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I am new to this process. I have had 2 appointments with my primary and will meet with my Bariatric surgeon next month. I feel so defeated with trying to loose weight. Any advice?
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Cigna- Requirements and Timeline
PeaceDove24 replied to PeaceDove24's topic in PRE-Operation Weight Loss Surgery Q&A
I called Cigna this past Friday (5/17) morning to ask, the lady I talked to was very confused when I asked if there was a required waiting period and on the sheet she sent me (below hopefully) it doesn't say anything about a required waiting period- just that I have to have a Doc sign off that I haven't had success losing weight in the past and have done a Nutrition eval, psych eval, and gotten clearance from my PCP in the past 6 months. Thankfully I'm not attached to a single surgeon- I can go to any surgeon I want that is In-Network and thinks I'm qualified (and has the availability to do it within my time frame). Bariatric Surgery.pdf -
Will they pay for RNY gastric bypass instead, or they won't pay for any bariatric surgery? Sent from my SM-N960U using BariatricPal mobile app
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So so right, and our Detractors seem to feel Heaven gave them express permission to act in this manner. This is why it hurt me so badly that a person I had thought my friend said to me" Because you insisted on pushing yourself to the head of the line,younger more deserving people lost their chance for Bariatric Surgery!" I cried and cried, not in front of her but when I got home. I never wanted anyone or anything to suffer pain because of me. I would save all the cats and dogs of the world if I only had the funds to do so.
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When did you reach your goal weight?
Frustr8 replied to egs93's topic in Gastric Sleeve Surgery Forums
My Bariatric Team says at my one year anniversary date(September 5th) or shortly after. I would like to lose about 35 more pounds but my Surgeon's Right Hand Woman and Nurse Practioner Valerie would be thrilled and well-satisfied with just 15--16 more pounds from where I am at now. My feeling- if I am enrolled and completing the Weight Loss Olympics, why not go for the🏆 Gold, instead of Siver or Bronze? -
Is Weight Loss Surgery for Me?
Libby63 replied to gch81kb's topic in General Weight Loss Surgery Discussions
I am in a similar state in terms of weight loss and current state. I also am just beginning the journey and investigating so this is based on my inexperienced thinking, but for me it’s not about the weight loss, it’s about my health. My type2 is well controlled but I have enough diabetics in my family to know that can turn on a dime. I have sleep apnea, high triglycerides, GERD, stress incontinence and a family history of deaths from cancers. It is the Bariatric surgery impact on the co-morbidities that has drawn me to my investigation. I would talk to your Dr about your concerns. The type2 from Bariatric does not go away merely from the weight loss, there are other contributing factors. Good luck with your decision. Please let us know. -
Will I ever be normal again!?
Frustr8 replied to Mrs. Hayes's topic in POST-Operation Weight Loss Surgery Q&A
Watch out for your stoma narrowing down, this is a stricture or stenosis, and I am a veteran of that war and also have ulcerations in my jejunem- the send third of our small intestine that our pouch now attached to. Mine I believe to happened at 2 weeks but I did not have a confirmatory endoscopy until 6 weeks past my surgery date. And I have been fighting it every since. It really is kind of rare, but you will find there's me, Briswife and Mousecat all active. I believe my Bari- bud is the one closest to having all facets rectified. But I do still vomit frequently, my pouch is tender, sometimes it feels like Precious clenchs herself like an angry little ✊ fist, and I have a lot of right subcostal pain, that means right below the ribs, that is where my ulcers, the great majority, of which are there. Oh my weight loss is wonderful, 150 down from my Highest Weight, and 98 at last weighing since my surgery. But it has been a bumpy journey getting there, at this point. almost 9 months, I had expected " The Good Times To Roll", OH I don't think my Bariatric Clinic is that worried about me, but they are merely watching, I'm having to LIVE IT! They just seem to call it All ---Atypical. Healing Procee. Well Whoopee Ding isn't that just so special!!!🚩🎪🚩 -
HELP I'm so stressed and I SMOKE
egs93 replied to michellehill's topic in PRE-Operation Weight Loss Surgery Q&A
If you are not prepared to give up smoking in order to get this procedure, PLEASE put the procedure off until you have quit and been smoke free for a while and know that you can remain that way. We all know there are huge health risks with smoking anyway, but it was stressed to me repeatedly throughout my process that these risks are MUCH more pronounced for post-op bariatric patients. As ms.sss said above, many programs will not even approve a surgery unless you've stopped smoking at least six months prior to the date. I'm not sure why your program has gone so quickly, but it sounds like they've left out a lot of incredibly important information that people with three or six month pre-op programs hear. I would be very very worried about your health if you went through with the surgery as a recent smoker and then realized afterwards that you couldn't give it up. It's just not worth getting a weight loss surgery that is meant to improve your quality of life, only to put yourself in extremely high danger by not being able to quit cigarettes. -
The thirst is real!!
