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Does this make sense? Q about insurance and my doctor.
New To This23 replied to Mercury.Belle's topic in Insurance & Financing
Did you get this straightened out? I can tell you that your PCP sends the form in. Then you set up 12 Dietician Visits, 6 weight, and BP checks with your PCP or nurse, a sleep study if you are not already using a CPAP, if you are not using a CPAP and they say you have sleep apnea, you are going to have to get set up with at and be compliant with it. When you get closer to finishing your Dietician appointments, you will schedule a psychosocial appointment. Once all of that is completed and you met the goal weight Molina has set for you then you will be referred to the Bariatric clinic. You will meet the surgeon and then do any assessments they have (this will vary from person to person). Then you will get your surgery date. The nice thing about Molina is you will get your own case manager, who will explain everything to you. You can call them anytime. They will let you know every step and piece of paperwork and who handles what and when. They will also periodically call you to check in on you. This case manager is so helpful, because PCP and dieticians do not seem to totally understand the process, and it's because Bariatric is not their specialty, not until you get to the clinic. So stage one, your PCP fills out the form and submits it to your insurance stage two you do all of the appointments and hit the goal weight Molina gives you (Your case manager will call and introduce themselves, plus you will get a letter in the mail. Your case manager is also a nurse and they will ask your weight so make sure the DR puts down an accurate weight, if not petition to have Molina change it) stage three you move on to the clinic and get surgery. -
Complex Health Issues & Physical Limitations
catwoman7 replied to Midwest Grateful's topic in Gastric Sleeve Surgery Forums
I didn't really have any health issues, but I'm also a "senior" - there are lots of us on here who've had surgery in our 50s, 60s, and even a few in their 70s. not being able to exercise much shouldn't be an issue. Weight loss is 90% diet and 10% exercise (exercise has a greater effect during maintenance, though (once you reach your goal weight) - but then, you can only do what you can do. But for losing weight, no - it doesn't play a major role). I've "known" several people on bariatric forums who rarely if ever exercised, and they still lost a ton of weight. -
How to pick a surgeon in Mexico?
Charlotteanne99 posted a topic in Mexico & Self-Pay Weight Loss Surgery
Hi everyone! I have a BMI of 41 and I have been considering getting the gastric sleeve for over a year now. I recently tried to do a consult locally in the States, but I found out that my insurance does not cover bariatric surgery. I've been looking into Dr's in Mexico who would be able to perform the procedure at a more affordable price, I can't do the 17K self pay for the procedure locally. The process of picking a doctor outside the US seems very difficult, and every time I look into it more, I find more and more doctors. Some that I have been considering are: Dr. Jalil Illan Dr. Guillermo Alvarez Dr. Mariano Covarrubias Dr. Pablo Fok Russell Dr. Juan F. Hidalgo If anyone has tips on how they picked their doctors or any experiences with the doctors I listed above, I would love to hear what you have to share. -
I too had a lap band for 18 years no success and many complications. New doc sent me to Bariatric surgeon, many tests, counseling and he said, let’s get the band out and do an RNY bypass. Wonderful doctors here in Temple Tx. Woke sore and in a bit of pain, but not horrible. The constant pain from the band was gone! I feel so much better.
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Welcome! We all, I think, come to a place where we are faced with a "this is my reason for doing this" moment. For me, at 40, my health was deteriorating very quickly. I had to do something. I still have kids at home, a husband, a life... seriously, I'm just 40. I also have depression, anxiety, PTSD, and BPD. I've been on so many different medications to try to treat my diagnoses. It's a lot of work managing mental health. I also lean very heavily on my faith to get through. It is key to build a great and supportive of the bariatric surgery mental health team. Therapy and a great med provider are very helpful. Medications will need to be closely monitored as you lose weight quickly. And therapy is SO important. A lot of mental space is needed after surgery, and therapy helps sort out all that's running through your mind. If your insurance pays for it, there are also other non medication options for depression such as TMS. I did that a few years ago, and it helped take the edge off. It's definitely something to speak to a psychiatrist about. Some people also do ketamine treatment for depression. My insurance didn't pay for it, so I can not speak to it effectiveness. I do have to say, losing weight has been a huge boost in confidence and has helped me feel less depressed. Also, exercise has had the same effect. Keep pushing through. You got this.
