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Mentor and Buddies needed!!



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I am still in the process of getting my full approval for the sleeve. My surgeon has agreed to do the surgery and I have gotten the green light from the dietitian just have to pass the psyc eval in a week. I am barely making the cut off for my BMI though and worry I will loose too much weight before surgery and get denied by insurance. I don't have any comorbidities and already have dropped to 40.7 BMI. I know the only way I will get to my goal is through surgery. I have failed so many exercise, diets, and medications. I am always able to drop about 30 pounds only to stahl out and gain it all back and then some.

My anxiety has gotten out of control. I worry about everything. I reached out to someone I know who had bypass but was ignored. She read my message but never responded. Please help!!

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First, don't worry about your BMI. You can lose 50 pounds and still be approved. The insurance company looks at your weight over time. Your doctor's recommendation includes your highest weight and your highest BMI. It's a HUGE misconception that losing weight before the surgery will cost you the insurance's approval. On the contrary, you are actually put on a liquid diet 2 weeks prior and are encouraged to lose as much as you possibly can.
Second, your psych evaluation is no big deal. The psychologist just wants to make sure that you are committed, supported, and are ready for these life changes. The psych os there to point out to you that the surgery is just a step. It will not solve your problems and if you are not ready to make life changes, than you won't be successful.
Don't stress out. It's not worth it. If your doctor already agreed to doing the surgery, than everything else should be treated like you going down a check list. And literally, that's what you should do. It takes a full month for you to get all your approvals and check ups, depending on your insurance company's requirements. I know a friend of mine had to complete a sleep study and I didnt. While I had to join a pre-op support group and she didn't... so every company is different.
As annoying as it may be, embrace it.
BC every step you make takes you one step closer to the end result.
Good luck.



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Thank you for the encouragement. I do know that I won't have to do the liquid diet prior, which I am super stoked about. I'm not worried about the post op liquid diet because I know that I will be in pain and feel like crap so I'm sure I won't feel like having anything more than liquid.

The reason I am concerned about my BMI is because of the way the insurance company has the prior auth worded. I'm a nurse and have access to what my doctor has access to, which in some cases is not so great - like this. I tried to call the insurance company and they were very vague with me and told me to talk to my Dr. unfortunately I just haven't heard back yet.



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I too have bmi of 40.7. I have no other medical qualifications for surgery. I have lost and regained weight for 40 years. My surgery date is March 14. I started my Protein diet today. I hope beyond words that I do it correctly. I had my Protein Shake for Breakfast. I am drinking plenty of Water. lunch will be green Beans and small broiled piece of chicken. I am in the process of writing up my daily menu for the next two weeks. I could use a mentor as well. By the way, I live in Jonesboro GA



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My bm1 was 41 on day of my surgery but as long as u r losing,or staying the same weight bm1 dint really come into it xx I was scared of my previous. Op diet more than I was of the actual surgery but I kept it simple and easy and those 2 weeks flew by I just had chicken or white fish with either green salad and toms or spring greens carrots and green Beans and obviously my fruit and Water but that's what made it easier for me x I'm here if ever u have a question or any help I can advise u on xx



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My bm1 was 41 on day of my surgery but as long as u r losing,or staying the same weight bm1 dint really come into it xx I was scared of my previous. Op diet more than I was of the actual surgery but I kept it simple and easy and those 2 weeks flew by I just had chicken or white fish with either green salad and toms or spring greens carrots and green Beans and obviously my fruit and Water but that's what made it easier for me x I'm here if ever u have a question or any help I can advise u on xx







Yeah the stage 2 intimidates me a bit. Mostly because of work though. My work provides lunches so it's a bit of a mind game to bring my own lunch. I feel like I am giving up pay in a sense because I am not using a benefit. But I should be home for all of that.



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I baked 4 split chicken breast today. Topped with garlic and pepper. After dividing into 3 ounce portions. I have twelve meals. I froze some for next week. One 3 ounce portion filled me up. Hopefully, the next two weeks will fly by. I have my chicken, green vegetable, Greek yogurt, hard boiled eggs and Protein Shakes all on hand. I'm taking my Vitamins and my juice plus chewables that my surgeon wants me to take.

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    • Prdgrdma

      So I guess after gastric bypass surgery, I cant eat flock chips because they are fried???  They sell them on here so I thought I could have them. So high in protein and no carbs.  They don't bother me at all.  Help. 
      · 1 reply
      1. NickelChip

        It's possible for a very high fat meal to cause dumping in some (30% or so) gastric bypass patients, although it's more likely to be triggered by high sugar, or by the high fat/high sugar combo (think ice cream, donuts). Dietitians will tell you to never do anything that isn't 100% healthy ever again. Realistically, you should aim for a good balance of protein, carbs, and fat each day. Should you eat fried foods every day? No. Is it possible they will make you sick? Maybe. Is it okay to eat some to see what happens and have them for a treat every now and again? Yes.

