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Showing results for 'weight gain'.
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Good Luck!! I am doing the Avon two day walk in Boston on May 17th and 18th. Walking everyday has really helped with the weight loss. It is so easy to drink all the water that I am supposed to.
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Question about insurance approval/denial process...
daco525 replied to adagray's topic in Insurance & Financing
Do you have any complications or pains with joints. I too have a BMI of 35-38 (I fluctuate), I have high bp, diabetes, and high cholesterol. I recently developed some problems with me feet and ankles which I believe is related to weight. I am going to see about having the podiatrist send a letter on me behalf for lap band also. The more people (doctors) on your side the better. I started my 6 month doctor visits last month. I am counting on approval because of the comorbidities. I did speak with the ins. and they seemed positive. Have you tried calling them first. By the way, when I submit my paperwork I will not submit any of my weight under 35, I too have several because of various diets. My ins. only requires 2 years history. -
After having a barium xray swallow and showing my stomach prolapsed up through the band, I was scheduled for "must-do" surgery. Got a denial for $14,000:eek: (plus $3,000 from anesthesiologist) for everything. Doc sent an appeal saying it was an emergency, had to be done, couldn't live with the band that way, etc... Also stated I had been slowly losing, until the surgery, and now that I'm not at my sweet spot, has gained a couple pounds. This basically shows that I NEED a working lap-band® in me to keep from gaining the 90 lbs I had lost. Well, now they approved the removal, but DENIED the replacement band. Apparently, my bmi is 39.9 (needs to be 40 to be covered or between 35-39.9 with a co-morbidality) and I'm too SKINNY for the replacement band to be covered. Doc is putting in a 2nd appeal. For some reason the hospital and anesthesiologist never sent their own appeal (I thought the doc doing it was enough, but it isn't). What do I do? Is my credit going to get all screwed up? The $14,000 bill from the hospital was 30 days overdue on Dec 5th... I called and told them we have asked for an appeal. My husband and I are beside ourself. I am scheduled for a fill on thursday, but I don't want to go because I don't think they will cover that either! The good news is my new insurance (BCBS PPO) starts Feb 1st, and I think fills should be covered because it's a medical device that's already in me?? (but there is a $1500 deductible per member, and $3,000 per family) My current insurance is United Healthcare. Any suggestions? Do I need to hire a lawyer?:rolleyes2: Oh and the total kicker is the hospital didn't weigh me the day of surgery... they asked me how much I weighed.. I said 217... (last dr's visit").. However, it was more:unsure: (since I got unfilled because I couldn't swallow my own spit. then I could eat more), but I said the lesser number because I didn't want my surgeon to be upset that I gained a few pounds ... Brenda
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Sleeved on Saturday and feel completely alone
Loz90333 posted a topic in Gastric Sleeve Surgery Forums
Hey Guys, Wondered if I could trouble you for some advice. I had my gastric sleeve op on Saturday morning, the surgeon/ hospital were fantastic, but the aftercare has been awful. I got myself into this mess because I am so uneducated about food, I've been effectively given no guidance, except half an A4 page, everyone else seems to have such detailed post op diet plans. I have no idea what I should/ shouldn't be doing, getting told mix messages - its liquid only, no its only pureed food. There has been no guidance on how much water I should be drinking and no idea how much protein I should be intaking. I've reached out to the weight loss company I arranged my surgery through, but they don't have any further info about the post op diet, that half a A4 page is it! I'm so disappointed, the care up the surgery has been fantastic, but seems after they got the money they aren't bothered. If you've had surgery in the UK, please would you be able to share your Stage 1/ Stage 2 plans? I'd be really grateful. Thank you :) -
Strange "out of it" feeling
James Marusek replied to FutureFitGal's topic in POST-Operation Weight Loss Surgery Q&A
Your fat cells store chemicals. So many of the chemicals that you took throughout the years, may be coming to the surface. As you lose weight, the chemicals and hormones that were stored in your fat cells are being released into your body. These will pass through your kidneys and are expelled in your urine or through your sweat glands. But they can generate a flush of hormones during the weight loss phase. They should simmer down once you transition into maintenance. It is important to meet your daily fluid requirements, because it take fluids to flush these hormones from your system. -
Here we go again. The dreaded waiting game. I talked with the surgeon's assistant and she sent my packet to my insurance company on Wednesday, Nov 31. She feels confident that I will be approved. Also, she says that if they dont, they may ask for more info. What else could they want? I will go ahead and send it to them now.. I was really hoping that I could get this done before the year end.... It would really be cool to start out my new years resolution with my lapband and loose incredible weight before spring break so that I could go to the beach with my daughter and not feel like a beach whale walking around... So she said that it would take afew days for the insurance company to get it all in the system and that I should give them at least a 3-4 days before I start calling to hound them.. I have already called yesterday and today and they said it is not in the system yet... Flip!! Come on you people. I am an impatient female on a mission.. If it takes much longer I may loose my mind.
