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What conversation to have with PCP?
Alisa_S replied to Alisa_S's topic in PRE-Operation Weight Loss Surgery Q&A
Sigh 😩I told her all that & gave her my weight chart from Dec 2022 to present and she still said "Mmmmm....I'm still going to need to see you monthly for 6 months." Then added Sleep study, EDG, and cardiac appt to the 6 month supervised diet with documented failure of weight loss. Documentation supporting the "reasonableness and necessity of a Gastric Restrictive Surgical Service being required, and significant clinical evidence that weight is affecting overall health and is a threat to life." Psych eval & Nutritionist counseling that I already have to do. -
I had gastric sleeve surgery now I noticed I’m depressed I haven’t been happy since I got the surgery I went from 382 to 269 I’m 6’0 feet tall. I recently got diagnosed with bipolar 2 I’m not sure if it came from gastric sleeve. If anyone is struggling with depression since your weight loss surgery tell me how tall handle it?.
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What conversation to have with PCP?
Alisa_S replied to Alisa_S's topic in PRE-Operation Weight Loss Surgery Q&A
Sleevetobypass2023 - I've mentioned it a little & I have months and months of weight charts on my Carb Manager account. I used to track all my meals there when I was doing Keto & Low carb. I got tired of tracking all the meals and started just tracking my weight on there a couple times a month. I think I'll print that out and take it to my PCP. Can't hurt I guess. I did hCG diet back in 2010 (too long ago). In the 90's I did fenphen / phenfen - whatever it was, & dang near got a divorce because I got really mean. Tried just the phentermine about 6 years ago & it affected the same (my boss finally asked me if I wanted to work somewhere else-I quit taking it that day). Been fooling with keto or low carb off & on for the last 8 years. sigh. Through it all I just keep losing and gaining the same weight, over & over. Gosh I'm tired of it. WEIGHT LOG.pdf -
Yeah, there's a definite bias of information (unintentionally, of course) when you frequent bariatric spaces. I've been on this board almost a year, and I really enjoy it, but at five months post-op, one thing I've noticed is the vast majority of people who were posting regularly a year ago, or even 3-6 months ago, are not here any more. That's a lot of diverse experience that goes away, and I would guess that the people who remain are a combination of those who are the most dedicated (possibly to the extreme), those who get the most out of social interactions, and those who experience the most complications in their journeys, along with people who return after several years to get back on track because of significant regain or needing revisions. The people who are hitting their goals easily, losing weight at an average pace, eating and exercising in a way that isn't particularly noteworthy, maintaining within a reasonable weight range, and generally living life without stressing about bariatric issues, quickly become underrepresented voices. So it's easy to start thinking that the average person struggles a lot at every stage, can barely eat or drink for months, exercises like they're training for the olympics, tracks every bite of food and never strays from their macros every day of their life, experiences all the most severe complications regularly, and will gain back all their weight plus some if they even dare to glance at a piece of bread or a dessert on someone else's plate let alone allow a bite to pass their lips. It's easy to become very obsessive about it (raises hand: yes, that's me). And in a situation like after surgery where a lot of things change at once, sometimes it feels like the more you can control and anticipate, the better. At least it does for me. But my advice would be, especially when you are feeling particularly anxious about something, to think about whether there are perspectives you aren't getting that might reduce your anxieties if you were able to hear from them. Like, if there were 20-30 people who used to post in your surgery month group and now you're down to 4 or 5, what might those other people say if you asked them about the thing that is worrying you? My guess is, if they're not posting anymore, it's usually not because they're suffering in silence.
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What conversation to have with PCP?
