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This week I met with my PA and Nutrionist. It went better than expected as I was so darn nervous; they both were great! The PA said I should fly through my checklist the hospital requires with no problem which is really good to hear. So now I start cutting back calories to lose my 5% (at minimum) that the surgeon requires before surgery. The nutritionist wants me to eat about 1600 calories a day, aiming at 75-80 grams Protein. I know this is the first steps to this whole process and it's setting in and I couldn't be happier with my choice!

One question I have is what happens when I lose my 5% and go through all the hosipital requirements and they then go to insurance for clearance. If my insurance requires any pre-surgery diet (which I think mine requests 6 months) can the hosiptal/surgeon override this? Or will the hospital come back and say that I HAVE to complete a 6 month diet before getting a surgery date?

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IF that is what your insurance requires then you probably will have to do it. So the beginning is right now. Start doing daily logs on your food (your nut probably has asked you do to that) if you have seen your Primary care doc for weight loss those records could help. But bottom line if that is what they require you will just have to see the nut for six months, get everything else done that is needed to be approved and go for it. I know it sucks. Waiting sucks it just does. But somehow you have to know that this will be time well spent getting ready for surgery and a healthier way of living. And that can start even before the surgery. My thoughts and hopes are with you. Keep coming here for support and knowledge. You have made the first step. For the majority of us it has not been a quick process. So just hang on you are getting ready for a great ride.

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THANK YOU for those encouraging words. I know i'll be fine with waiting 6months, it will fly by and i'll be on my way to a healthier me before the surgery....it will all work out :-)

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    • rinabobina

      I would like to know what questions you wish you had asked prior to your duodenal switch surgery?
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    • cryoder22

      Day 1 of pre-op liquid diet (3 weeks) and I'm having a hard time already. I feel hungry and just want to eat. I got the protein and supplements recommend by my program and having a hard time getting 1 down. My doctor / nutritionist has me on the following:
      1 protein shake (bariatric advantage chocolate) with 8 oz of fat free milk 1 snack = 1 unjury protein shake (root beer) 1 protein shake (bariatric advantage orange cream) 1 snack = 1 unjury protein bar 1 protein shake (bariatric advantace orange cream or chocolate) 1 snack = 1 unjury protein soup (chicken) 3 servings of sugar free jello and popsicles throughout the day. 64 oz of water (I have flavor packets). Hot tea and coffee with splenda has been approved as well. Does anyone recommend anything for the next 3 weeks?
      · 1 reply
      1. NickelChip

        All I can tell you is that for me, it got easier after the first week. The hunger pains got less intense and I kind of got used to it and gave up torturing myself by thinking about food. But if you can, get anything tempting out of the house and avoid being around people who are eating. I sent my kids to my parents' house for two weeks so I wouldn't have to prepare meals I couldn't eat. After surgery, the hunger was totally gone.

    • buildabetteranna

      I have my final approval from my insurance, only thing holding up things is one last x-ray needed, which I have scheduled for the fourth of next month, which is my birthday.

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    • BetterLeah

      Woohoo! I have 7 more days till surgery, So far I am already down a total of 20lbs since I started this journey. 
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      1. NeonRaven8919

        Well done! I'm 9 days away from surgery! Keep us updated!

    • Ladiva04

      Hello,
      I had my surgery on the 25th of June of this year. Starting off at 117 kilos.😒
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