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Sleeve vs Bypass
shedo82773 replied to tasha_kelo's topic in General Weight Loss Surgery Discussions
Just like with everything else everyone has their own reasons for which surgery we decide to do. For myself, I figured that I would get just one chance to have my WLS. I went with the RNY. I figured that I would go BIG or go home!! Another thing that I don't understand is when peeps say "I went with the SLEEVE because it is less invasive" what is taking out 90% of your stomach "NOT INVASIVE". Also, I would never go into my WLS with the idea if it doesn't work I can get revised to another surgery. TRUST ME!! My poor hubby has been thru the ropes!! You DON'T want to think it can be done. He has suffered terribly with few results! Now about my WLS, I did have problems with strictures ( kind of like scar tissue) I ended up having 5 ENDOSCOPES with 4 DILATIONS. I started having problems within my first 4 weeks. It felt like my food set on top of my pouch and then slowly go down. When I went for my check up the PA said we should take a look but of course I told him that it was just me learning about my body. (I had my RNY on July 2, 2013) In NOV of 2013 was my 1st Endoscope w/dilation. Again in DEC 2013, again Jan of 2014, July of 2014 with my last being in Jan of 2015. All has been great since. My Dr told me that no one knows who will have strictures. Now for my STATS: HW 249 (I did weigh 285#'s but managed to lose 36#'s) SW 232 LW 117 CW 125#'s. I got to 117 in 6 months but gained 8#'s but I have maintained my 124#'s for 2 and 1/2 years. Having my WLS is one of the very best things I did for myself. Only you can decide which surgery will work for you. Good Luck in whatever you decide to do. I look forward to following your journey!! -
Sleeve vs Bypass
Butterflywarrior replied to tasha_kelo's topic in General Weight Loss Surgery Discussions
I was going to do rny but bc if complex medical issues..chronic pain treated with narcotics and sometimes steroids, psych meds, and so on, my surgeon felt sleeve was better bc I could still properly metabolize meds but rny often messed that up. My psychiatrist even backed that when he told me he has a really hard time adjusting meds in his bypass patients. So consider your health history and potential for future health issues as much as one can predict...lol Sleeve can bring about lots of weight loss too but you have to likely work a bit harder for it then with rny so they both have pros and cons. Rny been around the longest so there is much more data available but sleeve is showing lots of longitudinal positivity!! Good fortune -
Did anyone have to lose weight before surgery?
ericsmom replied to RKidder's topic in LAP-BAND Surgery Forums
I had my surgery on the 5th. I had to do 2 weeks of liquids only prior to my surgery. My doc said it was to shrink my insides and my liver so that they could work in there with the probes better. I was told any weight loss was a bonus. I dropped 14.5 in those two weeks...it was a great jump start. -
Did anyone have to lose weight before surgery?
sunshinenh replied to RKidder's topic in LAP-BAND Surgery Forums
I had my surgery at Portsmouth. I had to lose 18 lbs for the surgery, then a few more to meet my insurance prerequisite. I had the impression that there was no room for negotiation with either. The brute force method of weight loss worked for me. It helped knowing that would be the last time, since I would have my band to help after surgery. Good luck to you. -
Hello, I just got banded 4/18 and yes, my Cigna insurance did pay 1/2 up front and then will pay another 30 % after 2 years if I lose weight ! It was a long 6 months worth of a doctor supervised diet plus many other things I had to do, but worth the wait. Follow exactly what they say to do and be certain to get a copy of any insurance "rider" your husband's company policy holds. I was told, at first, there was NO COVERAGE and I did my homework ! Best wishes !
