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Weird insurance question?
RainbowBrite57 replied to RainbowBrite57's topic in PRE-Operation Weight Loss Surgery Q&A
Thanks y’all! I’ve been seeing my general practitioner instead of my bariatric surgeon for the monthly appointments because the surgeon is about 45 minutes away. I’m thinking about changing over to doing these appointments with the bariatric surgeon though since they know exactly what insurance requires. I might lose three months of progress if I do that but hopefully not. -
lots of people have. Just do a lot of research before picking a surgeon. Dr. Francisco Sauceda in Monterrey and Dr. Laura Carmina Cardinas in Tijuana are well-known by those of us in the bariatric community. I'm sure there are other excellent ones, too, but those names come up A LOT.
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Vitamins, gummies and pills. oh my!
Darktowerdream replied to JRT Mom's topic in Gastric Bypass Surgery Forums
My nutritionist said no gummies but when I showed her the multivitamin and how much extra nutrition they provide she said they would be fine. The point about gummy vitamins is to make sure they are a good potency, that it’s a whole food source, and minimal sugar. im pretty sure they specify no gummies just because they assume most people won’t pay attention to what’s in it and the quality of the vitamin. But even centrum can be a garbage vitamin that isn’t utilized by the body. i just find it funny that sometimes the same nutritionist that says no gummies might also approve of fruit or carb foods earlier on. I’m not going to argue. But the nutritionist doesn’t know everything and sometimes I showed my nutritionist new things I’ve found and she was happy I shared and added it to her presentation for future bariatric patients. And she said the vitamins I chose were great. And my levels have been good. -
Good morning, I'm new to the forum and so far have just read the messages, rather than jump in and post. I started my journey for surgery on 12/26/19 through the local Veteran's Affairs clinic. My primary care provider had experience by prescribing Saxenda to patients and I was quickly approved for it. Today was day 3 of the prescription and I am still at the smallest dose of .6 mg on my way in 4 weeks to the full 3 mg dose. In the VA, you have to be in the move program for at least 3 months and then the primary care team (along with the nutritionists) present your case to the bariatric surgery team. I am scheduled to have my case presented on April 3rd and hoping for surgery in the next 30 days following. In the interim, I am on Saxenda (injection med) to help facilitate the weight loss process as they have stated many times that the more weight you lsoe pre-surgery, the better chances for success. I started the process (I am 6 feet tall) at 351 lbs and weigh in daily through my VA assigned scale. Today I am at 337 lbs, which means -14 lbs since 12/26. Ultimately, the process is working and I am excited to get through 2020 with a successful surgery and lifestyle change! New Jason in 2020 & 2021!!!
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Thank you for the input! Since bariatric surgery is still relatively new at Virginia Mason, there are no support groups started. I will be checking out the Swedish Metabolic and Bariatric Center. Thank you for the input! If anyone wants to get together, please reach out.
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Vitamins, gummies and pills. oh my!
Darktowerdream replied to JRT Mom's topic in Gastric Bypass Surgery Forums
Not necessarily true. Not all gummy vitamins are created equal. The ones I buy are Whole Foods based, no added sugar, any sugar is low sugar and natural from fruit, and check labels and you see you are getting the vitamins you need. There are plenty of vitamins that are tablets that claim to be complete or bariatric but aren’t actually utilized by the body the way whole food based gummy or liquid vitamins would be. -
Vitamins, gummies and pills. oh my!