AngieBear replied to Je$$ica36's topic in POST-Operation Weight Loss Surgery Q&A
My plan had me starting vitamins after 2 weeks. No need to panic. I take bariatric advantage soft chews: multi, calcium citrate. I also take iron and biotin. -
YOU GUYS I AM SO EXCITED BUT NEED ADVICE! PLEASE
EZL replied to tal's topic in PRE-Operation Weight Loss Surgery Q&A
My sleeve surgery was on 5/13 and it was the first surgery I had also. Everything has gone smooth so far. I would encourage you to just follow the advice of the nurses and your surgeon to the best of your ability. Walk as much as you can during your recovery in the hospital, that helped me so much with gas and pain. If something feels wrong, ask questions and for help. They are there to help you. I called my Bariatric advice nurse everyday this week to ensure I'm doing everything ok. It felt like I was over-communicating and bothering them, but this is MY recovery and MY experience. They reassured me they are there to answer any questions and help me along the way. Utilize your resources! Listen to your stomach - it will talk to you after we surgery. -
Doctors' philosophy on this vary from a few weeks to never again depending upon their experiences. The basic issues are: Healing - alcohol is somewhat corrosive to the stomach lining so one needs to give things a chance to heal first, Alcohol tolerance - rapid stomach emptying means it tends to hit faster, and with less (i.e., a "cheap drunk") so care must be taken there, Transfer addiction - we can no longer satisfy whatever addictive tendencies we have with food, so it is easy for transfer that addiction to something else, like alcohol, drugs, shopping, gambling, etc. What was a casual habit of a glass of wine with dinner occasionally can easily turn into full blown alcoholism. Liver health - starting as morbidly obese, or worse, our livers are not usually in very good shape to begin with (hence the "liver shrinking" pre-op diets that are often prescribed) and the liver is further stressed from its role in metabolizing all that fat that we are rapidly losing. It doesn't need any more stress from ingesting a known liver toxin like alcohol (not a judgemental thing, just our physiology at work). My surgeon is also a biliopancreatic (livers and pancreas) transplant surgeon, so he is in the no alcohol as long as we are losing weight camp (and ideally forever) and indeed we sign a contract to that effect - he doesn't want any of his bariatric patients coming back onto his transplant table! Those are the issues in play, and some aspects bother different surgeons to different degrees, so they have different policies. Check with what your surgeon's policy is, and decide for yourself - we are all adults here.
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I can’t go to my surgeons meeting. Chaotic is the only description that comes to mind. Typically, one person asks a question and 5-10 yell over each other to answer. Then when people get tired of waiting to ask their questions, people start asking questions at the same tome and there are people taking over each other in different parts of the room. The nutritionist that runs it doesn’t even try to reign it in. Two of the three I attended were dominated by the same person - the mother of a patient (first was before her surgery and second was after). Her daughter kept saying things like “mom, i already told you that”, but mom just kept on, saying things like “you’re my baby and you’ve put your life in danger and I need answers.” I was so stressed out by the chaos I felt sick to my stomach. I signed an agreement with my surgeon that I’d go for 3 months post-op, but I didn’t. Luckily he was ok with that since I have a therapist who specializes in Bariatrics.
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Need recommendations for vitamins/supplements to take while awaiting surgery in a couple months
Briswife15 replied to KarenLR75's topic in Protein, Vitamins, and Supplements
I took the Bariatric Advantage Prep vitamins for those prepping for surgery. I liked them alot. Sent from my SM-N960U using BariatricPal mobile app -
I lost 16 lbs the first month and I started at over 300 lbs. I've been hanging out on bariatric surgery boards for 5-6 years, and I'd say most people lose in the 15-25 lb range the first month (some more - some less - but I'd say most lose within that range). At 10 days out, you're still coming off those first few days when your weight would have been higher than you went in for surgery because of all the IV fluids they pumped into you... as long as you stick to your program, the weight will come off...