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I'm on day 10 of a liquid pre-op diet..it's been better than I had feared but I'm still hungry. I swear this diet is eating away my brain cells! It's hard to concentrate! My surgery is at 7 am tomorrow (June 3) and I'm both excited and nervous. I want to lose this weight once and for all, but it's still surgery and a big change to my relationship with food. Good luck to all my fellow June bandsters! This time tomorrow I'll be banded!!
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I'm just past 3 months out and while I haven't experienced a true stall, I've had weeks where my weight goes down, then back up and then finally down again to the new low number. I'm pretty sure my issues are due to my periods - something I thought was almost over but is now back again with a vengeance due to the weight loss. So my weight can be 304 one day and then 307 the next couple of days due to Water retention and constipation. But then both issues right themselves and 3 - 4 more pounds will be permanently gone. Then a new cycle of up and down starts. Make sure you are reaching your water and Protein targets each day. I've found that when I meet the protein target especially, the weight comes off easier.
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17 days post-op and I'm gaining weight. :-(
niclovesjustice replied to LAJ23's topic in Gastric Sleeve Surgery Forums
I weigh myself in the am. I have lost a total of 10 lbs (this includes the 2 week liquid diet) and I’m two weeks post-surgery. I’m very discouraged, but hoping things will pick up. I know some people are slow losers and I’m trying to be patient. I had one day that I had a 3 lb gain and was really upset. It will work out! -
Okay, this is the thing .... My insurance - Cigna told me they do not cover gastric bypass, but they will cover the LapBand, BUT, (and the person on the phone made this emphatically clear), ONLY IF IT'S A MEDICAL NECESSITY. Okay, if it wasn't a "medical necessity", I wouldn't be asking about it. Or, do they think I just want to have unnecessary surgery because they'll pay for it? Soooo, I went to my doctor, who is NOT a supporter of weight loss surgery, and would not support me. Fine, I'm seeing another doctor later this month. I'm going to let this doctor know bluntly I'm having this surgery. You can support and help me with this, or I will find another doctor who will. I'm not playing games here. I'm 120 lbs. overweight, cant' sleep on my back, and my knees and ankles are beginning to feel the effects of the weight. I also injured my back in the military (many years ago) and receive a medical pension. They diagnosed me with degenerative arthritis so trying to exercise makes it a problem as well. If the insurance will not cover this, then I'm going to the doctor for every lilttle thing I come up with - and it WILL be weight related. If they want to play the game, so will I. They are going to get so fed up with me - they will approve me just to get rid of me!
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You can eat burritos and burgers - although it's not advisable to eat the roll (or even the tortilla) until you have been through the weight loss period. You can have the refried Beans, cheese, etc as soon as your allowed purees or soft food so that will help you not to feel deprived. The quantity of your meals will be very small so you'll need to concentrate on Protein first. The only things suggested to stay away from long-term (forever) on my plan is bread, Pasta and rice. I'm surprised you haven't already received this info from your surgeon with a surgery so soon. Best of luck!
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What's your best post op advice?
ShoppGirl replied to Sarahgirl10's topic in Gastric Sleeve Surgery Forums
Trust the process. It’s so easy for those of us who have done the yo yo diets to worry that this won’t work for us but if we follow the plan it will. And you will lose weight at your own pace. Try not to compare your weight loss (or recovery for that matter) to others as it is very individualized. You got this!! -
Holy Fast Approval Batman!
