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What if 6 month waiting period puts me under 40 BMI
JoggingJolene posted a topic in Insurance & Financing
My BMI is just barely 40. It's like 40.3 or something like that. However, my BMI has been between 35 and 40 for at least 10 years, regardless of what I have tried and I've tried just about everything that seemed reasonable. I weighed at my PCP 2 weeks ago at 40.3. She referred me to bariatric surgeon and also gave me phentermine. I met with him by video conference today. I called my insurance today. They said BMI of 40 qualifies even with no comorbidities. I don't have any comorbidities. The phentermine works - I have a greatly reduced appetite. I've used it before and it works until I stop taking it. I know I have been eating less, so I'm worried my weight will drop and my BMI will be below 40 before the surgeon weighs me, but certainly it will be below 40 if I really diet for 6 months. I just know it will all come back unless I do something different. At what point does my BMI "count" for insurance? -
MAY-JUNE-JULY 2020 BYPASSERS UNITE!! Veterans Welcome too!
Groovymommy replied to MaybeMeow's topic in PRE-Operation Weight Loss Surgery Q&A
Hello my fellow bypassers! I hope everyone is doing well. I'm doing great in general, although I've been doing a lot of thinking and confronting some hard truths about myself, my relationship to food, my exercise habits (or maybe I should say LACK of exercise habits), etc. Firstly, my progress is GREAT. Almost two months and I've lost almost 40 pounds. All my clothes are now 1-2 sizes too big, which is pretty exciting. My weight hasn't been this low in YEARS, like maybe since before I had my daughter in 2006! I'm still obese of course, but damn! I feel so much better and I'm so excited about my progress. It's starting to feel REAL in a way it never has before. Very rewarding. I have not thrown up at all (knock on wood, etc.) but I have had a few episodes where I was close. This is usually a result of me being stupid and not chewing something well enough. I get a feeling like a rock in my chest, I feel nauseated, and then my mouth starts watering overtime? Ugh, it's triggering to even write about it. Sorry. On a related note, I find that I don't really enjoy food very much anymore. Even things that I do like, I can only eat a teeny-weeny amount. And my body's way of telling me I'm full is that "rock in the chest" feeling, which kind of sucks. So it's hard to enjoy something I'm eating knowing that as soon as I'm full I'm going to get that unpleasant feeling. Realizing this has me thinking a lot about my relationship to food, and how obsessed with it I used to be. I guess at this point I should be talking to a therapist or going to group therapy or something, but you know - Covid-19 has screwed up everything! So instead I journal and rant here. 😆 And exercise, ugh. I still don't like it, but I'm trying. My energy level is not terrible, but not great either. I get tired really quickly. I'm certainly not getting enough protein (I am TRYING, but damn). Also my left shoulder is frozen and it hurts like an SOB but as far as I know I'm still not allowed to take the only thing that helps with that, which is ibuprofen. So yeah, poor me, huh? Haha j/k. Taking my vitamins? Yes. Taking my calcium? Um...yes, but most days only 2/3. Getting enough water/liquids? I'm probably getting about 70% of what I should. Getting enough protein? See above, again, about 70%. Exercising? Hahahahahahahah....does walking the dog count? How about the rest of you? -
GERD before surgery advice
S@ssen@ch replied to AchieveGoals's topic in Gastric Sleeve Surgery Forums
In my experience, worsening GERD with VSG is a bit of a hit or miss. A friend of mine who encouraged me to have the sleeve had silent reflux with the lap band that turned into early-stage Barrett's esophagus. Her surgeon actually recommended the sleeve for her and she hasn't had issues since. Her Barrett's resolved and she's very happy. I also had reflux with the lap band. Not so bad as to develop Barrett's, but annoying just the same. My lap band surgeon recommended conversion to the sleeve. I didn't do it when I had my lap band out, mostly because I was afraid. Fast forward about 6 years and I had gained most of my lap band weight. I suffered from occasional nighttime indigestion, but otherwise had little signs of reflux. My doctor and I decided that the sleeve was the best option for me. About a month after the sleeve I started getting heartburn. This was easily remedied with a PPI (Nexium). It was pretty bad in the 1st year and I had some issues with esophagitis. So, I saw a GI doc. Today I will still have occasional nighttime reflux, but I practice a lot of habits to reduce my risk of nighttime reflux. For the most part, my reflux is well-controlled. I have it, but it's not unmanageable. My GI doc and I are considering Stretta in the future, but it's been pushed asked until the COVID-19 risk is gone because it's not urgent or anything. -
February 2020 Post-Op Thread
lisafrommassachusetts replied to ResaRoo's topic in POST-Operation Weight Loss Surgery Q&A
