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Very helpful, informative book for those of us who like to read, hi-light, underline and review. Dr. Matthew Weiner, M.D., bariatric surgeon explains one surgery vs. another including revisions, why some lose faster than others, why some are more successful over time than others. Not preachy nor judgmental in any way, just factual. Explains how our bodies go through hormonal changes post-op to establish a new metabolic set point. 150 pages, easy read in one sitting. $11.99 on Amazon for paperback. Well worth it!
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$300 fee is nothing. Drs do have costs associated with submitting your case to insurance company. People like me, who required 3 full submissions and 2 peer to peer appointments cost more than easier patients/insurance companies so the fees balance out. My first surgeon had a $2500 "lifestyle management fee" that had to be paid in advance of the surgery being scheduled. And that was on top of all the other costs that insurance was covering 100%. Supposedly that was to cover support groups/classes and the doctor coming out to visit you in cases of extreme need, but considering we lived 50 miles away and the support programs were all during business hours we would never have used any. Plus, if we coukd afford $5000 we wouldnt be on medical. The surgeon also refused to work with us on the fee. The surgeon who did my sleeve (and who i recommend if in CA) is Dr. Richard Nguyen of Lifetime Surgical. He charges $300 and i didnt find out until after I paid it that that fee also includes the bariatric diet food for the 2 weeks preop. That makes the portion that goes to them more like $150-200. I find that very reasonable for all they did. HW 385 SW 359 CW 344 Sleeved 10/5/16
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Three years ago this time I was in the operating room and my friendship with Leonida, my band, was starting. During the first year I lost 52 kilos, which is something between 100 and 110 lbs, if I am not wrong.. During the second year I started losing part of my strong motivation and,by the end of the second year and the beginning of the third, I had gained back 10 kilos. Bariatric Pal is helping me come back on track, your approach to weight loss connected to wls is a bit different and many of the suggestions I have read here are becoming part of my life and behaviour. Thanks to all of you!!!
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It depends on your insurance. My policy has an in-network out of pocket maximum of $2000 per year. By the time the surgery came around (September 28), I had already spent $600 over the previous almost 10 months in co-pays and a couple of other items that my PCP asked me to do (abdominal ultrasound, chest x-ray, etc.). So, I had to pay about $1400 for everything. (The hospital submitted their claim to insurance first, so that money went to them. Insurance covered everything else at 100%.) My doctor didn't have any "doctor fees." My parents had bariatric surgery over the past few years in Alabama, and their surgeon charged a $300 administrative fee per patient. I personally think that is kind of dirty, but apparently a lot of them do it.
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Before And After Pics
futureskinnypants replied to kmbrlycool's topic in POST-Operation Weight Loss Surgery Q&A
definitely have to renew your vows now!!!!!! -
For those using vitamin patches
Karen Kenney replied to Jazzzyjay's topic in Gastric Bypass Surgery Forums
I get the patches here at the bariatric pal store, I use this https://store.bariatricpal.com/collections/vitamin-patch/products/gastric-bypass-vitamin-patch-pack-30-day-supply My kaiser nurse that runs our program says the calcium does not absorb well and will not show a deficiency in a blood test because the body leaches it from your bones so I also take a chewie bite per day. I just had my 6 month tests last month and everything was great! -
Almost forgot my EGD because my gastroenterologist did it instead of my surgeon. I have gastritis which I am on a higher dose than average PPI, most,people are on Zantac, Peocid , Prilosec, I am on Dexilant, my gastro called it the Ferrari of tummy medicine, it would be over $350 at WalMart, the cheapest pharmacy in town, God only knows what Rite-Aid and CVS would charge, thankfully I only have a $3.70 co pay on it. Anyhow I'm cleared for that also. Forgot to say welcome- always happy to meet new Bariatric friends. Any questions otherwise, please ask. We'll do our best to give you a good answer.!😛
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Actually they aren't. They are made from boiled cow skin and boiled horse skin. They are the worst quality protein on the market and are not endorsed by the American bariatric...whatever it's called. They are not a complete protein source by any stretch and they are not all whey. Some are part whey and part collagen and some are all collagen.
