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For those recommending medication over surgery: I am having the SADI surgery on July 25th. I considered medications initially, however, most of them aren't covered by insurance; and if they are, the insurance approval process usually requires a diabetes diagnosis. While I have a BMI in the 50s, my A1C is extremely health, which means I would pay out-of-pocket. The medications are intended as life-long commitments. Stopping them can have serious impacts including weight regain. Out-of-pocket for the cheapest meds I encountered was $900 a month. Out-of-pocket for my procedure is one-time $19,000 (unfortunately, not covered by insurance) If we look at the impact in 5 years of both... Meds = $54,000 Procedure + Vitamins = $19,000 + $3,800 = $22,800 How about 10 years? Meds = $108,000 Procedure = $19,000 + $7,600 = $26,600 The financial impact was a huge consideration for me. Please understand that the decision to move to surgery is not quick or easy. The financial impacts and health impacts are serious and really should be discussed with a trained medical provider. The purpose of this forum is to help guide others. We should be focused on the questions they're asking instead of offering an off-topic alternative. The OP made it clear in her posts that conversations with a trained medical professional led to the decision for another surgery. Shaking her confidence in medical guidance from her surgeon is not our place. We should accept that surgery is her path and give our own anecdotal experiences as references to help her understand what she might experience.
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They may still consider you for the sleeve even with GERD. It’s gets super complicated and I don’t understand how he knew exactly what was causing what but I have MILD GERD post sleeve and I take only 20mg Omeprazole which controls it. The surgeon said if I wanted to revise to bypass I was good to go but if I wanted to revise to SADI that he had to do some tests first. He did a Endoscopy which found a hiatal hernia but because of my sleeved stomach he wasn’t able to turn the camera to get a good angle to determine the exact size of it. He then ordered an upper GI (I think that’s what he called it, but some call it a barium swallow test) and also a gastric emptying study). Then when he had all the results he said that the hernia is very small and he wouldn’t even repair it. Anyways, i will still have to be on PPI’S but he thinks they should control the GERD after the SADI. Many people choose the bypass so they don’t have to take the PPI’s again or if it’s so bad that PPI’s don’t always work but being able to take the occasional NSAID and the better weight loss statistics made me choose the SADI over the bypass anyways. That being said, just be aware going in that there is a percentage of people who need a revision post sleeve because they have inadequate weight loss or regain by like 3 years out. Your surgeon should go over all that with you. I have seen a few people on here say their insurance does not cover revision surgery so that’s something to consider when you make your decision. I hope I didn’t add to your confusion but it is a big decision and the more info you have the better to know what to ask at that appointment with the surgeon. My surgeon did not make me decide at the first visit either. I got to ask the NP questions every month at my weigh in and then decide which surgery I wanted (for my sleeve, the process for the revision was a little different).
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that's not why some insurance policies require a six-month supervised diet. They require it because they want to see if you're able to stick to a diet long-term, because they don't want to fork over thousands of dollars for patients to have an elective surgery only to blow it big time by not following their clinic's plan. On top of that, some surgeons require that you lose a certain number of pounds before they'll let you have surgery. I lost 56 lbs on my six-month supervised diet, and no way were they going to tell me I couldn't have surgery because I could obviously "do it on my own" (and honestly, fewer than 5% of people who lose a lot of weight can maintain it for more than a few months. Bariatric surgeons are well aware of this fact)
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Mini Gastric Bypass - Turkey - Recommendations/experiences good or bad?
catwoman7 replied to Klaire's topic in Gastric Bypass Surgery Forums
there have been a few Europeans on here who've had weight loss surgery in Turkey. As long as you do your research, you should be OK. As is true anywhere, there are good surgeons in Turkey and likely some not-so-good ones. Read reviews, check with people who've had it done there, etc. And make sure your GP is willing to do your follow-ups (regular blood tests, etc) -
What do you wish you had done BEFORE your gastric bypass surgery to get ready?
