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I'm sorry you're having to deal with this. I was denied by my insurance company for years, got a pre-approval in 2021, and then denied again after I started the program. I had to do months of song and dance to meet their requirements, and then they just dropped me. I appealed repeatedly, and they gave me some BS response like the governor of the state that my insurance is based in effectively declared all bariatric procedures as elective and unnecessary. I ended up having to save up and do some self-financing to have a self-paid procedure. It was stressful in the planning phase, but I am happy with my decision. The surgery team was very helpful, and are staying in regular communication 5 weeks out from my surgery. It is like a smaller used car payment (not a new car price at least!) but it was manageable. I had my Gastric Sleeve done in the US as I was unsure about going to Mexico. I can't speak to the specifics on the pricing, but MX seemed to be generally half the price or less than the US, but it can be a crapshoot for the level of care. Some in the US have some room to negotiate, but a lot are firm on pricing. Just do you research, take a break, and redo the research again to be sure if you go the self-pay route. Hoping your insurance comes to their senses and assists you with this. While this isn't a cure-all or "easy mode" approach to weight loss by any means, it is a very useful tool that will help your overall health and quality of life!

I got a cold on December 3rd and my surgery is also scheduled for the 13th. Surgery sisters haha! I feel much better thankfully, but I did inform my bariatric team last week. Hope to hear from them tomorrow when they are back in to see if they will proceed. Hoping for us both!!

**Update** Hey everyone! Sorry for being MIA for a while. I really appreciate all your responses and well wishes. I will be 2 weeks post-op tomorrow, which is kind of nutty to think about. My 9 day post-op follow up appointment went really well. Incisions are healing well, and they seem quite happy with my food diary. I started my bariatric vitamins about 4 days post-op as well and been doing great so far with those. I use Paravita bariatric multivitamin 3x daily and I take Vitamin D3 2500 IU one drop daily. Plus of course the medications needed temporarily prescribed by my surgeon. I got to say though that it's been HARD going through Christmas day and not being able to enjoy our traditional Christmas breakfast, or our amazing turkey feast. Least I got to smell it though lol. I feel a lot more strong, so I have been able to have a lot more normalcy in my life. I make my family their food, while also preparing my clear liquids and full liquids. Unfortunately I'll be on the liquids until January,10th as it is 4 weeks with the gastric sleeve. Then eventually pureed foods, then soft, then finally regular healthy eating for life lol. I am making turkey soup today with our turkey carcass, onions, carrots, celery, and some seasoning, so I can at least enjoy the broth of our Christmas dinner my spouse and out kiddos had yesterday lol. I hope you all are well. I am fighting my brain and always will, and I am still having some regretful thoughts over having this surgery. I am taking one step ahead at a time and trying to look towards the positives. As I've said in other posts I just was so set on Gastric Bypass for my acid reflux issues, and I liked that it could be reversed if needed, plus I hear it has a higher success rate. So when I found out they gave me the sleeve, I just been having mixed thoughts since, and now I can't go back even if I wanted to down the line. So it's been weighing on me a lot. Please know I am not trying to discourage anyone from WLS, and the sleeve can be just as successful, everyone is different. I also thoroughly did my research on WLS prior. Lots of great things about these surgeries. I hope you all are well and that you all had a very Merry Christmas, or Happy Holidays if you celebrate. Much love. ✌

