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STRICTLY VENTING
nursejenny07 replied to Westfield27's topic in PRE-Operation Weight Loss Surgery Q&A
I work in an OB/Gyn letter and most docs wont write you a letter unless your weight is affecting your treatment with them (e.g. PCOS, infertility, hormone imbalance...). If you've been seeing them for any length of time they can provide a history of high BMI. I would go with a PCP first since they'll hold a little more weight when it comes to bariatric surgery. As far as tour PCP not knowing how to write a letter of medical necessity...WWWHHHAAATTT! It's a basic form letter! In our office, we nurses write the letter and the docs just sign it, lol! I hope you get something soon and can get approved!!! -
Lactose Intolerance, Celiac, and my itty bitty sleeve
Teachamy replied to Teachamy's topic in Gastric Sleeve Surgery Forums
Found this online... One nutritional ramification of bariatric surgery can be Lactose Intolerance. After bariatric surgery, dairy products can move too quickly from the stomach to the small intestine potentially resulting in gas, bloating and/or cramps. Makes sense! -
Surgeons in Huntsville, AL or Atlanta, GA
vol1cathy replied to klus263's topic in Weight Loss Surgeons & Hospitals
I had a great surgeon in Knoxville, TN and I am sure they work with you being out of town to do as much as possible in as few visits as they can. His name is Dr Stephen Boyce @ New Life center for Bariatric Surgery, and they are a Quality Center. 2/7/11 pre-op - 254 2/22/11 surgery - 243 Today 3/6/11 - 228 down 26 lbs -
To Sleeve or Not to Sleeve - that is the question...
Hetera posted a topic in Gastric Sleeve Surgery Forums
My current employer's insurance carrier doesn't cover any bariatric surgeries. For two years, I've been after them to get on board, but it's just too expensive, they said. I asked again a month ago if they thought there was any chance that Aetna would offer coverage for bariatrics this year. They said they really didn't think so. A month ago, sick and tired of being on the fence for so many years about it, I decided to just withdraw $10,000 my from retirement (ouch!!) (of which I only realized $7500 due to taxes and penalties), and I paid down my outstanding bills in anticipation of being a self-pay in MX (which I would also finance). I researched surgeons, prowled boards, viewed YouTub vlogs of other sleevers. And finally, last Thursday, I pulled the trigger: I chose Dr. Ariel Ortiz, OCC (who had a high American profile, the lowest complication rate, operated at a Center for Excellence, and who could see me soonest). I scheduled the surgery for April 30. I submitted the down payment ($500). I bought the pre-op diet Meal Replacements and Vitamins ($240). I booked my flight from NYC ($400). And I told my employer that I would be out 2-3 weeks for surgery. Then yesterday I get a call from HR - "We wanted to let you know asap.... we MAY be switching to an insurer that would cover bariatric surgeries. We'll know next week." Wah-Waaahhh.... So the dilemma, if there is one: IF the company DOES switch insurers, should I cancel with OCC (and probably lose the down payment?). If I change the flight (for vacation, etc.), I will lose $200. Also, I don't know if the new carrier would make me jump through all the old hoops that I had jumped through 3 years ago (waiting six months, etc.). I don't want to wait.... But I also don't want to finance my surgery ($6000), either, if I don't have to. -
Are 300 calories a day typical postop?
over65 replied to over65's topic in POST-Operation Weight Loss Surgery Q&A
I have been faithfully taking one Bariatric Fusion Multivitamin, B12, Calcium/D3 and Biotin since day one as instructed by doctor in postop orders. Been a little confused about multivitamin. I take fusion chewable once a day according to discharge orders. But bariatric center in preop education said I needed to take 4 each day. Will double check on Monday on postop visit. One thing I don't like about fusion is they do not include Vitamin K. Will ask if I need to get separate Vit K. If I take Fusion 4x a day, I get 1200mg Calcium in addition to the 1200 mg I get from Calcium+D3. I think that is too much Calcium (2400 mg). Until Monday, I am taking just one Fusion a day which gives me 1500 mg Calcium. I already have early osteopenia in hips by bone density scan so Calcium/D3/Vit K are all necessary to rebuild lost bone. Recommded D3 for me is 4000 IU per day so I take additional two D3 2000 IU per day. I really don't like that I get no Vit K in FUSION. The company that makes FUSION told me the don't include Vit K because interacts with a few people on blood thinners and that deficiency of Vit K is "rare". Then why do ALL OTHER Multivitamins on the market (bariatric, OTC and kids) all include Vitamin K? I am not believing I don't need Vit K supplement. But will wait to see doctor before I add Vit K supplement. -
Just starting my journey pre-op
kakatlady612 replied to viky88's topic in Gastric Bypass Surgery Forums
Viky88 I'm not thru with,surgery just wanted to offer friendship. I'm waiting on an early-mid March surgery but will also,be a RnY. I've been on Bariatric Pal a couple months , have,learned a lot from veterans,and done a lot of research myself. I,have a BMI of 45, am 5ft8in tall, 72 years old and goal weight at this time 175 or size 16,,if I end,up smaller, Halleujah! It will,be a struggle but,oh so worth it. I'm in it to win it, care to join me? Sent from my VS880PP using BariatricPal mobile app -
Can I still eat Keto/LCHF after RNY or sleeve?
