. The more variety you're including in your diet....the more diverse your gut microbiota will be. Diverse gut bugs are correlated with better weight loss during diet attempts. Switch it up. Get lots of fiber in addition to meeting your protein goals. Get you some wonderful phytonutrients:) And enjoy flavor!

Not supposed to take gummies after sleeve either. I found a multivitamin that formulated for Bariatric surgeries Bariatric Advantage Multi EA It’s a chewable.!I got it on Amazon it has everything but the kitchen sink in it VitD3 B’s E A ext it is formulated so your body absorbs the vitamins.

Another benefit of Bariatric Surgery. A new Centers for Disease Control and Prevention (CDC) report shows that 40 percent of all U.S. cancer diagnoses can now be linked to overweight and obesity. Out of all cancer diagnoses, nearly 55 percent of female cases and 24 percent of male cases were linked to overweight and obesity. These cases statistically affect older adults, mostly between the ages of 50 and 74-years-old. http://www.foxnews.com/health/2017/10/04/cdc-40-percent-cancers-linked-to-obesity-overweight.html

go online and gregister at website,look to see if they cover wls or if they have Bariatric resource services, if they do call the number to BRS. If you're not sure call UHC to verify you have coverage for surgery.Find out the requirements. Find a surgeon and get the ball rolling. Good Luck!!

I've got my surgery date (Aug. 26). But, it is contingent upon weather or not my insurance approves me. My bariatric team tried forwarding the info to my insurance on friday. The wait is killing me. My insurance is Iron Clad Insurance through the Boston Iron Workers Union. On the front of my card it says Iron Clad Insurance, Carelink PPO, Tufts Allied Care and Cigna. The bariatric team was having a hard time figuring out who to submit the info to. But it is my understanding that as of Monday it was officially submitted and received. I am wondering how long it's gonna take for the approval. I don't know anyone that has had wls that has my insurance. Well I am getting towards my 10,000 steps per day with all this pacing back and forth.

Written 12 June 2009. Ok, despite being told that I would recieve a letter this week for my pre -assessment date, believe it or not, today still no letter. I was fumming, this roller coaster ride is getting to me, I wont to get off. Anyway, I calmed myself down and phoned bariatric admissions and spoke with Pauline the administrator -co-ordinator. It wasobvious she was familiar with my name and asked me to hold on whilst she checked. She then returned and stated that she had not yet sent the letter out. She explained that she was still dealing with people waiting since December 2008. Anyhow, she preceeded to inform me that my pre-assessment date will be on 3rd of July at 9am. I was a little upset but held that to myself. Alright, so the 3rd July, what do I need to do now. The bad news is that i've spent the last 2 weeks backsliding. Firstly, I think I was really good last week Friday on my birthday, I had a mushroom risotto, and tomato juice. That was it for the night, I think I was too excited to eat anything else. However, at the weekend, I indulged myself with my birthday cake, OMD, it's soooo nice. I've helped myself to quite a few slices this is not the norm for me as I not really a cake person. I also had a KFC hot wings at least 3 times over the past 2 weeks and a McDonalds cheese burger and milk shake. I don't even eat McDonalds. What's going on I hear you ask, well I think this a little comfort eating going down here, frustrated with the whole surgery situation, plus Aunt Mary from Red Hills, (monthly cycle). To top it off, I've not been to water aerobics for 2 weeks neither tai chi. I didn't go to tai chi because I did not want to pay the fee for a whole month - if I was going to hospital for my surgery. That's a joke. I really need to get back on track. I need to start my exercise, right now I need to muster some self motivation. We'll see. Hyacinth.

Congratulations on starting your journey. I'll be curious to hear what your primary care physician has to say about lap band. My pcp didn't know much about the procedure but she was supportive in my quest for more information. I went to 2 different bariatric seminars. The first time I actually went to one in support of my sister who was considering gastric bypass. This was about 4 years ago and they were just starting to do lapband at our hospital. After making the decision to pursue it for myself, I went to another seminar where they talked about both surgeries in detail. Based on the surgery itself, the reduced complications and the recovery time, I knew lapband was for me. My BMI was just under 40 but I had high blood pressure, pre-diabetes and high cholesterol/trigs. The cholesterol/trigs are unfortunately just part of my genetic makeup but my blood pressure and blood sugar are now normal. My primary doc kept me on 5mg of blood pressure medicine for kidney protection (based on the prior pre-diabetes diagnosis) which I was bummed about BUT my nurse at my surgeons office agreed completely saying it doesn't hurt anything. I'm a little over a year out and based on my scale this morning, I'm down 50 lbs. I had a great surgeon and he and his staff are awesome. I feel like I'm part of a family there. I'm going to make a suggestion on a book you should buy or check out at your library. It's titled Band Wagon. It's written by a lady who had lapband and it's full of great information that I have found really helpful. I got the book after my surgery but wished I would have had it prior. I've read it several times and go back from time to time and re-read sections over again. It's real basic terminology, what to expect stuff and it's an easy read. She's pretty funny too which made it hard to put down. Check it out and Good Luck!

In October I had decided to go for lap band surgery. My insurance says that I need to complete seeing a nutritionist for 6 months before I can even speak to a surgeon. I have finished 4 appointments and I have finished all the blood work that I needed done plus a complete physical. I still need to have my last 2 appointments with my nutritionist and have 2 psych evaluations done. Since seeing my nutritionist I have lost 15 pounds My insurance doesn't demand that I lose a certain amount of weight before surgery but I want to be 250 pounds on surgery day. I still have 3 appointments with the bariatric program I'm going through before I can see the surgeon. I also have to watch 3 lap band seminars online and fill out 3 questionaire's also before I can have surgery. I'm hoping to have surgery anywhere between may and august. It's a long process but definitely one that is worth pursuing. The seminar that you are going to need to go to definitely tells you a lot of information. You are going to want to get into the habit of exercising a lot now because yes the band restricts how much food you can intake at a time but without exercise you're only going to lose a little. good luck

Connie, I don't have one in your area but Dr. McKeen in San Jose is really good : South Bay Bariatrics & Dr. Robert McKeen He is an excellent doctor. Good luck.

Yes, yes, yes!! Actually, my clinic has monthly meetings and invites speakers. One of the most interesting was from a personal trainer who offered specialized and modified exercises (like from a chair instead of the floor, etc) and equipment (that he designed himself (mostly just extensions to machines, etc) and the other was from a yoga instructor specializing in modified yoga for 'round bodies'--also from a chair--because many obese folk have knee problems and can't kneel. My guess is if you contact the local Bariatric clinics with a viable exercise plan and modifications to suit the patients/client as they are now and as they lose weight, you will be welcomed with open arms. Go!! Ducati Bonnie