teedsg 253 Posted October 19, 2016 Hi everyone, I am coming to terms that the journey to WLS is over. I have done the low carb, high Protein, no sugar, no bread plan, 3 hrs a week of exercise, and it has put me under the BMI of 40. My first weigh in was at 240, 5'4, now I weigh 222. I don't have any co-morbidities. The nurse said that I need to gain weight so I can still qualify. Well, I don't want to gain weight. I enjoy not having the aches and pains any more. I'm going to continue my NUT visits since I'm 3 months in. My husband and close friend told me to keep up this lifestyle and I may not need the surgery. I can understand their point, I just don't want to look up and gain everything back and then some. I guess what I'm saying is, I miss the bad foods. And, I want to eat it, but, I'm a person who can't cheat, or it will get out of control. So, for the past month, I've been really strict with what I eat. What are your thoughts? BTW, my BCBS insurance says my 6 month nutritional visits are good for 4 years, but things can change at any time. Sent from my SAMSUNG-SM-G900A using the BariatricPal App Share this post Link to post Share on other sites
hotmamma1979 42 Posted October 19, 2016 I am sorry you are in this position! Maybe give it a year or six months and see what you can do on your own. You can always go back to WLS if you want it. I don't know your weight loss history though if you feel like you are a yo yo dieter like many of us, you already know that you need more help. So maybe look at your own history and see if you can truly commit to it. Either way you gotta watch what you put in your mouth forever. I feel like with WLS though you kinda get a do over on your body. Because of the rapid weight loss in the beginning. So for me I'm looking at this as a second chance to take care of a skinny body, knowing all the things I now know as an adult. I'm not gonna wreck my "new" body. Good luck! Sent from my iPhone using the BariatricPal App Share this post Link to post Share on other sites
Bufflehead 6,358 Posted October 19, 2016 I would definitely check in with your insurance coordinator and your insurance carrier. Most insurance companies will judge your eligibility based on your *first* weigh in, not your last. There are some exceptions, but I wouldn't assume that a nurse knows for sure what the answer is. So do some real digging on that. If your insurance company is like most (not all) you would still have the option to consider as you progress with your weight loss. Good luck! Share this post Link to post Share on other sites
teedsg 253 Posted October 19, 2016 Thanks everyone! Your feedback has been a big help. I'm a past yo-yo dieter and it's been rough trying to get back under 200lbs. That's my long term goal. I'm going to keep pushing through this so, I'll have them submit my information when everything is done. But the surgeon office charges $250 to submit it through the insurance company. I wonder if I can submit it without paying the $250 bucks. I shouldn't be so cheap, but, why does it cost anything to submit to the insurance company. Oh well..I'll have to use my HSA money. Share this post Link to post Share on other sites
ProudGrammy 8,322 Posted October 19, 2016 surgeon office charges $250 to submit it through the insurance company @@teedsg what????? i never heard of such a thing!!! talk to office again is it possible you misunderstood something??? good luck with WLS or not kathy Share this post Link to post Share on other sites
trekker954 421 Posted October 19, 2016 I've heard people putting weights in their pockets. I know that's fraud but so many do it. I actually myself put on 10 extra pounds to meet the qualifications. I quickly took them off. You can probably gain it quickly with little effort Sent from my SM-N910T using the BariatricPal App Share this post Link to post Share on other sites
glitter eyes 1,398 Posted October 19, 2016 My insurance company went with my initial weigh in. Share this post Link to post Share on other sites
teedsg 253 Posted October 19, 2016 Gaining weight is not an option since I want a lifestyle change. Definitely not going to commit fraud Share this post Link to post Share on other sites
lucky1gg 13 Posted October 19, 2016 Self pay in Mexico is always an option! My lapband was covered by insurance due to comorbities but when my band had complications 6 yrs later I did not have insurance. Sleeve revision in Mexico saved me! Sent from my iPhone using the BariatricPal App Share this post Link to post Share on other sites
Ailles86 4 Posted October 19, 2016 I had my surgery in Mexico last May and would do it again in a minute. Sent from my SM-G900V using the BariatricPal App Share this post Link to post Share on other sites
Icantbelieveit 955 Posted October 19, 2016 If you dont want to gain, dont want to put weight in your pockets, going to continue the visits and low carbing. My thoughts are - good for you, hope you are in the 5%! Sent from my SM-G930P using the BariatricPal App Share this post Link to post Share on other sites
Inner Surfer Girl 12,015 Posted October 20, 2016 Hi everyone, I am coming to terms that the journey to WLS is over. I have done the low carb, high Protein, no sugar, no bread plan, 3 hrs a week of exercise, and it has put me under the BMI of 40. My first weigh in was at 240, 5'4, now I weigh 222. I don't have any co-morbidities. The nurse said that I need to gain weight so I can still qualify. Well, I don't want to gain weight. I enjoy not having the aches and pains any more. I'm going to continue my NUT visits since I'm 3 months in. My husband and close friend told me to keep up this lifestyle and I may not need the surgery. I can understand their point, I just don't want to look up and gain everything back and then some. I guess what I'm saying is, I miss the bad foods. And, I want to eat it, but, I'm a person who can't cheat, or it will get out of control. So, for the past month, I've been really strict with what I eat. What are your thoughts? BTW, my BCBS insurance says my 6 month nutritional visits are good for 4 years, but things can change at any time. Sent from my SAMSUNG-SM-G900A using the BariatricPal App You don't have to have WLS. You could choose not to have it. Or, you could choose not to have it now. If you do postpone, just keep in mind that you may have to redo much of the pre-op testing, etc. if you wait a while. It is up to you. Share this post Link to post Share on other sites