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Considering another surgery
liveaboard15 replied to Ellebronwyn's topic in Revision Weight Loss Surgery Forums (NEW!)
that medication you started the side affect listed on it is possible weight gain. But lets start there at your food habits... Are you still eating healthy? making sure to limit carbs and sugars? or are you just eating whatever? I am only 9 months out and i dont feel the restriction i did 5 months ago. I can eat much larger portions than before. The goal tho is to limit those portions regardless. The goal is not to eat until you cant anymore. Its to eat until you are satisfied. not full but good. Not sure what else you can do with surgery. you already had the sleeve and then bypass which is what most people go to when they gain too much weight after sleeve or have GERD issues. -
I live in Washington and have Kaiser Permanente of Washington! Has anyone had weight loss surgery and went thru Kaiser of Washington? Please share your experience below. I have my first virtual Provider seminar on 1/27/2023!
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Weight regain after revision
The Greater Fool replied to Ellebronwyn's topic in General Weight Loss Surgery Discussions
To be frank, eating less than before surgery is not saying a whole lot. I could eat 1/4 of what I ate pre-op and still be eating 4 times what my current portions are. Unplanned snacks are deadly. If your plan includes snacks then they need to be planned and tracked like everything else. My plan never included snacks. Eating our appropriate portion size is THE key element post-op. Even in maintenance portion control is important to maintain and not gain. You have the motivation. Good luck, Tek -
Weight regain after revision
Ellebronwyn replied to Ellebronwyn's topic in General Weight Loss Surgery Discussions
Thank you Tek for your response. I do need to work on my portion control, although I still eat much less than before surgery, I know I am still eating more than I need to at this stage. I like the idea of measuring portions for my meals. I also tend to snack more lately, while at work. My initial motivation was to extreme health issues, thankfully all have resolved, but I know I am not immune and those could come crawling back if I don't get this under control and gain more. Also of course, big motivation is being around and healthy for my son, and of course, for myself. -
Considering another surgery
Ellebronwyn posted a topic in Revision Weight Loss Surgery Forums (NEW!)
So I'm going to just copy and paste part of my about me section to make this a bit easier lol: "in May 2019 I had VSG, and for about a year everything seemed to be doing fine. Initially, I was successful and almost 100 lbs down. I got down to 174lbs within a year. Almost 14 months later, I was dealing with a new stressor in my life (an abusive situation) and ended up developing extreme GERD, reflux, and would feel burning acid come up each night--sometimes choking on it and breathing in my own stomach acid. I ended up suffering with bronchitis and pneumonia due to the extreme GERD several times within a short period of time. My surgeon stated that this is one of the possible side effects of VSG as well as extreme stress, and offered revision to do the RNY and a hiatal Hermia repair. All went well, and at first, I seemed to have recovered well. But now, here I am in 2023 and I have slowly gained over 30lbs in the last 2.5 years, going from my lowest post-bariatric weight of 174 lbs to now at about 207.7 lbs. Not really sure if it was a result of surgery, or poor eating habits (or both), because from the moment I woke up from surgery and in each phase of my bariatric diet, I felt as though my "pouch" or new stomach was no longer feeling restrictive, and I was able to eat much larger portions than before. " I know 30 lbs may not seem like " a lot" to most, but to me it is a big deal and has been stressing me out a lot. Lately, I have been considering seeing either my old surgeon or possibly a new one for a check up to see if there is something "wrong" with the size/my surgery failed. Or perhaps, maybe this is hormonal, stress-related, etc. One thing I would like to add is that the majority of this weight regain started the moment I started taking SSRI medication (which I am still on for anxiety and depression). Looking for advice on what to do....as I have been trying to motivate myself to get back on track... -
Weight regain after revision
The Greater Fool replied to Ellebronwyn's topic in General Weight Loss Surgery Discussions
You can eat more because you no longer have a Pyloric valve between your sleeve and your intestines, so your food doesn't stop in your sleeve but goes directly into your intestines. So, effective restriction is probably a bit less. Which is why you should measure your food for each meal and stop when you complete the meal or get that no-more feeling, whichever comes first. We can't rely on just restriction to do the trick because for most people restriction declines with time. We need to build the right habits. It's easier when restriction is tight and weight loss is some positive reinforcement. It's harder later when trying to get back on track, but it can still be done. We just need to rely on portion control more and the positive weight loss reinforcement takes a bit longer. As for motivation, what was it to get surgery? Has that changed? Good luck, Tek -
How soon after insurance approval did you get surgery date
RickM replied to tiffanyb12211's topic in Gastric Sleeve Surgery Forums
Almost certainly this year some time. The wait can be highly variable depending upon the practice - some have a longer backlog than others while some may require some amount of pre op dieting, specified weight loss, or nutrition education (one practice I know of, the RD, nutritionist, has a sign off before the patient sees the surgeon for scheduling (do you think you are really ready for this...?) This is not necessarily a bad thing, as most of us need some kind of guidance in how to maintain ourselves after we lose the weight, and that is very much a mental/habit game. -
Hi all! I'm new to this group and looking for support. A little bit about me, In 2019 I had VSG--year later had extreme GERD/Reflux---then in 2021 I had revision surgery to RNY and hernia repair. Long story short, post VSG I was down 100 lbs almost and got to around 174, but after my revision to bypass to alleviate the GERD I noticed almost right away my "pouch/new stomach" or whatever you want to call it was no longer as restrictive and pretty much right away I was able to each much more volume. Over time, I gained about 30 lbs in 2 years, and I feel just awful. Has anyone else experience this before, and if so, do you have any tips? I am honestly struggling with motivation and getting back on the ball, and I am looking for advice, ideas and/or support. Thanks everyone!
