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Newbie from Austin, TX!!!
icyblufrz88 replied to MissWhitzel's topic in Tell Your Weight Loss Surgery Story
Hi I'm also new to WLS and live in Austin, TX. Looking at getting gastric bypass and working on talking to the staff at SW Bariatrics. Anyone have advice or suggestions regarding WLS & this location? Thanks Sent from my LG-H830 using the BariatricPal App -
Call the office of the surgeon (for me, that's a "bariatric diet center" and ask them what they recommend their patients do to fulfill that 6-month requirement. They may know a physician, or tell you to go to WW and check in w/your PCP, or some such. I didn't have to fulfill a 6-month preop diet requirement but I'd think your surgeon's staff can give you some tips on what YOUR insurance company will accept.
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Empire Blue Cross Blue Shield PPO (NJ)
happygirl65 replied to jay150's topic in PRE-Operation Weight Loss Surgery Q&A
Well, I don't know if NJ is the same as AZ but BCBS seems to have a LOT of information on their website...to be honest I found the simplest approach was to call the 800 number on teh back of my card...I exhausted myself searching every nook and cranny of the net to find a simple phone call was all I needed to know EXACTLY what was covered under my plan. :rolleyes2: They will also mail you a copy if you request it of the specific requirements. BUT my plan required : BMI of 40 or 35 with co-morbidities diagnosis of morbid obesity for 5 years Clinical documentation of diet attempts to lose weight in the last 2 years including self directed dieting, commercial programs, nutritional counseling or exercise programs Clinical documentation of for an active plan for active participation in pre-operative instruction program and post operative or follow up care plan in cluding preoperative nutritional counseling and must show ther is a plan in place for post-operative nutritional counseling as well pre-operative clinical assessment and documentation must reflect a significant motivation and understanding of the risks associated with intended surgery as well as understanding of the lifelong restricted eating habits that will follow Must be 18 yrs or older Individual has no treatable condition that may be responsible for the morbid obesity like endocrine or metobolic etc Individual has no significant liver, kidney or gastrointestinal disease Individual has no drug or alcohol abuse - must be abstinent for 12 months or more if there is a history of drug or alcohol abuse Individual has been evaluated by a licensed psychologist or psychiatrist documenting the absence of psychopathology the may limit the individuals ability to understand the procedure I would expect other states to pretty much be the same but you never know...also they have an access fee of $1000 which is out of pocket on top of your deductible,,,but your mileage may vary and you should call your company to find out...also SOME employers can specifically exclude bariatric surgery from their health plan so you will want to check on that as well. Good luck to you!!! -
Have you been "cured" of your type-2 diabetes with Lap-Band?
Cocoabean replied to krafticus's topic in PRE-Operation Weight Loss Surgery Q&A
Hi Mark, I was pre-diabetic about 7 years ago with fasting sugar in the range of 111-112. In the intervening time I've gotten my band and lost around 70 lbs. Now my fasting sugar is around 99-104. So, it is slightly elevated, but did not progress. My endocrinologist was thrilled (I left his practice for a bit due to insurance changes, but am back now). But, my sugar has not gone all the way down to normal, either. I can also tell you that my bariatric surgeon will not do a band on a full-blown diabetic, due to the remission rate achieved with bypass. It doesn't exactly answer your question, but I hope it helps a bit. -
I have posted this elsewhere but my former surgeon and his partner took over a retiring bariatric surgeon's practice (they are general surgeon, too, in addition to getting into WLS) and I think they wanted to use up old inventory before it expired - and that included the old 4cc bands. They have a sterility expiration date. My current doctor said the same thing you did that the 4cc band is harder to fill - it can take micro amounts of fill. My idiot former surgeon gave me 2cc's and then 1cc for a total of 3cc's - and I couldn't imagine why I was having so many problems with 3cc's in a 10 cc band - because that is the size band he told me I had. Another of many reasons why I left him and found a competent doctor. Thanks, again.
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My insurance won't even consider someone for any bariatric surgery that is not at least 35 bmi.
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On the Path to VSG...Hopefully Best Decision
Someday160 posted a topic in Tell Your Weight Loss Surgery Story
I am a life long dieter...read a journal I wrote when I was 8 and even then I was talking to myself about losing weight. I've been a pauing member/meeting attender with WW for numerous years and although I love the program, I still struggle with portion control, emotional eating and general grazing. I see a therapist to help with the emotional aspects...and that has helped. I do WW and that has helped...especially with improving overall healthy food selections. But......highest weight of 273 led me to a WLS Seminar in December 2010. I am lucky to live near a Bariatric Center of Excellence. Went for my first consultation a week later. My insurance covers the VSG and I passed the "exceeds a BMI of 40" test with flying colors. Now I am faithfully following the WW program while I navigate the insurance approval. My therapist wrote my psych evaluation and I attended a WLS Support Group Meeting. I plan to continue to attend those as continue towards surgery. I have even purchased all the stuff for the two week preop diet (got to shrink that liver!). I've lost almost 7 pounds since the seminar. I'm looking forward to having the surgery and moving on. I want to decrease the grehlins, enfirce portion control, continue WW, and WLS support group meetings. I'm hoping this site will be a great source for ongoing support and advice as well. Bring on the VSG! -
I like the cinnamon roll and the banana nut bread. Vita coast has the best price.. like 14 bucks for a 18 scoop container. I love them... But some of the other flavors I tried are nasty... they seem bitter... I would go to bariatric Eating and buy the sample pack.. they send me a ton of flavors to try...