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Here are some groups for bariatric support snd recipes. I have a Pinterest board too.
https://www.facebook.com/groups/1596426310692657/?ref=share&mibextid=SDPelY
https://www.facebook.com/groups/bariatricmealprep/?ref=share&mibextid=SDPelY
🤗🫂
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Here are some groups for bariatric support snd recipes. I have a Pinterest board too.
https://www.facebook.com/groups/1596426310692657/?ref=share&mibextid=SDPelY
https://www.facebook.com/groups/bariatricmealprep/?ref=share&mibextid=SDPelY
🤗🫂
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Help! 2 1/2 months Post Op and Not Eating
BabySpoons replied to Ace35's topic in POST-Operation Weight Loss Surgery Q&A
Nauseous headache, room spinning vertigo or just dizziness? I had the kind where mads were needed but it was because my HBP went crazy high. Many moons ago. My lack of food dizziness was always controllable. That was during my long water fasts days where potassium levels can get out of balance and is dangerous if not properly monitored. You mentioned not eating so my mind went there. I haven't experienced any bariatric vertigo yet, since my surgery. Good luck and hope you get it all sorted out soon. {{hugs}} -
My plan gives no specific recommendations for sodium intake. I read 2300mg or less to minimize the risk of kidney stones. Bariatric doctor advises. Says excess sodium causes the kidneys to excrete more calcium into the urine.
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So, I don't see my nutritionist until 3 months post-op, which is very interesting. Anyway, what is the recommended sodium limit? I know it can cause water retention if too much is consumed and not that great for us. I read 2300mg is the notmal limit, but does that carry over for bariatric patients, too? That just seems like a lot. Thanks!
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Sweeteners after gastric sleeve
SleeveToBypass2023 replied to Cheesekitty7's topic in POST-Operation Weight Loss Surgery Q&A
I use monk fruit sweetener. Tastes sweeter than sugar but is recommended for those who are diabetic, on keto and low carb diets, and have had bariatric surgery. I love it, and I use it very sparingly, so it lasts a loooong time. -
Help! 2 1/2 months Post Op and Not Eating
SleeveToBypass2023 replied to Ace35's topic in POST-Operation Weight Loss Surgery Q&A
Hun, you have to eat. There are some great examples on here of different bariatric meal plans and guidelines that you could maybe pick from. If your surgeon literally said "eat whatever you want" then you might have to do some research on your own. Right now, your body is starving. So start off slow. Try drinking 3 protein shakes per day and maybe some protein water or protein gatorade or protein juice. Most important is getting in your protein and hydration. Try that for a week or 2, then go down to 2 shakes per day and add in a meal of maybe hummus and avocado spread, or refried beans, or cottage cheese. After 2 weeks, I was having a tbsp of hummus and a tbsp of avocado spread for a meal. After another week, go down to 1 shake and add scrambled egg, greek yogurt, and some soft (steamed) veggies like green beans, peas, carrots, or broccoli and cauliflower. By week 5, you can add in some chicken (it's a slider food, so don't over do it), black beans, cheeses, soft fruits (raspberries, blueberries, strawberries, blackberries, etc). Banana is you really want, but those can be higher in carbs, so go very easy on them. By week 6, you can eat normally, but you tastes will likely change, and things you liked and tolerated before may be different now. So go slowly when trying new foods. This was the plan I followed. I also got a food scale to measure out my portion sizes until I learned to eyeball it and tell just by looking roughly how much I could have of something. You can do this...just go slow, do some research, and ask all the questions you want. That's why we're here -
Help! 2 1/2 months Post Op and Not Eating
Hop_Scotch replied to Ace35's topic in POST-Operation Weight Loss Surgery Q&A
I am sorry you are going through this, I am no expert, but I think you need to see a bariatric counsellor or the equivalent in your country. I am no expert but you seem to be developing an eating disorder based on disordered thinking. -
High LIver Enzymes and Ferritin 8-7 months post op, help?