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How soon after insurance approval did you get surgery date
tiffanyb12211 replied to tiffanyb12211's topic in Gastric Sleeve Surgery Forums
Thank you. I can't wait. I need this weight off of me! -
How soon after insurance approval did you get surgery date
tiffanyb12211 posted a topic in Gastric Sleeve Surgery Forums
Hello, I was wondering how soon after your insurance companies approved you for surgery, did you get a surgery date? My insurance company only requires documentation of the procedure, documentation of failed weight loss attempts (i have a letter from my PCP for this), a psych eval, and nutrition eval. I feel i can have all of that in the next month or two. Is it possible that i could have surgery this year? -
I have Cigna as well and I have my consultation with my doctor on Monday. I too wondered the same thing as i've seen others mention they needed failed weight loss attempts documented. My PCP wrote me a letter that said "The patient has undergone the following weight loss attempts..." and listed out everything i've tried. I called Cigna, read that to them and they told me that was sufficient. The only thing i need now is a psych evaluation and nutritionist evaluation. But I agree...it doesn't state ANYTHING about the 12 months of failed attempts.
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Exercise helps, but is not absolutely essential. Many don't bother or feel like it until they have lost much of their weight, if ever. My wife is still quite averse to it, and does suffer some from it as she is getting older, but that didn't greatly impact her weight loss from the surgery (some say that the loss you achieve is 80% diet, 20% exercise, if that.) Exercise if great, and needed for simply maintaining our various body functions, so do what you can for your needs, but don't think in terms of your weight loss being overly influenced by it. Do what is needed to tend to your other issues, and let the surgery and diet take care of the weight.
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I'm trying to think ahead before surgery. I have fibromyalgia, aka chronic pain and other fun stuff. It's hard to be overly active because it flares the pain and I'm down for awhile. Tips? Tricks? Is anyone else in the same boat? I guess my concern comes down to being active enough to help maintain weight after surgery. Sent from my SM-S908U using BariatricPal mobile app
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Weight loss continues almost 2 years post op
Quesodip251 replied to Studio54's topic in Gastric Bypass Surgery Forums
I’m the same height as you and weigh less. The only thing that puts any weight on me are carby snacks that don’t fill me up like queso and chips or crackers and peanut butter. They go down too easily! If you’re concerned, snacks aren’t filling so are easy calories that add up -
Struggling with old habits
Sleeve_Me_Alone replied to ArielR2022's topic in Gastric Bypass Surgery Forums
Get back to basics - hit your protein, get your water in, take your vitamins, and move your body. Weight and track everything - it will help you stay accountable to yourself. And, get help! Find a counselor, someone who deals with eating/food issues if possible, talk to your medical team, etc. Can't stress enough how much the mental/emotional piece of WLS is really the biggest. But the help is out there and you CAN be successful! You've got this! -
I don't understand why you are devastated when you lost 25 lbs in 6 weeks, especially at a lower weight start than most. That's a great start, even faster than some who had a virgin rny. Too high expectations can and will defeat all your hard work if it gets to you. Perhaps seek therapy if you truly feel "devastated". I know depression can sometimes occur after WLS. I had a revision just to get rid of the gerd. Even if I never lost a pound, to end the horrible acid reflux and sleepless nights are 100% worth it to me.
