Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Recommended Posts

Hey! I'm 28, from NJ, and a single mom. Recently found out that I'm pre-diabetic and may have thyroid issues. I have GERD and take meds for that and mild depression. Since I started on meds, I gained a lot of weight and simply can't lose it. I'm at 214 now, and my HW is 220. I know that most sleevers usually start out with higher weights. Any thoughts or advice? I have Oxford Insurance. Will I get approved? I did the gastric balloon with Dr. Ren at NYU last July, and it barely helped. I'm just so torn....

Share this post


Link to post
Share on other sites

Hey Bee7... found your post while researching Oxford responses and saw that nobody replied to it yet. I have Oxford too and am going through the approval (or denial, we'll see) process right now.

Your BMI with 5'5" and 220 doesn't seem to be high enough unless you have a co-morbidity and pre-diabetics doesn't qualify as far as I know. Best check for you particular plan though. Do you have a surgeon picked already? If you have and if their insurance coordinators are halfway decent they should also be able to give you info.

Share this post


Link to post
Share on other sites

On 8/7/2017 at 5:12 PM, Bee7 said:

Hey! I'm 28, from NJ, and a single mom. Recently found out that I'm pre-diabetic and may have thyroid issues. I have GERD and take meds for that and mild depression. Since I started on meds, I gained a lot of weight and simply can't lose it. I'm at 214 now, and my HW is 220. I know that most sleevers usually start out with higher weights. Any thoughts or advice? I have Oxford Insurance. Will I get approved? I did the gastric balloon with Dr. Ren at NYU last July, and it barely helped. I'm just so torn....

If you have bad GERD and are on medication for it I'm sure surgeons will encourage you to do the bypass instead. The sleeve is statistically likely to make GERD worse while the bypass improves it significantly.

The balloon is a gimmick. Get tested for hypertension sleep apnea and diabetes, otherwise it'll be a struggle to qualify

Share this post


Link to post
Share on other sites

I have had GERD for years, and have been on Nexium forever.

My surgeon recommended the bypass.

My gastroenterologist is ecstatic because drugs like Nexium etc. have recently been proven to be bad for you in other ways. Do a google search about them.

Share this post


Link to post
Share on other sites

Hey! I'm 28, from NJ, and a single mom. Recently found out that I'm pre-diabetic and may have thyroid issues. I have GERD and take meds for that and mild depression. Since I started on meds, I gained a lot of weight and simply can't lose it. I'm at 214 now, and my HW is 220. I know that most sleevers usually start out with higher weights. Any thoughts or advice? I have Oxford Insurance. Will I get approved? I did the gastric balloon with Dr. Ren at NYU last July, and it barely helped. I'm just so torn....

Hi...i am 41 and also live in NJ. I also weighed in at 220 at the time of surgery on 8/28. I also have severe GERD for which I was medicated for over a year now. I have decided to discontinue my medication for the GERD as I feel it is weight related. I also had a hiatal hernia which was repaired at the time of surgery. I also am prediabetic, inhale arthritis in my knees amd have high cholesterol and mild sleep apnea. I had no trouble getting approved for the surgery. I do not; however, have the same insurance. Now, I could be wrong but it seems like the requirements to be approved are pretty much the same across the board as far as BMI and/Or comorbidities. The nutrition requirements vary a bit.

Sent from my SM-G935T using BariatricPal mobile app

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • Alisa_S

      Gearing up for my consult 01/14! Starting to get a little nervous.
      · 0 replies
      1. This update has no replies.
    • Goyafigs

      I had VSG 11.20.24 with Miguel Burch, MD Cedars-Sinai and I am 1 month post-op. 
      · 0 replies
      1. This update has no replies.
    • DaisyChainOz

      🥳 Jan 1 2025 - Day 1 of Pre Op, surgery on the 16th! 😬😅
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      Just been waiting until time for my consult with my bariatric surgeon. It's scheduled for Jan 9th. Turns out I won't actually be seeing him. Apparently it'll be with his P.A.             Not sure what to expect. I thought this is where the surgeon would discuss the best surgery option for me. For years I had my heart set on the sleeve, but I've read so many people have issues with reflux - even if they've never had it before - that they've had to be revised to the bypass. I already deal with GERD & take 40 mg of Omeprazole daily, so I started studying about bypass and honestly, it seems like it might be the better choice for me. How can we discuss surgery options if the surgeon is not there?
      What happened at your first consult? Trying to get an idea of what to expect, or maybe I should say, what NOT to expect.
      · 0 replies
      1. This update has no replies.
    • rinabobina

      I would like to know what questions you wish you had asked prior to your duodenal switch surgery?
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×