The following is a list of abbreviations commonly used on this board. ACL = Anterior cruciate ligament AGB = Adjustable gastric banding AMRAP = As Many Rounds As Possible (crossfit) AT = Aspiration Therapy BB = belly button bc = because BCBS = Blue Cross/Blue Shield BDD = Body Dysmorphic Disorder BED = Binge Eating Disorder bf = best friend BM = bowel movement BMI = Body Mass Index bp = blood pressure BPD = Borderline Personality Disorder or Biliary Pancreatic Diversion bs = blood sugar btw = by the way C25K = Couch Potato to Running 5K CBT = cognitive-behavioral therapy CC = common channel c diff = clostridium difficile cos or cuz = because CPAP = continuous positive airway pressure CRNP = certified registered nurse practitioners CT = Computed Tomography (commonly called CAT Scan) cw = current weight CXR = Chest X-Ray DDD = degenerative disc disease Dr. = doctor DS = Dumping Syndrome or Duodenal Switch EBT = Endoscopic Bariatric Therapies EGD = Esophagogastroduodenoscopy EKG = Electrocardiography ER = emergency room ESG = Endoscopic Sleeve Gastroplasty ff = fat free f/u = follow up GB = gastric bypass GERD = gastroesophageal reflux disease GI = gastrointestinal GIF = Gastric Intrinsic Factor GNC = General Nutrition Corporation store GP = general practitioner or family doctor HBP = high blood pressure hr = heart rate hw = highest weight ICU = Intensive Care Unit Idk = I don’t know IGB = intragastric balloons IF = Intrinsic Factor IMHO = in my humble (honest) opinion IMO = in my opinion IUI = Intrauterine insemination LAP Band = Laparoscopic Adjustable Gastric Band LES = lower esophageal sphincter lol = laughing out loud LSG = Laparoscopic Sleeve Gastrectomy med = medicine MFP = my fitness pal MGB = Mini Gastric Bypass msg = message NAFLD = nonalcoholic fatty liver disease NASH = Nonalcoholic steatohepatitis nf = non fat NG = Nasogastric NP = nurse practitioner NSAIDS = Non-steroidal anti-inflammatory drug NSV = non-Scale victory (“scale” means “weight scale”) NUT = nutritionist OA = Overeaters Anonymous omw = on my way Onederland = a magical place or destination for those trying to lose weight. It might correspond to attaining a weight in the hundreds or losing a hundred pounds. op = operation OSA = Obstructive Sleep Apnea OTC = Over the counter Oz = Australia PB = Productive Burps PCOS = Polycystic Ovary Syndrome PCP = Primary Care Physician PICC= Peripherally Inserted Central Catheter PM = private message (email) PMS = premenstrual syndrome POSE = Primary Obesity Surgery Endolumenal postop or post–op = post-operation or post-surgery PPI = Proton Pump Inhibitors ppl = people preop or pre-op = pre-operation or pre-surgery PTSD = Post-Traumatic Stress Disorder PVC = Premature ventricular contractions RA = Rheumatoid arthritis RH = reactive hypoglycemia RN = registered nurse RNY = Roux-en-Y RTD = ready to drink Rx = Prescription medicine RYGB = Roux-en-Y gastric bypass SADI-S = single anastomosis duodeno–ileal bypass with sleeve gastrectomy s/f or sf = sugar free SG = Sleeve gastrectomy SIPS = stomach intestinal pylorus-sparing surgery smh = shaking my head, scratching my head SO = significant other SOB = shortness of breath st = stones (a unit of weight measurement) sw = weight at surgery tmi = too much information TPN = total parenteral nutrition TT = tummy tuck TTC = trying to conceive Ty = Thank you. [but according to the urban dictionary “Ty” is also an abbreviation for “a total stud with a massive carrot”.] u = You UGI = Upper Gastrointestinal VSG = Vertical Sleeve Gastrectomy Vit = vitamin wks = weeks WLS = Weight Loss Surgery WOD = Workout of the Day w/o = without wt = weight

