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That is the common coverage for bariatric surgery, having a BMI 40 or over or a BMI of 35 or over with two comorbidity factors. The surgery has to be medically necessary for them to cover it under insurance. They're not going to pay for someone who doesn't need it to have it.
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I actually prefer not to die
AZhiker replied to brian10x's topic in PRE-Operation Weight Loss Surgery Q&A
Sorry, but I just can't let your comment go. Bariatric surgery involves huge physical changes, and for many women, it means substantial loss of in the boob department. The body changes are hard enough to cope with, and it doesn't help knowing there are men who value a woman by the size of her breasts. Your comment is insensitive to the successful female WLS patients on this forum. -
Lap band to gastric bypass
momotrips3 replied to angievasser42@gmail.com's topic in Revision Weight Loss Surgery Forums (NEW!)
Hey! Twins, huh? As you can see from my screen name, I have triplets, but they are 21, now. I just never got the band set right, just like you. So aggravating. I know some people lost a lot of weight, but did they keep it off or not have GERD, vomiting, etc.? Ugh. I may have done better had I gotten full aftercare (doc retired unexpectedly - no referrals). All in all, not my favorite decision I ever made. I just love feeling like a failure. I still can't eat huge portions, but I can eat enough to have gained all that weight back and lost it a couple of times since. This band has been more of a nuisance than a helpful tool. The VSG just sounds too easy to "mess up" with the stretching and not having so much malabsorbtion, The GERD just sounds awful. I know there's a tiny chance of GERD with RNY, but it is small. I have dealt with it already, so... RNY is what I think I want. Family members have had it and the one that took it seriously has had great success. The one that is less compliant has had a positive outcome, but their weight loss would be greater if they weren't so hard-headed and followed their bariatric diet! I would LOVE to be my absolute normal weight (130ish), but would be content with healthy and not "fat". I'm willing to put in the work. I realize I'm over 50 and menopausal, so there's that... I wish you luck! i have my two surgical consults next week - I'm excited and a little nervous! To make things worse, I had a sinus infection going into the holidays and had to take steroids. HUNGER! I ate ALL the carbs. Sigh. I feel huge! -
I called my insurance company IBC PPO back in August, they sent me a copy of the bariatric policy. BMI over 40, weight loss attemps, etc. This is for it to be covered under medically necessary. Is the what everyone else used or does everyone else have a bariatric rider? The surgeons office said I was denied because I do not have coverage. I had to call the insurance company 4 times before I found someone who referred me back to the policy I was sent in August. I am so confused. I have been on the phone all day! Curious if anyone else got the same run around. Fingers crossed I hear good news soon. Hoping I don't have to pay out of pocket.
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My point is its not easy to cut out 500 calories a day if you are anywhere near following the plan. This is not like non bariatrics that are eating 2500 calories a day and want to cut to 2000. Its MUCH harder to cut 500 calories when you are eating substantially less. Ive been on the same routine since around mid July.
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I am about 9 years post-op, I did very well up until my 40th birthday. then things went for the worst! slowly but surely gained 20 pounds each year! Not to mention having really really bad reflux. I cannot eat anything spicy, drink late at night even brush my teeth without having reflux. I went to my bariatric doctor and I feel like he just gets angry and scolds me for not logging food. He said I have some leaking but it is my weight gain that causes my reflux and tells me I cannot have a revision because he is sure it my food choices that have caused my weight gain and reflux. I make some bad choices but nothing nearly what I was before my procedure. I almost never drink soda, I don't eat corn, rice, or pasta like at all it makes me sick and pukes it up asap! my sugar intake is low although my weakness gets me most times. I know I could do better with water intake as well. I seem to feel hungry all the time. I know I can eat so much more than I did before. I could eat a whole hot dog in a sitting where before I could only eat half. I feel i am back where I was before a procedure where it seems even a slice a bread causes me 2 pounds! I really feel I need a revision or go RNY but I am so scared to even ask my doctor as I am scared of him judging me and denying me making it seem I am neglegent of my choices all because I don't log my food on a daily! any recommendations?
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Does anybody know how long rny patients have to take Opmeprizole?
Lady VS replied to Slimming Down Steve's topic in POST-Operation Weight Loss Surgery Q&A
I'm a sleeve patient and I was provided with Omeprazole the day I was released from the hospital. I have only taken it maybe three times as I have noticed certain foods I have eaten gave me that funny almost heartburn feeling. I was not given any directions from my doctor as to how long I should be on this, and my bariatric doctor's name isn't on the prescription. I don't know who this is smh. Maybe it's his partner he told me about at my 4 week follow up (shrugs). Sent from my SM-G965U using BariatricPal mobile app -
Hi Everyone. Had my gastric sleeve on Mon, 1/6/20 and discharged on Tues, 1/7/20. I walked several times the day of surgery and the following day. My belly became severely bloated and swollen as I was getting dressed to leave the hospital and got even worse the next day. Wednesday I spent half the day researching how to reduce the swelling and bloating and found one medical center that said they put abdominal binders on every bariatric patient immediately following surgery. Received my ab binder from Amazon on Thursday and was amazed at how much better I felt immediately. My weight when I got home on Tuesday was 7 pounds more than the day of surgery. Wednesday the scale showed 1 pound less. Thursday, 1 pound less. Friday, after wearing the abdominal binder for one day, 3 pounds less. The light compression helps support your stomach and helps your body release the excess fluid. I wish I had thought about it before surgery and been prepared. I had liposuction and a tummy tuck years ago and compression garments were placed immediately after surgery so makes sense to do the same after bariatric surgery. That swelling and bloating has been the worse part for me and could have been avoided had I been prepared.