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nothing wrong with having a protein shake for breakfast. I know several bariatric patients who've had those for breakfast for years because they can't stomach solid food first thing in the morning.
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I think the FDA (panel) has just approved a BMI as low as 30 with at least one comorbitity, and a 35 with no comorbidities, for lap band surgery. The actual FDA is expected to soon follow. Usually when that happens, the insurance companies will have to agree to pay, but a lot would depend on your personal situation. Is you PCP involved? I have a BMI of 32 but have a couple of comorbidities, and since my PCP has known me forever and knows of my weight loss struggles, he agrees that Lap Band would be right for me and has referred me to a Bariatric Surgeon. Keep your chin up!
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So funny. I was just researching this myself. I'm going to school learning about app development. I already decided I'm going to take on making Bariatric-centric tools and apps as a personal project. A quality eating/meal timer is definitely on that list. Not saying you should wait around for that lol! It's just surprising to me that there are so few apps aimed at WLS patients.
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This one is for the Ladies! [emoji177]
BariatricBarbie posted a topic in PRE-Operation Weight Loss Surgery Q&A
So I have a question, my surgery is December 20th, and I know the incisions will be on the upper half of my stomach and hen in the middle and such. Did anyone ever have trouble with bras? Or do you know of any solutions to be had with them? I bought a Bralette that wouldn't be as much pressure on that area but I didn't know if anyone had a better solution! Thanks! ❤️️ Bariatric Barbie Sent from my iPhone using the BariatricPal App -
Looking for a buddy with lower pre op BMI
RobinRg replied to Jme82's topic in Gastric Sleeve Surgery Forums
I love hearing all these stories! So much of it is the same as mine! Highest weight was 265 and I did manage to drop some and keep it off but could not lose more and keep it off. I used to spend hours at the gym, swimming and lifting weights. I got pretty strong but no fat went away. I have the co-morbidities ( hate that word, makes me feel like I am dying), did the 6 months record of food and activities.......I lost 7 pounds in 6 months! That added to my depression! I worked so hard and the results were practically nil. My PCP says my metabolism is shot and has been pushing me for a decade to do this! I looked into it years ago and Blue Cross said NO WAY. I got heavier, felt guiltier about it, developed more problems and now we have different insurance! After so many diets for so many years, I am tired of listening to other people, especially when I have learned enough about Bariatric surgery to know most of what they say is really wrong! I tried it myself for decades without asking for help, now I am asking! My husband had a DS in 2013, he was insulin defendant, his stomach stopped working from the diabetes and he was getting bad nerve damage from it, too. Things were going downhill fast for him. His best option for any kind of health was the DS and he took it. About 150 lbs later he is in great health and feels terrific. There is no better proof for me! As for telling other people, I have told plenty of people I work with and they are surprised I am big enough but are really supportive. Maybe it is because #1 I work in a hospital and #2 they have all seen me drenched in sweat after very little activity or just because it is humid! I have not told my family (in an other state) but I will at the last moment. They did not really understand my husband's surgery very well, they still think it was some kind of diet! Since the Dr. will also be fixing a hernia for me I will tell them it is surgery for that and later tell them the rest. My Mom is 90 and worries about EVERYTHING, so I kind of hate to add to that............ It is a conundrum! For all the nay-sayers, I say mind your own business and health problems and let me mind mine!!!!!!! Getting excited and it is hard to wait! -
Greetings future shrinkers
catwoman7 replied to Nerdette's topic in PRE-Operation Weight Loss Surgery Q&A
"My 600 lb Life" is both good and bad - good in that it's exposed the general public to weight loss surgery, bad in that it gives actual bariatric patients unrealistic expectations about how much weight they're going to lose in the early months. One of the biggest factors in your rate of weight loss is your starting BMI. At 320, you're still an average weight loss patient. The people on that show start off at over 600 lbs. With that high of a BMI, they're going to drop 30-35-40 lbs that first month. Although that occasionally happens with some of us "normal" bariatric patients, that is the exception, not the rule. If you only lose 20 lbs the first month, or even 15 lbs, you are NOT a failure. You're experiencing a pretty average first-month loss. I've been hanging out on this and other forums for about five years, and I've been working with pre-op groups in my clinic for the last three years. So many people seem to get down on themselves because they don't lose 40 lbs the first month - and I'm sure that's due to the fact most of their info comes from "My 600 lb Life". Although I've never seen actual research stats on this, I've been involved with the community enough to wager that most of us "normal" bariatric patients lose in the 15-25 lb range that first month. Just something to keep in mind... -
Premier Protein Shakes at Amazon.com $7/Case!