You sound as if you have a great deal going on in your life. You need to take a moment out of your busy life to just breathe. Three months is still a long time to decide which way you want to go, either with surgery or not. You can cancel right up to the minute you walk into the hospital. A few have. This may not be your time. So lets take the things that you are most worried about, Your hair. You will not go bald. You probably will loose some of your thickness. You are young, you have masses of hair. When you are as old as I am you would have already have lost lots of hair due to menopause, so I started off with a deficit. It did get a little scary and I needed to get my hair cut really short but I do love the freedom that it gives me. I felt it was worth it. This surgery was my last chance at a normal life. You will not loose too much weight, you will stop a right place for you. You need to up your calories until you get to a balance. I am ok on 1500 calories a day. I have a slow life, I dont work anymore. I go out with friends, I eat and drink as before. The only thing I do not do is overeat. I don't miss doing that, my friends might do. Especially if they liked to overeat with me. How do you see yourself ? Not how others see you. They may want a fat friend to bolster their own negative ego's. Do you put weight on every year and keep it on ? We all did. We did diets after diets and put it all back on again with added weight. Lots of us ended up with weight related illnesses like diabetes and blood pressure. If you think you can loose weight yourself and keep it off then you need to try. Give yourself 6 to 12 months to do it. Bariatric surgery is not an easy option but if you stick with it, it is a solution. If you do not follow the guide lines then like a diet, it will fail. You should go back and chat with your surgeon. You need to be totally happy with your decision. Give yourself the time you need.

Okay this is long and boring at parts but here it goes. I am 3 years post sleeve and I have gained all my weight back . First of all I was on the smaller side to have the sleeve but I do still have all the same struggles and if I had waited until I was older it was just a matter of time until I was a higher bmi having the surgery. The fact that I have lost and then gained it all plus some within less than years is probably proof of that. Anyways, with the sleeve I did lose a big chunk of weight. I went from 235 to 168 which I could not have done with regular diet. But, i was always able to eat a little more than I should at every given stage and everything was easy for me. From day one I had no gas pain and water was easy to get down, then fluids and protein which were easy to keep down, I had no food intolerances and advancing through each stage. I was living my best life watching the pounds fall off but I was alway able to eat just a little more than everyone else at the same stage. Well, while the hunger hormone was gone and I was focused I was able to eat exactly what I SHOULD be eating and I measured my portions to the Amount I should be eating and I was satisfied. So lost most of the weight the dr suggested I would. i held that weight for a few months but then the hunger started creeping back and between the hunger and the extra room in the pouch I started gaining in spite of still making healthy food choices (my food was fine but my portions were too large and too frequent). Well, even though I knew I was losing control my friends and family continued to look at me as doing great..I was still on the road to getting to where I needed ti be in their eyes. I was ashamed. I was failing yet They kept complimenting me and offering me food. They were saying things like your doing so good, you can have one slice or pizza or one brownie. It won’t kill you. It’s okay that you’ve gained a couple pounds I’ve gained a couple it’s Christmas. You can lose that. Well I have since learned that no I cannot just have one of anything to do with carbs or I crave them for a week but I didn’t know that back then Anyways, was still going to my surgeon asking for help but I have bipolar disorder and the meds I take for it limit what other meds I can take so I cannot take many of the weight loss meds they had to offer. And the one I can take worked wonderfully during the day but when it wore off I ate all night Fast forward a few months and I stepped on the scale and I was back over 200. That sucked but I wasn’t giving up. went back to my surgeon asking about revision to bypass. I have heartburn gerd whatever you call it and clearly the sleeve wasn’t working so I wanted to know my options. Well let’s go back. I knew I didn’t want to have surgery if I was going to just repeat the yo-yo that had just happened so I decided I wanted two opinions this time. Well the second opinion dr had a cancellation so I seen him first. He was on board. He was going to bypass a shorter amount of bowel so i had less absorption issues and my meds Would work fine he said which seemed to be his concern even though it wasn’t really my question. I just needed my dr to say that it shouldn't be a repeat of last time and I was going forward. Well even though the bypass was an option he presented to me to start he said he wouldn’t do a bypass for me. He thought it would be a bad call with my mental health issues. This was confusing to say the least because I have one dr saying it’s fine and another dr I really respect saying it’s not and I started this thinking bypass was always an okay option in terms of mental health but worried the surgery just wouldn’t work for me. I am of course concerned about my mental health so took some time to think about it. I tried for a while to find a bariatric therapiest but none near me are taking any new patients. I even asked the surgeon and he said he would look into it but be never did. Anyways I called around for the better part of two days. They all just do the evaluations now for surgery. I have had every hormone test and lab they have that could possibly be the problem. I changed all my meds in case they were the issue. I tried everything myself and my doctors could think of but I kept gaining. When I revisited the idea of surgery I was scared. Anything that was going to upset my mental health again just isn’t an option I decided. I already know what life without my medication is like and I do not want to go back there. I continued to gain. I got back up to 245 and I am miserable. I am so depressed when I look at what I have let happen to myself. I had a chance and I blew it. I am disgusted when I look in the mirror. I decided that the weight is causing me to be more depressed so I needed to get some real answers. I went back to my surgeon. Not to ask him to do the surgery but exactly why he thought it was a bad idea. The plan was to take that info and talk to the other surgeon to make sure he had considered that and see why he wasn’t worried about it. Well, surprise…my surgeon is on board now with doing a revision for me. When I asked why he said no before he said something about a nite in my chart that said I wasn’t complaint with my meds back them and he didn’t know I have a psychiatrist and psychologist and take my meds but now he is comfortable doing surgery. So, frustrated I had to wait until I gained almost 50 more pounds to get here but excited he is willing to do it I am researching the other surgery he thinks will be a better fit for me called the SADI. At the same time I am still not buying the note in my chart thing. Cause that was never true. I guess the important takeaway for those of you here that are just starting out is even if you do regain don’t lose touch with your team and don’t give up. I feel like my dr wavering in whether he would do the surgery didn’t help but I could have asked more questions sooner and I wouldn’t have so much to lose this time. Plus, hopefully you guys can take the weight loss meds and won’t be facing a second surgery.