CrankyMagpie replied to 🅺🅸🅼🅼🅸🅴🅺's topic in Gastric Bypass Surgery Forums
You can definitely do keto, but it might not be especially high fat for a while--most bariatric nutritionists seem to favor a low-fat, low-carb diet for new patients. And very few people get through the first few weeks without something artificial. (I relied on sugar-free jello, sugar-free popsicles, and SO MANY PROTEIN SHAKES.) If you're really dedicated, though, you could probably minimize most of that. For instance, Eggface suggests "double milk" (1 cup Milk mixed with 1/3 cup Nonfat Dry Milk Powder = 16 grams of protein per 8 oz. serving) as one option. Most plans won't force you to eat beans or fruit or high-carb veggies, though; the focus is very much on protein sources, mostly animal-based ones. If you're worried about dumping from high-fat keto, you might consider discussing the option of the sleeve instead of the bypass with your surgical team. (There are people with sleeves who experience dumping, but it's pretty rare.) But like Matt said, not everyone who goes bypass has a dumping problem from fat, either. -
A nurse shouldn't be passing on their personal opinion based on things they have seen, they have no idea of the patients' personal / medical history, they have no idea how compliant the person has or hasn't been post op. They Non-compliance could well have caused some of the issues they have supposedly seen. Talk to your doctor/surgeon about the concerns that she has caused you to have. You have obviously considered WLS because you are overweight and its usually not a first choice for weight loss, so I would say you have tried and failed at various weight loss methods. What will you do to lose weight if not WLS? I am sorry to hear about your friend, but was it confirmed that five years after WLS, that WLS causes the bowel obstruction. At the end of the day, you have to do what is right for you and what you feel safe with, but you should research further with other medical staff - your doctor, bariatric surgeons etc.
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Any lapband drs in or close to Rockford Illinois
katwmn63 replied to toomanypounds's topic in PRE-Operation Weight Loss Surgery Q&A
yes... i am going to Dr. Vafi Shayani out of Saint Anthony's in Rockford ( he has 2 other locations as well). His clinic is wonderful and his staff is top notch! His assistant, Kim, really know the in and outs of the insurance requirements, and she is on the ball with returning calls and emails. His center also has the accreditation of Center of Excellence. Bariatric Surgeon Profile - Vafa Shayani, M.D., F.A.C.S. -
I can understand your frusteration. I have Tricare prime south . I had 2 other insurnces but after TRICARE said they woiuldnt cover bariatrics if I had other insurance I quit the other two. I saw surgeon who said I am an excellent candidate. EVERYONE in my family has died of diabetes, including my dad at 45 and my son is very brittle t 26.The surgeons office submitted everything and I was denied for not having physician supervised diet, I called Tricare to find out exactly what that meant and I was given the reply of "oh I don't know!" On my own I saw my ob gyn who has it documented since2007 weve discussed weight loss diet exercise weight watchers etc (ive been a member of ww since 2007) the doc wrote me an excellent letter and resubmitted. please cross your fingers.
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Once a year for the rest of forever
mswillis5 replied to Creekimp13's topic in Gastric Sleeve Surgery Forums
My wife and I went directly to the surgeon and he is not part of a bariatric clinic. He also has annual follow-ups just like your clinic. He does have us use our PCP to gather the labs that check for nutrient or other issues. -
Long way until surgery, post op diet without surgery for now?
~*~ Melissa ~*~ replied to snrussell09's topic in PRE-Operation Weight Loss Surgery Q&A
Yes, I think it is possible BUT I do believe it will be an adjustment period. If I were you, I would cut out all bad food options now making the transition easier- minimal sugar, low carbs, nothing fried, etc. seems as though many refuse to let go of things like Diet Coke and struggle fighting the cravings afterwards. I cut Pepsi and Coca-Cola slurpees months ahead and it was the best decision I ever made. On occasions, I do wish to have one in my hand but simply say no because those things were on the list of terrible choices that got me to my highest of 295 pounds. The decisions made now will only help you in the long run. Also, no rush but since you do have time, check out the recipe section and other bariatric recipe sites and build your own cookbook. The same food gets old after awhile Congrats and good luck!!! -
How to act around other banders?