I had my 6 month surgery mark on Sunday, and my tele-doc visit with the PA and the Nutritionist yesterday. Everything is on track, which is good to hear; my blood work is all good as far as vitamins, macronutrients, protein, etc. Because I use Myfitnesspal to track food, the nutritionist was able to review my diet with quite a bit of detail, and thinks my carbs are a bit low; sometimes my carbs are as low as 20-25 (but sometimes they are 85!); she suggested I monitor to see if I am tired on the days my carbs are below 40, and adjust. I can't believe it has only been 6 months...February seems a lifetime ago, given all the ways our world has changed since then. Thought I'd share a before and after (during? Because I hope I'm not "done"): Before is from a wedding in 2019; After is from a hike/walk on Sunday. -
July 2019 Surgery Siblings Post-Op
MeowAMR replied to Mom_of_Chaos's topic in POST-Operation Weight Loss Surgery Q&A
Hey y'all! Well its been past my 1 year surgiversary 07/24. I thought I'd come and check in even though I'm late lol. I'm officially down -81lbs in a year. Started at 261lbs and now 180lbs. Starting BMI 41, current BMI 28... so now I'm only overweight lol and not morbidly obese. But the BMI scale that goes by height and waist size says I am normal BMI range lol. I got to my goal of size 10 Levi's pants!! waist size 30 (last picture) Yay!!! Of course I wanted to get to 100lbs down, but I did not reach it. Regardless I am truly happy where I am now so not losing the other 19lbs isn't a huge deal for me. I am finally comfortable in a bikini again (middle picture) which feels awesome (even though I have cottage cheese legs lol IDC). I am just so glad I had the surgery. I remember I was so scared to get the surgery and thinking what my life would be like and almost backing out of the surgery thinking I would miss out on all my favorite foods post op, but I was wrong. I'm glad I didn't chicken out. I'm finally happy again to be in the skin I'm in... even though its not perfect its good enough for me. [emoji4] Sent from my SM-G965U using BariatricPal mobile app -
At my National Sales Meeting in blue on the right in 2019 or 11 years post surgery of 220lbs -
Im only day 5 post op from DS but I hate not knowing if what I'm feeling is normal or not. I get intense, often loud, rumbling of my stomach. Could this be gas still? Last night it was all night long, ever 10 minutes. I thought maybe it was hunger but so many people said they don't even feel hunger anymore. Should I just relax? Did others feel this? Thanks Sent from my SM-N975U using BariatricPal mobile app
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Trying a reset this week. Today is my second day, and I know that I have gone to the restroom at least 10 times since I started. Breakfast: Premier Cafe Latte Lunch: Premier high protein chocolate shake Dinner: protein and 4 oz non starchy veggies Snacks: sugar free jello and sugar free Popsicles Which one of these is the culprit? 🙄
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Revision due to Reflux and scared!!
Jdymitc replied to bajankat's topic in Gastric Bypass Surgery Forums
I had a sleeve done in July 2019 couldn’t keep anything down due to newly developed gerd (never had an issue prior). Lost so much weight in the first 3 months (100+ lbs). Had to have a pic line put in to get my nutrition levels up to where it was safe to operate on me again). Had a revision to gastric bypass in February 2020. Since then I’ve had 3 instances of vomiting but the first was what I assume was leftover acid because that happened still in hospital after revision. The second and 3rd times were my own fault drinking to quickly after eating. I also had a hernia repair at the time of my revision. I originally wanted the bypass but my team talked me into doing the sleeve as my insurance requirements were easier to get approved with the sleeve. I will say I am very thankful I had the revision done and am feeling much happier and healthier now in the 13 months since my original surgery I’ve gone from 350+ to 175 and from 4x pants to a pair of large today. I worried after the horrible outcome from the original surgery that I might be making a mistake having the revision but today am very happy I did. -
Hey everyone, Newbie here. On Friday, I got a call saying that my surgery is scheduled for 8/19 - if I wanted it to be - so I booked it. Of course, that was actually perfect timing (workwise it fits great with my schedule), but I feel like I had NO notice. No time to prepare, no time to get a few things out of my system (like a trip to my favorite seafood restaurant, etc.). I'm not big on pigging out, so that wasn't my intention, but I had to start the pre-op diet immediately and did so on Saturday. Now, it's a GORGEOUS day here in Chicago and I'd love nothing more than to sit outside and enjoy a raspberry lemonade with a splash of vodka (I'm not a big drinker either, but that's something I enjoy on a nice day). In some ways, I feel like I'm depriving myself. The diet I'm on is pretty strict in my opinion (tho I know others have it worse) - only certain plain, raw veggies, 5 Ensure High Protein shakes, and 64oz. water a day. That's it - I can't even so much as use salt or pepper on the veggies. I know I want to go thru with this surgery, but now I feel like I'm kind of rushing it. On the other hand, I feel like I should just push thru and get it over with. I'm also worried because I see all these posts about people not losing as much as they expect to. I'm currently 5'5", 227, BMI is 36. I'm already down 4lbs. since Saturday just eating the way I am. Please tell me this gets easier!