DianeF replied to DianeF's topic in Gastric Bypass Surgery Forums
(I just figured out how to respond to something directly!) I can't do food funerals. I would binge like a mad man! The thought is fun, but my reality would be awful. In one of my weight loss classes they gave the advice, "Go to the wedding, get the biggest piece of cake, look at it, smell it, take the smallest bite, then throw it away. And remind yourself that you're better than that." My immediate thought was, What world do they live in? Because I knew I couldn't do that. -
I was worried about losing too much weight too The thing is that they can suggest changes all they want but we already know how we are supposed to eat. If we could do it we wouldn’t be where we are now. Chances are you are not going to be able to stick to any diet for a full six months. I know I couldn’t. Also, the surgeries are known to help with sleep apnea and GERD depending on which one the dr feels is appropriate for you. I can’t imagine that being a reason to disqualify you. I have heard of a lot of people getting a hernia repair done at the same time as their surgery.
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Thanks JennyBeez, I guess my concern is not so much my BMI dropping too low, as it is that the insurance will say, "See?? You can lose weight on a diet! Just keep doing what you're doing!"
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When I had my sleeve I would weigh myself daily (because I couldn’t help myself, lol) but I only recorded it once a week. That way I would see the downward trend better. Our weight can fluctuate by a couple pounds in either direction for so many things. We would really be better off if we would just Weigh like once a month but I get it. That’s really hard.
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I don't know how other programs do it, but my 6 months of supervised diet was basically just a logbook of what I was eating, when, how much. My team didn't have me on any restrictions until 2 weeks before the scheduled surgery. They certainly followed up with me consistently, but it was more to suggest how I could adjust my food after the surgery -- ie, "I see you had 2 cups oatmeal for breakfast! After the surgery, you'll probably start at half a cup and go from there, you'll want to make it with either a higher protein milk like fairlife or even a protein shake, you'll want to use thicker oats rather than instant or minute-oats," etc I did lose about 20 lbs total pre-op -- just because having to measure my food made me more aware of how much I was eating. I don't want this to come off the wrong way, but I don't think losing too much weight before the surgery will be an issue for you -- or for most people approaching it as an option. If your BMI is high enough to qualify you starting the program, it's highly unlikely you'll be able to lose enough on your own to drop your BMI to a point that it would disqualify you. (I'm not saying it's impossible! But most people turn to WLS as a last resort after so many other methods have failed -- if we could successfully lose a big chunk of weight by ourselves just by being on a supervised diet, we would have done it without turning to WLS.)
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Now that I've made the decision to have WLS & am waiting for my appt with my PCP my mind won't shut up! I know my insurance requires a 6 month supervised diet, but what if I lose weight on the diet and my insurance decides that I don't NEED to have WLS to lose weight since I was (theoretically) able to lose weight for this requirement? I was told after a colonoscopy that I have sleep apnea and need to have a sleep study done & that I should really be on a cpap, but what if sleep apnea is a reason to deny me the surgery? I take omeprazole for acid reflux because I have a hiatal hernia. What if that prevents me from having the surgery? What if they just say NO? After making up my mind to do this, I just don't think I could take it. I'll be 60 in Oct & I'm 5' 8" - used to be 5' 9" - & I weigh 338 lbs. On my own I have fooled with hCG diet, keto, low carb, etc, etc, etc for sooooo many years. I lose weight & gain it back. I know what I'm supposed to do, but can't stick with it. I need this. Period.
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Did i plateau
SleeveToBypass2023 replied to Dchonlee's topic in POST-Operation Weight Loss Surgery Q&A
You hit a stall. There's a lot of posts on here about it. They happen a lot, and it's completely normal. Some of us would gain 3-5 pounds when a stall would hit and then drop like 6-7 pounds as soon as it broke. Others would just stay at the same weight until it broke. Just ride it out, it's normal. It'll happen several more times. -
sounds like the infamous "three-week stall" (it's not ALWAYS the third week, but it usually happens sometime within the first 4-6 weeks after surgery). Almost all of us have our first major stall then. If you do a search on the three week stall on this site, you will find over 17,000 posts on it (and no, I am NOT kidding!). It'll likely be the first of several stalls during your journey. The best thing to do when you hit a stall is make sure you're following your eating plan to a "T", and stay off the scale. Instead of every day, weigh yourself once a week. As long as you stick to your eating plan, the stall WILL break. Usually takes 1-3 weeks. But it'll break. Mine lasted two weeks, and once it broke, I dropped like 6-8 lbs practically overnight. it's just a way for your body to come to terms with what's going on and re-calibrate before heading down again. It's a natural part of losing weight and happens to almost all of us.