TQUAD64 replied to bigpapa2's topic in POST-Operation Weight Loss Surgery Q&A
Bigpapa. I learned a long time ago that you don't give advice unless someone specifically asks you for it. If they wanted to talk bariatric post care with you they would have. -
Protein shakes/drinks for pre-op
LindafromFlorida replied to Happysassyg's topic in PRE-Operation Weight Loss Surgery Q&A
Preop we used Bariatric Advantage powders and EAS powders as recommended. About 2 weeks post op we went to Premier Protein shakes. At 3 months out I was told quit drinking shakes so I now have a stash. Do not overbuy! I will probably start having a shake a day anyway now that it is warmer, a good icy one. Those brands were recommended and we liked them, except my husband liked the milkiness of the Bariatric Advantage and I preferred the EAS. -
There are others with plenty of protein. I use Muscle Milk Pro premade shakes because I became intolerant of whey protein. It actually has 32 g of protein vs. 30 g for Premier Protein. If you get sick of sweet drinks, I have liked several of the protein soups available here on Bariatric Pal
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Whats Everyones Vitamin Regimen ?
Piplula replied to krissy20's topic in POST-Operation Weight Loss Surgery Q&A
My RD recommended two Flintstones Complete per day. It had to be the complete. I too purchased the bariatric Vitamins and they were horrible. Huge waste of money. Some docs recommend prenatal vitamins as well. My levels are doing great with the two Flintstones Complete per day. I also take Blue Bonnet liquid calcium 1 tablespoon 3xs per day. I get it at my local Whole Foods and it goes down fine for me. I also take 50,000 units of Vitamin D2. Thats a prescription. I have low Vitamin D levels prior to surgery and it took about a year to get my levels to come up to normal limits. Hope this helped! Sent from my DROIDX using VST -
Whats Everyones Vitamin Regimen ?
linkybo replied to krissy20's topic in POST-Operation Weight Loss Surgery Q&A
Definitely going to look into bcomplex liquid drops. Just the idea of swallowing a big capsule makes me gag. My NUT actually said flintstone Vitamins aren't sufficient. I remember LOVING those! She's a tough one, though. Would you mind taking a few minutes and listing the nutritional facts? I'll list the ones for the Bariatric Advantage complete multi. calories 10 total carbs 2 sugar <1 Vitamin a 7500iu Vitamin C 120 mg vitamin d3 1000 iu vitamin e 30 iu vitamin B1 6mg vitamin b2 3.4 mg niacinamide 50mg vitamin b6 4 mg folic acid 800 mcg vitamin b12 100 mcg Biotin 600 mcg pantothenic acid 20 mg calcium 200 mg magnesium 50 mg zinc 15 mg selenium 100 mcg copper 2 mg manganese 2 mg -
My initial LB surgery, was covered. Left the job I was at, new insurance has.... NO Bariatric coverage. Haven't been to my Dr. In 2 yrs. Gained 30 outta the 50 I lost! That said, no insurance, I was told the follow- up visits would be $150 (no fill) $250 with fill. Is this normal? (In the US. Virginia)
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you might want to ask your doctors office to contact your insurance company to see if fills are covered. when i talked to my insurance company they told me it was not covered but the bariatric surgeon i use for fills was some how able to get them to cover it. it could just be the treatment code they use that makes all the difference. it's worth a shot.
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I got my consultation date with Fairfield Bariatrics!
katieinct commented on katieinct's blog entry in My Life Changing Journey
I got my first appointment with the surgeon at Fairfield Bariatrics today. The secretary said that they had verified my insurance and I am covered. :tt1: My first appointment is on July 3rd 2008 and I cannot wait. I received my benefit package from Oxford Health and it said that as long as the surgeon authorizes the lap band procedure, then it is covered. It also stated that I don't need to see a psychiatrist. Everything is going really well and faster than I expected. I am a little scared but mostly I am excited. I even got more hours at work so I will have more money. I told my friends at work and they are all being so supportive. So are my kids. I am sooooo happy :cool:!!!! -
Allow myself to introduce.....myself.
JOANNE M HOLL replied to BDP77's topic in Tell Your Weight Loss Surgery Story
Welcome to our World of the Banded! Keep in touch with your Bariatric Center/Doctor and follow their advice and your road to good health will be smooth. If you hit a few potholes the great folks here at Lap Band Talk are great to counsel you. Wish you the best. . . :wub: -
Whats Everyones Vitamin Regimen ?
krissy20 replied to krissy20's topic in POST-Operation Weight Loss Surgery Q&A
Omg I could tolerate the bariatric advantage while doing my preop diet but post op not no but hell no as soon as that Vitamin goes down my mouth starts watering and I have to use everything in my power to not vomit ugh so the dr told me to crush it and put it in my Protein shake so that's been working for me cause I'm determined to finish that big bottle since I paid for those darn bariatric advantage Vitamins haha!!! -
surprise 1st year anniversary vow renewal 4/13 dayton, on
chellee1971 posted a gallery image in Member Photo Gallery
From the album: Pre surgery
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Go and see your NUT if you have one. If your hospital has a support group attend that. There's a good book called "The Emotional First Aid Kid: A Practical Guide to Life After Bariatric Surgery" by Cynthia L. Alexander
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I'M one week out from surgery and now on just liquids. I'm drinking the Bariatric Advantage and I like it and am satisfied. However I just woke up from a nap and made a bowl of 1/2 cup of lf cottage cheese and salsa on top. Wasn't hungry just wanted the flavor. Hope I haven't screwed things up.