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Need recommendations for vitamins/supplements to take while awaiting surgery in a couple months
KCgirl061 replied to KarenLR75's topic in Protein, Vitamins, and Supplements
Preop I took Flintstones just to get in the habit of taking a multivitamin. I was also taking a very basic calcium and biotin supplement. Find a good biotin shampoo as well as a dry shampoo for your hair. I use the dry shampoo to get me in-between washings, as it seemed like when I washed my hair I would lose more of it so I tried to go longer between washing. The dry shampoo also helps give it more volume. As far as I know no one has found the solution to the hair loss thing. I'm sure a lot of people like Bariatic Advantage and Bariatric Fusion for their multivitamins but my preference are the one a day options like ProCare Now and I just recently ordered BariatricPal One. I take the multi at night right before bed because of the nausea it causes and then I take my calcium chews at breakfast, lunch, and with my afternoon snack or dinner. -
Need recommendations for vitamins/supplements to take while awaiting surgery in a couple months
Alex Brecher replied to KarenLR75's topic in Protein, Vitamins, and Supplements
Check out BariatricPal Multivitamin ONE "1 per Day!" Bariatric Multivitamins from https://store.bariatricpal.com/collections/bariatricpal-multivitamin-one! With just ONE convenient & affordable BariatricPal Multivitamin ONE each day, you can get the bariatric vitamins and minerals you need to stay healthy! BariatricPal Multivitamin ONE was designed and developed by a team of the world's leading Bariatric medical professionals. Please take a calcium supplement separately to prevent interference with absorption of iron. -
I've been doing Keto WOL for past 15 months in preparation for losing weight prior to pursuing bariatric surgery and also seeking relief from inflammation - which doing Keto has helped me with greatly. I probably won't have my weight loss surgery until the end of June or the beginning of July and am trying to get started on taking vitamins/supplements to meet my body's needs that I feel are being missed right now. I also want to head off/reduce the chances of massive amounts of hair loss. I noticed my hair is thinning - I'm on a blood thinner which causes hair loss and I've hit menopause which also causes hair loss so I've been VERY stressed over this. Then I think about how much hair loss I've seen in ppl who have had WLS although my nutritionist said most hair loss was from not getting adequate amounts of protein each day (min of 80 grams she said). My surgeon gave me a pamphlet for Bariatric Advantage vitamins but it is a bit confusing as I haven't had weight loss surgery yet, but I need to bolster my intake of QUALITY vitamins/supplements. If anyone has any recommendations for what would be a good vitamin regimen PRE-SURGERY, I'd greatly appreciate it! I know I need extra calcium and vitamin D in a bad way as well. I appreciate any help you can provide!! -
Any Dr in Dallas-Fort Worth area who does lap bands still?
KarenLR75 replied to KarenLR75's topic in LAP-BAND Surgery Forums
Jennet - so true. My insurance will cover it; however after consulting with a couple of bariatric surgeons, due to my clotting history, the "vast" amount of weight I have to lose, etc. - they all recommended a sleeve. Also, a lot of follow up appts would be very stressful with my work schedule so that is not ideal. I need to lose roughly 175 to 180 lbs..so that is quite a bit and due to bone grinding on bone in my one knee, etc. the amount of time to get to where I need to be is not as achievable as the other alternatives. -
The celebrate bariatric vitamins have all the necessities l. 500 units of B12, 3000 units of Vitamin D3 and etc. You also need 1500 mg a day of calcium carbonate or citrate a day. Take 1 tablet after each meal and take the vitamins 2x a day. You can get that all from celebrate. You probably want the bariatric vitamins with iron. As I am post menopausal I didn't need the iron.
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Omg you need bariatric vitamins immediately. Order from Celebrate. Your management should have given you a book with vitamin requirements, the different eating stages and etc.
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Thank you for sharing this. I am pre-op. Had my first appointment today. I have been discussing it with my life long BFF and she responds sorta odd. She tells me about a co-worker who had a bad experience with bariatric surgery or she just changes the subject. We are both nurses so I expected a little different response. That being said, I have a friend from work who I have discussed it with and she is super supportive. She gets excited for me and wants to know everything. She is very encouraging and basically like my own little cheerleader.
