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Anyone have Meritain Insurance?
Kayparish24 replied to hillsister_03's topic in PRE-Operation Weight Loss Surgery Q&A
I have meritain and of course my doctors office checked to make sure I had coverage. They gave them a list of pre surgery procedures I would have to do such as ultrasound, endoscopy, nutrition classes, psych evaluation among other things prior to surgery, which I have done and has cost me almost 3 thousand dollars out of pocket to do. Now they denying me saying I’m not covered because obesity is not covered on my insurance plan, but the doctor offered called prior ( 8 months ago ) to make sure. When I call meritain they told me to have them remove the code that means “obesity” and resubmit documents and it should be approved. My doctor office is saying there is no way to do that. I am highly disappointed and upset to have spent so much money and hopes for a surgery that was CHECKED prior to doing all of these other procedures just to be denied now that it’s time to schedule. Anyone with any knowledge , experience or advice on this? And how to get it approved with my insurance?? -
Adding another voice to the chorus that you don’t have to go to the gym if it’s not your thing… Diet plays a much bigger role in weight loss than exercise, so that should be your focus. Depending on where you are with your diet progression, this may not be the time to be doing intense workouts, anyway, since you may not be able to eat enough to fuel a serious gym session. Exercise is definitely beneficial to your health and important for maintaining weight loss, so the instinct to start now is a good one, but it doesn’t have to be miserable. Try to find something you don’t hate. Just walking is great exercise. Start an episode of your favorite podcast and walk until it’s over. Check out some YouTube videos that you can do for free in the privacy of your home. Someone on this very forum recommended Leslie Sansone videos and now I pass that recommendation along to anyone who hates “going to the gym” and/or doesn’t know where to start. FWIW, I didn’t go to the gym even once for over 3 years after my surgery. I lost the weight working out at home, walking and doing free workout videos. It’s only been in the past year that I started taking fitness classes, and although I am a self-proclaimed exercise hater, I must admit that I’ve come around. By the way, although I’ve discovered that a lot of stereotypes about gym members being mean to people who are overweight and/or out of shape are wrong, it is a heck of a lot easier to work up the will to go to the gym when you are already in decent shape from, say, home workouts, so maybe put the idea of going to the gym on hold for a while and see how you feel once you’ve gotten some results from working out at home.
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It took literally forever, but I finally did it!!!
SleeveToBypass2023 posted a topic in POST-Operation Weight Loss Surgery Q&A
I finally gained weight!!! I'm officially at 180, and I like that. I feel better, I have more energy, and I don't feel nearly so run down and out of it. Still look super thin, but it is what it is. Now I'm going to work on maintenance since this is where I want to stay. I'm ok with 2 pounds in either direction, but I definitely don't want to drop below 178 again lol I got all the way down to 170 and it was just really bad. I literally don't work out at all anymore because I'm on my feet all day working 5 days per week. I increased my calories to 1700 per day (up from 1500), my carbs to 55 net per day (up from 40 or so), my protein to 100g per day (up from 80), my healthy fats to 80g per day (up from 50), my fiber intake to 30g (10 from supplements and the rest from food - up from 20) and upped my fluids to 120 fl oz per day (up from 90 - 100). I'll add my weekend workouts back in now (nothing crazy, just core and strength but on the lighter side, not heavy) so I don't gain too much now that I've figured out how to finally gain weight lol -
Oh yes, you never open a medication that is a capsule form. can’t belief they told you to do that. The outer shell is to protect your digestive system and to ensure the medication is absorbed slowly. People with sleeve usually don’t need to take as many supplements as those with a bypass, Sadi, etc. as sleevers don’t have as much of a malabsorption issue as they do. I had to take a multivitamin and vitamin D with K. That was it. I only took the D with K for about 3 or 4 months and stopped the multi at about 8 months. But I stress that was me and what my blood work showed I needed (or was lacking in) or in my case didn’t need. Some sleevers are also required to take calcium and iron. Does your blood work show you have existing needs i.e you are lacking in some vitamin? This would be a staring point as to what you may need even pre surgery. Then subsequent tests will show if you drop in anything. As to whether you can take tablets or need to have patches, chewables, liquid, or mouth spray versions is really up to what your surgeons requires and what you are able to tolerate. I could swallow capsules from about day 4 or 5. (Regular sized capsules not those giant horse sized ones 🙂). General advice: take your multi after you’ve eaten. They can cause nausea if taken on an empty tummy. If you have to take two or more multis as your dose, spread them out across the day. Try one in the morning and one in the evening. don’t take your calcium at the same time as your iron. Your body can’t absorb them at the same time. Try one in the morning & the other in the evening. don’t take your iron within an hour or so of consuming any caffeine if you’re allowed caffeine. Caffeine reduces your ability to absorb iron by more than 60%. Ensure you’re getting regular blood tests. My surgeon required once every three months before visits but my GP had me do one in between so I was having one every 1.5 months. That way if anything unexpected was happening, we knew about it quickly. All the best.