Hi. My brother is seriously considering to do the mini gastric bypass. He will be the third member in our family to do it. First it was my sister and me in Egypt and now it is his turn. He is currently working in Bangladesh and travelling to Egypt for the surgery is not a viable option for him. Anyone over here who had their MGB or WLS in India? Any recommended surgeons or hospitals to consider? Anyone had their WLS at Dr. AMAR BARIATRIC & METABOLIC CENTER? Thanks in advance

Congratulations on your surgery! I agree with @Arabesque , but I might check in on Monday. My reasoning is US doctors take the weekends off and lovely young doctors in training, who do not have experience or specialized training in bariatric care, will possibly put you through 100 nonsensical tests to cover their backsides in case your symptoms are serious. Just keep an eye on your health, but wait if you can, to ask your surgeon on Monday.

I'm having a food slump! I in no way get the water in each day I'm supposed too.. I'm not thirsty and to be honest I really hate going to the restroom 20+ times a day IF I do get close to the required 64+ oz a day. Plus, I don't understand why I need to, I didn't drink that much beforehand, so I don't understand why suddenly having a smaller stomach requires a sudden huge mandatory increase in water consumption!? Plus, I am sooooooooooooooooooo burnt out on the same foods over and over and yes over. I detest eggs (always have) and have always preferred something like avocado toast for breakfast and a cup of coffee. I detest cooking so I tend to eat the same thing every single day - something I can cook in quantity. Lately its been turkey chili with added protein powder. Chicken breast with veggies is boring/bland... Then there's the chicken of the sea - white fish with veggies..again just not my thing. So, I just eat the same thing over and over. I have to admit, I miss sauces, thai noodles and pizza and foods I can dip! I have a food texture problem so it leaves quite a few things off my plate..plus I'm hypersensitive to carbs - racing heart feeling jittery so I eat very low carb (under 25) low sugar, low calorie in other words low taste (to me anyway). I do what I have to to lose the weight and become healthy.. But its taken a lot of joy out of life, the holidays just plain suck now...all the family traditions came to a stop because of me (we used to all get our favorite restaurant dishes and share pot luck style for New Years), bake cookies with a Cookie exchange (no one wants my healthy protein balls - I eat them because I need protein, not because they're great tasting). I know I'm suppose to eat for fuel, but, we all eat for joy - if people didn't there wouldn't be different foods, cooking styles and spices, we eat at get togethers, social times, celebrations - I can't and don't want to inflict my eating restrictions/requirements on everyone else. I fight that siren song and battle it every week, anyone else? Anyone have any reasonable suggestions? (I added reasonable because my dietician suggests things like - " you want crunchy "eat a celery stick" you want noodles try palm noodles..etc. NOT even close. I think dieticians in bariatric clinics should have been a bariatric patient themselves so they'd understand their suggestions suck. Perhaps I'm asking if anyone else is or has gone through this...slump.....I find its easier to just not eat than eat another healthy bland boring food. Sorry for the rant.