Kapoorvilla replied to BrickHouse's topic in Protein, Vitamins, and Supplements
On another thread a poster complains about the pdcaaas score of premier. They claim to have called premier and got a score of 1 out 100 . They also claimed their shake got a 100 out of 100. I posted a link on that thread to Bariatric Advantage that stated the score was 1 but that was the top score other things such as chicken breast scored .97. I think the poster is confused with the scoring system. Does anyone else know any thing about this pdcaaas scoring system -
July 11th is my Big day starting to feel anxious !! I had my pre-op class today met with the Surgeon 'nutritionist ,Bariatric nurse , for all instructions before surgery !!! Next time I see them will be @ the hospital !!! Im scared ....!!!! I have a tons of paper work to read over !!!
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Online therapy for eating disorders
ShoppGirl replied to Tomo's topic in Post-op Diets and Questions
Does anyone know a good bariatric therapist anywhere in florida who may be willing to do telehealth appointments? I found one person so far and after two appointments I don’t feel like she is the right fit for me. Apparently they are few and far between in my area but I’m thinking post COVID maybe telehealth will work (someone said they have to be in the same state to bill insurance). -
My sleeve journey has officially started!
SarahSleeve posted a topic in PRE-Operation Weight Loss Surgery Q&A
I was trying to decide between two different programs and went to my second informational meeting last night - made the decision then and there to go with that program after seeing how much more detailed and involved they are with their patients both pre and post-op. They've done over 2K bariatric surgeries in the past 15 years, with almost 400 being sleeves. I like those numbers! SO I handed in my 20 pages of paperwork/history last night, put an insurance referral request in to my PCP when I got home, and await the call to set up my many appointments/classes/tests. Looks like they run about 4 - 6 months on average. My insurance is easy so it will mostly be the surgeon requirements- and since they'll require me to lose about 22 lbs before surgery, that will likely be a major factor in determining how long I'm in the pre-op process. I freaked out a little on the drive there last night. Knowing that this is finally going to happen. I'm finally DOING something solid with regards to my weight. I've been obese since I was 5. I'm 36 now. I can't believe that by this time next year, I have a real chance of not being obese anymore, with a real chance of staying in the "normal" range for life. I can't even imagine what it feels like to be a normal size. It's a bit terrifying, but exhilarating at the same time Yay! -
My surgeon uses a robot to perform the surgery. It is totally manipulated by the surgeon but is supposed to be more precise and recovery is faster. Sent from my SM-N975U using BariatricPal mobile app
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Just starting the process
over65 replied to lostnowfound3's topic in PRE-Operation Weight Loss Surgery Q&A
I have been taking meds for bipolar for a number of years. Took MMPI-2 as part of my psych eval and showed I am totally "normal". Really shocked my psychologist. I will stay on meds though to be sure I stay stable. If you have mental health issues, they just want to be sure that you are: (1) stable on meds and continue under treatment (2) Addressing any eating problems. (3) You have adequate social support (family, friends, church, etc.) I was pretty stressed about psych eval because my history. Don't stress about it. If you have a current therapist, see if your bariatric center will accept psych eval by him/her. Who knows you better? Sent from my SM-G950U using BariatricPal mobile app -
Bariatric Surgery patients represent a surprisingly increasing number of patients in inpatient treatment for anorexia according to John's Hopkins. Yes, anorexia and other eating disorders are a serious risk for our population. Yes, treatment....including eating more.... will be a help even if you gain a little weight to find a managable maintenance level of calories. Passing out is incredibly dangerous and can kill you or others if you drive. It's also incredibly unsafe on stairs, around heavy equipment, and in the company of unsafe people. Being that low on nutrition is hard on your body, particularly your heart. You can do permenant damage in short order. Take your condition seriously. Your very demanding job and thinner body are of no use to you if you imperil your safety, health, and eventually your life. (it's tough on relationships, too) Wishing you the very best.