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Internal Popping Sensation - Help!
Arabesque replied to JackSar's topic in PRE-Operation Weight Loss Surgery Q&A
Many surgeons use an internal scaffolding type stitch around your larger incision through which they removed your tummy. This stitch eventually ‘pops’ around 4-8 weeks (individual healing times). My thought is this was the pop you felt. But always good to check with your medical team. -
July 2024 surgery buddies
OhMyGawdItzKla replied to Zazu_89's topic in PRE-Operation Weight Loss Surgery Q&A
Hi all! My surgery is scheduled for 7/17. I'm just a little uner one week away. On day 7 of my liquid diet today. Shakes, Water, Sugar free popsicles and jello. Oh - what I'd do for anything crunchy right now! I live for the moment I have to take my vitamins simply for the ability to chew freely. LOL. It's been a hard couple of days emotionally, but I'm trying super hard to stay positive. You go online and read horror story after horror story - but I know there are far more positive stories than negative. So - I'm holding onto that. And remembering my "whys". Hope everyone else is doing well and their July surgeries and preops are just a blip on the screen of a happy and healthy future! ❤️ -
February 2024 Surgery Buddies?
kissabeth replied to NickelChip's topic in PRE-Operation Weight Loss Surgery Q&A
Yeah, I didn't want to do it on my own, and it's not dangerously low. Today she was ambiguous about it - I'll take my BP every morning for the next week before meds and see her next week, or earlier if it's too drastic. My dose is fortunately pretty low -
26 Months since Bypass and my appetitie is out of control
Possum220 posted a topic in Gastric Bypass Surgery Forums
I had my bypass in May 22. Happily and I needed to,\ I have lost a decent amount of weight after the bypass. My diet has been much improved. I go for walks most days and attend a gym once a week. On the down side depression has been kicking my butt and I have recently been hospitalized because of it. I spent a month inside and tried a new medication but it didnt seem to do anything for me so My P'doc said to stop taking it. Ever since then appetite has skyrocketed and it is causing me so much distress which I try to fix by eating. Yes, the cycle continues. So far my weight has not altered much but that wont stay the same forever. My psychiatrist has suggest that I ask my GP to prescribe Ozempic. Yes, I am a diabetic but since the bypass have managed my bsls with exercise and diet. Has anybody added Ozempic to help with their wls journey? Were there any draw backs. WHat else have you tried to get help with food addiction. -
Almost 3 weeks PO and gaining?
Arabesque replied to sarahrob218's topic in Gastric Sleeve Surgery Forums
Can’t believe your surgeon didn’t tell you about stalls especially when you said you hadn’t lost in a week or so. That in itself would make me question anything else they tell or don’t tell you. We all lose more quickly in the first couple of weeks, then the stall hits & no loss & things even out. So while 12 pounds seems a lot in 1.5 weeks, 12lbs in 4 or so weeks is fine - averaging about 3 lbs a week. 1200 calories at a month out does sound a huge & impossible goal to reach. I wasn’t eating 300 calories in the first couple of weeks. I barely reached 900 at 6 months & was another year until I got to around 1300. But we are different & have different needs & our teams have us on different plans & expectations. Ultimately it comes down to only being able to do what you can physically do. You ‘re meeting or close to meeting your protein goal. You’re meeting or close to meeting any other macro & fluid goals?. Are you introducing new protein sources, vegetables, etc. into your eating plan as you’re required? I’d say you’re doing okay. But, that’s my opinion. Your dietician/nutritionalist should be available to discuss your options & concerns whenever you need so ask for (demand ) an appointment. Can you get in any earlier to see the nurse practitioner? If not stick to what you’re doing & as I said you can only do the best you can do. All the best. -
March 2024 Surgery Buddies!
NickelChip replied to Pines's topic in PRE-Operation Weight Loss Surgery Q&A
The first program I was in had a similar requirement. It would've been liquids for Saturday and Sunday with surgery on Monday. But the program closed and I was referred to a different program at a nearby hospital. And even though they were part of the same healthcare system, the new program required a full 2 week liquid diet. Let me tell you, it was not easy being mentally prepared for 2 days and then being told 2 weeks! -
March 2024 Surgery Buddies!