Courtnay, I am so sorry you had such an awful experience... I had some nurses that really irritated me and treated me poorly but an orderly found me crying because I was in so much pain and stressed by the nurse and so she reported the nurse, which was uncomfortable in the moment because I had to talk to a bunch of people, but really made them treat me decently the rest of the time! You can definitely have the bypass later once the sleeve takes off some weight. This happens sometimes with DS surgeries where they end up doing the sleeve first and then the intestinal part later once some abdominal fat is lost. Livers can be really tricky. Mine was still "plump" during the surgery, I just happen to have an extremely skilled surgeon who was able to work around it, but he told me sometimes that isn't possible. And I really want to say this, what happened to you IS NOT YOUR FAULT!! I'd find a therapist that deals with trauma, specifically medical trauma if possible, to help process this experience. Later down the road if your weight loss isn't stable you can consider converting to bypass or DS, you have options now with the sleeve! I know it isn't what you wanted, and I don't understand why the doctor didn't just close you up and try again later if you felt so strongly about it, but hindsight is always 20/20 and the good thing is that the sleeve DOES take off weight and that weight loss will help you feel a lot better. You should be on a good PPI with your heartburn, twice a day if needed. Omeprazole was always useless to me, so I use pantaprazole in the morning and Dexilant in the evening, both are prescription and they work wonderfully, no food triggers at all. You don't have to suffer with heartburn and reflux, they really should sort your meds out for that. It will make nausea and eating a lot easier. Oh and a few weeks out my digestive system was very testy. I had IBS before and it was grumpy post surgery. Fairlife shakes make me run to the bathroom for days for some reason! I like the Syntrax Nectar fruit flavors, they are like juice. Seeq is also good, it is like juice too, they are water based protein drinks, not creamy milk ones, and my digestive system handles them both better. You can get samples of Syntrax from Bariatric Pal and samples of Seeq from their website. Sending you lots of love... I hope things ease up soon and those hormones calm down, they are really rough after surgery! ❤️

I don't know how I forgot this, but look into PB2 or other Keto peanut butter powders. It's mostly the protein and fat left behind after they dehydrate peanut butter and remove some of the carbs (not all, but enough). You mix the powder with water to get the consistency you want and can eat it like peanut butter. I've also used it in the past with non-bariatric friendly smoothies and shakes, but I'm sure there are recipes out there that are more friendly. Actually I think I'm going to look some up now!

I was just approved by AETNA for the SADI-S procedure. I wanted to post this because AETNA has just recognized the SADI as an approved procedure. Before Dec 5, 2022, it was considered experimental and I was concerned it would not get covered. AETNA uses a "Clinical Policy Bulletin" to explain the requirements for surgery if your plan has bariatric surgery included. It really helped clarify what I needed to do with my team. Here is the link to the most current bulletin: https://www.aetna.com/cpb/medical/data/100_199/0157.html I hope this helps.