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You will do WONDERFUL my friend. You also have US in bariatric Pal as well. We all are rooting for you. We are all stri ing towards the same goal, and that is to be a healthier for ourselves and to those we love and care about. I got my surgery because i want to have children with my hubby bug, and run and play with my nieces and nephews and be a better dog trainer and so much more. Underneath all this fat, is and was a very broken person, but i am so over the teenage drama and my past abuse issues with my father that i am ready to shed my old self and become anew for my future. CHEERS TO YOU MY BELOVED FRIEND! KEEP US UPDATED. WE ALL CARE FOR YOU HERE. I KNOW I DO. Sent from my Redmi Note 6 Pro using BariatricPal mobile app
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Interview with different surgeons?
FluffySaysForkIt! replied to vovo2013's topic in General Weight Loss Surgery Discussions
I had some basic requirements for who would do my surgery. 1. The surgeon had to be VERY experienced- as in done literally hundreds of WLS. (Outcome is proven to be better as far as fewer complications the more experienced the surgeon is.) 2. A true bariatric center. By this I mean the hospital where you have surgery, the staff and facilities are actually completely geared to bariatrics. ( You are not just another surgery patient in a hospital put onto a floor with other types of patients after surgery. ) This matters as the staff is better trained in dealing with bariatric patient needs and the beds, gowns etc. are all bariatric friendly. 3. Had to provide education and support before AND after surgery. This is a key for long term maintence. 4. He or she had to show respect for me as a person. I didn't have to like him or her in a "friend" feeling kind of way, but I DID have to feel comfortable enough to be "real" and not guarded. If a person isn't comfortable enough with their Doctor to be genuine I don't think you are giving yourself the best shot at great care. -
February 2019 weight loss buds
Gottajustdoit replied to TheMarine79's topic in Gastric Bypass Surgery Forums
Just wanted to pass along tidbits I heard from my bariatric support group tonight. I have to go to three sessions and so one more to go. I have no idea if what the group shared is true or not, but I want to pass the info along to y'all in case it's helpful. First, vitamin patches. The NUT that runs the group says research shows it only provides Vitamin D and no other vitamins. I don't use the patch but some of you may want to and look into this further. The NUT does not recommend getting vitamins through the patch. Second, my surgeon told another person in my group that the Ursodial reduces your chance of developing gall stones from 30% to 3%. Guess I'll keep taking those nasty capsules. Finally, one person who is stalling said she heard that taking in more protein helps with stalls. -
I definitely understand the concern; however, I have being working on losing weight, under supervision for more than a year now. I have lost 51 lbs. My weight loss has stalled due to knee and back issues. My ortho and spine dr's have encourage me to have bariatric surgery as both my knees need to be replaced. I've done all the PT that anyone can do. I took it slow and was determine to exhaust all available options plus I'm a personal believer in that you need to show you can have some personal discipline/skin in the game. The surgery is not a magic bullet. I consider it more of a nuclear detonation option. If it wasn't for finally finding out how painful a torn knee can be (after exercising too much) and then finding out I have so much arthritis in both knees that 2 diff orthos said I truly need knee replacement surgery (was SHOCKED)...I would NOT be going this route. After the past 15 months of doing supervised weight loss and finding out how it feels to be trapped by chronic pain, I made the decision (after therapy, etc.) that I wanted my life back MORE than I wanted to be able to eat 'any food' within reason. My surgeon gets this. I took the policy in with me to my 2nd appt with him and let him read it. I'm ALL for having requirements and ensuring a patient is READY - mind, body and soul for this surgery. What I have a hard time accepting is misinterpreted requirements. I'd be ok if my surgeon imposed his own requirements. I've met both his requirements and the requirements of my insurance (plus some). I'm now still stuck at 51 lbs lost even though my pool has warmed up so I can swim. The chronic pain haunts my nights now as well as my days. I'm so ready for a change. I depend on ALL of the professionals I see - my surgeon, my primary dr, my cardiologist, my nutritionist, my psychologist (specializes in eating/weight issues), my ortho, my spine dr, and my psychiatrist. They ALL feel I'm ready and I've talked to CIGNA now 4 different times. THEY all feel I'm ready, so we'll see on next month's visit to my surgeon. I'm not trying to RUSH anything. I have been thoughtful, mindful and have taken well more than 6 months to make sure this irreversible, irrevocable decision is the right thing to do. I hope this makes some sense. I agree with caution and I agree with even doing more than my insurance requires. After reading page 6, I have done everything that is suggested there as well. I pray/cross fingers that after my next visit, the paperwork is put through. Then we shall see...