BigBunnyThighs replied to Pines's topic in PRE-Operation Weight Loss Surgery Q&A
Hi everyone. My surgery date is 3-11-24. nervous and excited at the same time. My doctor at BMI of Texas made the process very quick and easy even when dealing with Tricare Insurance. I am recommending them to anyone. -
Liquid Diet Questions
BlondePatriotInCDA replied to AmberFL's topic in PRE-Operation Weight Loss Surgery Q&A
I concur with AmberFL, each surgeon has their own requirements. I was on liquid diet for 2 weeks pre-op and 3 weeks after... Hopefully your bariatric team gave you a diet plan for all phases but of your journey! Mine was no caffeine (no teas or coffees), protein drinks, broths, sugar free Jello and of course all the water I wanted! Oh joy! -
Post-Op Congestions
Briss72 replied to TransformingTana's topic in POST-Operation Weight Loss Surgery Q&A
I’ve definitely had more sinus issues since surgery, and 1 ear seems to get water in it, don’t know if surgery related almost 6 weeks post sleeve -
I don't have anything to add except that you look great. I'm 7 weeks post-op and looking forward to see where it takes me. Thanks for sharing!
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1. Iv been eating like this for about 6 months now. 2. 5 foot 11inch (180cm) male. 3. The only thing I do suffer from is reactive hypoglycemia which means when I eat cars my body produces to much insulin and my sugar levels drop very low that's why I try to avoid cars. When I spoke to the hospital last I was talking to them about portion sice and calories ect and there reply was as long as I stick to the bariactric place then calories and portion size will never be an issue
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Hi everyone, I have a question. Has anyone been totally fatigued with absolutely no energy daily. I was hospitalized for lack of fluids, an 2nd time for depleted potassium. I do IV infusions twice a week, still barely helps. I do the protein daily as well as water. Any ideas ?? Dr. says follow program, as I do..so far regretting surgery.
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Any tips for maintaining weight? It's not going well over here....
SleeveToBypass2023 replied to SleeveToBypass2023's topic in POST-Operation Weight Loss Surgery Q&A
As always, you say exactly what needs to be heard. Thank you Yes, I've been struggling with body dysmorphia for a while now. I was having a hard time not seeing 421 pound me, even as I hit goal after goal. Now, I see stick thin, too skinny me. It's like a never ending roller coaster that I can't get off of. But I'm going to wait 2 weeks, then weigh myself again and see where I'm at. And I'm going to pay close attention to how I feel, how I look in my clothes, and how they fit me. Thanks again for everything you said. -
Need help with diet after post surgery weight gain!!!!!
AmberFL replied to Panda333's topic in Food and Nutrition
Go back to the basics! Prioritize protein, cut out sugar, stick to 140g total carbs, 40g fat. Meal Prep and go for daily walks Its doable!! You got this! This is my diet at 7months post op with an 1hr + of exercise 6x a week (exercise is 30min weight lifting and 30-45min cardio) Wake up: Café latte premier protein and decaf cold brew Breakfast: egg whites, Jennie o turkey sausage, cheese and Pico de Gallo Snack: fruit and mini jerky stick or popcorn (lesserevil brand only 50cal low carb and has some protein) Lunch: usually a salad with pasta, veggies, some crunch (wonton strips, crispy onions, croutons) dressing is homemade (Greek yogurt, hidden valley ranch dry mix, fat free Italian dressing to thin it out) snack: Oikos or Dannon Light and Fit yogurt with granola Dinner: I get fancy- last night I had an Egglife wrap put 2TSP of pest on it, 3oz grilled chicken, 10g of reduced fat mozzarella cheese, 1 tlbs of picked jalapeno, 1 tbls of red onion and 10g of shredded Parmesan cheese Dessert: a couple of yasso popples, or Ill have a few bites of my hubbys ben and jerrys (lol) This is my normal day to day with variations but I usually end up with about 130+ of Protein, under 90g carbs and under 50g of fat. I am not perfect at all but meal prepping really really helps my week be successful. I also track every single thing (bad or good) in Netdiary and I pre-track my day the night before or the morning of, this allows me to see what I have going on and if I decide to eat a piece of sugar free chocolate or make myself an iced coffee with sugar free creamer, I can see if my macros fit it. Lately I have been going over but I am still losing weight. I have surpassed my goal weight and am still losing- lot slower- so I am trying to figure out how to eat a bit more so I can maintain. I love this journey and am having so much fun with it (crazy I know) but I am an open book and am happy to help with meal plans, meal prep and exercises! -
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 -
Belly fat problems after surgery
ms.sss replied to Megan Black's topic in General Weight Loss Surgery Discussions
first congrats on the weight loss! second: for someone going into their 60's your skin is phenomenal!! do you like bathe in tubs filled with moisturizer?? never go out in the sun??? amazing 😳 third: unfortunately you cant target weight loss to a specific part of ur body without losing in other areas as well. generally the first place you notice weight gain is the last place place it will come off. unless you have an underlying condition (which you can be found out by visiting ur doc), bigger midsections are usually the result of 3 main things: (1) genetics...do ur parents have higher-proportion midsection circumstances? (2) bloating...from ones diet that causes fluid retention and gas...cut the carbs! (3) inactivity... visceral fat lives on inactivity, and guess where visceral fat likes to hang out? around ur internal organs which are located in your midsection. -
At 5 months post-op, 500 calories per day might signal your body to be in starvation mode. Most programs seem to recommend between 800-1000 calories as a benchmark until you reach maintenance. For example, my dietician told me 80g protein and that protein should be 40% of my calories, which works out to around 800 calories per day. Do you have any theories on why you can't eat real food after lunch? You should be able to eat most food by now. I'm only at 3 months post-op and the only foods I've been told to be careful with are asparagus (very fibrous) and steak (but ground beef is fine). Have you tried crockpot chili, or pulled chicken? Maybe navy bean soup with ham? Greek yogurt and fruit? I also like tuna salad or smoked salmon.