I have been going through the process of the bariatric program since January so it's about to be a full year. My surgery was originally supposed to be in July but the doctor's office screwed up my paperwork so insurance denied it. They were very dismissive and acted like it wasn't there fault but it was. They left out my psych evaluation so it was denied. I was so turned off that I went to another surgeon but couldn't schedule mine until December 28th. Now I'm a little more than a week away from surgery and on Day 5 of liquid diet but they do not communicate with me at all. No one even scheduled my pre-op testing. I have been emailing and calling my surgeon's office since last week to ask a question about if I had to stop certain medications and about certain protein shakes I'm allowed to drink. They never respond to me. Today I was told that the Physician Assistant is on vacation and the coordinator is out sick so I feel like I'm just left out here alone with no help. It makes me concerned about post-op care as well if they can just dismiss me because someone is out sick or on vacation. I can't help but feel like these are signs from the universe not to do the surgery. Am I crazy for giving up on this and just trying to take Wegovy instead to help me lose weight?

I am turning 50 in a few months, and I've struggled with my weight most of my life. At 26, my BMI was probably around 30, but I didn't have the health issues so it was just a nuisance to me. I tried dieting and healthy eating for years, but my weight increased steadily in typical yo-yo fashion. Post-pregnancies, I spent my late 30s and early 40s in the 35-39 BMI range and started getting co-morbidities. By the time my BMI hit 40 this past year, I was aching in my feet and joints, had high blood pressure and cholesterol, and was prediabetic. So it's not about weight or appearance at this point but getting control of my health now, while my body can still bounce back and hopefully age more gracefully. I feel like I'm at that tipping point where if I don't act, the next decade will not end well and I will not have a good time of my senior years. This is despite all my best intentions and 7 years of actively going to a weight management doctor. All of that is to say that trying hard and knowing the right things to do rarely leads to success if you are prone to obesity. It's a disease, not a moral failing, no matter what people tell you. Unlike dieting, weight loss surgery provides lasting metabolic changes, as close to a cure as you can get. And you still will have to make all the lifestyle changes you would need to do anyway to lose weight, but they will actually work (instead of spending the next 24 years getting bigger and less healthy like I did). I have posted frequently about what a huge fan I am of Dr. Matthew Weiner's books, YouTube videos, and new podcast. Honestly, his books were life changing for me in terms of my perspective. I highly recommend starting there. He has 3 books, one is called Pound of Cure and gives great, scientifically sound information on what a healthy, set-point lowering way of eating looks like and how to get there. The second is a book that explains exactly how gastric bypass and sleeve surgeries change your metabolism and why they work (it's not just a smaller stomach and eating less!). The third is a cookbook with bariatric friendly recipes and serving sizes for different stages. These books are super fast reads. You can probably get through all three in a week (minus making all the recipes, of course!). With three months to go, my suggestion is get these books and start implementing the diet changes in a deliberate way. Start exercising in a sustainable way, working up to it little by little. See how you feel. Don't do crash diets. Don't start anything, whether food or exercise, you don't think you can basically do 90% of the time for the rest of your life, because there's no such thing as doing it for long enough to lose weight and then getting to "go back to normal." This has to become your new normal, with or without surgery. In three months, if you really aren't sure about the surgery, don't do it. It'll always be there. But know that it's an additional tool that will make the hard work you have to do either way in order to keep your health for the rest of your life more likely to stick. Without it, there's a very high (but not impossible) chance you will not be able to keep your weight in a healthy range.

So it's not that you can't have any carbs. You want them last, and you want them not to be "bad" carbs, like from pasta and breads and white potatoes. You should be eating 5 times per day. 3 meals and 2 snacks. You want protein first, then veggies, then carbs. No sugar, low salt (himalayan is the best if you need it). Avoid carbonation because it stretches your stomach out. My bariatric diet stated 60-80g of protein per day, 1000-1200 calories per day, less than 50 net carbs per day, and less than 50g of fat per day. If working out, or if you have a very physical job, then it would be slightly modified to 75 - 90g of protein, 1200-1400 calories, no more than 65 net carbs, and no more than 65g of fat per day. It seems like a bariatric therapist might be a good thing for you, because it sounds like your relationship with food never changed, and you never learned to tell the difference between real and head hunger. And lastly, you should be eating very slowly. You're filling up fast because you're cramming a lot of food into your stomach all at once. After it makes its way through, the food is gone but you're hungry again. Eat slowly, chew it well, follow the bariatric diet, find a bariatric diet, and reach out to your nutritionist and see what they can do to help you get back on track and maybe map out an eating plan for you.

