Insurance Weight-loss Worries

[LINZ62383 39]

Hi everyone:

I had my four-month weigh-in for my six-month long insurance required doctor-monitored diet. My insurer requires this before they will approve the RNY procedure, which is fairly common from what I have learned. Well, I ended up gaining three pounds, which put me a pound over my starting weight at my first weigh-in for this program. I am so frustrated because I really haven't been eating terribly and I have been exercising. My body literally clings to this weight like its life depends on it, which is why I am going through with the RNY in the first place. I wondered if anyone else has had this problem, or if anyone was approved for the surgery even if they were a little over their starting weight. Any advice would be greatly appreciated.

Thanks!

[TheGirlInThePinkScarf 28]

I had a 6 month program and even though my a1c improved (I was following my diet and exercising), I put on weight fast!

I had gained 20 pounds out of nowhere 4 months in! My thyroid was checked during month 1, so they hadn't thought to check it again. (Not until I was close to the end and we figured out I have an underactive thyroid).

I got sick after month 4 and I ended up dropping 17 of the 20 pounds that I gained. But I still put on a few more pounds after the loss because I hadn't started my thyroid meds yet.

I came in at 239 and I was up to 246 at my last appointment before submission. (I wasn't 100% sure that they were going to submit me.
They were considering making me stay in the program longer to drop the weight).

They ended up submitting me anyway since my diabetic numbers improved drastically, they found that more important.

I got approved and then I lost 3 more pounds on my 2 week liver reduction diet.

Sorry this got so long. I guess my point is that it first depends on your surgeon/bariatric team and and how they feel about it. Also if there are certain other health issues going on.

Good luck!

Sent from my SM-N920P using BariatricPal mobile app

[TheGirlInThePinkScarf 28]

I had a 6 month program and even though my a1c improved (I was following my diet and exercising), I put on weight fast!

I had gained 20 pounds out of nowhere 4 months in! My thyroid was checked during month 1, so they hadn't thought to check it again. (Not until I was close to the end and we figured out I have an underactive thyroid).

I got sick after month 4 and I ended up dropping 17 of the 20 pounds that I gained. But I still put on a few more pounds after the loss because I hadn't started my thyroid meds yet.

I came in at 239 and I was up to 246 at my last appointment before submission. (I wasn't 100% sure that they were going to submit me.
They were considering making me stay in the program longer to drop the weight).

They ended up submitting me anyway since my diabetic numbers improved drastically, they found that more important.

I got approved and then I lost 3 more pounds on my 2 week liver reduction diet.

Sorry this got so long. I guess my point is that it first depends on your surgeon/bariatric team and and how they feel about it. Also if there are certain other health issues going on.

Good luck!

Sent from my SM-N920P using BariatricPal mobile app

[TheGirlInThePinkScarf 28]

I had a 6 month program and even though my a1c improved (I was following my diet and exercising), I put on weight fast!

I had gained 20 pounds out of nowhere 4 months in! My thyroid was checked during month 1, so they hadn't thought to check it again. (Not until I was close to the end and we figured out I have an underactive thyroid).

I got sick after month 4 and I ended up dropping 17 of the 20 pounds that I gained. But I still put on a few more pounds after the loss because I hadn't started my thyroid meds yet.

I came in at 239 and I was up to 246 at my last appointment before submission. (I wasn't 100% sure that they were going to submit me.
They were considering making me stay in the program longer to drop the weight).

They ended up submitting me anyway since my diabetic numbers improved drastically, they found that more important.

I got approved and then I lost 3 more pounds on my 2 week liver reduction diet.

Sorry this got so long. I guess my point is that it first depends on your surgeon/bariatric team and and how they feel about it. Also if there are certain other health issues going on.

Good luck!

Sent from my SM-N920P using BariatricPal mobile app

[Katilady 7]

I also had to do 6 month dr monitored diet. My brother died at the end of the 2nd month and I gained several pounds through grief eating. I eventually started to lose again, but had only lost a total of 6 pounds by the time it was submitted to insurance, and I was approved.

[Joann454 1,329]

I also had to do 6 month dr monitored diet. My brother died at the end of the 2nd month and I gained several pounds through grief eating. I eventually started to lose again, but had only lost a total of 6 pounds by the time it was submitted to insurance, and I was approved.

Sorry about your brother
My dad died during mine and I also gained weight. They let it slide because it wasn't too much.

[Katilady 7]

20 hours ago, Joann454 said:

Sorry about your brother
My dad died during mine and I also gained weight. They let it slide because it wasn't too much.

Thank you, and I am sorry for your loss as well. It's slowly getting better, but initially was excruciating.

[LINZ62383 39]

On 6/22/2017 at 3:19 PM, Katilady said:

I also had to do 6 month dr monitored diet. My brother died at the end of the 2nd month and I gained several pounds through grief eating. I eventually started to lose again, but had only lost a total of 6 pounds by the time it was submitted to insurance, and I was approved.

I'm so sorry for your loss. I lost my mom six years ago, it completely changed me and shook me to my core. I can't even think about something happening to my brother or father without immediately feeling like I can't breathe. I didn't gain weight when I lost her, but I really gained weight when I quit smoking in January 2012.