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I think that you should give your dr a call in the morning. I wasn’t allowed to lift over 10 pounds until 2 months out. Hopefully you will be fine since you are so close. Since you felt some pulling and pain you should call dr to be sure.

I also have BCBS of TN. You can have a BMI of 35 as long as there are comorbidities. For me, it was sleep apnea. Go on their web site and look up the requirements, There are 3 pages. One for the psych to fill out, one for the surgeon, and one for the PCP. There is a 6 month supervised weight loss requirement with the PCP. My PCP was wonderful. SHe documented everything that was required - previous attempts at weight loss, current plan - like using smaller plates and all other efforts. She documented everything for 6 months, (you cannot miss a month or you start all over), and even though I did not lose a lot during that time, there was no problem getting me qualified. I dont thing BCBS even cares if you actually lose much - you have to lose a little bit, but if the documentation shows that you are making a good effort and still cannot lose 10% of your body weight, you quality. The wording is tricky. That is why you must print it out and read it over and over until you understand all the ins and outs of it. Now, here is something to remember. BCBS will indeed pay for the surgery, pre op labs, and all that is associated with the surgery. HOWEVER< after the surgery, they don't pay for anything. So follow up appts, lab work, etc are not covered......... IF they are coded as "bariatric, obesity, overweight", etc. Labs need to be coded as "malabsorption, iron deficiency, chronic inflammation, etc - anything EXCEPT something that refers to the surgery or obesity. I got a bill for almost $1000 for my 6 month labs! I am having the office recode and resubmit. Just read everything carefully and make sure your PCP is on your side and has experience in getting these surgeries approved.

I’m from the south- we never know what we will get in winter! The saying is- don’t like the weather then wait 10 min!

I recently decided to start the process of getting weight loss surgery. I have an appointment for an initial consultation with a surgeon later this month. I’ve been trying to figure out the insurance requirements (BCBS of Tennessee) for covering my surgery, and I know the standard requirements of having a BMI over 40 and maybe having to do a 6-month supervised diet program, but I’m having a hard time finding any information on some of the other details. My biggest concern is that I’ve seen some people here mention a requirement for documentation of weight history. I have been morbidly obese all my adult life, but I rarely go to doctors. I went to get a checkup and bloodwork a couple of months ago, but before that, I hadn’t been to a doctor in 7 or 8 years, so I basically have no documentation of my weight history. I don’t even have many pictures of myself because I am careful to avoid being in pictures due to embarrassment about my weight. What is typically required for weight history documentation? Also, I’ve been on all kind of diets (Atkins, South Beach, Weight Watchers, Slimfast, Cabbage Soup, calorie counting, etc.), some of which were given by a registered dietitian, but they were a long time ago, in my teens/early 20s. I stopped doing fad diets over 10 years ago because I realized that yo-yo dieting always resulted in regaining everything I lost and more. So, I’m also worried that I won’t have sufficient documentation of my previous dieting efforts. It took me a long time to get to the point that I feel not only that I need weight loss surgery, but that I am ready to put in the work and make the changes that I will need to make, but I’m afraid that I’m going to have to wait years for my insurance to approve the surgery just because I don’t have official records of my weight and diet history. I know my surgeon’s office will have to get the details from my insurance company, but I’d really appreciate any info anyone can give me so I know what to expect. Thanks!

I'm 10 weeks post op for my gastric sleeve and within the last 2 weeks my fatigue has returned. I feel like I did right after surgery. Has anyone else had this happen? Im not sure whats going on.

