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Aetna, BCBS or United Healthcare???
SleeveToBypass2023 replied to AmandaD.'s topic in Insurance & Financing
I have BCBS of Illinois and they covered everything but $1500, and my secondary covered $1200 of that. So I only had $300 out of pocket. They approved my surgery within 48 hours of my surgeon's office submitting everything. From my 1st appt to my surgery date was 2 1/2 months. BCBS only required 1 pre op and 1 post op nutritionist appt, 1 psych eval, approval letter from my neurologist (because I have MS), approval letter from my PCP, having tried at least 2 methods of weight loss in the past (my PCP knew about me doing keto and also low/no calorie and put that in the approval letter). So it was a fast and painless process. My surgeon's office wanted the blood work and EKG before surgery. BCBS approved every test with no issues. -
Rate of loss post-op
Jesse Liberty replied to Jesse Liberty's topic in POST-Operation Weight Loss Surgery Q&A
First, congratulations on your tremendous success. Second, I looked at the calculator briefly, but in truth, I believe my Dr's predictions of what is possible. The key question is how long it will take to hit my target weight, and rather than making myself crazy I'm setting a goal of 1 year and a fall back of 2. -
September surgery buddies!!
Hope4NewMe replied to Slwhurst's topic in PRE-Operation Weight Loss Surgery Q&A
Welcome and I am having surgery the same day I'm having the bypass though. Do you have a liquid diet phase? I have to do 2 weeks and I start it on sept 5. Do you know if they weigh you before you start the liquid diet? If not then you should be ok because you are expected to lose weight on the liquid diet. So if you are below the insurance weight on the date of surgery, they should just blame the liquid diet. At least that's my hope and understanding since I'm in the same situation I think its great that you are being so successful even before the surgery, hopefully after the surgery your weight loss will continue to be amazing. -
I don't know, and I really don't care - what's important is how your surgeon does the job and how are his typical results. The bougie is just a tool, or guide, and some may not use one at all. Similarly, I don't care if my mechanic uses Craftsmen, Snap On or Beta tools to fix my car. When I was early post op, there was a clique of patients from one particular surgeon who all insisted that if your sleeve wasn't a tightly oversewn 32F like their surgeon did, that you would never lose enough weight, or keep it off, and no one would ever love you again. Funny thing was that those whose surgeons used a 36 or a 40 did just as well. And some who had a 32 struggled and missed the mark. My wife had a huge sleeve (relatively speaking) with an initial capacity of 4 oz - typical of a DS sleeve and correlates to probably a 56-60F, while my stomach was initially 2.5 oz, which could come from any of the common VSG size bougies, 32-40F (height, and hence stomach length plays a part of that capacity, so a shorter person will usually have a smaller capacity stomach than a taller person, bougies and all else being equal. Despite those initial differences, our meal sizes are basically the same. Go figure. So don't agonize too much over what tool your surgeon uses.
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Hello everyone, I am located in the Netherlands and will be having my Gastric Sleeve surgery on October 17th in Turkey at Grand Medical. I'm choosing to go to Turkey because I am below the 40 BMI required for insurance coverage in the Netherlands. Due to this reason, I must pay out of pocket and the medical tourism world is quite high quality in Turkey- same procedures- a quarter of the cost. My costs are below 3000 euros including my 5 days stay at the hospital and my transport to and from the airport- flights are not included- but are fairly affordable if flying from Europe. Their track record is phenomenal for the sleeve and their patient experience passes with flying colors. I'm choosing to have this surgery as a lower BMI patient due to my family history of obesity over 40 and the fact that I have tried every diet, lifestyle change, even personal training and nothing has worked!!! I have gained muscle and stalled after 5 kg.. The one time i lost weight on keto, I gained it right back within 1.5 years. I'm looking forward to this new life and the new options it will afford me, not to mention having my confidence back. If anyone is located in Europe- (western/Northern and UK) is a huge plus and has had the surgery or is having it soon, tell me you experiences and lets keep in touch! I'd love to be able to share information about what shakes youre using, vitamins, foods youve found etc as many of the items mentioned by our U.S based members arent available to us. I'm also interested in hearing if anyone else has had their surgery in Turkey as I know its quite a popular destination for weight loss surgeries and plastic surgeries.
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When did you stop buying new clothes?