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Hi I had BPDS Switch on April 2. I have lost 101 pounds since surgery and around 140 since starting the process. Main issue I am having is I have swelling in my lower legs very day due to low protein and pre albumin levels. I am now taking additional supplements for iron along with my bariatric vitamins. Glad to hear everyone checking in! Highest Weight 264 Surgery Weight 224 Current Weight 123
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Hello Everyone, I hand my Bariatric Sleeve on 1/9/2020 and the pain I’m feeling is no joke. I was not prepared for this much pain happening and I’m constantly burping all day long. I got pain mostly in my upper abdominal areas and pain on both sides especially on my right abdominal side. I also just stared passing gas a day in a half ago and it hurt during that time also. Have anyone experience this and can give me tips on finding relief?
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I actually prefer not to die
NYJenn replied to brian10x's topic in PRE-Operation Weight Loss Surgery Q&A
Bariatric surgery is safer then a hip replacement -
Inflammation in the joints 9 mos post op
JessLess replied to cutiepie34's topic in Gastric Sleeve Surgery Forums
This is definitely NOT a medical recommendation. I take Cyclobenzaprine for my degenerative disk disease and a friend just recommended Tart Cherry supplements for inflammation. I've heard Cyclobenzaprine is not great for bariatric patients so I'm checking with my surgeon about that. I'll let you know how the Tart Cherry works and if I notice any improvement. Cherry juice is supposed to work as well, but has a lot of empty calories. -
Cook Books? Best Recipe Sites?
CapyCapybara replied to kc892020's topic in Post-op Diets and Questions
I’ve heard great things about “the gastric sleeve bariatric cookbook” it’s supposedly cheap on Amazon . IG has a bunch of people who post their bari meals with recipes -
I used Pinterest. There are loads of post-bariatric recipes out there.
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I have many recipes & used my IP many times. I was just wondering if there were any recipes geared for us bariatric peeps.
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@Shparks You are not alone! I'm also struggling after a huge regain. In total I lost about 75kg or 165lbs. Then I regained 27kg or 60lbs back. My surgery was only about 2 years ago. I feel like such a failure. I can't explain how bad this is. I can see why there are so many mental health issues associated with bariatric surgery. I had the sleeve but I don't know if there would be any point to a revision to the bypass for me. Nevertheless, like many on new year resolution. I'm trying all over again. I've lost about 3kg (7 pounds). It does feel like a very long road back. I just hope I can do it.
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I was approved for surgery. Good vitamins and protein shakes?
Recidivist replied to RachaelEM's topic in Gastric Sleeve Surgery Forums
I have used Bariatric Advantage chewy bites for the last nine months or so: https://store.bariatricpal.com/collections/multivitamins/products/bariatric-advantage-multivitamin-chewy-bites-available-in-4-flavors I have only tried strawberry/watermelon and really like them. I had originally used tablets but couldn't take them after surgery. They had to be ground to a powder, and taking them that way was completely disgusting no matter how I tried to disguise the taste. I then tried to chewable tablets and found them disgusting as well (particularly the smell). The chewy bites have worked well for me. (I also take the calcium chewy bites.) As for protein shakes, I'm also a big fan of Premier Protein, especially the caramel flavor. I love to put it in coffee, but I also drink it straight. I did not find it too sweet after surgery. -
Insurance info for Gastric Sleeve
momof3_angels replied to Martzia Ely's topic in PRE-Operation Weight Loss Surgery Q&A
There are plenty of insurances that will cover bariatric surgery. You will just need to research the insurances available to you and see which ones have the best coverage. That said... you will probably have to wait for a period of time before they will cover a pre-existing condition. Medicare and Medicaid cover it. I have Federal BCBS and many BCBS do cover it. But I suggest looking at the insurance section of this site... you might be able to find posts to give you an idea of who covers it. Look for insurances that seem to do better with preventative care, because they are more likely to understand that if you fix the obesity problem now, you are improving the obese patients overall health and fixing and/or preventing other health problems. Of course, this is a new concept for many insurance providers when it comes to bariatric surgery. Medicare/Medicaid/BCBS seem to get it, but I don't know who else does! -
I was approved for surgery. Good vitamins and protein shakes?