Thank you so much for responding! Honestly it is such a big relief to have someone to talk to about this. Sure I have my husband but he doesn't really know what to say in regards to all this and I don't blame him. After all this is new to us. I have sleep apnea as well and I'm using a machine. Had my suspicions for a long time as I snore loudly lol, and both my parents have it, but it wasn't until my bariatric team sent me in to be tested that it was confirmed. Your right I could die at any moment. My kiddos are 11 and 8. I just want to be healthy so badly. The fear of being off worse after the surgery makes me nervous. I am trying to overcome this fear though and be at peace with my decision. Surgery is so close and if I cancel then I'll always wonder about what could of been.

Ty So much i lost 166pounds Total.I am Thankful for what i weigh Compared to 285.3 prior to my sleeve Surgery.. I had at 2 years post op Gained 20 Pounds...I got strict took it off and much more.As i am seeing..Its way harder to lose Further out you go.,It seems to be like Same old..I am trying hard to lose this mindset too. I KNOW I CAN RELOSE THIS REGAIN..I do feel the Support does still help me in my Life Long Weight Loss Journey..I know Bariatric Surgeons told me 125-130 was good. Not for me .i had for over Seven years stayed hy 115-116. then over past year or so i got up by 124-125. i am afraid of losing control. I never want to be a 2-3X Again. I am a petite 7-8.I am, I am 5"2 Short.. age 65.. Had my vsg May 21, 2015.. Thank you For your kindness.Always Jo Ann Age 65 North ,Florida I know You can do it, i went way past my actual weight Goals set hy my Bariatric Surgeon. He had told me to lose by 125-130.for 8 yeats i stayed between 115-120.. Me and Jim my Husband of 24 years had Some Identity Theft in September 2023 Online..I found myself snacking at nights on Ice Cream and things i should not been eating..I do know i put my weight on being fareless.i lost, 25 pounds plus more in year 2 after my Sleeve Surgery..I pray to make some supportive Friends here. DR.DUC CUONG TAUGHT ME ABOUT JOURNALING..i have kept a Journal from start of my Weightloss Journey till now.I have a Separate Gratitude Journal..that helps me..My Belief is You still Need On Going Support.

Oh, I am so sorry! Why couldn't they have intergrated those patients with planned surgeries into their bariatric department? I knew that Mt. Auburn had merged with Beth Israel/Leahy a while ago (it seems like they are swallowing up a lot of smaller hospitals, mine included) But, they had to see this coming. And what are they doing to support the patients that just had surgery? Did they give you any information as to what happens next? Will they arrange transfer for you to the other program? You have already met all the requirements and done the testing! This is so unfair.

I called again this morning and the person who answered let slip that the entire weight management center at the hospital is closing. So, I am not the only person impacted by far. He said that a manager is supposed to call everyone to explain, but still nothing has happened. Maybe tomorrow? As for what happens next, I'm not sure. The hospital was recently acquired by another big Boston hospital, which has a bariatric department of its own. I assume they are trying to integrate all of the departments across the system to eliminate redundancies, but their communication so far has been appalling. Why they wouldn't have planned for this by shutting down the pipeline of patients months ago so that all surgeries were completed before the closure is a mystery. I attended my full day immersion class in August and completed all my requirements on October 6. At that point, they were booking 10+ weeks out and there was no indication anything was changing. This isn't an independent bariatric practice where I could see there being management or money issues, but a center that is part of a Harvard Medical School teaching hospital. I find it shocking to say the least. I've spent most of the day wishing whichever faceless bureaucratic suit responsible for this trips and falls into a fiery pit. Clearly emotional intelligence was not a job requirement.