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Surgeon agrees today to do port revision surgery
Katy517 replied to Katy517's topic in Revision Weight Loss Surgery Forums (NEW!)
Thank you Mimi. I made it through port revision surgery yesterday and other than the discomfort from the incision I'm in pretty good shape. Very gassy, major diarrhea and retaining lots of fluids that I attribute to the procedure. I did find out from the hospital's bariatric coordinator that low profile ports aren't available yet for the 14cc bands that are the hospital's standard for use. I'm anxious for the swelling to go down to see if this makes the difference that I hope. -
Those forms were so crazy! Mine was like 12 pages long. There is no right or wrong answer - but the answers might help them guide you with which surgery is best for you and will certainly help YOU after surgery to stay successful. For example, I am a binge eater and I tended to binge on carbs/sweets. So my surgeon felt that the RnY would be a better option for me. And, post surgery, even though I have the tools to help avoid the binge eating and sweets I am still very mindful of those behaviors. My bariatric program can also use that information to provide me with therapy and support for my specific situation.
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Has anyone else felt this way?
MMME replied to Miss.ferby's topic in General Weight Loss Surgery Discussions
I remember on the morning of my surgery saying to my partner "Do you think I can just lose the weight and keep it off on my own and not do the surgery?" That was obviously nerves talking, but his answer made perfect sense. He said, "If you could, you would have by now". Bariatric surgery is NOT a failure. It's still hard work after surgery to lose and maintain for the rest of your life. It's about using a tool to make the best choices for your health. You'll still have to eat properly and exercise, but WLS is the tool that will help you to learn how to change not only your weight, but your mindset. Since my bypass 11 months ago I have become intolerant of a good few foods - not a bad thing when they include sugary foods, fatty foods and absolutely intolerant of anything chocolate. It's not easy but it's your health you need to consider. -
Has anyone else felt this way?
jasmineinmymind replied to Miss.ferby's topic in General Weight Loss Surgery Discussions
I think everyone feels that way, I mean who really wants to have life changing surgery that carries so many risks?? For me I wish I could have found the strength to do it 10 years ago. Im so mad that I wasted so much of my adult life feeling fat and miserable and torturing myself with diet efforts to never see any real long term success. I would renew it every year if I had to. Doing this was the best thing I've ever done for myself. -
Bariatric Fusion Vitamins..good Choice?!?!
renogirl replied to Anewlifeforme23's topic in POST-Operation Weight Loss Surgery Q&A
Thanks. I'm only taking the Bariatric fusion Vitamins. No need for any other supplements according to my surgeon and my labs (from August thru March when last done) are all within normal range. The price is right for me -
Bariatric Fusion Vitamins..good Choice?!?!
Anewlifeforme23 posted a topic in POST-Operation Weight Loss Surgery Q&A
Are the bariatric fusion chewables a good choice of vitamins for the sleeve patients? -
In my experience, eating carbs contained in processed foods adds calories, little nutritional value, and leads to craving more carbs. I was so close to a Type II Diabetes diagnosis that my PCP sent me to a training at the local hospital to learn how to eat a healthier diet, and the dietitian stressed the importance of limiting carbs in your diet. Even limiting the carbs contained naturally in fruits, vegetables, and dairy products...way beyond cereal and Pasta. Brown rice is not a poor choice, but as a complex carb, I need to limit myself to only 1 - 2oz serving a day. Sweet potatoes are allowed, white potatoes are not. For bariatric purposes, my surgeon has made the distinction between the natural carbs and the added carbs. He advised that we should never eat foods which have sugar added to them. My PCP also recommends a low, natural carb only diet. I have never counted calories, only measured portions, and tried to make a tradition of making healthy choices for meals. If you are insulin resistant, you need to be aware of carb intake so that you can avoid the extreme blood glucose spikes and falls which are typical with a carb loaded diet. These levels of blood glucose can also contribute to an appetite that is out of control and/or contributes to counterproductive cravings. It's been fairly easy for me to limit my carbs, and I don't miss them. When I discovered my husband's stash of potato chips in the trunk of his car recently, I laughed and told him he should not be concerned about tempting me to cheat on my diet as I have lost my craving for them. Everyone is different...and physicians will give their patients varying instructions. For my surgeon, he advises low carbs, and I followed his instructions. You should follow the instructions given to you by your surgeon, and if what you want to do with following your prescribed foods list differs from them, I would have a discussion with them to share your thoughts.
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Got some of these, they come in Orange, Grape, and Fruit Punch flavors. They are VERY tart (mixing in with some Water makes it less so) but are not terrible. They have 25g Protein, 0g fat, 0g carbs with a PDCAAS score of 100. I don't believe you can find them in any store, but they can be ordered at Bariatric Advantage (https://www1.bariatr...og/group/77102/) I'll be ordering more of these for Post-Op!