Losingit2018 replied to JRT Mom's topic in Gastric Bypass Surgery Forums
I was told to avoid gummies. As you can see here, Johns Hopkins agrees Also good vitamin info here https://www.hopkinsmedicine.org/johns_hopkins_bayview/_docs/medical_services/bariatrics/nutrition-suggested-vitamin-mineral-supplements.pdf ”Multivitamin Recommendations: Multivitamin must be complete, containing iron and other trace minerals. Should contain at least: 200% Daily Value for most contents, specifically iron (36mg), folic acid (800mcg) and thiamin (3mg) 100% Daily Value for zinc (15mg), copper (2mg) and other nutrients Taking a Bariatric Multivitamin may eliminate the need for additional Vitamin D and B12 supplements. Bariatric Multivitamins are also available with different amounts of Iron, choose one that meets your individual needs and eliminate the need for a separate Iron supplement as well. AVOID GUMMY Multivitamins. Gummies do not have all the vitamins and minerals you need.” -
Vitamins, gummies and pills. oh my!
Darktowerdream replied to JRT Mom's topic in Gastric Bypass Surgery Forums
Oh I love my hero nutritionals slice of life omega gummies with chia seed, since they are fish free. They taste good too. For now I get them from vitacost.com but the company told me they will be rebranded at the end of 2020. https://www.vitacost.com/hero-nutritionals-slice-of-life-omega-3-with-chia-seed-adult-gummy-vitamins-natural-cran-orange-60-gummies for my multivitamin I need one that’s free of added iodine and I prefer Garden of life my kind organic prenatal multi whole food gummies. (a lot of bariatric people take prenatal vitamins) I did get Garden of life raw one multivitamin capsules this month, I’m not sure I care for them. I guess Since I have some bloodwork due for a surgeon follow up I’ll find out how my levels are. But my throat has been having problems (likely not related to surgery) the gummies are easier in that regard. And I believe whole food based and chewable or liquid absorb better. For hair skin and nails I like natures way alive hair skin and nails with collagen (300mg) gummies. They also make a calcium but I got a tablet from target, I guess I’ll find out how effective it is comparatively. You are correct about vitamin k , I recommend K2 as Menaquinone MK-7. I buy these sublingual for my mom https://www.amazon.com/gp/product/B00VXDXXM0/ref=ppx_yo_dt_b_asin_title_o05_s00?ie=UTF8&psc=1 You might want to add in coenzyme Q10 as it’s extremely beneficial. I also take digestive enzymes with meals. For anyone who takes probiotics don’t forget that healthy gut bacteria needs to be fed with prebiotic fiber (inulin) or prebiotic foods. Chicory root is the best source of prebiotics. Some other sources are Apple pectin, konjac root aka glucomannan (you can buy shiritaki noodles made of this) as well as flaxseed and others I can’t think of at the moment. Better than rice is a rice alternative and good source of prebiotics. Cooked right it tastes great. https://www.vitacost.com/better-than-rice-organic-konnyaku-flour-organic-oat-fiber-rice-gluten-free?ta=better+than+rice&t=better+than+rice -
Vitamins, gummies and pills. oh my!
Losingit2018 replied to JRT Mom's topic in Gastric Bypass Surgery Forums
I take 2 bariatric fusion Complete in the morning and two at night. Chewable, taste good and has everything that I need instead of taking multiple pills. i do take good probiotics and extra biotin as well. -
What the Prep...
Krimsonbutterflies replied to Krimsonbutterflies's topic in General Weight Loss Surgery Discussions
The great thing is, I have a few bariatric friends who I can share with if needed. Also, the theory of the vanilla drinks, can be a base and interchangeable with different extracts flavorings, teas, and smoothies. I will push through these. -
What the Prep...