Yesterday Saturday, Feb 1 Maintenance : 5'2" / 1.25 yr PO Sleeve / 116.9 lbs ---------------------------------------- Was a total lump on a log yesterday. I was so completely exhausted, I was literally falling into 20 minute naps. Spent most of the day either sleeping on the couch or on my laptop on the couch listening to the TV. Was doing ok food wise until about 2am when we raided the kitchen. Wasn't even hungry. Just bored and impatient for tennis to come on. Paid for it with a serious case of stomach cramps, pooping and death feelings. I knew it was going to happen WHILE I was eating my ice cream, but honestly, I didn't even care... ---------------------------------------- 9:00am - 1 skinny tea latte 1:00pm - salad w/ vinaigrette + carrots + cucumber + celery + 1.5 oz roasted brussel sprouts + 2 tbsp tuna salad (tuna, mayo, celery, spices) 2:30pm - 1 ATKINS coconut chocolate bar + 1 skinny tea latte 4:30pm - salad w/ vinaigrette + carrots + cucumber + celery + 2 oz avocado + 4 tbsp tuna salad + 1/2 fl oz pumpkin seeds 7:30pm - shiratake noodles + 1/3 cup pasta sauce + anchovies + capers + 1/2 tsp grated parm cheese 10:30pm - salad w/ vinaigrette + 2.5 oz roasted brussel sprouts + 1/2 fl oz pumpkin seeds 12:30am - 1 skinny tea latte 2:00am to 4:00 am - 2 mini almond biscottis 3 mini chocolate crinkle cookie 1 mini marzipan cookie 1 After Eight chocolate mint 1 cup ginger ice cream + 2 oz candied ginger 2 skinny tea lattes ---------------------------------------- Totals: 1942 cals - 60g Protein 164g NET carbs - 97g fat

OH NO, I hope you are not purging our twin pants suit?! I need to try it on again - SO much has changed since that date of November 7, 2019! Wow. And, here we are in February already... Three months later.

I start my pre op diet next Saturday. I have done very well on the three month period losing about 10 pounds. For the next week I plan to go to my favorite Thai and Italian restaurants as well as make some really good meals: steak and potatoes, creamy casseroles, etc. During the liquid phase I will make some meals up for my husband for later as well as some soups that I can puree when I get to that stage.

You can’t have meal replacement shakes on clear but you can have clear protein drinks like Dymatize Iso100 clear https://www.amazon.com/Dymatize-Protein-Isolate-Friendly-Absorbing/dp/B07XZTF3C4/ref=sr_1_10?crid=1T1MFPD7IFH72&amp;keywords=clear+protein+drink&amp;qid=1580656033&amp;sprefix=Clear+pr%2Caps%2C170&amp;sr=8-10 or premier protein clear (I recommend tropical punch) https://www.amazon.com/Premier-Protein-Clear-Tropical-Bottle/dp/B07B9DYMTX/ref=sr_1_4?crid=1T1MFPD7IFH72&amp;keywords=clear+protein+drink&amp;qid=1580656033&amp;sprefix=Clear+pr%2Caps%2C170&amp;sr=8-4 or isopure clear, which costs more but is twice the protein https://www.amazon.com/Natures-Isopure-Ready-Drink-Lemonade/dp/B079HYGR7Y/ref=sr_1_27?crid=1T1MFPD7IFH72&amp;keywords=clear+protein+drink&amp;qid=1580656374&amp;sprefix=Clear+pr%2Caps%2C170&amp;sr=8-27 I suggest mixing with a little ocean spray 5 calorie juice, I like the grapefruit flavor. That’s also a good clear drink in between the protein or as I said mix it for taste. I personally had a hard time tolerating the clear protein especially straight up. im surprised you didn’t get a clear liquid list. Bone broth is great for clear liquids. You can have decaf coffee or tea but no milk. Jello. I personally don’t recommend crystal light but some people do. best of luck to you