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My surgery is scheduled for 8/19 and I just started my pre-op diet on Saturday as my surgery date was just given to me on Friday. I can only have certain raw veggies, 64oz. of water & 5 Ensure High Protein drinks per day. I have to tell you, it's rough. I've only cheated twice - had two slices of turkey lunchmeat one day and half a plain, 1/4lb. hamburger (no bun, seasonings, cheese, or anything else) another day. Since Saturday morning, I've lost 4lb. but I feel miserable. I have headaches, feel lightheaded, am achy, and have had major stomach/bathroom issues. I emailed my dietician this afternoon to see if this is normal as I just feel awful. Hoping she'll let me add some more "solid" food like chicken breast. Good luck - I know it's not easy!
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Good Evening! I had a follow up with my surgeon today from a EGD in July. He's scheduling me for a revision to bypass and hiatal hernia repair asap . I'm scared! Then following that surgery maybe a few months later he'll schedule another surgery to repair another hernia with a mesh. I'm going thru it right now. how many of yall had complete relief from reflux after getting a revision? Have you had any other complications with bypass? any regrets? Of course I'm doing the research on it but I'm afraid of it, that's why I didn't get it to begin with. I can't wait to enjoy wls..I haven't reaped any benefits of it yet. my stats: 5'4" HW 261 SW 249 CW 226 GW 170 or just to be healthy at this point. Sleeved 4/9/19 had multiple EGD with dilations due to vomiting and multiple setbacks and developed horrible acid reflux.
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What was your early weight loss like?
California Guy replied to WhatATool:-)'s topic in Gastric Bypass Surgery Forums
I was in the hospital for surgeries 5 days. I practically ate nothing but gained 19 lbs. during that time (IV Fluids). Went home and lost 5 lbs. per day for 4 days. After that, over the next 4 weeks I lost 5 lbs. per week. Post OP months 2 and 3 averaged 10 lbs. per month weight loss. -
What was your early weight loss like?
2Bsmaller18 replied to WhatATool:-)'s topic in Gastric Bypass Surgery Forums
I think I was swollen so at day 4-5 I was the same or higher. At 9-10 days I was down about 5 lbs. the first few weeks were 5#, the first month was an avg of 4#/week and at week 4/5 I hit an avg of 3#/week and stayed steady with that for 6 months. At that point I purposely increased calories since I was already past my goal and wanted to slow weight loss down. -
Any August 2019 people out there?
BayougirlMrsS replied to big_ange's topic in PRE-Operation Weight Loss Surgery Q&A
How's everyone doing at a year (or nearly a year) out..??? My year will be on the 28th. SW: 173, pants size 10, shirt size large, bra 36G/H, shoe 7 Current: 120, pants size 0, shirt size sm/med, bra 32FF, Shoe 6-6.5 has anyone had issues? or any problems? What are some of the things that you wish you had known before? Tips? -
Did anyone else feel like they were getting cold feet?
losingit87 posted a topic in Gastric Sleeve Surgery Forums
So I've been going through the approval process for 5 months and last week I got my surgery date.... And it's only 11 days away (10 if you don't include today). And I am TERRIFIED. Disclosure: I have several anxiety disorders, and big BIG stuff like this freaks me out. I felt similar before (and actually for several months after) getting married even though I 100% love my husband and our relationship was and still is as solid as can be, and I felt the same,or even more scared, when we had our son. Like just utterly panicked thinking wtf am I doing my life was fine before (even if that's not even true). I have moments when I see more clearly,that really I only have 2 options: don't get the surgery, and likely gain even more weight. I mean, let's face it, that IS what will happen and logically I know that. That's what has always happened. Even if I go on a diet and commit to it and lose weight, I always always always gain it back plus more. There is no reason that wouldn't be the case now, suddenly, all of a sudden. Or my 2nd option, have the surgery and gain the tool that will actually help me lose weight AND keep it off (I know, if I put in the work). But then I have moments of utter terror. And I just want to back out and run away from it. But I don't *really* want that. Because I don't want to stay like this. And I'm not going to lie to myself that I can all of a sudden do this on my own. I'm just afraid of the whole permanent thing. Like, the sleeve actually IS reversible in that you can stretch out your stomach over time and eventually be right back to where you started. But if I get botched or if it's awful for some reason,there is no fixing it. That's so scary! Sorry for such a long post..but did anyone else feel like this in the days leading up to surgery? -
What was your early weight loss like?