Esi replied to lussa's topic in General Weight Loss Surgery Discussions
That is a tough one with work events coming up, and surgery soon after. I wonder if you could find something on clearance, end of season? Or at a thrift shop? I had saved a lot of clothes over the years and was able to get through the weight loss stages without buying too much. I really started to build my wardrobe again about seven months after surgery. Since then, I have lost maybe 12 more pounds. A tip if you are female: dresses are more forgiving in changing sizes, than pants. For example, I have a short-sleeve size 2X dress with an elastic waist, that has fit me nicely with probably an 80 pound difference. I did have to stitch the arm holes tighter because they were too wide. Whereas pants will fall off if they are a size or two too big. -
Change profile value [never mind]
Jesse Liberty posted a topic in POST-Operation Weight Loss Surgery Q&A
My target weight comes up as 280, the actual target is 200. Anyone know how to fix that? (I'm talking about the little profile that comes up next to my messages.) Thanks Never mind, I figured it out. Sorry to waste your time -
Rate of loss post-op
Tomo replied to Jesse Liberty's topic in POST-Operation Weight Loss Surgery Q&A
To your questions: Generally, you do lose weight quicker in the beginning and it tapers off. If you stay on program, losing 50 lbs in the first 6 months is absolutely realistic. Note: It's common to have stalls but if you stay on program, it is temporary. Do anything you can not to stress about it or have too high expectations, otherwise you'll up your cortisol levels which increases cravings and hinders weightloss. -
September surgery buddies!!
Slwhurst replied to Slwhurst's topic in PRE-Operation Weight Loss Surgery Q&A
My last pre op is on the 23rd! I find out what my liquid diet days will consist of and y’all I am nervous! A friend at work and I have started eating better at work and as I said before I can’t loose much weight or I will be knocked out… So far I have lost nearly 5 pounds and have been watching very closely to make sure I just maintain that. I am telling y’all if I get this close to my surgery date and get knocked out for a pound or two cause I started eating cleaner at work I am going to be so upset!!!! -
Rate of loss post-op
SleeveToBypass2023 replied to Jesse Liberty's topic in POST-Operation Weight Loss Surgery Q&A
So were you 5 ft 2 in and started off at around 200 pounds? Then you lost a final total of 88 pounds and are now sitting at roughly 112 pounds (when your goal weight was 132)??? That's actually amazing weight loss!!! For me, my ideal weight is between 145-155. I'm honestly not getting anywhere near that, and I'm ok with it. My goal is 200 pounds, but secretly I actually want to get to 185 if possible. My surgeon went over the stats and averages and explained that the sleeve usually produces less weight loss that the bypass, but I wasn't willing to do the bypass because I have pills I HAVE to take and I knew that wasn't allowed with the bypass. -
Wish you knew before surgery…
Bridge1967 replied to KimA-GA's topic in Gastric Sleeve Surgery Forums
Thanks for the heads up. One month post op here. Losing slowly. Startex back at the gym Sinday. Swimming Sunday and lifting weights yesterday. Feels pretty good. -
Wish you knew before surgery…
FitFunFamily replied to KimA-GA's topic in Gastric Sleeve Surgery Forums
Before my surgery, my surgeon said “if you do anything….lift weights.” I lost weight so easily I didn’t think I “needed” to workout. My strict diet was going enough! However….I wish I had known WHY my surgeon said that. He didn’t finish the though….”lift weights because….your metabolism will dramatically slow down to a crawl to ‘preserve energy’ and your weight loss could slow - or stop, or being to regain - after a year or year and a half.” Lifting weights and eating your protein could preserve lean tissue loss and help preserve your metabolism. I’m 7 years post op. I gain weight SO easily. I can eat 1/3 of the calories I used to when binging before WLS and gain weight. My metabolism has slowed so much. I no longer have the same restriction as I had immediately after VSG surgery. It’s a struggle to lose re-gain. I wish I had focused on preserving (or gaining!) lean muscle while losing fat. -
I was approved for surgery, much sooner than expected
Arabesque replied to AgentCherryZero's topic in Gastric Bypass Surgery Forums
I get you may be a little torn between the excitement it’s happening sooner but also worried as you’re losing the time you were going to use to better prepare mentally, emotionally & physically for the surgery. My process went very quickly. (We don’t have the same approval hoops from insurance companies here in Australia thank goodness.) From my appointment with my GP to get a referral to getting the appointment with the surgeon, then the dietician was not quite 6weeks. No time for second thoughts. It was okay because I generally am someone who makes a decision & that’s it. Plenty of time to get myself organised for before & after surgery. Your surgeon is obviously very confident you are ready. Just think, you’ll be losing weight & feeling great much sooner. You got this. All the best. -
Rate of loss post-op
Arabesque replied to Jesse Liberty's topic in POST-Operation Weight Loss Surgery Q&A
That statistic, besides being an average, reflects bounce back weight gain which is pretty common, general diet complacency where after a couple of years we let things slide a bit, adjustments to the way you eat to better complement your lifestyle, general health, changes to medication, etc. It’s not the highest amount of weight you may lose but where you MAY end up at the three years point. It’s the same stat that says the a average weight loss at three years for sleeve is about 65% of the weight you have to lose. The most I lost was 43.8kgs (141%) . Then I settled at around 42kg (135%). Now at three years it’s 40 (129% - damn HRT & I had to up my protein intake.) Yes, my gain is minimal & I lost a lot more then the stats suggested but others do experience less loss & greater gains. Treat averages (stats) & BMIs for that matter as a guide only not a hard & fast rule. They just give you a bit of an idea of what might happen. -
September surgery buddies!!