Sosewsue61 replied to Krimsonbutterflies's topic in General Weight Loss Surgery Discussions
Tastes dramatically change after surgery, and the smell of some foods might send you hurling. I still can barely handle chocolate.... during soft stage had sf chocolate pudding OMG It was so bad I shudder thinking about it. Bone broth was a savior. Premier protein shakes have been nearly everyone's shake that they managed to still tolerate. I switched to ready-made blue raspberry Isopure with some crystal light lemonade to survive liquid stage. Good luck. If you still have 'stock' once you are past using it, I donated mine to the bariatric support group. -
gastric bypass side effects
catwoman7 replied to skyewolfe's topic in PRE-Operation Weight Loss Surgery Q&A
complications aren't that common, and most of the ones people get are pretty minor and easily fixable, like strictures. About 5% of bypass patients get a stricture, making it one of the most common complications. I'd hardly call something that 5% of people get "common", but that gives you some idea on how common complications are. They're not. I think a lot of people you're listening to are remembering what bariatric surgery was like 20+ years ago, when it was fairly risky. It's just not anymore. These have come a really long way since then and have become pretty much routine surgeries. On the continuum of "not risky at all" to "super risky", they're WAY on the side of "not risky at all". They're much safer than hip replacement surgeries, for example, and they do those every day. Honestly I think my plastics were probably riskier than my RNY, as far as surgeries go. you are at greater risk staying obese than you are having this surgery. It's when I realized that that I decided to go for it. -
I apparently have an unusual insurance question on my hands because my insurance company doesn’t seem to be understanding my question. For surgery approval, I am required to do six months of weight loss appointments with my general practitioner. At my initial consultation my bariatric surgeon told me to be very careful with how I do my six months of appointments because he’s had patients mess up and not get approved because of the how they did their 6 months due to their insurance companies being very strict. What I’m wanting to know is do my appointments need to be spread out 30 days apart, which is going to be really hard to do with my doctors busy schedule, or can they just be once a month without regard to the number of days in between? All of my appointments are pretty much at least 20 days apart except for one appointment that’s I think 17 days apart. I did reach out to my surgeons office first but was told that I need to contact the insurance company to find that particular detail out and when I call them I get the runaround. I have Anthem BC/BS. I’m sorry if this is a really stupid question. I’m terrified of messing this up!
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Why did you choose the surgery you had/will have?
KlaPV replied to KlaPV's topic in PRE-Operation Weight Loss Surgery Q&A
@ms.sss Thank you for your insight. It's definite things that I need to bring up with my bariatric surgeon. @catwoman7 I will bring this up with my bariatric surgeon and let it weigh in on my research. -
THE SLOW LOSERS CLUB SUPPORT THREAD
Serengirl replied to Serengirl's topic in Gastric Sleeve Surgery Forums
The microbiome and that change in it is the very reason they have found bariatric surgery more effective than say the Band- because it changes most peoples microbiome... its isn't about calories restricted as much as it is about the fact that you are changing your microbiome radically or circumventing it all together depending on your surgery type. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6343052/ -
I am 7 month post op, and just found out I’m pregnant
Serengirl replied to Ashiki's topic in Gastric Sleeve Surgery Forums
Deep breaths it is soon BUT you need to tell your DRS asap... and they need to get you on the right diet and vitamin plan ASAP. I have seen some people have healthy pregnancies this soon out but they had DRs who were super involved early on. Its is possible to have a healthy pregnancy but there are risks... But congrats to you and your baby just talk to an OBGYN and bariatric teams ASAP. -
Recommendations for Surgeons in Georgia
athea.lei posted a topic in Weight Loss Surgeons & Hospitals
I will be moving to Georgia in a few months. Can someone recommend a reputable bariatric surgeon preferably in southeast Georgia. Sent from my SM-N975U1 using BariatricPal mobile app -
Update, so I received a packet from one of the Hospitals that I contact which requires me to get it filled out from a physician recommending me for the surgery. I have an appointment with my Primary Care Doctor tomorrow to discuss my decision to pursue bariatric surgery.
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NYC DOE Teachers - Having or Have Had Sleeve Surgery
catwoman7 replied to newyorklady20's topic in PRE-Operation Weight Loss Surgery Q&A
you won't die. These fears are based on bariatric surgeries that were performed in the 1960s and 70s, when they WERE high risk. Almost no one dies anymore. Techniques have vastly improved, and these have become very routine surgeries. Gastric bypass has a 0.3% mortality rate, sleeve is even less. So that means you have at least a 99.7% chance of pulling through just fine. This is one of the safest surgeries there is - much safer than a hip replacement, even, and they do those every day. My surgeon has been at it 30 years and has yet to lose one patient... -
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... -
How many years after surgery could you eat a plate of spaghetti without feeling nauseous?