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I am sure you have just reached a stall period, don't let it worry you, EVERYONE has gone through it, or is going through it, as it is raised as a topic here every few days it feels like. Your body is trying to adjust to the new you, new routines etc. so even if the scale has stalled (or even goes up a bit) you may be loosing inches etc. Over the last year I have had a few stalls and it is frustrating but part of the process. It also gets harder/slower as you get closer to your natural weight as there is less to loose. When it has happened I have upped my exercise (an extra walk or longer walk, more time in the pool etc.) to try and give the body a little nudge to get loosing again not sure if it helps or not but makes me feel better. Try not to stress and just keep up the positive changes you have made. It is seriously not that long into this part of your journey.
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February 2024 Surgery Buddies?
NickelChip replied to NickelChip's topic in PRE-Operation Weight Loss Surgery Q&A
Ugh. Getting back on track after vacation is harder than I thought it would be. I have no desire to cook and I'm craving snacks and sweets like crazy because I know they're in the house. I had done a thorough job of getting all the snacks and candy out of the cupboards leading up to surgery, but with the kids home all day for the summer, I've bought some things for them, and we also brought home stuff from our trip. Resisting the temptation when it's just in the next room while I'm working is HARD, especially because having a snack was often the way I would deal with avoiding a project for work that I didn't want to do (I work from home). Add on top of that the beginning of hunger returning and an increase in how much I can comfortably eat in one sitting and it's a battle. Plus the weather has been miserably hot so if I don't get out to walk first thing in the morning, it's not happening. Needless to say, my weight has bounced up a pound this week. So frustrated! -
Legit! Losing weight and fitting things better, ive been HOT!😂😂
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Made my decision, how to get started?
NickelChip replied to Alisa_S's topic in Gastric Sleeve Surgery Forums
In my case, I was referred by my primary care doctor to the weight management center that is affiliated with the hospital and everything else was done through them. But I know it can be different depending where you are. In my case, my surgeon, dietician, and behavioral therapist were all in one office and I went to the hospital to have my labs drawn and my barium swallow and EKG. I did not have to do a sleep test or endoscopy based on whatever criteria they use for that. My insurance required a certain number of visits with the dietician and surgeon, but I'm not sure now what the requirement was because I had been going to the center for a long time on medically supervised weight loss before switching to surgical, so I had long since met those requirements. -
January 2024 surgery buddies
Doris27 replied to Pink fridge's topic in Gastric Sleeve Surgery Forums
Hello 👋 it’s good to hear everyone’s progress. Things have been mixed for me as my husband died suddenly 65 days ago. Shocking to say the least. So I’m not quite sure how I’m doing really. however, my surgery has been life changing, physically I’ve never been so fit. I’m down 30kg and only 3kg from goal but have been in a plateau for around 5wks. Despite the emotional turmoil I have pretty much managed to stick to the programme, only wavering twice when I simply did not care enough to stop myself eating too much rubbish. The reassuring thing was I stopped and got myself back together. I want to be healthy, so am putting the work in. Walking and exercise, (strength, cardio, yoga - on Apple fitness) have given me a focus. When I feel lost and overwhelmed by grief I go walking. Rather that than gorge myself silly then feel even worse, as I would have done prior to surgery. There’s never a good time for a spouse to die but I’m glad I was well on in this weight loss journey as I’d be in an even worse position had I not been. My husband would be proud and happy. ❤️ -
Pcos and losing weight
SleeveToBypass2023 replied to Pink fridge's topic in Gastric Sleeve Surgery Forums
I got pregnant with pcos, but that was way WAY before I ever thought about weight loss surgery, so I can't help you with any of your questions, really. I had so many losses that I had to do treatments to get pregnant with my daughter (got pregnant with my son naturally). Never was able to get pregnant again after my daughter, and I just recently had a total hysterectomy (including ovaries) now that I've lost all the weight I want to lose after my surgery, so I won't be having more babies. I second what @ShoppGirl said...posting on 1 or 2 existing pregnancy and pcos threads is definitely the way to go to hopefully get some answers. -
Made my decision, how to get started?
