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How to win an insurance appeal?
Cabelltech posted a topic in Revision Weight Loss Surgery Forums (NEW!)
I have been denied coverage from BCBS insurance company for requesting lapband to bypass revision. Because they can find nothing wrong with my band, they won’t do the surgery. Even though the band is okay, I’m not. It has caused esophageal dilation and dysmotility. I lost weight with the band but I was vomiting a lot at night. Id wake up from a dead sleep vomiting out of my nose and mouth at least three nights a week. Very scary due to possibly getting that into my lungs. Has anyone else filed an appeal that was accepted by insurance? -
Need hiatal hernia repair and RNY revision
comtemplating posted a topic in Revision Weight Loss Surgery Forums (NEW!)
Just found out I need a hiatal hernia repair surgery. Had an upper Gi and the dr said stomach is very small and had a hard time "finding it". Also a lot of scar tissue. I am 6 years post RNY (12 yrs post gastric banding). I kept my 75 lb weightloss off until covid. I lost additional weight during covid due to stress and trauma and now I have gained it all back and then some. So in addition to needing the hernia repair surgery, I want to discuss revision surgery. I am having trouble swallowing pills without them getting stuck, have GERD, and have pain when eating. I am trying to find some names of surgeons to research. I am in Arizona but will travel. The surgeon that I have met with has said this isn't going to be an easy surgery and they won't know exactly what they are dealing with until they get a full look. Anyone been through something similar and have a dr. they can recommend? -
I start on Tuesday too! 😁 my surgery is on July 12 I am also varying between excited and scared that it's not going to work. I have such a problem losing weight.
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In my insignificant opinion, your husband’s statement of “I support you but I don’t think you need this surgery” IS a statement of support AND a statement of opinion. Both are valid. My husband was/is the same way. He is super fit and active and just couldn’t comprehend how surgery could be a better option than diet and exercise (not that it WASN’T an option, just that it wasn’t necessarily a BETTER one). The idea was just not translatable into a language he could understand. But thats not to say that he wasn’t 100% behind me when i did get the surgery. His actions, (despite what his opinions are) in no way deterred, discouraged nor hindered my results and overall experience. He was thoughtful, patient, encouraging, etc, all while still believing the surgery was not necessary. He also didn’t barrage me with this opinion. There was no “i told you so’s” nor micro-agressions. We had discussed it pre-op, he stated his opinion, and that was that. Even now, 3.5+ yrs and 120lbs later, my husband still kinda sees my weight loss as a result of less (and healthier) eating, and increased exercise, lol. Which i suppose is sorta true. He doesn’t give credit to my surgery for getting down to (and maintaining) my current weight, he gives that credit all to ME. And this actually makes me happy (even if I don’t fully agree with him). Does that make sense? P.S. Sorry this was so long!
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If your spouse has never had weight issues, it's impossible for them to understand what it is like to live with morbid obesity, and they often think bariatric surgery is a rather extreme solution. Mine did, and it was a process of educating my spouse by attending all of my appointments, meetings, etc. together so they could finally grasp that I was literally trying to save my life and this was the only option after decades of yo-yo dieting. What you see as insensitivity from your spouse may just be a lack of understanding because he has no idea what it's like to live in your body. Perhaps you can educate him.
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I came across this in one of the FB groups I am in and thought it would be very helpful for a lot of us https://nutritionforweightlosssurgery.com/weight-loss-woes/
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Bariatric Cook Book?
BigSue replied to simplysmile's topic in POST-Operation Weight Loss Surgery Q&A
I got a few bariatric cookbooks with my Amazon digital credits, and I wasn't impressed. You can find plenty of recipes online for free -- Pinterest is a goldmine. You don't really need special bariatric recipes (except maybe in the initial liquid/pureed/soft food stages when you can't eat "regular" food yet); just look for recipes that meet your nutritional guidelines. Some "keto" and "low-carb" recipes fit the bill, but a lot of them are way too high in fat. I usually search for "skinny" or "ww" (Weight Watchers") recipes, or adapt recipes by making substitutions like riced cauliflower for rice, spaghetti squash for pasta, sugar-free condiments/sauces, etc. -
I messed up 2 weeks postoperative 20 pounds down and dropping
Arabesque replied to ScaredButReady2.0's topic in Gastric Sleeve Surgery Forums
Ok breathe. You slipped but you also now know why there is a staged return to eating - to protect & support your healing tummy. What you are experiencing is grief & regret. This isn’t uncommon. You’ve been through a pretty major surgery, your hormones have gone haywire, you’ve had to make massive changes to how & what you ate & you can’t have food or alcohol which previously comforted you & gave you pleasure. This will pass. Before you know it you will be eating solid food again, eating more & eventually you will enjoy a drink again. Yes, your tummy may struggle with certain foods to begin but this improves too. You are really learning how & what to eat all over again & learning what your body needs you to eat. You’ll be trying new foods, new recipes, etc. too. I still enjoy food & I still eat out (went to a French restaurant last night). I’m just more careful with my food choices & portions usually without issue. I still drink (had a cocktail & a small glass of Grenache) but not as frequently - drink quality not quantity now. I look at food & alcohol differently. That old adage of eating to live not living to eat is true. I didn’t have any comorbidities either but I knew that if I continued as I was or put on more weight it would be a different story. I was obese & I didn’t want to be. I’m a clothing person & I couldn’t wear the designers I loved anymore. Though not physically limited in any way, my stamina was poor & some things needed more & more effort to do. My weight came on suddenly. I always bounced around but ten years before my surgery I was 59kgs. Six years later I was 91 (damn hormones & menopause). Best decision I made. Remember the reasons you had to have the surgery. You may find it helpful to meet with a therapist (your team should be able to recommend someone). Many find therapy extremely helpful. -
