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Never feel embarrassed to ask your doctor questions. They are there to help. You are not a loser! I would say go back to your bariatric basics. Protein and hydration. But definitely ask your doctor and dietitians what they would suggest! Sent from my SM-G781U using BariatricPal mobile app
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Hello, all I just submitted all of my required documents for surgery. I have a BMI over 40 with no comorbidities. Insurance list they need this documentation: a description of the proposed procedure(s) documentation of failure of weight loss by medical management unequivocal clearance for bariatric surgery by a mental health provider a nutritional evaluation by a physician, physician assistant, nurse practitioner or registered dietician I did all but I am a little confused, because many people are stating they have to do a diet for 6 months etc. Is "documentation of failure of weight loss by medical management". Does this mean they need a diet or just a letter from a PCP, because my doctor sent letter to PCP that stated, "the patient has made multiple weightless attempts and has been unsuccessful". PCP signed it and that was sent over to the insurance company with all other documentation. Just nervous and wanting to be reinsured I don't need a diet program to be approved.
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Questions - Contemplating Surgery
hills&valleys replied to Devi's topic in Gastric Sleeve Surgery Forums
I am having VSG surgery at Endobariatric with Dr. Alvarez on 3/3/23. Dr. Alvarez's fees are almost twice that of other sugeons in Mexico but his credentials, professional memberships/affiliations and surgical success/risk rating is among the best of bariatric surgeons internationally .... I am confident in my choice! You need to evaluate whether you are mentally prepared to make permanent changes to your relationship with food. Emotional eaters frequently go through a mourning period because it is harder to depend on food as a crutch to deal with life's problems and disappointments. WLS does not force a person's compliance. Adherence to a structured plan is essential to success. WLS is not a cure all or quick fix....it is a tool which can HELP us but we still have to be disciplined and put in the work. Not only do we need to physically prepare ourselves for WLS, but mentally as well. Drastic weight loss can cause fluctuations in hormones which can create an emotional roller coaster ride. If you are suffering with episodic periods of depression, i strongly suggest working with a therapist before pursuing WLS, which is a dramatic life changing event. Best of luck to you! -
I am hoping to have the money for a gastric sleeve surgery this year. I have been reading and watching videos and trying to take it all in. If I have failed at low carb and other diets, how will the sleeve be different? It is a tool, but it ultimately requires lifetime compliance to food and lifestyle changes. So far I have a lifetime of failure at compliance. I am sure I need to spend some time on my mindset in general. If bariatric surgery resets the set point and helps change the metabolism, how do people end up gaining all of the weight back? Will this exacerbate depression? Will it help or hurt low self worth? I see that some people end up very depressed and others feel so much better. I am pretty sure I can't take being more sad about life and my weight than I am. I will be doing this totally alone. I have no friends and no family in the place I moved to. I am hoping that feeling more confident physically will let me feel better about joining art classes. I am also planning a move to a more populated area this year. Many thanks.
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February 2023 surgery dates!
tanieanie70 replied to Erin18's topic in PRE-Operation Weight Loss Surgery Q&A
Hello, my surgery is scheduled for February 28th. I feel very unprepared as I didn't have the 6-month waiting period, nutritionist visits and such that others had. I'm also very nervous about the surgery itself and the recovery. If anybody has a date in your mind I would love to be bariatric buddies and encourage each other, compare notes after surgery and build a friendship with. Hope to hear from you soon Tanya Sent from my moto g stylus 5G using BariatricPal mobile app -
March 23 buddies yet?
hills&valleys replied to ceri84's topic in PRE-Operation Weight Loss Surgery Q&A
Cardiac Clearance Passport Renewal Will be finalizing the March 3rd date with Dr. Alvarez at Endobariatrics on Monday! -
Weight loss stall 3 weeks out
catwoman7 replied to Shineaiggy29's topic in POST-Operation Weight Loss Surgery Q&A
here are the 17,501 previous posts on the 'three week stall" (and no, I am NOT kidding). Happens to almost all of us. I wish bariatric clinics would tell their patients about this, because we get at least one post every day from someone worrying because they're only a couple of weeks out, and their weight loss has stalled. It is normal and it happens to the vast majority of us. https://www.bariatricpal.com/search/?q=three week stall -
Great job. Thanks for sharing. Of the whole bariatric experience, saggy skin scares me. I know plastics is an option, but...