La El replied to Slwhurst's topic in PRE-Operation Weight Loss Surgery Q&A
Found it...finally! It was in the only place I had not looked for it...hehe. I will add a ticker as soon as I start dropping weight. This pre op stuff...well, I have lost and gained and lost and gained the same few pounds since I started the process. Its looking like I may be 3-5 lbs. heavier than my first visit. Or perhaps not. I still have a couple of weeks. -
September surgery buddies!!
Hope4NewMe replied to Slwhurst's topic in PRE-Operation Weight Loss Surgery Q&A
Welcome to so many new people! This is going to be an awesome group! Make sure you are clicking on your name instead of the picture. It should be a drop down list and my surgery is towards the bottom after tickers. Tickers are neat because you can count down to surgery or the weight you have lost. Fun to me at least lol -
November Surgery Buddies!!!
Spinoza replied to Tristenhilpert97's topic in Gastric Sleeve Surgery Forums
Great to hear from you all! It's so interesting how we have picked such a range of goal weights/BMIs. I am almost exactly 9 months out now, 108lbs lost, BMI is 24.8, still losing about a pound a week and absolutely loving that. Gonna ride this horse as far as it gets me Loving my new life. -
Rate of loss post-op
The Greater Fool replied to Jesse Liberty's topic in POST-Operation Weight Loss Surgery Q&A
As usual, some people who hit the average swear by it, those that don't ridicule it. I hope EVERYONE draws the appropriate message. If it's not clear, statistics are crap. Here is the truth: A certain percentage (50-60%) hit average loss which is also 70-80% of goal. If you hit that and are happy, more power to you. [ETA: When I started, at my weight, I would have killed to hit average. I would have been fine.] If you're not happy with that, the averages need not have power over you. I lost goal and past goal, through little fault of my own, other than binge running. Anyone, through ridiculous acts or normal behavior can beat the averages. Statistics are lies. HUGE lies. I could post my statistics. Yeah, I have them. But I know they are mine, only mine. And may make a lot of people feel like crap: For 2 reasons: 1) I weighed more that most people here, so my monthly losses seem crazy, not so much for me as others (starting higher and lower) beat me. 2nd, I shot past goal because I was running 90+ miles a week. I couldn't eat enough to stop losing weight. What good does it do anyone here to know? None. Do you. No one here lives you. You may lose little or a lot, I think it's a crap shoot. Just don't compare, that is a losing game. Good luck, Tek -
September surgery buddies!!
SpartanMaker replied to Slwhurst's topic in PRE-Operation Weight Loss Surgery Q&A
Welcome all! If you can, please update your profiles to help us know more about you, such as type of surgery, surgery date, starting weight, goal weight, etc. These will help all of us as we support each other through this process. -
Rate of loss post-op
SpartanMaker replied to Jesse Liberty's topic in POST-Operation Weight Loss Surgery Q&A
A couple of additional thoughts on this thread: First, as many have pointed out, averages are just that, averages. Some people will lose more and some less than those numbers. Whether of not you are on the lower side or the higher side depends a lot on you. Work your plan and you too can blow that "average" out of the water. Second:, avoid the temptation to select your target weight from the BMI "ideal weight" range. Some people don't realize this, but on average, 25% of your excess weight is not fat. As you might expect, it's made up of the additional muscle mass needed to carry the extra weight (much of which you'll lose), but it's also extra blood volume, bone mass, organ weight, excess skin, etc. Some of those things will continue to cause you to be "overweight" in terms of BMI, but in actuality, you might be in a very health place in terms of lean to fat mass. Get it checked if in doubt. -
Holy weight loss, Batman!!!!!!