Finishing up my breakfast and then it's time to get ready to go back to work FINALLY!!! WooHoo!!! It's about time. I hate not working. So glad I was cleared yesterday to go back starting today. Oh, and I'm now down to 233 pounds. I'm 33 pounds away from my goal weight!!!! I started off at 421 pounds when this whole journey began. I've lost a total of 188 pounds from my highest weight. I've lost a total of 155 pounds since my surgery in May 2022 (I was 388 pounds on surgery day). Bariatric surgery, changing my relationship with food, changing my diet, working out and changing up my routines, all of it is why I'm here now. 33 more pounds to go, ya'll!!! I'm in a size 16/18 in clothes (down from 28/30), I'm in a size 6 1/2 ring (down from size 10), I'm in a size 10 shoe (down from a size 11), and I wear 18" necklaces (instead of the 22" and 24" necklaces I wore before). Yes, I've had complications. Yes, I've had several surgeries. But things were found that I never would have known about. Silent killers, they're called. Has it been annoying and painful and frustrating? ABSOLUTELY. Would I do it all again anyway? ABSOLUTELY. I've STILL gained so much more than I've lost. I have 1 more surgery (my hysterectomy) and then I'm completely done. And honestly, I'm still way way healthier than I ever was before. I only wish I would have just done the bypass to begin with and skipped the sleeve. But then again, like I said, the conditions I didn't know about wouldn't have been found without the complications from the sleeve that led to all my procedures. Everything happens for a reason. I firmly believe that. And I'm almost on the other side of all this, so I can speak into existence that nothing else will go wrong, things are looking up, and I'm getting my life back but as an even healthier and better version.

I sure did lol... I called and told them and I told them I was willing to reschedule and start the 5 weeks again, but they said we would not need to reschedule and to just keep trying and that I was doing amazing and not to beat myself up. I was quite surprised as they seemed at first that the 5 weeks optifast diet was a must. When I went in for my pre-op to meet the guy putting me under, I told them again as it made me nervous and he seemed rather unbothered by it lol. He said "oh we don't care about that, what I care about is you not having anything after midnight prior to surgery". He laughed and said I was not the only one, nor the last to have cheated. I still feel lousy for it though, and everyones bariatric team is different with what they want you to do prior to surgery. I would not advocate cheating on the pre-op diet, but I if you have please do not beat yourself up about it as you are not alone. I would let them know though just because I feel it is important to be honest. Hugs.

The hospital administration continues to prove they have handled this in the worst possible way. I went to see my endocrinologist at the weight management center on Monday. She was fighting back tears as she explained the way news of the closure was handed down, along with a timeline to wrap up the practice by early February that frankly puts profits before patient well-being at every turn. I have left 2 messages and filled out a contact form with the new center but have yet to hear back from anyone. There has been no official letter from the hospital to explain their decision to disrupt my treatment only 3 weeks before surgery, no apology for having to learn of this through an automated cancelation notice, no indication they care at all about what this is doing to any of us who have been caught in this mess. Still not sleeping well, experiencing high anxiety, and very worried about how I will have to rearrange my work schedule to accommodate a new surgery date, but of course having no clue when that will happen makes planning impossible. On the bright side, I have confirmed my new insurance coverage that starts Jan 2, 2024 does cover bariatric surgery and the out of pocket for me will be comparable to my current plan, so I'm no longer worrying about that, at least. For now, all I can do is focus on healthy eating and exercise. My doctor offered to restart me on weight loss medication in the meantime, but I just think it's one more thing to have to juggle and I'd rather not complicate my life more than needed.

Yes, your relationship with food is supposed to change. How you view it, how often you eat it, what you eat, etc... Also, having a specific meal plan to follow helps a lot while you navigate your new normal. Definitely slow down your eating, start looking at what you're eating and what your calorie/carb/fat/protein intake is, look at your activity levels and adjust them accordingly, and look into speaking with your nutritionist and a bariatric therapist. This is all stuff that should have been gone over with you long before you actually had your surgery.