Liquid Diet vs High Protein diet
Arabesque replied to Journeyoflove's topic in PRE-Operation Weight Loss Surgery Q&A
It’s always best to follow the diet you were given as it will be to follow their post surgical plan. As @liveaboard15 said different surgeons require different diets. My surgeon would put different patients on different diets based on the amount of weight they had to lose, their weight loss history & their medical history. So my friend was on all shakes, her friend was on two shakes & a meal & I was on keto. You can always ask your surgeon why he requires you to follow the all shake diet. The first five or so days are the hardest as you break some addictions & dependencies. You may headaches, low energy, etc. almost like withdrawal symptoms but better to get past this before surgery than after. Some people slip on their pre surgical diet. A slip is okay but regularly going off plan isn’t. The diet is required so you lose some weight to improve your health, reduce fat around your liver so your tummy can be seen more easily during surgery &, as above, break some habits & food dependencies. You can do it. It’s only two weeks. Some have to do it for three or more weeks. -
Weirdest None-Scale-Victory - I'll go first
STLoser replied to chiquitatummy's topic in General Weight Loss Surgery Discussions
Today my family had a picnic/reunion at a state park that has a lot of trails. My son went with my aunt and cousins to check out a creek so I followed. The decided to walk the trail which was 3 miles. Now this is in the woods and hilly, rocky terrain, so I had no idea how different 3 miles is on a trail like that and it took us like 2 hours. It was also almost 100 degrees and very humid here today. I hiked that whole trial and I was never winded! I can't believe it.. I ended up getting 13,000 steps! The first time I went to my bariatric surgeon I was winded walking down the hall to his office. I just can't believe how good I feel! I have asthma and it was so bad before I lost weight and I wouldn't have been able to breathe with the exercise, especially combined with the heat! It's crazy! Sent from my Pixel 5a using BariatricPal mobile app -
Living with arthritis is hard. In fact, treating it can be even harder, requiring joint replacement, exercise regimens, or medications in the form of steroids, painkillers, and anti-rheumatic drugs. I know firsthand how difficult and excruciating it is. Nevertheless, CBD oil can help. But I am more interested in the question, Who has the top THCV gummies for weight loss? I have gained a lot of weight after surgery and don't have the strength to exercise. I can't. I can only diet.
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My surgery was originally scheduled for March 17. I did the 2 week pre-op diet which was miserable. Like everyone, I had my doubts if I was doing the right thing. Then 2 days before I was positive for Covid and the surgery was postponed. Though I wanted to continue on a good path, I was not ablet to and before long I was eating like my old self. Every difficult thing I encountered due to my weight depressed me because I knew I should've been X weeks past the surgery by now. Most of the doubts I had disappeared. I realized how depressed I was it was postponed. Maybe it turned out to be for the best, because as the new date approached, I had almost no doubts. I was ready. The surgery was June 21, it went very well and I'm on the road to recovery. The postponement may have been a blessing in disguise. I don't know anyone that wasn't nervous, it's a part of the process.
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Surgery is over, I'm ready for my weight loss
doobie31 replied to doobie31's topic in General Weight Loss Surgery Discussions
Today I reached my pre-surgery weight. It's all downhill from here (I hope). Can't help it - I really look forward to my daily weigh-in. -
Food Before and After Photos
ms.sss replied to GreenTealael's topic in General Weight Loss Surgery Discussions
First meal of day: 1/2 an everything bagel, cream cheese, capers and red onion: 166 calories. Ate it all. P.S. this is the first food i’ve logged since going on mini-vacay for a couple days…I actually kind of missed it! Bonus: came back the exact same weight as when i left (118.8)…but as is usually the case, i didn’t poop while away so i suspect i’ll go down a bit. 🤭 -
I feel like I've finally gotten past the biggest hurdle. Surgery date is September 6th, the day after Labor Day, and yesterday I got my insurance approval letter. I've followed everything they've told me to do, and I've even lost 30 lbs on my own since hubby had to change his diet for diabetes. No worries now about having to do 4 weeks of the liver shrinking diet instead of 2. On my initial visit, if I had gained just 5lbs I would have had to do 4 weeks. It's getting closer. Just 2 more months to wait.
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Although the prep work took energy, I found the biggest hurdle was post-operative. The first 48 hrs were extremely uncomfortable. I did an overnight and trying to down the liquids, Tylenol, and especially the barium was rough. Thankfully though, I got away with only having to have 1 belly injection after surgery. Needless are not my thing.