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February 2024 Surgery Buddies?
NickelChip replied to NickelChip's topic in PRE-Operation Weight Loss Surgery Q&A
I had my final pre-op appointment with my surgeon today. Nothing really to report as it was very routine. I weighed in about 3lbs down from 3 weeks ago. That was nice, but I'll admit I have not been too strict the past week about my food. I start my 2 week liquid diet in 2 weeks and that'll be plenty strict so I've stopped for fast food once and had some chocolate when I normally wouldn't. I see the nutritionist next Thursday and then it's just a countdown to Feb 21! -
February 2024 Surgery Buddies?
gracesmommy2 replied to NickelChip's topic in PRE-Operation Weight Loss Surgery Q&A
@LisaCaryl glad your nausea is better. No hair loss yet here, I’m taking my vitamins religiously and make sure to get my protein in so that I don’t lose it but other than that can only keep my fingers crossed. I was extremely sick a couple of years ago (In and out of ICU and in the hospital for almost a month) and had a huge open abdominal surgery and at the 3-4 mo mark after I was discharged I lost probably 3/4 of my hair. Its just now back to where I want it. 😩 @BlueParis I’m sorry to hear you’re sad. I’m actually a grey, rainy day kind of girl and not a huge sun/light lover (worked as a nightshift RN for almost 25 yrs 🤷🏼♀️), but seasonal affective disorder is totally a thing. I wonder if you suffer from this. Maybe your PCP could recommend something for you….meds, light therapy? And I’m really hoping your and @RonHall908 s exhaustion resolves soon! @NickelChip I wonder as well if your exercise routine is “slowing” your weight loss. Every time I do any extensive exercise, I gain weight the next day and then don’t lose anything for a few days. I’m not actively exercising and honestly have sort of avoided it I hate it. lol . I know it’s just fluid retention but I still don’t like it. It’s definitely healthier to be fit but I haven’t gotten there yet I guess. You’re probably also gaining muscle while losing fat making the scale stay the same, but I’m sure that will eventually fix itself. I found this video which I found interesting and helpful. oh and did you like the roasted edamame 😊? -
Can you eat a cup and a half post sleeve
BlondePatriotInCDA replied to ShoppGirl's topic in POST-Operation Weight Loss Surgery Q&A
"can already eat more than most people with a sleeve". Just because you can, doesn't mean you should. I'm never full on the quantity recommended by my bariatric clinics size/portion guidelines, but I still serve exactly what's on the plan. Could I technically eat more? Yes, but I need/want to lose the weight. There is nothing stating in science research people should eat until full. I prepare and eat 3/4 cup and walk away from eating more. Is part of your clinics program talking with dieticians and a psychologist to help with full vs. actual body nutritional need etc? Your impending sleeve will be the same. You can push the limits and be right back where you are. Start working now on sticking to measured/weighed portion control or you might find yourself right back at eating more than you should. Bariatric portion control is not a suggestion, but a requirement. If you want to become healthy and at your goal weight while maintaining it, its a lifetime of measuring what you eat and pushing away from the table - not eating until full. You will always have the ability to push the boundaries - take control of it now! 😁 Its a tough call and its great seeing you doing your due diligence researching and asking questions. Good luck on either your revision or your bypass! I'm sure you'll make the right decision for yourself. -
Weight Gain Right After Surgery?
NickelChip replied to LessOfAmy's topic in POST-Operation Weight Loss Surgery Q&A
So. Much. Fluid. Seriously, my hands were so puffy that all my wrinkles disappeared (spoiler: they came back). I was also in for 2 nights and that IV was going non-stop. It took a little over a week for me to return to my day of surgery weight. Totally normal. They really should warn you, though.