Had sleeve surgery May 2019. I have lost 80 lbs

INGREDIENTS 1 tablespoon unsalted butter 2 teaspoons minced garlic 2 cups cooked chicken shredded 1/2 cup Frank's Original Red Hot Sauce 8 oz (250g) g block cream cheese, softened 1/2 cup sour cream 1/2 cup white Cheddar cheese freshly shredded 1/4 cup American cheddar freshly shredded 1/4 cup crumbled blue cheese (optional to serve) 2 teaspoons green onions, sliced ( or chives) Celery sticks carrot sticks, tortilla chips, crusty bread pieces, potato chips, for serving INSTRUCTIONS Preheat oven to 375°F (190°C). Arrange oven rack to the middle of your oven. In an 8-inch cast-iron skillet (or an ovenproof pan), melt the butter over medium-high heat. Sauté garlic until fragrant (30 seconds). Add the chicken and hot sauce and simmer until sauce has thickened and reduced by half (about 2 minutes). Reduce heat to low and stir in cream cheese; mix until combined. Take off heat, stir through sour cream and top with both cheddar cheese(s) over the top. Bake until bubbling around the edges and the cheese has melted (about 10 minutes). Broil (or grill) for a further minute to brown on top. Immediately garnish with blue cheese and green onions. Serve with vegetable sticks, chips, crusty bread pieces for dipping. NOTES If you don't have a cast-iron skillet or oven-proof pan: prepare all ingredients as per recipe instructions above in a regular pan on the stove. Then transfer buffalo dip to a 1-quart (1-litre) baking dish. You can use rotisserie chicken. Don't like blue cheese? Feel free to omit it. Halve the hot sauce amount for a milder dip. Add more hot sauce for spicier dip. NUTRITION Calories: 306kcal | Carbohydrates: 2g | Protein: 19g | Fat: 27g | Saturated Fat: 10g

I've been on a liquid diet for 10 days now with an occasional bite of cottage cheese once a day. I've lost a few pounds so far so still going strong till Wednesday!

Saturday 2/1/20 It was a hungry day for me. I actually ate breakfast before 12 which is something I almost never do. I ended up over my 30g net carb goal, but I have been under it all week so it is what it is. I couldn't resist the slice of toast with dinner. 6:30 am- coffee/ half-half 9 am- 1 cup unsweetned vanilla almond milk, Power crunch protein bar 10 am- coffee/half-half 1 pm- 1/2 chic-fila Spicey Southwest Salad with avocado lime ranch 7 pm- 2 scrambled eggs, onions, tomatoes, 2 slices turkey bacon, 1 slice Sara Lee Delightful Multigrain bread toasted with a pat of butter. 9 pm- coffee/ half-half Calories- 1243 Net Carbs- 36.9 Fiber 10.3g Protein- 58.9g Fat- 81.7g Glycemic Load-3.3

You can get a band replaced or repaired but most people that have this done do not find it as effective as when they were banded initially. It is now believed that the safe useful lifespan of a band is between 10 -15 years. They are not the damage free option that they were once thought to be and have fallen massively out of favour. Some exbandsters get revised to a sleeve but this has its own set of issues that can be exacerbated by having had a band previously. The revision of choice is generally to a Roux en Y gastric bypass. That sounds horribly scary until you do more research . I had my revision in Jan 2018 and couldn’t be happier. To me the rny does what the band was marketed as being able to do but never really did. I eat small portions of healthy food and am satisfied. No more being stuck, no more nights out wasted in the bathroom because my first bite of food got stuck. No more horrible feeling of pressure in the chest, when I’m full I feel it like a “normal” person would

Had GB 9/9/19 Starting W: 350, Surgery W: 325 Present W: 340! (I lost 25 lbs on the two week diet)

Got my surgery date of 2/10. Was so nervous I cried. My hubby is being very supportive .. Told him to be ready top be me for a few days. Trying to get my leave from work done was told I couldn't come back tol after post op with my fitness for duty report. Hoping all goes as planned. Sent from my SM-J737A using BariatricPal mobile app

The schedule is controlled by the insurance company. I live in a rural area and my doctor/hospital is 2 hours away in another state. They allowed me to attend support groups that were local and scheduled all my medical appointments on the same days (pulmonologist, Endocrinologist, surgeon, dieticians etc. the time frame for mine was 1 year...they were not flexible about that at all. I had my Bypass on 12/11/19 and finally feeling normal. I have not had insulin since the day of surgery.