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I found to help hungry was using vital proteins collagen. I mixed it with sugar free ocean spray juice. I also use the fiber powder from bariatric advantage. I still using it post op but add miralax to it.
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So since losing 65 pounds since surgery Sept 13 2022, people say you lost weight?Then if I say, yes I had sleeve surgery, they say stupid $h!t like, you could have lost it without having surgery…Well, if that was the case would I have been overweight for 18 years out of 36? Or you didn’t really need surgery… 🙄 Tell that to the three bottles of pressure pills, I was on and my blood pressure was still too high! I don’t understand why people feel it’s their right to tell you their stance on YOUR body and YOUR health??! But, I don’t see a lot of judgement from people in my community when women go get bbl’s and lipo. People REALLY think that they know what it’s like to be obese. They act like I cheated. My daughter who is 18, (away at school), said but you kinda did cheat! I said how is being nauseous every other day, taking vitamins, not being able to eat anything I want and working out cheating? I said it was just a kickstart. She said well, she never really thought of it that way. I think people think you go get bariatric surgery because they are lazy and want an easy way out. There is no easy way out of obesity. The surgery doesn’t change your mindset. You still battle with food at times. It’s like I want to do something to inform people that, just because your obese, that doesn’t mean your lazy. If you were dying and the doctors do a surgery to save your heart or kidneys, then does that mean you cheated? Bariatric surgery CAN and HAS saved peoples lives. Including mine! Why is it still such a stigma around it?!
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Emergency Contraception
Jeanniebug replied to Mary Hale's topic in PRE-Operation Weight Loss Surgery Q&A
Google says oral birth control (including emergency contraception) are not recommended after bariatric surgery, because of malabsorption issues. Might want to get the implant. -
How did you lose so much weight? How do you answer this question
Spinoza replied to omrhsn's topic in General Weight Loss Surgery Discussions
I explain the small meals by saying 'OMG I ate just before I came out - I was starving, honestly couldn't hold out!!' or simply 'I'm just not that hungry at the minute'. Apparently these are actual things that happen to actual (thin) people. Never happened to me when I was morbidly obese, but people do seem to swallow this without question. Just makes social interactions around food a bit easier to navigate (for me). What I also do (and I know this isn't to be advocated in all situations, and certainly not with any frequency) is completely cheat on the rules by eating mainly carbs and drinking fluids at the same time on purpose so I can squeeze a bigger volume of food in (because it's clearing through my pouch quicker). Actually, usually I have to combine both these techniques in order to pass as eating even a close to normal amount when I'm really under scrutiny (I have a distant friend with a band and suspicions, LOL - she stands down when I eat several slices of pizza in one go with a beer, because that doesn't fit with her knowledge of bariatric surgery). That occasional excess is totally worth it to me but I stress that's just my way of navigating what I have to. Also when I don't have the confidence to sit tasting just bites in the middle of a 6 course tasting menu with other people, and I just want to deflect attention. It is absolutely AMAZING to me at this point how much you can dump onto other people's plates with a 'OMG you HAVE to taste this, it's amazing!' ending up with just the bite or two that you wanted in the first place. When people ask how I have lost so much weight I say I dieted very strictly for over a year. Which is factually accurate. I am very careful not to lie. I would find it really hard to answer the question 'did you have bariatric surgery?' but nobody has ever asked that specifically. I know it all sounds a bit cloak and dagger and in a way I am envious with those of us who can be more open, but I am done with people having opinions on my weight - even less so now that it's a socially 'acceptable' weight. I told my partner and two children - nobody else's business. -
I stayed in a hotel nearby just in case but was told to by my bariatric team
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Losing too much weight before surgery
AnneAngry replied to Crystal-clear's topic in General Weight Loss Surgery Discussions
I am new to all of this. I met with my bariatric surgeon last Monday and I have just begun my 6 month program. I was wondering about losing weight prior to surgery and then being "too skinny" for surgery. But I am curious....isn't losing 65 pounds on Ozempic prior to surgery a great thing? I have 100 pounds to lose. I would love to be prescribed Ozempic, lose 65lbs and skip surgery altogether. I'm not criticizing, just asking.....wouldn't Ozempic be preferred? Comments are very welcome. -
My insurance doesn't cover bariatric surgery, so I am self pay. It is scheduled for Feb 23 at an Outpatient facility, and they are telling me no overnight stay is required. (If needed, overnight care is available). So far everything I've read states at least one night in the hospital. I'm a little concerned with cost cutting measures for self pay. We have a hotel booked a few miles from the surgery center in case of any complications (and for my husband in case I do stay overnight) as we are about 2 hours away. Mount Sinai Surgery Center in Tarzana CA. Anyone with experience there or going home same day? I also have 2 complications, Moderate sleep apnea, and likely a lot of scar tissue from a previous lap band. Not that I want to stay overnight, but I would prefer to be mentally prepared!