SleeveToBypass2023 replied to SleeveToBypass2023's topic in POST-Operation Weight Loss Surgery Q&A
I'm 323 as of today. Not sure how I lost 4 pounds in 6 days, but I'll take it lol Actually, I might know. So in therapy, we've been working on healthy balance between eating and working out. I was keeping my calories around 700-800 calories and working out twice per day. I've slooooowly increased my calories to between 1000 - 1100 calories per day and I do one 45 minute work out instead of two 30 minute ones and it seems like once I did that, the weight started really coming off again. Who knew eating MORE calories (along with a reasonable work out plan and not going balls to the wall twice a day every day) would be the most effective way to lose weight? My bariatric team wants me at 700 calories and at least 60 minutes or working out every day. But my body doesn't like that. My likes things the way they are. At least for now. So this is when I really had to lean on my therapist, because she's a bariatric therapist and also specializes in eating disorders, and she kind of gave permission for me to not follow my surgeon's preferences to the letter. I still try to eat what they say and avoid what they say, and I still the kinds of workouts they recommend. I just have to listen to my body when it comes to length and frequency of work outs and amount of calories I take in each day. -
Rate of loss post-op
Splenda replied to Jesse Liberty's topic in POST-Operation Weight Loss Surgery Q&A
Everyone's mileage may vary, but I found this calculator turned out to be pretty accurate for me: https://mexicobariatriccenter.com/bariatric-surgery-weight-loss-timeline-calculator/ On the morning of my surgery, I was 460. This calculator put me at 372 at the 3 month mark. I was 381. It had me at 325 at the six month mark. I was 331. It had me at 267 at the year mark. I am at 261. -
When did you stop buying new clothes?
ms.sss replied to lussa's topic in General Weight Loss Surgery Discussions
The Question: “When did you stop buying new clothes?” My Answer: Never! 😂 With that said though, “New Clothes” purchases started its significant rise around 4 months (when i shrunk out of my horde of “skinny clothes” i kept over the years); peaked at about 1 year (omg i was a shopaholic around that time), and levelled off since then (i’ll be 4 yrs post in October). If resources allow, i say there ain’t nothing wrong at all with getting some cute outfits that fit PROPERLY….looking good generally makes you FEEL good, which does wonders for your confidence, which makes all the difference with dealing with life in general (including weight loss/maintenance!) Good Luck! ❤️ -
Rate of loss post-op
RickM replied to Jesse Liberty's topic in POST-Operation Weight Loss Surgery Q&A
The matter that you have a guy metabolism, and have had a relatively easy pre op loss if a good indicator of fairly rapid progress post op, but no guarantees, of course. I was also 335 at the start, lost about 50 fairly easily in the six month insurance diet/exercise effort (and then took a few years off before surgery - but kept the 50 off which led me toward the sleeve rather than something stronger like the DS, but I digress....) I was at 200 at six months post op, starting to ramp up the calories to slow things down toward my moving goal of 190ish (based upon body composition - fat mass, etc. - rather than BMI or scale weight.) Wight loss is usually a stair step affair, in a decaying function (rapid at first and slowing over time). The matter that you have lost "fairly easily" to date is a good sign that your metabolism is still in decent shape - those who struggle at this point seem to be fighting a bigger metabolic problem and tend to be "slow losers" and will often struggle to get to their goal weight, if they get there at all. Slow weight loss pre op would encourage me to look at something metabolically stronger like the DS, which may be overkill for someone with a better metabolism. In addition to general declining loss trends (mostly because it doesn't take as many calories to move around 200 lb as it does 300 lb, etc.) weight loss tends to be front loaded some by virtue that most of our initial loss has a large water weight component in it, and the body initially draws from its glycogen stores - basically stored carbs kept in the liver and muscle tissues, used for quick response energy needs. That needs the water to keep it in solution, and burns more rapidly than fat. Once we get through that - maybe 10-20 lb typically - we start drawing on fat stores, which goes slower. So, don't expect as big of a drop out of surgery as someone who hasn't lost anything pre op. -
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Rate of loss post-op
liveaboard15 replied to Jesse Liberty's topic in POST-Operation Weight Loss Surgery Q&A
Here is my rate of loss. We are all different. We all hit stalls at different times. Surgery Date was April 18th. and i take measurements and weight on the 4th of every month. So last measurement was August 4th.