    • NovelTee

      I'm not at all hungry on this liquid pre-op diet, but I miss the sensation of chewing. It's been about two weeks––surgery is in two days––and I can't imagine how I'll feel a couple of weeks post-op. Tonight, I randomly stumbled upon a mukbang channel on YouTube, and it was strangely soothing... is it just me, or is this a thing? 
      · 1 reply
      1. NickelChip

        I actually watched cooking shows during my pre-op, like Great British Baking Show. It was a little bizarre, but didn't make me hungry. I think it was also soothing in a way.

    • Clueless_girl

      How do you figure out what your ideal weight should be? I've had a figure in my head for years, but after 3 mths of recovery I'm already almost there. So maybe my goal should be lower?
      · 3 replies
      1. NickelChip

        Well, there is actually a formula for "Ideal Body Weight" and you can use a calculator to figure it out for you. This one also does an adjusted weight for a person who starts out overweight or obese. https://www.mdcalc.com/calc/68/ideal-body-weight-adjusted-body-weight

        I would use that as a starting point, and then just see how you feel as you lose. How you look and feel is more important than a number.

      2. Clueless_girl

        I did find different calculators but I couldn't find any that accounted for body frame. But you're right, it is just a number. It was just disheartening to see that although I lost 60% of my excess weight, it's still not in the "normal/healthy" range..

      3. NickelChip

        I think it's important to remember that the weight charts and BMI ranges were developed a very long time ago and only intended to be applied to people who have never been overweight or obese. Those numbers aren't for us. When you are larger, especially for a long time, your body develops extra bone to support the weight. Your organs get a little bigger to handle the extra mass. Your entire infrastructure increases so you can support and function with the extra weight. That doesn't all go away just because you burn off the excess fat. If you still had a pair of jeans from your skinniest point in life and then lost weight to get to the exact number on the scale you were when those jeans fit you, chances are they would be a little baggy now because you would actually be thinner than you were, even though the scale and the BMI chart disagree. When in doubt, listen to the jeans, not the scale!

    • Aunty Mamo

      Tomorrow marks two weeks since surgery day and while I'm feeling remarkably well and going about just about every normal activity, I did wind up with a surface abscess on on of my incision sights and was put on an antibiotic that made me so impacted that it took me more than two hours to eliminate yesterday and scared the hell out of me. Now there's Miralax in all my beverages that aren't Smooth Move tea. I cannot experience that again. I shouldn't have to take Ativan to go to the lady's. I really looking forward to my body getting with the program again. 
      I'm in day three of the "puree" stage of eating and despite the strange textures, all of the savory flavors seem decadent. 
      I timed this surgery so that I'd be recovering during my spring break. That was a good plan. Today is a state holiday and the final day of break. I feel really strong to return to school tomorrow. 
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      Now that I'm in maintenance mode, I'm getting a into a routine for my meals. Every day, I start out with 8-16 ounces of water, and then a proffee, which I have come to look forward to even the night before. My proffees are simply a black coffee with a protein powder added. There are three products that I cycle through: Premier Vanilla, Orgain Vanilla, and Dymatize Vanilla.
      For second breakfast on workdays, I will have a low-fat yogurt with two tablespoons of PBFit and two teaspoons of no sugar added dried cherries. I will have ingested 35-45 grams of protein at this point between the two breakfasts, with 250-285 calories, and about 20 carbs.
      For second breakfast on non-workdays, I will prepare two servings of plain, instant oatmeal with a tablespoon of an olive oil-based spread. This means I will have had 34 grams of protein, 365 calories, and 38 carbs. Non-workdays are when I am being very active with training sessions, so I allow myself more carbohydrate fuel.
      Snacks on any day are always mixed nuts, even when I am travelling. I will have 0.2 cups of a blend that I make myself. It consists of dry roasted peanuts, cashews, pumpkin seeds, sunflower seeds, pistachios, and Brazil nuts. This is 5 grams of protein, 163 calories, and 7 carbs.
      Breakfast and snacks have been the easiest to nail down. Lunch and dinner have more variables, and I prepare enough for leftovers. I concentrate on protein first, and then add vegetables. Typically tempeh, tofu, or Field Roast products with roasted or sautéed vegetables. Today, I will be eating leftovers from last night. Two ounces of tempeh with four ounces of roasted vegetables that consist of red and yellow sweet peppers, sweet potatoes, small purple potatoes, zucchini, and carrots. I will add a tablespoon of olive oil-based spread, break up 3 walnuts to sprinkle of top, and garnish with two tablespoons of grated Parmesan cheese. This particular meal will be 19 grams of protein, 377 calories, and 28 grams of carbs. Bear in mind that I do eat more carbs when I am not working, and I focus on ingesting healthy carbs instead of breads/crackers/chips/crisps.
      It's a helluva journey and I'm thankful to be on it!
       
      · 0 replies
      1. This update has no replies.
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