SleeveToBypass2023 replied to Alisa_S's topic in PRE-Operation Weight Loss Surgery Q&A
Have you ever mentioned to your doctor, in the past, the things you did to try and lose weight? I have BCBS and they had the same requirement. But I had mentioned to my pcp that I did keto, weight watchers, calorie restriction, and the mediterranean diet. When I mentioned this, she put it in the notes that went to the insurance company and they accepted it and that took 6 months off the process. My pcp was very supportive and was happy for me to do the surgery. I gave her all the requirements from my insurance company (I needed to pass a ekg, her form stating what I've tried to lose weight, my comorbidities, etc...) he jumped right on that and got it done asap. By the time I went to my 1st appt w/ my surgeon, she had already sent all of this to their office. So I was 3/4 of the way finished on day 1 of seeing my surgeon. All I had left to do was the psych eval, blood work the surgeon needed, and then waiting for it all to be submitted and approved by insurance. My first appt with the surgeon was Feb 28th, 2022. My psych eval was March 7th. Everything was submitted to my insurance on March 10th and I got my approval on March 14th 2022. The longest part of this was honestly actually getting to the surgery date because I couldn't have it until May 3rd due to the surgeon's schedule. So honestly, the better prepared you are, the more you do behind the scenes, the faster the whole process will go. -
May 2024 Surgery Buddies 😁
Bypass2Freedom replied to Bypass2Freedom's topic in PRE-Operation Weight Loss Surgery Q&A
I think that it is hard not to measure ourselves against other people - but our bodies will ultimately decide the rate in which we lose weight. You have had an amazing loss so far, try to celebrate that and remember you are on the right track x -
That's so smart - I have been trying to get my house in order this week, too - this sounds like great motivation to me because I TOTALLY would be doing the same thing; you're right - going crazy about everything I see that needs done at the worst possible time to deal with it! I hope your EKG is good as well! I'm sure it will be *crosses fingers* I go in on Monday for my Pre-Admission Testing; I'm not sure if they'll do an EKG or not but I'm glad you mentioned it! I was just reviewing my paperwork and it says that "You will have non-fasting labs drawn at this appt. and may have other testing done." so I guess it's possible; I hadn't even thought of it. I'm sure they mentioned it and I lost it in the overwhelming amount of information I've been trying to process. It really is a LOT to keep track of. I lucked into hearing about that app I mentioned, Finch, from another friend who also had WLS. (Weight Loss Surgery - it took me an embarrassing amount of time to figure out that abbreviation! ) She had the sleeve, and another friend of mine had the Roux-y about a year and a half ago done by the same surgeon I'm using. I've watched her recovery, and it's been rocky. I think doing a 'virgin SADI' as you called it will be way better for me. She's already got an ulcer due to continuing to use NSAIDs and drinking way too much coffee. She also went back to smoking cigarettes. It's been quite the motivator to do this right, I'll say that much! I start Colace and the Liquid Diet on 7/29, so we'll be on about the same track! I've got the one week pre-op diet, and then surgery on Aug. 5th as long as I get the insurance and other clearance! Best of luck!
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What conversation to have with PCP?
Alisa_S replied to Alisa_S's topic in PRE-Operation Weight Loss Surgery Q&A
Yes, it's requirement. 6 month supervised diet with documented failure of weight loss. Documentation supporting the "reasonableness and necessity of a Gastric Restrictive Surgical Service being required, and significant clinical evidence that weight is affecting overall health and is a threat to life." Psych eval Nutritionist counseling sigh -
Do I have a revision
Spinoza replied to indianlight's topic in Revision Weight Loss Surgery Forums (NEW!)
I'm in Ireland and our healthcare system is totally different. Might your first port of call be your GP? They should know what is allowed on the NHS and what isn't. Also I had a sleeve and I know that can be revised to bypass but not at all sure what the options are for a revision of bypass. But someone more knowledgeable will be along soon. I'm so sorry that having stuck to the rules and lost so much weight your medical condition has contributed to a regain. This is every bariatric surgery patient's worst nightmare. I hope you can get back in control. -
What conversation to have with PCP?
GreenTealael replied to Alisa_S's topic in PRE-Operation Weight Loss Surgery Q&A
You may want to let the PCP know that you have been dieting unsuccessfully for x amount of time and what you have unsuccessfully tried to manage your weight so they can note it in your chart in case that is a requirement needed to receive the referral/insurance approval. Good Luck! -
After 6 months I finally chose- basic questions
Chlo0oeeee98713 posted a topic in Gastric Sleeve Surgery Forums
Hi guys- after debating for 6 months and meeting with someone about the esg and then someone about the sleeve, i am deciding to go with the sleeve. I am 255 and my normal weight is 150. Im 33 yrs old. Ive shopped around and seen 2 surgeons and I am scared that neither are good enough even though i mean they both have good reviews. I compared the referrals they gave me and one wanted more blood testing done than the other, etc. One does the egd the same day as surgery. One office admin. Was more responsive but my gut was telling me to go with the other surgeon. Im not sure why. the surgeon i want to go with (im now indecisive) said if my insurance wont pay for it can i? I have cigna and meet the requirements but now am scared they arent going to submit the correct paperwork to have me approved. The surgeon i decided not to go with wrote up a much better referral. im seeing all the dcts and have a follow up mid august- what happens after that??? -
Just checking in to see if anyone has had the panniculectomy procedure? How bad was the pain after surgery? Did you see a noticeable difference? Was it worth it? Would you do it again? Did you gain any of your stomach back? Does the fact that they don't go all the way around bother you? So many questions, I appreciate any answers you can give me.
