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It depends on your surgeon. For me, once the approval came in, I'd already met the weight loss requirement and taken the required classes that my surgeon provided so it was just a matter of getting a surgery date and doing the pre-op diet.

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Well, I had to complete all the pre-op before they sent in my documentation for approval..

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Get scheduled and get a pre-op diet

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Once I was approved, there was an EGD to check for any surprises down there and make sure my stomach was healthy enough for surgery. They found a hiatial hernia they knew to fix along with my sleeve. Pre-Anesthesia testing which consisted of blood work and a full accounting of all meds I was on, surgical history, etc, looking for potential dangers around being put under. Out of the Pre-Anesthesia appointment, they were worried about my lung function so I also had a pulmonologist visit where they ruled out asthma and decided I had reflux instead, (also showed up in the EGD). There might have been one more pre-op blood draw and there was a final weigh in\appointment with the surgeon to go over everything a couple days before surgery.

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I called the program administer and I told her I was approved and she scheduled my date.

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