Darktowerdream replied to Ninja-slash-nerd's topic in Gastric Bypass Surgery Forums
I’ve had salmon sashimi twice so far and was surprised my pouch handled it better than cooked fish or tuna. Of course each experience is different. I had already give. Up pasta for years prior to RNY. I was using shiritaki, (better than rice makes a good shiritaki rice they also make a sushi rice) i had also started subbing cauliflower rice, occasionally veggie based pasta. I’d mix better than rice, shiritaki rice and a protein (usually something vegetarian) all pre-surgery. But things change and I am still learning to adapt. But for me personally certain foods are off limits. Unless there is a healthy, but just as tasty alternative. but one month out. It’s way too early to worry about a plate of pasta or sushi. Better question is, how has your relationship to food changed and how will you adapt going forward. Go through the appropriate phases and try new things slowly and one at a time. And put thoughts out of your head about what you might eat in the future. For now it’s hydration, protein and nutrition. but that’s life. And yes sometime down the road as you start getting closer to goal weight you treat yourself to little things as long as you meet your target protein, and don’t break the calorie bank. Of course you can do this early on just set standards and don’t break past them. of course everyone is different but we all started the bariatric surgery journey for a reason. -
February 2019 weight loss buds
Sheribear68 replied to TheMarine79's topic in Gastric Bypass Surgery Forums
So I’m almost loath to admit that at least 50% of my days open like this. The coffee/protein goes down around 11-12 pm, then I hit the p3 about an hour later. After that sometimes I don’t care to eat til 3-4pm and then by 6-7pm, I’m not extremely interested in dinner. I’ve got to get better with not only variety, but with quantity. Anna, I’m so sorry you’re struggling to get in those calories and I totally feel your pain Sweetie give yourself some time and some TLC. you started this journey at 35% BMI so you’re in a scarier place, but I’m convinced you’ll figure a way out of it. Keep in touch with a NUT. They should be able to help. This week I’ve made a renewed effort to get in up to 1100 cals daily. I’ve failed both days, but I’m logging food again in the hopes that will give me accountability and own the fact that I’m not eating as much as I should. -
January 2020 Surgery Date
Uomograsso replied to Krimsonbutterflies's topic in PRE-Operation Weight Loss Surgery Q&A
Just got a call and my surgery has been switched from 7:30 am to 9:45 am tomorrow. I am OK with that because I originally needed to be at the hospital at 5:30 am, now my time is 7:15 am so I can sleep a little later. As to pre-op diets my surgeon gave me the following list of protein drinks to use: Premier Protein, Bariatric Advantage Protein Powder, Muscle Milk Genuine, Unjury Protein Powder and/or Protein 2O. Powders could be mixed with water or skim milk. The goal was to get 80-90 grams of protein each day. I could have 1 cup of fruit or vegetables two times a day. I could also have low sodium chicken broth along with sugar free popsicles and jello. I did 1 week of liquids with day before surgery just clear liquids. This is done to shrink the liver so doctor can lift the liver off of the stomach to allow better access to it. -
Frustrated with "I know someone who gained it all back" reactions
pssk replied to Basham53's topic in Gastric Bypass Surgery Forums
I feel like telling someone who just got bariatric surgery that you know someone who gained it all back is comparable to telling someone on the gurney that you know someone who died in surgery. It is just in poor taste... I am also one who didn’t share my surgery. It is my personal health information. That being said, I do feel dishonest sometimes when people comment on my weight loss and I don’t divulge. I just don’t want to be defined by my weight loss surgery so I haven’t opened that can of worms. I don’t care if people figure it out or assume because I’m not embarrassed. If someone came to me for serious advice, I would consider sharing to be helpful.