klus263 replied to cynslosinit's topic in POST-Operation Weight Loss Surgery Q&A
I also have Aetna and when first submitted they contacted my doctor's office that they need any medical records from 2008 showing my weight. I had an urgent care visit where I fractured my ankle and it showed my weight. Then they called and needed an one on one with a nutritionist. I got that in. Everything was turned in on Tuesday afternoon. I called insurance on Wednesday morning to confirm they had all the paperwork and it was being forward for surgical review. I got a call from my surgeons office at 2 pm to schedule a date. Holy crap...24 hours and really less when it got to the surgical review. I was sleeved on Dec 1st and loving every minute of it. I do step on the scale every day sometimes more than once. When I started my journey back in February with my seminar I was 232. This morning I was 193.8. We are now doing the 6 months PCP visit for my husband so he can get sleeved hopefully in March or April. Just following your doctor's guideline and you will be the "incredible shrinking woman" just like me. -
Q: Can I drink alcohol after surgery? A: Alcohol is not recommended after bariatric surgery. Alcohol contains calories but minimal nutrition and will work against your weight loss goal. For example, wine contains twice the calories per ounce that regular soda does. The absorption of alcohol changes with gastric bypass and gastric sleeve because an enzyme in the stomach which usually begins to digest alcohol is absent or greatly reduced. Alcohol may also be absorbed more quickly into the body after gastric bypass or gastric sleeve. The absorbed alcohol will be more potent, and studies have demonstrated that obesity surgery patients reach a higher alcohol level and maintain the higher levels for a longer period than others. In some patients, alcohol use can increase and lead to alcohol dependence. For all of these reasons, it is recommended to avoid alcohol after bariatric surgery. (American College of Surgeons, 2011) Think of alcohol as being in the same catagory as soda. It does you no good and it has the potential to cause problems. If you think having soda every so often is ok..... having alcohol every so often is ok, too. It's the same thing. If you wouldn't do one...don't do the other.
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Putting on weight after 6 weeks?!!
Lornapc replied to Lornapc's topic in Gastric Bypass Surgery Forums
Hi 👋 You’re right. I did list everything for the first few weeks - and I was at the 500 calories mark. Now that I can eat more solid food I’m making family meals and eating just small amounts. If I scramble an egg for myself then I can count that no problem, but I’m not sure how to calculate a ladle of home-made stew, for example. I’m assuming I’m under the 700 because I don’t drink calories, I don’t eat anything off-diet like sugar. I certainly don’t hit my Protein mark by far though. I am drinking a lot more. Is that what you mean by water weight? -
I just got my approval from them in the end I july. I needed a five year weight history of having a bmi of 40. I didn't but I sent them the five years, a letter from my docotor with all my weight loss attempts, 2 comirbidties, and a letter from my therapist. They approved me in 3 buisness days.
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So happy to share that I just got my approval. Of course it seemed like forever, but the reality was it went very quickly. I have Horizon Blue Cross Blue Shield NJ. When I first spoke to BCBSNJ in June, I was told I needed a 6 month doctor supervised diet, letter of necessity from my doctor, nutrition visit, psych eval. Come August when I went to meet with my surgeon for the first time I found out from the office coordinator that Horizon changed their requirements. No more 6 month diet. They required an over 40 BMI, a letter from me stating what diets I had been on over the course of the last year, a two year weight history from my PCP. (Just whenever they weighed me over the last two years) The psych/social worker consult, NUT visit. and POOF here we are! I had receipts from Nutra-system and Weight Watchers, and added them to my packet. Just my Pre-op visit on October 9 and I'll have a surgery date. I am so excited!!
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Uhc Choice Plus Ppo 5 Year Weight History... Need Creative Ideas!
JerseyGirl68 replied to Bronxbubbles's topic in Insurance & Financing
I have BCBS of NJ and they required 3 years of history, I had a one year gap , but submitted everything else I had (going back 7 years) . I was approved on the first try. My coordinator explained they want to see the history. But I had pictures ready if needed. I also submitted receipts from NutriSystem and Weight watchers just in case they helped. Good luck!! -
Honestly i gained weight since i started the initial process. Sent from my SM-G900T using the BariatricPal App
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need your advice - on solid food and gaining weight
BetsyB replied to keeping the faith's topic in POST-Operation Weight Loss Surgery Q&A
Something to consider: liquid moves right out of you---and solids linger in your digestive tract. Just that, alone, adds to the number on the scale. I know it's tremendously frustrating, but you're not adding body fat. Your body is retaining Fluid for a number of surgery, anesthesia, and healing reasons. You might see a blip upward due to the fact mentioned above, that food has mass and weight and hangs around long enough to be measured on the scale. If you're eating the right things, you will lose body fat. At this stage of the game, being hungry is normal and expected. It seems like lots of us were/are unprepared for it, but it's part of the game. As you get restriction, it becomes SO much easier. In your shoes, I'd try to eat as if you had restriction, even though it's difficult. It will allow you to lose some weight as you wait for restriction. But if you can't do that, it's okay. You will get there. You WILL gain restriction, and you WILL lose weight. It's just a longer process than many of us like!
