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Being denied due to weight gain...

achappex3

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Mysticpink74    50

Mysticpink74
Posted

I have Aetna insurance. I could not have any gains during my 3 month diet or they would have denied me.

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Wow not even a pound or two fluctuation?

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I have united healthcare. There isn't any weight gain/loss rules!

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I have that too...

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achappex3    346

achappex3
Posted

@@Mysticpink74 did your surgeon require you to lose weight though? Mine doesn't require weight loss to happen

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Mysticpink74    50

Mysticpink74
Posted

@@Mysticpink74 did your surgeon require you to lose weight though? Mine doesn't require weight loss to happen

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Yes required weight loss...but only 5% only have to lose 3more lbs for surgery now....& my last weigh in is on Friday... *fingers crossed I lose it...

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MinaDina    89

MinaDina
Posted

I've been exactly where you are. My insurance changed its requirements literally the day before my surgeons office submitted my paperwork. So when I should have been through I had to prolong the surgery even more and do 3 months with a dietitian.

Now this is just me...I'm weird like this, but every month I went back to the dietitian I had gained weight. It literally made no sense because I was doing what they told me. They said only drink Water, I did. Eat more greens, I did. Exercise, I did. Replace meals with Protein Shakes, I did. Eat three Protein rich meals a day, I did. You get the picture. My last visit and she says to me "what are you doing different? You're gaining" I said I'm doing what you told me...what everyone says you're supposed to do. Needless to say I left that day in a funk, I was sure insurance was going to make me do another 3 months...I worried for nothing. 3 days later I was approved. I know everyone's insurance is not the same, but if I were you I'd just stay positive about it. And don't beat yourself up over gaining. After my last visit I stopped following the way the dietitian told me to eat(meaning I started having juice and eating less than 3 meals ) and I lost pounds...not advocating that everyone, I'm just telling my story.

Anyways good luck to you,I'm sure everything will go through fine.

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tholbert08    51

tholbert08
Posted

Are you tracking EVERYTHING you out in your mouth? Are you keeping your macros under control? My fitness pal is a great, free app to help with this. Ask your nutrition counselor to suggest the proper percentage you need to be at. I believe you when you say you ate struggling....me too! I have literally found and lost the same 2-3 for a month now.

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achappex3    346

achappex3
Posted

Are you tracking EVERYTHING you out in your mouth? Are you keeping your macros under control? My fitness pal is a great, free app to help with this. Ask your nutrition counselor to suggest the proper percentage you need to be at. I believe you when you say you ate struggling....me too! I have literally found and lost the same 2-3 for a month now.

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I lost 10 pounds. My nut is super happy. I have been using my fitness pal for a year now and put everything, and I mean everything, down. I'm just not going to stress it.

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Tyani    117

Tyani
Posted

I'm waiting on my insurance to approve my surgery I done everything but like you had problems with gaining and taking off weight. Yes they can deny your surgery if you keep gaining they will actually add on another 3 mos. To your 6 mos. Diet and weight loss journey. I see all that you tried and that's good stay away from the sodas but also you must work out and walk I went from 378 to 312 just by doing so. Staying focus the body burns fat so you can do it keep trying and stay the course.

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genn    460

genn
Posted

One thing that helped me is I also suffer from depression my dr put me on Zoloft for it it took away my need to want to eat a lot unfortunately It made me really sick to my stomach so they switched my meds but I know other people who r on Zoloft for depression and have had less of a need to want to eat and lost weight.

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achappex3    346

achappex3
Posted

I'm waiting on my insurance to approve my surgery I done everything but like you had problems with gaining and taking off weight. Yes they can deny your surgery if you keep gaining they will actually add on another 3 mos. To your 6 mos. Diet and weight loss journey. I see all that you tried and that's good stay away from the sodas but also you must work out and walk I went from 378 to 312 just by doing so. Staying focus the body burns fat so you can do it keep trying and stay the course.

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Not all insurance deny surgery due to weight gain. That's one thing I've learned during researching. UHC doesn't deny if you have weight gain. Luckily! But I don't drink soda. Haven't in over a year. So I'm pretty excited. My issue is my thyroid. But that's okay. This is going to happen regardless.

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achappex3    346

achappex3
Posted

I'm down 15 pounds since I've made this post. Lol I'm not worried or concerned as much. @@emoji1990

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Go To Topic Listing PRE-Operation Weight Loss Surgery Q&A

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    • LadyVeteran1

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      Sleeve surgery is on April 14th.  I am counting the days!!  Can't wait!
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        Me too girl!! Are you in the full liquid diet right now? It’s sooooo hard!

      2. LadyVeteran1

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        Not yet. I was told I only have to do 24 hours of a liquid diet. But I have my pre-op tomorrow so I’m going to confirm if I need to do longer.

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        Your so close now! It's gonna be great :) Wishing you a speedy recovery and looking forward to seeing how it goes!

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      Down 33 lbs and slightly stalled, but I'm gonna reevaluate and push through. I started back to work last week after 2 years of being disabled due to mental health as well as my weight. It's a great job and I'm just so happy to have this opportunity at a second chance at life. Hope everyone is having their best journey ❤️ Together, we got this!
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        Great work Anna! Keep it up 😁

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        Thank you ❤️

    • Bashbee91

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      Hey guys new to the process looking forward to this new life. 
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    • Bugg

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      Hi everyone! I’m brand new here. I just went through all my pre-op requirements per my insurance company and now everything has been submitted and I’m just waiting for final approval and my surgery date. I’ve been doing research, watching YouTube videos, TikTok’s, ect.. trying to prepare my mind and what to expect so I’ll be ready for the surgery. I was so sure and so set and so ready and excited. However, now that I’ve done everything & it’s almost here, I am sooooooo scared! I know why I want it bc I’ve tried everything and I just don’t feel like I can lose weight by myself. I’m tired of being overweight my entire life. I’m miserable, but I keep psyching myself out afraid of GERD bc I know how that can be and I don’t want to have to get a bypass after already gaining the courage to even get VSG. I’m scared of complications like I’mgoing to regret doing it and be depressed that I didn’t just be more disciplined and try again to lose the weight on my own even sitting here typing this knowing in my mind i just can’t and don’t possess the discipline. I’m also afraid I won’t be able to handle the restrictions of the sleeve. What do I eat? I don’t know how to eat healthy really and don’t enjoy healthy food. I don’t know how to do this! I feel so defeated!Someone tell me they felt anything similar to this or am I not ready? I thought I was. I am so tired of being sick and tired and so tired of myself and so tired of being stuck and stuck in this body and somebody different on the outside from what I feel inside. I just want to ball up and cry.
      · 1 reply
      1. stevieoriole

        stevieoriole

        Am feeling this right now. My surgery date is 4/1. Sign the consent tomorrow. I feel like I overloaded myself with too much info, too many opinions. Got to the point where I was wondering if I should do this. Then I thought of my reasons for taking this step and that settled my nerves. Still get moments of doubt but am striving forward. Am just going to follow my book from the surgeon. Joined this because I was told by my dietician that I should do this for support

    • buildabetteranna

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      over 20 lbs down since4 the pre surgery diet and surgery on the 14th
      · 1 reply
      1. Selina333

        Selina333

        Yay!! Congrats. I know how good that feels. 🤩

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