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I have been seeing a dietician for a year and a half and through all this she has seen all the struggles I have had and I finally discussed weight loss surgery with her. I had decided years ago off and on to get it, but always thought I could lose it myself. Of course I did but you know how that rolls.

Anyhow she was very skeptical at first but she decided to do some studies on it and to my surprise she decided to support me on my decision.

This dietician works for the VA whom I am going thru for all this so we decided to get the ball rolling. She clearly has 1 1/2 yrs of records for my weight loss and weight gains. I wanted to learn how to eat healthy and not go on the all or nothing plan. I lost 32lbs which clearly wasn't fast enough for me but then again I was not dieting like I was use to doing and I really learned to live on a healthy plan.

I went thru all the rig a moral with the drs, psy, therapists everything I had to do to clear me for surgery. My dietician told me she talked to the bariatric coordinator and she was going to call me. Well she did and everything sounded real good and all I had to do was wait for the hospital surgeons nurse to call and set everything up. Supposedly when it got as far as the hospital it was stopped, and I was told that they wanted 3 more months of record keeping and counselling before she would approve it.

When I heard this I was livid, here I was waiting on my surgery date and then I was told a year and a half was not enough. I felt so much anger that I started eating like a crazy woman and gained all the weight back. I am trying so hard to get my head back in the game but I just don't know how and now my dietician and I are really struggling. I told her I cannot trust that if we do this another 3 mos that it will be enough for them. And can't they see how hard I worked to lose 32lbs in a year and a half? If I could have kept it off I would have?

Now here I sit with a nontrusting bad attitude and can't wrap my head around the fact that I have to do this again. To me it is very much like losing it and gaining it back yo yo syndrome that I have been through all of my life.

I know that I can't let this beat me because I want to get this done, but yet I can't get my frame of mind to do this again. I have waited all my 57yrs to be skinny and it just doesn't seem like it will ever happen. It pretty much destroyed my will to keep trying!

So, I need help to get my head back in the game and get back on my eating plan. I know I am mad and distrusting of the VA but I am not doing this for them, I am doing this for me. How do I get myself to do this? any ideas?

I just needed to get this out and I couldn't think of a better place than here! So thank you!

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I can understand your anger. It sounds to me that they've committed to approving it if you do three more months.

As far as the emotional eating goes, one book really helped me:

Emotional First Aid Kit (the one about bariatric surgery) by Cynthia Alexander

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Thank you for responding Beagle, I am currently reading that book, along with the groups and classes I have been attending. Haven't gotten real far yet but seems like a keeper!

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My insurance is BCBS for federal employees (retired from V A, Env. Services). One of the requirements for my approval was three months of a medically supervised diet in addition to documentation that I had been under a doctors care for two years during which time my weight issues were addressed.

What I did was ask my primary physician for a copy of my medical records for the last two years. When I got it, I highlighted my starting weight, my weight at every appointment, and every mention that the doctor suggested 1200 calories or low salt or low fat or exercise anything concerning my weight. That (with comorbidities) was good enough for approval.

Wouldn't it be great if you would only have to provide medical records for a few months prior to the time you started with the nutitionist? It wouldn't cost anything to ask.

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MissMac, I never ever thought of that, this is definitely worth mentioning at my dietician visit.........WooHoo girly!

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