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I’ve lost too much weight!!! Help
Healthy_life2 replied to lorena090's topic in General Weight Loss Surgery Discussions
5’3” 127 pounds. Your BMI is 22.5 Normal weight. For someone your height underweight is 104 pounds. BMI 18.4 You may want to research bariatric centers in your area or find a dietician that can help you out. If you don’t feel healthy at this weight, increase your calories and carbs to gain weight. If your restriction is still tight, Find less dense foods…Example peanut butter, sweet potatoes etc. -
Almost 4 weeks post op
Polarbearwifey replied to grateful101's topic in Tell Your Weight Loss Surgery Story
Congrats!! Being able to go to the gym does not mean kill yourself exercising. You need to take it slowly. I went to the gym the third week post op. I started two days with cardio 2 hrs and the third day I started with weights. My routine is 3 hrs 5-6 days per week with 30 mins cardio and the rest weights. The Vitamins I like are Bariatric Choice . They are cheap and they are awesome. Sent from my iPhone using the BariatricPal App -
@@capricec It's great that you are trying some of the steps that will take place after surgery. Most of us before surgery have struggled on diets and exercise.We have seen the yo yo effect of weight loss then gains over and over. With bariatric surgery I looked at food differently and felt satisfied. Food no longer ruled my world. Just know the changes you make with the surgery will become your new normal. My behaviors before surgery put me in a place where I was not living my life the way I wanted. Making changes both physically and mentally with bariatrics is so worth it. I have a sleeve. Understand I can eat what ever I want. I have had to make a choice. My food addictions and bad habits. Or to make changes to get healthy to live and enjoy life. I am at goal. Yes I can have a treat now and then. But I know I have to workout even harder to not see the scale reflect that food choice. With the sleeve you do not get dumping syndrome. Some of the other surgery types will get dumping syndrome after eating sugar. I had my doubts before surgery if I was strong enough to be successful. You have a lot of support on bariatricpal. Try not to think of the never going to be able to do.....and think of all the things you can get back in life if you are willing to make changes. I wish you the best, Jenn
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A little about myself: I am 28 years old and I have been struggling with my weight all of my life. I am tired of being the girl that has a pretty face. I hate how I feel about myself. I have been toying with the idea of doing some type of weight loss surgery for the last few years. For years I was encouraged to get the lap band, which I seriously thought about for a while. Now, after the long term effects of it have come out, I am so glad that I did not do that surgery. In May of 2011 I went to the bariatric orientation at my local Kaiser office. That is when I first learned about the gastric sleeve. My insurance requires everyone to go through a 12 week class before getting any type of weight loss surgery. The days and times that the classes were on conflicted with my work and school schedule so I wasn’t able to start the classes. At this point I wasn’t ready mentally to go through with any type of surgery. So I started counting calories and exercising. In four months I lost about 26 lbs. When I started school I stopped counting calories and didn’t make time for exercise. Now I have gained back each pound that I lost along with an additional 6. I have come to the decision that I now must take drastic measures for my health before I develop any major health problems, while I am still young(ish). On April 17, 2012 I went to a second orientation at Kaiser (my first referral expired). Now I am making time for myself. I start my 12-week class on Tuesday, May 1st. As long as I make each class, which I will, I will be done with the class in mid-July. I should meet with the surgeon late July/early August and hopefully have the gastric sleeve done by mid-August. I have to quit smoking… I started that journey, and it is way harder than I thought it would be. With the future ahead of me, I am determined to get this done. After all, I AM WORTH IT. I have been lurking around for about a week and feel like I have learned so much. I can see what I have to look forward to and I am excited.