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Grazing, is this normal?
Alex Brecher replied to New_me_2022's topic in Gastric Sleeve Surgery Forums
It's not uncommon for some people to continue to have the habit of snacking, even after weight loss surgery. However, it's important to make sure that the snacks you choose are in line with your bariatric diet and do not sabotage your weight loss goals. You can try to determine if the snacking is related to hunger or if it's a habit or emotional response. If you feel it's the latter, you may want to consider seeking the help of a therapist or counselor to work through any underlying emotional issues. Additionally, finding new activities to occupy your time, such as exercise or hobbies, can help reduce the urge to snack. The BariatricPal Store carries a huge selection of Bariatric friendly Protein Snacks & Desserts at https://store.bariatricpal.com/collections/bariatric-high-protein-low-calorie-snacks-and-desserts Here are some other bariatric-friendly ideas as well: Chips and Crunchy Snacks: https://store.bariatricpal.com/collections/protein-chips-and-crunchy-protein-snacks Chocolate Bars & Candies: https://store.bariatricpal.com/collections/bariatric-friendly-chocolate-bars-chocolate-candies Cakes, Cookies & Wafers: https://store.bariatricpal.com/collections/cookies-wafers Sugar-Free Candy: https://store.bariatricpal.com/collections/sugar-free-candy Cheese Snacks: https://store.bariatricpal.com/collections/cheese-snacks Meat & Jerky Snacks: https://store.bariatricpal.com/collections/meat-snacks Fish Snacks: https://store.bariatricpal.com/collections/fish-snacks Protein Bars: https://store.bariatricpal.com/collections/protein-bars Pretzels: https://store.bariatricpal.com/collections/pretzels Nuts: https://store.bariatricpal.com/collections/nut-snacks -
Migraines and Pre-Op Diet
Alex Brecher replied to kwcabello's topic in Gastric Bypass Surgery Forums
Migraines can be triggered by a variety of factors, including diet, stress, changes in sleep patterns, and hormonal changes. It's not uncommon for people to experience an increase in migraines during a change in diet or lifestyle, such as the pre-op diet for bariatric surgery. If you're experiencing an increase in migraines, it's important to discuss this with your doctor, who can help determine the cause and recommend appropriate treatment options. In some cases, they may also recommend keeping a food diary to help identify any specific triggers. -
Had my gall removed 13 month after my sleeve. Recovery was pretty similar - just no restricted diet after. 😁 I didn’t have gas pain after my sleeve but did after the gall. Similar surgical discomfort & was a bit low in energy & tired for a few days. Same restrictions on lifting & similar activity advice. My surgeon used the same surgery sites as my sleeve so no new scars. Had some diarrhoea/loose BMs, which slowly disappeared during the first month after. Think I preferred the diarrhoea than the sleeve constipation. Generally was easier because I knew what to expect in regards to hospital procedures, pain/discomfort & other general post abdominal surgery requirements & effects. Funniest was my surgeon has his bariatric patients walk to the theatre but was wheeled in for my gall. Don’t know why. The nurses said he was quirky that way.