Postop replied to WhatATool:-)'s topic in Gastric Bypass Surgery Forums
@WhatATool:-) I lost 19 lbs. the first month. I only weighed at the Doctor's office so I have no idea what I was earlier than that. While some might be disappointed by that number, I was thrilled. It was the most I'd ever lost in a month & I hadn't gained as I normally would have if I'd kept on as I was pre surgery. Now 15 years later, I am right where I want to be. I hope you will be, too. -
EGD experiences
tarotcardreader replied to cobeariatric25's topic in PRE-Operation Weight Loss Surgery Q&A
The first egd i had a decade ago was in texas and i was awake for it. The second one i had for wls that hospital makes everyone sleep. I had to stay an extra hour in observation due to being more high risk (apnea). I tasted reflux right after. I took a nap when i got home that day. IV was in top of hand and had a weird bruise under there for days. Its scary its a trial practice run because its quick like 5-10 minutes unconscious versus 1-2 hours for surgery -
I, too, consider myself to be a very honest person. I am a terrible liar, so I feel like I can't get away with anything but the truth. But I haven't told ANYONE, not even my family, that I had weight loss surgery, and I don't intend to. That is personal medical information and it's nobody's business. The only people who know are medical professionals. There is a lot of judgment in this world about weight and WLS. It's ironic because the same people who openly criticize fat people also don't like it when fat people choose the only method of weight loss with more than 10% long-term effectiveness to lose weight. We just can't win! I'm not sure what will happen if/when people start noticing I've lost weight. I've actually lost more than 80 pounds already (most of it before surgery) and nobody has noticed because I was so big to begin with that I'm still really big even after this much weight loss. It will probably be a few more months before anyone notices. I only took a week off from work for my surgery, so I'm not sure if anyone will make the connection. Everyone saw me eating salads for lunch for several months before surgery, so maybe they will just assume I've been on a diet. Because of COVID-19, most people are working from home and we aren't having team lunches, so nobody has seen what I'm eating lately. I will probably be able to eat a small salad by the time we have another team lunch. I am known for being a very private person, so I hope that means that my coworkers will know better than to ask me about my weight. They talk all the time about diet, exercise, and weight, and I never take part in these discussions. I am also very careful never to comment on anyone's body in the workplace, so nobody dares to say anything about mine (at least not in front of me, although I have heard them say things behind my back). My preliminary plan if anyone asks (a) how I'm losing weight or (b) if I've had WLS is to act shocked and say, "Wow, that's a personal question." I think it will be harder to hide from my family, but I don't see them very often. They've seen me yo-yo diet over the years, so it might not be a big shock to them, although I've lost more weight by now than I ever have on previous diets. I am hoping my mom will assume that I wouldn't have had surgery without telling her, and if other family members ask her, she will say that she doesn't think I had surgery.
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Is anyone else as disappointed...
BayougirlMrsS replied to Luv2cruz's topic in Gastric Sleeve Surgery Forums
When i was banded in 2009 I was considered severely obese. I, like you, had been very blessed and have not had any health problems. Blood pressure is always normal, no diabetes, and my cholesterol is always on the very low end. I have never been on any medications for anything like that. Still like that. My last set of blood work from my WLS and GYN was perfect. 2009 SW was 232lbs 5'2"... 2017 band removal 143lbs..... 8/28/2019 sleeved 173lbs. today 120lbs. I averaged about 4lbs a month.... remember sometimes slow and steady wins the race. -
Insurance approved but gained a few pounds
Maryeuh replied to Lzmeyers27's topic in PRE-Operation Weight Loss Surgery Q&A
Im in the same boat. Its been like two months since ive been approved. So covid, on top of my surgery being canceled last month ive gain about 10 pounds. I have my pre op the 13th and surgery the 14th. let me know how it goes. -
Is anyone else as disappointed...