This is excellent, especially the second link you referenced. I’ve been struggling, but I think I’m just over anxious to start long distance running again (I used to before surgery). However, I just don’t have the calories to support it right now, so I keep crashing. I have 10 pounds left, then I’ll start focusing on fitness goals more, because I can up my calories. I think I have also been too all or nothing about this - a 30 minute run a day is just fine right now, until I can build it up. Anyway, thanks for the helpful links, I’ve been getting frustrated.

I had my sleeve on Dec 18th,2019. I have lost 27 pounds and over a month out. I’m still adjusting to the whole new mindset and eating ways. I’m excited about this journey. I still have two shakes a day and now that I’m to soft foods I’ve been sticking primarily to protein. I have even got meat sticks and cheese I eat on. That’s pretty much all I do for now and try to get my water in as much as possible.

My weight is back to bouncing around. I think I am just going to weigh once per week on Monday mornings because it is so frustrating to me when I am 161 and then the next day I am 164. I know this is just how my body is. I can lose 4 pounds but sometimes it takes 7-10 days for it to hold there and stop going back up and then rinse and repeat for every loss I have. Yesterday 1/31/20 7:30 Am- Coffee/ half-half 12 pm- Italian Sausage with onions, green pepper/ spaghetti with cabbage for noodles 1 pm- coffee/ half-half 4 pm- 2 cheese sticks 7 pm- 1/2 Chic-Fil-A spicy southwest salad with avocado ranch dressing 8 pm- Coffee/ half-half Calories- 1112 Net Carbs- 21.5 Protein- 55g Fat- 76.5g Fiber-8.4g Glycemic Load- 2.8

Mine went by my surgery weight so definitely call your insurance company and don’t solely base it on what people say on here so you are safe! I was right on the cusp and could not lose more than like 10-15lbs for 6 months. I would gain then lose then lose and gain. I just made sure by my surgery date I was the weight they wanted.

Hello all. Had my Sleeve on 01/15 or 15.01 if in the uk! Followed my pre-op diet and op went well. One night in ICU then one night in my private room, then home with a carrier bag of drugs, injections and bits. Loss went really well in the first 2 weeks, then I have stalled a little this week, but put that down to the 3 week curse, however I have been told to introduce scrambled egg, baked beans, slightly chunkier soup as i suffered from diarrhea for the first week out of hospital. Wounds healing well and everything else seems ok. A few pains here and there but not had any pain killers since day 5. I am struggling to get 2 litres of water down me though, so need to work on that. Well done everyone, big steps towards a better life for all.

Oh no, don't go.... please change your entire personality to please a bunch of cyber strangers!! Seriously, I wish you could stay for the journey, and for the laughs. Re blood sugar, I have a friend who swears by 10 minutes brisk walk after she eats anything. Best of luck!

When I started in July 2019 my BMI was 61. My surgeon wanted me to get down to a BMI of 50 to make surgery easier on me. On day of surgery my BMI was 48. Today it is 45. Here are my four phases Phase one - two weeks - full liquids 45 grams of protein. Phase two - two weeks - pureed foods 60 grams of protein. Phase three - two weeks soft foods 60 grams of protein. Phase four - advance to regular diet adding one new food at a time to see how it is tolerated goal of 80 grams of protein per day. Here is link to booklet my dietitian gave me with the guidelines https://www.bariatricpal.com/gallery/album/25675-post-op-nutrition-guide/

Just did my weekly weigh in, down 19 lbs in two weeks since surgery. Eating lunch, 3 oz of refried beans which is taking me about 25 minutes to eat. Prior to surgery it would have been less than a minute to scarf them down along with a bunch of tortilla chips.