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SO, I have my last diet appointment next week. They will send my paperwork to Cigna before I leave the office. Im super nervous about this. Im worried that, since my appointment isn't as soon as I wake up, my weight will be just slightly higher than my first appointment. Has anyone experienced this? Is there any kind of +/- for the weight? Im so worried that a few ounces is going to kill my chances at this.

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I have Cigna also. I didn't lose any weight during my 6 months of supervised weight loss attempts and they still approved me.

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I also have Cigna and lost some pre-op but I don't remember their ever being a specific weight loss requirement - just that you had supervised diets and tried. Especially if you have any co-morbidities and you are only talking about a few ounces, you are going to be fine. They approved me FAST. It was submitted on a Friday at noon and I got a call from surgeon's office Monday morning that it was already approved.

By the way, the one thing I didn't have at my last NUT apt was a letter from a doctor other than the surgeon recommending me for the surgery which my surgeons office said was required to submit. It does say that in the Cigna requirements but I had overlooked it. If you don't have this yet (or haven't been told about it), you might want to ask your surgeon's office so you can get that from you PCP or other dr (mine was my endocrinologist) to give them the day of your last visit.

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I have all my other paperwork. All the letters and evaluations and what not. The only think I have left is my cardiac approval (which Im doing tomorrow) and my last diet visit next Thursday. Im absolutely terrified that I will be denied for something. anything. Ive been preparing for a year and Im just so ready to be done with the waiting.

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You poor thing! An entire year! Wow. Take heart. you are almost there!

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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.

      · 0 replies
      1. This update has no replies.
    • BetterLeah

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

        Congrats on the surgery!

    • Sandra Austin Tx

      I’m 6 days post op as of today. I had the gastric bypass 
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