BayougirlMrsS replied to Luv2cruz's topic in Gastric Sleeve Surgery Forums
@Luv2cruz Unless i read over it, No one has asked a few very important questions. What is your height? What was your beginning weight? Are you logging your food? Are you exercising? What does your diet look like on a daily bases? The reason, if you have less to lose, you will tend to lose a little slower. A person who had 300lbs to lose will lose it faster that say a person that has 100lbs to lose. My story is a little different than some.... but anywho.... After being here for over 10 years i have seen and read many different stories. I have also experienced it with some very close friends. I've had friends like myself who had the band (lost 2017 gained 30lbs). Lost there band and have gained it back or revised to a different WLS. Some with success and some without. I have a few that had only the sleeve and either never lost or gained it all back. I've even had a few that had GB and either gained some or all of the weight back. I do have a few friends that had the band and have kept their weight off for over 10 years. The point is.... ALL WLS have their goods and bads. Ups and downs. It's how you as a person handles YOUR journey. (ok just read your last post, so i'm taking out this part) I would start at the begging, look within yourself. Maybe seek a counselor (it's helping me). Otherwise, i would start tracking your food (if you aren't already). Get yourself a good exercise program (even if it's just walking more and faster). I wish i had journaled.... I write myself inspiring quotes on my bathroom mirror. I know you didn't want to hear it, but its true and hard not to do... But, try to not compare yourself to others. I compared myself to others all the time, then someone years ago told me that..... So now i have on my mirror..... Envy is the thief of happiness. I wish you only good thoughts on your journey. -
Food Before and After Photos
WishMeSmaller replied to GreenTealael's topic in General Weight Loss Surgery Discussions
I modified the salad dressing from this version: https://emilybites.com/2019/01/thai-chicken-chopped-salad-with-peanut-dressing.html I like lime, so I used juice from two limes and one packet of stevia instead of the brown sugar. The salad is best with Napa cabbage, but my store was out so I used regular coleslaw cabbage and carrot mix. I added a red bell pepper, two green onions, and about 3 oz of snow peas. All together, with dressing, my tiny serving was under 30 kcals, with 3 g net carbs. My chicken was marinated in mixture of zest from two limes, 3 Tbsp soy, 2 tbsp honey, 1 tbsp sriracha, handful of cilantro, .5 tsp salt, 2 clove garlic, 1 tbsp ginger (fresh or paste) for about 6 hours with 1.3 pound boneless chicken breast fillets. I make the marinade and dressing in my bullet mixer for ease. My portion was about 2.5-3 oz chicken, .5 cup salad, and 1 tbsp dressing. -
Is anyone else as disappointed...
Luv2cruz replied to Luv2cruz's topic in Gastric Sleeve Surgery Forums
Thank you all for the positive comments, support and encouragement! It does make me feel better knowing that there are a lot of us out there dealing with the same issues. ❤️ I do want to clarify a statement that I made. When I commented that my surgeon expected me to lose 100 pounds by Thanksgiving, I think I worded that wrong. He wasn’t saying that as a demand expectation. That was just a goal that he was thinking I could reach by Thanksgiving. Even though I have been obese for the last 10 years, I have been very blessed and have not had any health problems. Blood pressure is always normal, no diabetes, and my cholesterol is always on the very low end. I have never been on any medications for anything like that. I did weigh this morning after spending a fabulous weekend at the beach with my hubby. We did lots of walking between walking on the beach and shopping. I will say that I did not eat as much as I do when I’m at home. I lost 4 lbs. Thats what I’m talking about! 😜 Here’s to a fabulous weight loss week for all of us! 🍷. Oh, what I would do for a glass of wine right now! No wine for me before December! -
Band to Sleeve success...anyone?!?
BayougirlMrsS replied to Redesigned_Curves's topic in Revision Weight Loss Surgery Forums (NEW!)
worked for me..... I was a successful band-member for nearly 8 years. Never had any issues till march 2017. I got a bad stomach virus and threw up violently and slipped my band. I was my worst fear with the band.... LOSING HER. So i went on through life... divorce, dating, meeting someone else, moving out of state..... 2017-2019 on my own with no WLS. For years i tried to get a revision and no dr. would do it. My insurance didn't cover the band removal nor a revision. But i still looked ... same answer over and over.. "you don't weight enough". Over those years I gained 30lbs back. No matter what i did and menopause hit and wow... Now i've gained 30lbs. I was going to go to Mex to have the MGB. But as luck would have it, i found a dr 10 min from my work that did WLS. Went in for a consult and he agreed to do the sleeve..... That was nearly 1 year ago. 11/10/2009 band SW: 232lbs. size 18-20 pants, shirt 2xl (or bigger), bra 44G, shoe 7-7.5 (143lbs) 3/23/2017 band removal: 143lbs. size 6, shirt large, bra 34H, shoe 6.5-7 8/28/2019 sleeved: 173lbs. size 10, shirt large, bra 36G/H, shoe 7 (14k out of pocket) Today: 120lbs, size 0, shirt sm/med, bra 32FF, shoe 6-6.5