Jeanniebug replied to Laura M's topic in General Weight Loss Surgery Discussions
Yep. Same. My liver enzymes have been high. My initial ferritin was high, but 6-months post op, it came down to normal. The liver is still elevated. This is very, VERY common for the first couple of years after bariatric surgery. -
High LIver Enzymes and Ferritin 8-7 months post op, help?
catwoman7 replied to Laura M's topic in General Weight Loss Surgery Discussions
yes - all of the above. It's pretty common to have high liver enzymes the first year or so after surgery. Rapid weight loss is pretty hard on livers. They'll usually stabilize when your weight loss slows way down - usually during the 2nd or sometimes the 3rd year (mine stabilized the third year). We hear about that every couple of months on here, it seems. When my PCP noticed my liver enzymes, she freaked - but the bariatric clinic knew what was going on. And they were right - they did stabilize and have been normal ever since. My ferritin level is usually in the 200s, which is definitely higher than normal, but it's always been met with a shrug. I don't know about levels like 600 or 1022. If there's nothing else going on with you, they may just assume it's the supplements and have you cut way down on them for awhile. I wouldn't freak out yet, though. It may or may not turn out to be anything serious. -
Surgery Monday and I’m GROSSED OUT by protein powders !
LindsayT replied to Mari3997's topic in POST-Operation Weight Loss Surgery Q&A
I started using the bariatric pal protein shots. I couldn't stomach protein powder or the premixed creamy shakes. You can get a sample pack at the store to see if you like them before committing to a larger order. I have spent so much money on protein. Also, Fairlife milk has 13g protein per cup, which could be a good option as well. It's also lactose free and may be easier on your stomach. -
Liquid Multivitamin Recommendations
SleeveToBypass2023 replied to RnYBabe's topic in General Weight Loss Surgery Discussions
Here's a few I found on Amazon: https://www.amazon.com/Multivitamin-Natural-Multi-Vitamin-Vitamins-Absorption/dp/B071CNR16Q/ref=sr_1_1_sspa?keywords=Bariatric+Liquid+Vitamins&qid=1686336306&sr=8-1-spons&psc=1&smid=A1FGZPZGA6G2M5&spLa=ZW5jcnlwdGVkUXVhbGlmaWVyPUEzMFJaNEs2RVk2MjAzJmVuY3J5cHRlZElkPUEwMzM2MjE5MVcxTENHRUtISk9VUyZlbmNyeXB0ZWRBZElkPUEwOTIyNDYwMVFQOVNZR00yQzdTQiZ3aWRnZXROYW1lPXNwX2F0ZiZhY3Rpb249Y2xpY2tSZWRpcmVjdCZkb05vdExvZ0NsaWNrPXRydWU= https://www.amazon.com/Bariatric-Multivitamin-Iron-Liquid-Supplement/dp/B0BDFJC8MS/ref=sr_1_5?keywords=Bariatric+Liquid+Vitamins&qid=1686336306&rdc=1&sr=8-5 https://www.amazon.com/Tropical-Oasis-Mega-Plus-Multivitamin/dp/B000JZWL30/ref=sr_1_14_sspa?keywords=Bariatric+Liquid+Vitamins&qid=1686336306&sr=8-14-spons&psc=1&smid=A1FGZPZGA6G2M5&spLa=ZW5jcnlwdGVkUXVhbGlmaWVyPUEzMFJaNEs2RVk2MjAzJmVuY3J5cHRlZElkPUEwMzM2MjE5MVcxTENHRUtISk9VUyZlbmNyeXB0ZWRBZElkPUEwOTIyNjE2MzBDVDNVMlJaMFM2VSZ3aWRnZXROYW1lPXNwX210ZiZhY3Rpb249Y2xpY2tSZWRpcmVjdCZkb05vdExvZ0NsaWNrPXRydWU= -
FINALLY FINALLY FINALLY have an update on my revision!!