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Struggling with Weight Re-Gain
JerseySleeved22 replied to lunaxinian's topic in General Weight Loss Surgery Discussions
It's a struggle. I have been gaining weight also and need to get this weight off. What is the shake diet you are doing? I may need to jump on this wagon! 😊 -
I had a bypass over 15 years ago and at first it was successful over 10 stone loss and I felt amazing. My mobility has decreased dramatically nd I've been diagnosed with fibromyalgia, I've gained all my weight back and more. My pouch im sure is huge, I get terrible reflux and I'm thinking a revision. Has anyone successfully had a NHS revision? What was criteria? What did the op entail? Also, anyone gone private for this in uk? What was the cost? Im so confused but I know to help my mobility I need to lose weight 😩 Any help is appreciated
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Struggling with Weight Re-Gain
lunaxinian replied to lunaxinian's topic in General Weight Loss Surgery Discussions
So since posting I’ve not been very active and my issue with weight regain has gotten worse. I am now sitting at 270 pounds. That’s 100 total pounds regained. I am miserable. I am going to start a protein shake diet thing for a week starting tomorrow and really try to get active again, but as I mentioned before I am still on night shift and a student as well. My fitness pal seems to cost money these days and im absolutely not paying 20$ a month for that, I wish it was still free. Any tips is awesome, motivations, and even pen pals, I find not having anyone to hold my accountable is really a big problem for me as I tend to convince myself to do as I please (I get it, I need to hold myself accountable, but it’s nice to have a helping hand) thanks for all the comments -
Thanks @Bypass2Freedom, @SleeveToBypass2023and @FifiLux for your kind comments. I think the MSK person just wanted to make me aware of what the future may hold for me and to temper any expectations I may have regarding WLS and my knees. As it stands at the moment, I find it difficult to weight bear as the pain can knock me sideways. I’ve had a little folding scooter for around a month now which means I can now get out of the house with hubby and be around people. I cannot begin to explain how this has added to my quality of life! I have some independence back!! I could go weeks at a time not getting out, so this is a massive change. I could actually wizz off to the park with my granddaughter at the weekend and just be there with her 😊 I also haven’t driven for almost a year now, which I miss but cannot manage at present as I can’t get in the van we have at the drivers side as it’s too high and my knees can’t cope right now as there are times when just bending them can bring me to tears. It’s not the end of the world, just something that happens 🤷♀️ These are all things that will hopefully change in the future. I know that weight loss will have positive impacts in lots of different areas of my life. I know that my knees will definitely thank me, knee surgery not withstanding!
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Anyone Annoyed with the "Stop losing weight"
BlondePatriotInCDA replied to AmberFL's topic in POST-Operation Weight Loss Surgery Q&A
I think most just want to compliment you on your great accomplishment and we can be too sensitive. What I mean is no matter what someone says (yes some don't think it through AND do say hurtful things) it can be kinda hurtful if you think about it to much; " Oh you've let weight, you look great!" - So what are you saying, I didn't before when I was fat!? "You lost a lot of weight in your face, you're beautiful! - Again, I wasn't before? Its a very difficult mine field for ppl to transverse - I just take the compliment and move on. "better yet learn to see a person for who they actually are and not even notice a persons size amongst other physical things (only in a perfect world I know)." - After all the work I've gone though to lose the weight, its nice to have it acknowledged. I'm not sure I'd be happy if they just kept talking after not having seen me in awhile and not at least mention my weight loss...but, to each their own, we're all different. I try my hardest to not read into what or how ppl say things, I just take it as hopefully a compliment, but if it's not, then the hurtful thing is on them - not me. -
February 2024 Surgery Buddies?