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Help!! Surgery in two days!! Advice needed
Shanibani replied to Mark P3's topic in POST-Operation Weight Loss Surgery Q&A
I was given the little medicine cups at the hospital to use every 15 minutes.. - I'd keep 3 medicine cups beside me at all times - one for water, one for protein shakes, one for hot broth. - I'd keep a to go mug of hot broth beside me and a bottle of water at all times. - in the beginning I'd set an alarm to make sure I drank every 15 minutes, but after a while resetting that got real annoying, so I'd take sips every little bit, not letting my stomach get overly full. One thing I noticed VERY early on, I had significant pain that would wake me up in the middle of the night, and could only be fixed by having a protein shake. Water and broth did nothing to dissuade the pain. My doctor could not explain it, as he'd never heard of such a thing, but it would wake me silently screaming in the middle of the night until I finally got up and grabbed my bariatric protein shakes. This lasted for quite some time for me, and I ended up buying the little protein shakes they carry in the pharmacy section at walmart... keeping them beside my bed so if I woke in the middle of the night I could immediately grab one. It finally stopped about 3 weeks after surgery and I no longer needed it at night, but I don't want to scare you, as since my doctor had never heard of such a thing, you might not even have that issue but in case you do, Ensure was a savior for me. -
Anyone taking NSAIDS or steroids postop
BitterSweet* replied to Kindle's topic in POST-Operation Weight Loss Surgery Q&A
@@Kindle, I hope things work out and I love that your bariatric team all the way in MX still has a vested interest in your overall health and participate in your care. Totally cool. -
Anyone eat cereal?
TinyLittleFractures replied to show1980's topic in Tell Your Weight Loss Surgery Story
"You might want to check on here. Bariatric Pal, Diet Direct, they sell cereal. I have the Honey Nut Os and love them. Pre sleeve I'd eat, each little bag is like 15 g Protein and around 9 carbs. If you really want cereal it's worth it. I don't normally eat it, not cuz I don't want to but know the dangers of a box ...all carbs and sugar." I agree with the above advice completely. First, I think you should ignore cravings for carbs. Studies have shown the less of the processed bread products you eat the less you want them. Try to give into them as rarely as possible and the cravings will occur less and less frequently. If you absolutely MUST have cereal then a low carb, high protein version is best even if expensive. In fact all the better that way you don't buy a bunch and build it into your diet. Buy one at a time and use them as sparingly as possible. Using all 39 of your 40 carbs in one moment is not a good idea. -
I got my surgery date!
Carolina girl 2015 replied to Smores's topic in Duodenal Switch Surgery Forum
I received my surgery date.. It's on September 6.. Already started the ketogenex diet. Start all Bariatric shakes on Wednesday.. -
Hello all - I just started the process for Gastric Sleeve surgery after doing a lot of research on my own. My insurance requires 6 month on a nutrition program, which thankfully I am already in Month 5. The part that has me nervous is the referral requirement. I really have not had a steady primary care physician for the past 6 years - mostly due to the fact that I’ve been so ashamed of my weight. So I really don’t know if I can just walk into a Dr’s office as a new patient and ask for a referral. Can I ask my OBGYN? Not sure if she would be open, but I can try. I have a BMI of 43 along with high blood pressure and sleep apnea so from that sense I don’t believe qualification is an issue. I have completed the initial application for the bariatric surgery clinic and am waiting for them to contact me for next steps. I am concerned about the referral becoming a blocker. I would appreciate it if anyone who has gone through a similar situation can share their experience or advice. Thank you!
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Hello, I am from Saginaw Mi. Getting my sleeve done May 29th at Hurley Bariatric in Flint Mi. I have Dr. Farhan. Getting nervous and excited too. I am on my 2nd week of the liquid diet (UGGH)I cant wait to find a different protien shake to use. The ones they have us taking are horrible. Any suggestions? Just thought I would introduce myself. Lori
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November 17th sleevers?
MrsRMC replied to Shiloh0772's topic in PRE-Operation Weight Loss Surgery Q&A
Hi Shiloh0772, I just joined Bariatric Pal today and YES... My surgery is scheduled for NOVEMBER 17th! I would love to be your surgery buddy... very nice to meet you. -
Flavorless Protein powder
Miss Rachel replied to Christina.Rose's topic in POST-Operation Weight Loss Surgery Q&A
I just got a cookbook for protein shakes on Amazon and it has totally improved my life. I'm not kidding, I couldn't choke another shake down no matter what it was. At least now I have some variety... Sent from bariatric pal app -
Welcome. You might also find a Bariatric Surgery Support Group Meeting in your area. Generally they happen monthly and are free. It seems like you are in the middle of the process. You will undergo a series of pre-op testing which takes almost a day. If they find anything of concern, they will schedule you for follow-on specialized tests with a specialist in the field of expertise. They are just trying to be extra careful to avoid problems during surgery. They will set a surgery date. Towards the end, there is a half day class that provides great detail about the surgery and post-op requirements. A lot of information is provided during this class.