AZhiker replied to RachaelEM's topic in Gastric Sleeve Surgery Forums
I use the Bariatric Pal vitamins. I like them because it is only 1 capsule per day. I also take a B-12 in the morning. In the evening, I take my Calcium citrate capsule (found these at Sprouts) and vitamin D3. That's it. I used Premier protein shakes prior to surgery and they were fine. Then after surgery, they were too sweet. Then a while later they were fine. Then I went to a plant based shake called Orgain which is available at Costco. -
10mg Buspar & 15mg Lexapro Sleeve Compatibly
catwoman7 replied to Spouse270's topic in Gastric Sleeve Surgery Forums
the OP might need to ask both. Yes - a psychiatrist is going to know more about psychotropic medicines, but the bariatric surgeon is going to be more familiar with potential malabsorption issues. -
I was approved for surgery. Good vitamins and protein shakes?
cajunredpanda replied to RachaelEM's topic in Gastric Sleeve Surgery Forums
First off, congratulations! My clinic gave me a list of approved vitamins (and protein supplements). I'm currently taking the one a day Procare multivitamin with iron in it because I was having trouble with my Celebrate chewable multivitamins. They made me nauseous to the point of nearly becoming non-compliant. Opurity and Bariatric Advantage vitamins were also recommended. I'm currently taking Celebrate calcium citrate chews and they're pretty good. Getting bored with the fruit mix I got, but I have a bag of caramel ones I'll use next. I would mostly focus on samples of powders right now. Not a giant amount, though. I second Syntrax. I prefer the Sweets line (the traditional chocolate, vanilla, and strawberry (plus cookies and cream)). A lot of people like or can only tolerate the Nectar line (which are more fruit juice type). You could also get a sampler at Unjury for $30. It includes two packets of all of their flavors, a thermometer, two premade shakes, and a shaker bottle. Most of my shakes since surgery have been Unjury Chocolate Classic in unsweetened almond milk or Kroger Carbmaster skim milk. (Oh, and while it's not listed, Unjury will also include Opurity vitamin samples in their sampler pack.) Both Unjury and Syntrax are lactose free. In terms of RTD/premade shakes, I like Premier, GNC Total Lean, and Fairlife Core the most. GNC and Fairlife are often sold individually. Fairlife milk (and the shakes) are also lactose free if you find you are or become lactose intolerant. If you find you can't tolerate milky shakes, protein water is a thing. Protein 2O and Premier Protein water are popular. Or you could use unflavored protein in Crystal Light. I use Unjury's unflavored protein and add it to soups and broths for added protein. -
Cook Books? Best Recipe Sites?
Losingit2018 replied to kc892020's topic in Post-op Diets and Questions
Take a look at bariatric foodie and also the one with the ricotta bake lol be right back with the name. world according to eggface has great recipes for every stage -
I was approved for surgery. Good vitamins and protein shakes?
Losingit2018 replied to RachaelEM's topic in Gastric Sleeve Surgery Forums
I used premier after my sleeve surgery but find my stomach won’t tolerate them after my recent revision to bypass. I highly recommend trying these samples. https://store.bariatricpal.com/products/syntrax-nectar-protein-powder-trial-sizes-17-flavors-to-choose-from?vec=eyJ2ZVRwIjoiRk9SVU0iLCJ2clRwIjoiTU9TVF9QT1BVTEFSIiwidnJJcCI6IjEifQ%3D%3D my favorite is the chocolate truffle and I tolerate them very well. I would be Leary of a one per day vitamin. Iron and calcium will counteract each other in certain doses. Also check with your team as they may require you to start on chewables. I take the bariatric fusion. Bottle says take 4 per day but my dr assures me that if I take two twice per day I will get the same results. I like that I don’t need any extra d3, iron or calcium with these. good luck! -
I didn't use any bariatric-specific sites after I was through the phases - but I would imagine most low carb recipes would work (and of course you'll have to have some kind of protein at every meal, too...)
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I just started the process of inquiring into Bariatric Surgery even though I’ve been considering it for years. I’m 43 and have been overweight since I graduated from high school. I’m currently 5’9, 254, and my BMI is 37. I was diagnosed with Hashimotos hypothyroidism 3 years ago. I suffer from GERD and recently found out that I have high cholesterol and Hepatic Steatosis. My endocrinologist just ordered a sleep apnea test for me because she thinks I might also have that. Within the last 6 years I’ve tried every weight loss medication out there and have had some success but have always gained the weight back. Once I found out I had fatty liver disease (I had an MRI for abdominal pain) I decided I really needed to get serious and do something about my weight and my health. I know I have a food addiction and also a crappy metabolism due to my thyroid issues. So the first thing I did was contact my insurance company to see if it was a covered benefit and what the plan rules were. My insurance is BCBC of Michigan (Although I live in Ohio and it’s administered through Medical Mutual), covers bariatric surgery 100% if I have qualifying comorbidities. The insurance requires that I have tried a medically supervised diet for six months within the last 4 years (which I actually did in 2018- I was on Saxenda for 7 months and only lost 20 lbs but gained that back). Once I found out that it might be covered, I contacted 3 hospitals to inquire about bariatric surgery. (I did this in Jan. 5th). All three Hospitals have forms that you fill out on their websites after your watch a mandatory video. I guess now it’s a waiting game for the Hospitals to get back to you? One of my friends had WLS last year and she told me that it could take a few weeks before the hospitals call you back. I am very happy that I have stumbled upon this website! I have already learned so much from all of you sharing your stories.