SleeveToBypass2023 posted a topic in POST-Operation Weight Loss Surgery Q&A
So I have been really quiet on here because I was just trying to get rid of the last of the health issues I had going on. Polyps are gone and uterine fibroids are gone. I had an appt with my bariatric surgeon today and we discussed getting the revision now that I have a clean bill of health. Looks like it'll be mid July sometime. BUT...my revision is a little more complicated. Here's what I was told: Normally they leave the bottom part of the stomach when they do the bypass because there might be a need for a feeding tube at some point, or something like that. HOWEVER, with my situation, the part they would normally leave is where all the polyps were. So the surgeon is going to completely remove the bottom part of the stomach (making my stomach about 2oz instead of the 4-5oz it is now) during the bypass surgery. He said that's not ideal, but given my situation, it's the best course of treatment for the GERD, esophagitis, gastritis, and getting me back to being able to work out and live a normal life again (which is really all I want). He said it does present a problem later on if I need a feeding tube or whatever, but that's a big "if", and considering all of my issues right now, it's worth the risk, if I agree. I agreed with him and I'm waiting for the coordinator to call me to schedule the surgery officially. I'm so close to this being over. I can see the finish line FINALLY!!!!! -
Has anyone been able to find a Bariatric Recipe Book with color pictures? I need to see what the recipe looks like before I make it and I cannot find one for the life of me! TIA!
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Any ideas for a good Bariatric trail mix? I used to mix peanuts, raisins and M&Ms to snack on at the lake. Would dry fruit be too much like candy and cause dumping???
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Liquid Multivitamin Recommendations
RnYBabe posted a topic in General Weight Loss Surgery Discussions
I am already terrible at swallowing pills, so I know it's going to be an issue when I have my bypass in August. Does anyone have any liquid vitamins for bariatric patients that they recommend? -
that doesn't sound like dumping. I know of someone else who has SIBO - (small intestine bacterial overgrowth) that sounds somewhat similar to what you have, but I'm NOT a medical person. I've also heard of people having issues digesting carbohydrates (not necessarily WLS patients, but I've heard about it in WLS patients, too) who have to eat a low FODmap diets (or at least very low carb diets) to control it. I would see your general PCP - and if they don't know, maybe they can refer you to a G/I specialist. These kinds of things aren't really common, so it could be that the people at your bariatric clinic just aren't familar with it. EDITED to add: I just re-read your message and noticed you said you've had liver problems, too. Maybe it's related to that? I would see if you can get a referral to someone who deals with these kinds of things (G/I person or maybe a hepatologist (if it's liver-related). At any rate, I'd probably start with my primary care covider.
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Been Reading Nightmare complications ?
stevechavez505 replied to stevechavez505's topic in PRE-Operation Weight Loss Surgery Q&A
Update went to my first appointment and everything went well but found out my insurance only covers 80% and I have to pay 20% that would be 5,800 out of pocket ! Right now I can’t pay that 👎🏼 but they have a non surgical Bariatric program that has Ozempic pen and Gobee something like that so I made an appointment to see her ! Thanks everyone appreciate all of you ❤️ -
I'm so sorry that happened. And I know how much hurtful words from your spouse can really shake one at their core. Could you find a marriage counselor who does online video calls? I think therapy is the only viable option to get to the root of what's going on. Or maybe a bariatric surgery support group for partners. Someone had mentioned that he may feel threatened by your weight loss. That is not an uncommon problem; especially if the partner is insecure. Maybe try to build up his security. Men normally respond to verbal praise. For example, in the first few weeks after my surgery, my husband was a very grumpy person to be around. When I commented on it, he blew up and said how overwhelmed he felt with work, taking care of a large portion of the home responsibilities, that it's been all about me and my recovery, and a few other things. I took some time to process, and in the right timing, I thanked him for all he's doing and told him that it did not go unnoticed. I reassured him and built him back up. Since then, things have been going really well. Your therapist may have some other ideas.
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I'm so sorry you're going through this, anytime, but it's hitting you harder right now! First off, I really think you need to talk to a bariatric psychologist because they are neutral. They can help you work through some of these feelings without any judgement. This is just my opinion, but, I think your husband is already feeling threatened by your weight loss. He's trying to make sure he can keep control of you by complimenting you and then turning around and saying hurtful things to you! No one deserves to be treated like that! Please talk to someone, you are worth way more than what he's giving you. If you're not happy, your family is going to feel it too. You need to be strong and not let anyone take the joy out of your life!