LisaCaryl replied to NickelChip's topic in PRE-Operation Weight Loss Surgery Q&A
How did the prep for a colonoscopy go? I will have one in about 6 months and am super nervous about the prep. I've had many colonoscopies, so I'm not worried about that—just the prep with the new stomach! I've heard that our final weight can't really be determined until we are about 18 months out from surgery. I've been hearing people on social media say they have hit stalls that last as long as 3-4 months. It will be interesting what they say at your 6 month appointment. I wouldn't worry about anything at this point. I'm sure it's frustrating! I'm addicted to seeing that scale move... even though I don't want to be! -
Holy ish! I’m .4 away from my official goal!
AmberFL posted a topic in Gastric Sleeve Surgery Forums
I’m counting it since my body has been fluctuating weight for the last month! 😂 but this is insane, never have I ever been this weight in my adult life! Never have I ever been this fit, never have I ever stayed on this path and stuck it through. What an amazing tool! Next goal? BOOBIES 😅 -
I had many questions. He told me i can work out now (yay!!!!). He said i can incorporate certain foods but mashed potatoes & sweet potatoes is a no go. So cooked veggies and chicken shall be my next go to. But i’m 181 today! Officially 36lbs down. He encouraged me that i was at the right pace because my starting weight wasnt so high — if i lost alot immediatley, he’d be concerned. On the table, i didnt realize i was 195😨. So yeah, he said im on the right track and i’d meet my goal of 160 probably in september or october. The good news? I can work out to keep active & busy
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Anyone Annoyed with the "Stop losing weight"
AmberFL replied to AmberFL's topic in POST-Operation Weight Loss Surgery Q&A
One of my VP's at work walked by me and said if you keep losing weight your going to disappear...I just smiled and he laughed and said no really your doing great and you look great. Like I get it people want to comment on it, I have lots of weight and I have never ever ever been this size in my adult life. I think the last time I weight this was when I was 11-12 no joke. we had a new hire and I was training him, he saw pics of me when I was bigger at my desk with my family and said whoa is that you?! so its encouraging to know that new people who meet me or see me in the outside world they only see how I am now. I am battling with my own stuff, being so small now I have no boobs, my butt is 3/4 gone. I mean I workout and I look lean. I am not sure how I am feeling. This entire thing is a whole mind game lol -
It won't cure the arthritic knees and pain but it will help as you will have much less weight to be walking around with so less pressure on them. I have no cartilage in either knee and have been getting steroid injections and also hyaluronic to cushion the joints and they only last a while. Doctors told me I needed both knees replaced at a later date but I had to loose weight first and my knees need to thin down more (as I have bad lymphedema). I can already feel the difference now with the weight loss, I can walk further and faster without much pain. Whereas before I would not be able to sleep at night due to knee pain. I will get another round of injections in September before my holidays just to be on the safe side and will see what the ortho says about my knees (I don't think they have slimmed down enough yet) and I think my knees have a few more years in them.
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February 2024 Surgery Buddies?
RonHall908 replied to NickelChip's topic in PRE-Operation Weight Loss Surgery Q&A
If there is a discord, I'll join it. So, I'm staying between 225-228 lbs. I dropped to 221 a couple days ago. Only because I had a colonscopy and I was on a liquid diet for nearly 36 hrs. Otherwise, my weight hasn't moved in more than a month. Edit* Hit the send to fast 😃 To finish what I was writing, I shouldn't be at a maintenance weight, which is what it feels like since ive been in this weight range for 6 weeks or more. If I ate less than I do now, I don't think it would be sustainable. I have my 6 month post op appointments next month. Hopefully by then the scale moves a bit more. I was hoping to be at 200 lbs. Or less by the time I have knee surgery in October. -
Wanted - 2 New Knees!
SleeveToBypass2023 replied to MrsFitz's topic in General Weight Loss Surgery Discussions
I have to believe that, while losing the weight won't reverse the arthritis, it HAS to help it not be quite as bad given there won't be as much weight to carry around. Any weight loss should improve that, I would think. Yes, there will still be pain, but not the added pain from the weight on the arthritic knees. So I have to believe the weight loss will be at least a little bit of help in the pain department there. I'm glad you got the answers you were looking for and have a plan moving forward!!! -
Just approved for Surgery in October 2024
SleeveToBypass2023 replied to NeonRaven8919's topic in Tell Your Weight Loss Surgery Story
My main concern is, with you being active and on liquids only for 3 months, at some point your body may think it's starving and hold on to everything. If you're active, you actually need more calories to lose weight. Make sure you're having things like protein shakes, bone broth, etc so at least your body is getting some of what it needs. Protein is REALLY important, so prioritize that. I absolutely wish you well!!