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I'm in need of a new camping chair for this camping season. I know the kind I'd like and have found a few with a heavier weight limit but I'd like to hear from "real" people if they really hold up to the hype. Currently I'm just over 300 lbs. The chair that I'm looking at has a 500 lb weight limit (pictured below). Sounds good, but I've noticed these types of chairs have mixed reviews (partiularly saying that they don't really hold that much weight) Anyhow, here's an example of the type of chair I'm looking to get. Any suggestions? Maybe something different?
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skin tightening Medical tourism in plastic surgery
Jadeskys posted a topic in Plastic & Reconstructive Surgery
Have any of you Done medical tourism For your plastic surgery? If so do you mind sharing where you went, your thoughts, cost anything you feel like sharing. I thought bariatric pal had a relationship for plastic surgeons in Mexico for after you lost all your weight but I’m not finding the link. -
Surgery is over, I'm ready for my weight loss
catwoman7 replied to doobie31's topic in General Weight Loss Surgery Discussions
I only lost 16 lbs the first month - but my weight loss continued for 20 months. I lost 235 lb altogether (have regained 15-20 lbs, which is unfortunately very common after you hit bottom, but I'm OK with that now...). Anyway, my point is, the weight WILL come off, whether fast or slow, as long as you stick to the program. -
Surgery is over, I'm ready for my weight loss
Raw188 replied to doobie31's topic in General Weight Loss Surgery Discussions
I'm a month out now. Down 18 lbs since surgery. I didn't come out of surgery at a higher weight and I continued to lose weight the first week or two. Then the stall hit. It's hard not to get frustrated when the weight isn't dropping. Especially since I saw it drop so fast on the liver shrinking diet. The pace of loss now is not nearly as exciting. Even knowing in advance that I won't see the same rate of loss and that there will be a stall. I just have to remind myself that the 19 lbs I've lost in the last month is still a greater weight loss than I was able to do on my own in the last 10 years. And I have to remind myself that even at a relatively slow weight loss of 5 lbs per month I can reach my goal weight in a year. That's really pretty fast when you think about it. -
WHAT does religion have to do with me having surgery??????
Hop_Scotch replied to SleeveToBypass2023's topic in Rants & Raves
I am sure you will find there are plenty of people who do not have any religious beliefs that think nobody should have weight loss surgery, they think people should have the fortitude and willpower to do it 'the hard way' - Just eat less, just exercise, just say no, just trust the science of calories in calories out.......etc etc This is why what I do with my body is my business, no one elses. This is why I don't tell people about my personal / medical business. -
WHAT does religion have to do with me having surgery??????
ShoppGirl replied to SleeveToBypass2023's topic in Rants & Raves
Many people think the surgery is cosmetic. I’m sure that’s what it was. I had a doctor (not a medical doctor but still a doctor) ask me why I just didn’t ask them to just take more out or whatever when I told him beforehand that I worried I wasn’t going to lose all my weight as if he thought they just scoop all the fat out of you or something. I just scratched my head and laughed. -
I am one month post op and I am unhappy with my decision to have bypass surgery. My family and friends continue to tell me I’ll feel happy later on when I loose all the weight and doctors keep telling me eventually I’ll feel normal again. But I feel like there is no end in sight. Im not happy, constantly in pain, hungry but i can’t eat, thirsty but i can’t drink. I was excited before the surgery and wish I was happy now. Did anyone else feel this way? I feel alone when I talk to the few people I know that have had this surgery because they’re all very happy with their weight loss.
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Surgery is over, I'm ready for my weight loss
Elidh replied to doobie31's topic in General Weight Loss Surgery Discussions
Yup, water weight. I was advised to not weigh for 3 weeks after surgery. If you can resist weighing, you’ll get a pleasant surprise when you finally do! -
RNY to Sleeve or revision of RNY
ShoppGirl replied to Tarah Roy's topic in Revision Weight Loss Surgery Forums (NEW!)
As catwoman said, They only reverse a bypass for severe medical issues. When you say you want the stomach acid and nutrition back, can you explain this a little more. Do you have some type of absorption issue now that you are hoping to correct? I would think that converting to a DS may be an option for you to lose the weight regain but if you already have absorption issues with sleeve they could get even worse (I would talk to a surgeon about that). -
RNY to Sleeve or revision of RNY
catwoman7 replied to Tarah Roy's topic in Revision Weight Loss Surgery Forums (NEW!)
yes - you can reverse an RNY. However, they usually only do it for serious medical issues that can't be resolved any other way. I'm not sure why you'd want to go from RNY to sleeve, though, since RNY is a stronger surgery. Unless you don't really want to lose more weight (you said you've put on 60 lbs) and are more concerned about getting stomach acid back (not sure why you'd want this - plus GERD is a potential risk of sleeve). I've heard of people having RNY revised to DS, when they reverse the RNY, create a sleeve, and then do the intestinal bypass part of the DS - but very few surgeons are qualified to do this. I would probably consider some of those surgeons, though, since they'd have the most experience (even if you just want the sleeve part).
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