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Sigh. The hair loss has happened
BrynHow replied to qtdoll's topic in General Weight Loss Surgery Discussions
I am 2.5 yrs out and still have significant hair loss. Lots of patchiness! I wouldn’t trade my weight loss journey except for this one factor. My Mom is a Beautician so we have tried many haircuts and hair care. I’m 59 and fortunate (and unfortunate) to have very dark hair but with a very white scalp that soooooo amplifies the patchiness! I had short, full, curly hair before surgery, now I have very thin, slight wave, short hair. 🫥 -
I brought my cigna policy for my surgeon to read and it cleary stated that there were no 6 or 12 month long documentation of failed weight loss attempts required. My surgeon called the insurance coordinator and she says in her past experience of working with Cigna they require 12 months of failed WL attempts. There is NOTHING of this mentioned on the cigna requirements. I really don't need anything slowing down my process. Did anyone else run into this issue with cigna and getting approval? Sent from my SM-N970U1 using BariatricPal mobile app
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Medically necessary
Jeanniebug replied to Charisse Jordan's topic in PRE-Operation Weight Loss Surgery Q&A
I wasn't put on a diet plan. I just had to have 6 monthly visits with the nutritionist. My surgeon wanted me to lose 10-12 pounds before surgery, but my insurance didn't. However, I was not allowed to gain weight. -
Struggling with old habits
learn2cook replied to ArielR2022's topic in Gastric Bypass Surgery Forums
I could be you, you’re not alone. I got help through my clinic and Psychologytoday.com because loosing weight and lifestyle changes is a major head game. If we could do it all by ourselves we would have. Therapy has helped me tremendously. You are worth it! -
Scheduled And Insurance Denial
catwoman7 replied to DTB583's topic in PRE-Operation Weight Loss Surgery Q&A
your PCP's records of your weight for the last five years should count for that five-year requirement. For supervised diet, usually people work with their PCP or a registered dietititian (although some insurance will accept things like Weight Watchers, if it's documented - you'll have to ask them). You shouldn't need to have any co-morbidities at a weight of 360. Most insurance companies don't require you to have co-morbidities to approve the surgery unless your BMI is under 40. -
you're only six months out, so still in the "honeymoon" stage. Try to get back on track ASAP because it's never in your life going to be easier to lose weight than it is right now. I'd call your clinic for help - that's what they're there for! They may have you work with the dietitian or the psychologist (if they have one on staff - our clinic did...)
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Misleading Surgeon Office - Non Credentialed Surgeon
Old Salt replied to DrinkMoreRadium's topic in PRE-Operation Weight Loss Surgery Q&A
You stated "My primary care put in a referral and Tricare approved it for Dr. A" and "my weight loss trial and all the pre-reqs are done". So I am assuming you completed these thru your Primary Care Doctor and they have all the documentation. I also assume you have Tricare Prime not Tricare for Life (what I used), either way you have recieved insurance approval. You must be in the panandle or down in the muck near Clewiston but there has to be more Bariatric surgeons than just that one office within an hour. But I woud NOT go with a surgeon that is still seeking insurance credential. Tricare is adminstered by Humana which is not a small organization. There are many Bariatric Surgeons throughout Florida. Just curious, is this specific surgeon in the same medical network as your primary doctor? I would request a new surgeon or center thru your Primary Doctor. Submit all the "completed" documentation to a new surgeon and explain your employment situation. They might still be able to sched for March/April -
Hello All Advice needed. I’m 5 weeks post op. I’m struggling with a lot of pain on occasions (random) with drinking water and eating!! Like sharp contractions but worse! Can last seconds / minutes or hours! My stools are very pale almost white! Plus I’ve not lost any weight in like 2 weeks in fact I’ve gained weight!! Help!!
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There are a lot of variables to consider. IMO, BMI is flawed....the formula is based on an average body composition. It does not take in consideration frame size, bone mass, muscle mass, large breasted vs small breasted (boobs are heavy!), body shape (ectomorph, mesomorph & endomorph). If you were overweight in your youth and/or the majority of your life, your bones had to accommodate more weight so therefore are most likely larger and heavier than someone who has been slim most of their lives. Thirty years ago, the general rule for women was a baseline of 100 pounds for a 5 foot woman and 5 pounds for each additional inch. That is an average, but for me at 5'5", I am chubby at 125, where as; my daughter at 2 inches shorter, looks amazing at 135. Before the weight gain in 2012, my natural shape was hourglass (metomorph) with broad shoulders, heavy chested, small waist and slim legs on a small/medium frame. My daughter is rectangular (ectomorph) with broad shoulders, heavy chested, thick waisted, narrow hipped and thicker legs on a medium/large frame. My best weight is 112 to 117 but my daughter, even though she is 2 inches shorter, looks best at 132 to 138. "It really doesn't take body shape into account as I've never had an hourglass figure - I joke that I'm shaped like a plank with tits. Straight up and down." YES, YES, YES! The variations in the natural body composition of ectomorph, mesomorph or endomorph is not considered when computing BMI. An hourglass shape will carry more fat than a plank shape at the same weight! Weight is a personal matter. You have to find where you are comfortable and a weight that can be easily maintained. Listen to your body and listen to your doctor but don't let others get into your head.
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