ShoppGirl replied to Alisa_S's topic in Gastric Sleeve Surgery Forums
Congratulations on your decision. Unfortunately I don’t have that insurance but do you usually need a referral to see a specialist? I suppose If you were to call a surgeons office and ask to schedule they would let you know if you really need to wait until you see your primary. Then again if your appointment is soon it may make sense to just wait anyways so they can give you a recommendation for a surgeon if you don’t have one in mind For me, it was the surgeons office that let me know what all the requirements were. I have seen them vary slightly from one person to the next. It depends on insirance but also varies by the program as well as your medical history. For my Sleeve the requirements were a 6 month medically supervised weight loss attempt, psyc eval and a nutritionist appointment. Ooh and you will need medical clearance for surgery which depending on your health may be just routine lab work or it may be additional appointments like a cardiologist checkup. They may also require you to sort out the sleep apnea thing and make sure that the cpap is working to treat your sleep apnea sufficiently if you do have it but i’m not 100% certain on that (just seems like I heard something about that). I am currently pending a revision and this time he required an ekg that he didn’t ask for last time. I guess maybe since I’m a little older. They wanted the labs to be drawn within a month or less of my surgery date so I scheduled them and the ekg at my primary doctor at two weeks out from my surgery. Listing it out it seems like a lot but you will have a While to get it all done and they should walk you through it step by step. -
Hi fellow people! Can anyone share their success stories with losing weight, when being diagnosed with PCOS? I was diagnosed with PCOS almost 2 years ago, and I did the surgery back in January and now it’s being almost 7 months and I’m over the mini to start and try to get pregnant. So I’m wondering if anyone has success stories with PCOS healing, periods being natural again and on time and conceiving fast and easy if they could please share. thank you so much!!! .
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Holiday Clothes Shopping
MrsFitz replied to Bypass2Freedom's topic in General Weight Loss Surgery Discussions
Do you have any idea of the kinds of temperatures you could be looking at so you can plan around that? We generally go to Cyprus in mid September and the temps can be mid-40s. Have a look at Superdrug for Lanacane anti-chafing gel https://www.superdrug.com/health/medicated-skin/medicated-skin-treatments/lanacane-anti-chafing-gel-28g/p/687900 I would also have a look for some mozzie repellent too as you don’t want to be bitten to death! Lots of stores are having a sale now, especially as our summer has been a complete washout. Have a look at Roman - 60% off sale plus use the code EPIC for a further 15% off everything (got to love a discount code 😉) The Next sale began at the weekend, Tu has up to 50% off brands, George (Asda) have their sale on plus Debenhams always have some sort of sale on! Thin, floaty things are always a winner as already mentioned by others. Thin tops and loose shorts are good for daytime, just be careful on sitting on hot, plastic seating outside cafes etc as you can end up leaving the skin off the back of your thighs behind (definitely speaking from experience with that one 🙄) A hat is a must as well as some high factor sun cream to begin with. Tescos dry oil is pretty good - you don’t end up feeling horribly sticky with it; Boots have sun cream and after sun that has insect repellent already in and doesn’t stink. A pack of one a day over the counter antihistamines are really useful if you suffer from prickly heat (or if you don’t normally but start with it on holiday) Take it with you as it’s generally expensive abroad, same with paracetamol. More importantly, have a totally wonderful time and revel in your fantastic weight loss to date! -
On todays episode of “ i dont see the weight loss”😂😂😂
Dchonlee posted a topic in POST-Operation Weight Loss Surgery Q&A
I’m trying to smile more … hope everyones doing ok -
July 2024 surgery buddies
Hope&Grit replied to Zazu_89's topic in PRE-Operation Weight Loss Surgery Q&A
tomorrow July 10 😌 Weird because 1200 calories for the past 2 weeks and liquid diet 24 hours before the surgery. This is gonna sound nuts but I hope that my liver isn't a fat gigantic thing... so embarrassing. I had gastric sleeve back almost a decade ago and managed to regain the weight. It's the same surgeon for this gastric bypass. -
Holiday Clothes Shopping
Bypass2Freedom replied to Bypass2Freedom's topic in General Weight Loss Surgery Discussions
Hmm, that is true actually! It feels as though we have skipped Summer here 😅 I shall hold off from buying anything just yet, as I am conscious of how fast the weight loss is right now! I think I am suffering a bit from imposter syndrome right now - I feel like a fraud if I were to buy smaller sizes if that makes sense! Like my body won't actually ever fit into them (which I know is insane, given that I am and have lost weight) but my brain hasn't caught up yet. I have heard nothing but good things about M&S - I may create a holiday wishlist on there! I admit I have never even worn those kinds of trousers before! But I think that was just due to me not feeling like they'd suit my shape!