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Secondary insurance covered; primary - no
kla7403 replied to hollywrites2u's topic in Insurance & Financing
wait are you guys saying that if primary doesn't have bariatric coverage and the secondary does, that secondary wont cover it since primary denied it? -
Secondary insurance covered; primary - no
Famulenu replied to hollywrites2u's topic in Insurance & Financing
Hi there! I'm so sorry to hear about the issues you're facing with your insurance coverage for your bariatric surgery. That must be really frustrating and disappointing. It sounds like you've had a tough time getting the help you need from your primary and secondary insurance providers. Have you considered reaching out to an insurance agent at thefinitygroup.com for help navigating this process and finding a solution that works for you? They may have experience working with insurance companies on similar cases and can offer guidance and support. I hope this helps, and I wish you all the best in finding a resolution. -
BARELY any weight loss in first two weeks??
MaameWata posted a topic in Gastric Sleeve Surgery Forums
Hi all! I’m a new member of the group - I hope you’re all well! I had gastric sleeve surgery on 31st January 2023, after losing 13lbs on the pre-op diet. On the morning of my surgery, I weighed 281lbs. I lost no weight in the first week even though I was drinking my required water intake and having between 60-80g of protein a day. Today is two weeks post op. I’m officially allowed to move onto purées and so first thing this morning, I weighed myself and I’ve only lost 4lbs?? I try not to compare myself to others, but I’m so disheartened and even low key regret having the surgery now. I keep seeing people reporting a stone weight loss in a week, 12 lbs a week, 8 lbs the second week etc and so I assumed this would be the same for me. I’ve been very strict with my post op diet and making sure to get in at least 30 mins of movement a day. I’ve typically been consuming protein shakes, water, protein yogurt, tomato soups and the odd sugar-free/fat free children’s ice cream lolly. I feel like I’m doing something wrong, and feel like a bit of a failure. I feel like my body is actively working against me. I spoke to my bariatric nurse who just said ‘you’re still healing, give it time’, but I don’t know if it’s just an excuse. -
Hello. I am new here. I'm already finding this forum very informative. I have my first initial consult with the bariatric surgeon next week. I know I have to tell my wife and frankly I do not know how she will react. Knowing her she will say I don't need surgery, I just need to stop snacking particularly at night. I really want her support if I decide to have WLS, probably the original gastric bypass. I have struggled with my weight since I was a teenager. I am now 67. I was on the original Atkins in 1971. I have yo-yo dieted many times. I don't think I am morbidly obese and I hide my weight well but my BMI is 37%. I have enjoyed bicycling and at one point about 20 years ago I was riding a lot 2-3 hour 4-5 times a week. Even then I was not able to lose much and always struggled up every hill. I take medication for high blood pressure, cholesterol, GERD and type II diabetes. My other main motivation is to get off my medications. I understand this will be a transformative procedure if I choose to have it and will radically need to alter the way I eat. I think I am prepared for that. Any suggestions on "selling" the idea to my wife would be appreciated. I know I would enjoy bicycling much more and probably ride more. I do still work some, about 20 hours a week. I work at home. Thank you.
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Calories vs. Net Calories
Spinoza replied to CHRISSER27's topic in POST-Operation Weight Loss Surgery Q&A
This is a stall. Everyone, but EVERYONE, experiences them. You are doing really well and if you stick to your programme you'll start losing again really soon. They are the most hated of all phases but they always pass. If it helps at all just stop weighing yourself for a week or two. It sounds like you're doing really well. Took me 6 weeks to lose 18lbs after my sleeve. Also, unless your girlfriend is a bariatric surgeon or nutritionist I would just nod and smile when she says stuff. 😉 -
How to feed kids and still be healthy
pintsizedmallrat replied to Quesodip251's topic in Post-op Diets and Questions
I don't have kids, but I do have a husband, and an adult brother who lives with us, neither of which are bariatric patients. I usually just eat the part of the meal that agrees with my diet, maybe with some small alterations (i.e. I eat the broccoli and chicken that the fellas are enjoying over pasta, or just the stir-fried meat and veggies with no rice). -
Three weeks Post op VGS what can we eat?
vsg2410 replied to lchambless's topic in POST-Operation Weight Loss Surgery Q&A
Every surgeon has different recommendations. When I was in pureed phase my options were much more limited than a lot of others on here. Even bariatric pureed recipe books I couldn’t follow. It’s important to follow your surgeons recommendations. You can reach out to your dietitian who should be able to give you some ideas.
