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  2. Hello I am KEKE 42 and about 8 mths ago I started the process for getting a gastric sleeve. I called my insurance UHC which at the time told me that normally this isn't covered but if I meet certain criteria I could be. BMI over 40(check), high blood pressure, sleep apnea, tried every diet , and pill supplements prescribed and over the counter( check). So I had to do 6 months nutrition visits- which I completed without a hitch 2 months ago. Now time for the preapproval call- before the office could get a word out they just flat out said not covered. I was baffled at this because this is not what I was told at the beginning otherwise I would have figured something else out and not have gone through this whole process to be just told no. There was no official denial so I can not appeal , they just said not covered. Apparently this has happened to many other members, by being told yes at the beginning to be told differently at the end. Not only am I a member of UHC I also work for UHC. So now it has become apparent that the reason for this "not covered" is because UHC doesn't cover the surgery for employees. I was like what!! That is the stupidest thing ever. So now what do I do? Ive considered looking for another job, I was actively looking, but my luck as soon as I leave then it would be covered for employees. I don't qualify for Medicaid as a secondary. I need assistance on getting my surgery approved or guidance to a secondary insurance company that will cover WLS in CT, Loans are not an option nor is paying out of pocket. I know I need to wait for open enrollment but I just need to know the best insurance company to apply for when October comes around. Thank you all for any input
  3. Just focus on protein & fluid intake right now.
  4. Everythinganna

    February 2019 weight loss buds

    Sheribear - this is well put - I wish someone had said this to me so plainly. I have to get on the ball before it's too late... if it's not already. When does the "honeymoon" actually end? Will we ever be able to eat larger portions? I hear yes, and I assume that varies person to person. Just wondering if they told you...
  5. 5'3" 152 pound woman here who is down about 150 pounds. I do Olympic lifting to support my fencing (I fence foil and saber). I lift 3-4 times a week for about an hour with a trainer. I deadlift 240, Backsquat 235, and have horrible upper body stregnth. I can clean and jerk about 80 pounds - shooting for that 100 pound mark. I have mental issues with my ****** and I'm only at about 65 pounds. Just started bench pressing and can go 75 pounds for about 40-50 reps. When I'm not lifting, I'm fencing 2-3 hours a day. I eat about 1500 - 1800 calories a day with 125g protein and 113g carbs. Adding the carbs back in was essential for me to build muscle - I was cannibalizing muscle with my lifting because I wasn't getting enough carbs in. I found a sports registered dietitian in my area (she was covered by my insurance - even better) and had experience with bariatric patients. She helped me refine my numbers. I use BCAA when I'm lifting and lots of electrolyte replacement stuff - e.g. nuun or Ucann Hydrate. I had my resting metabolism checked after surgery to find that my resting metabolic rate is about 967 - so that's 1100 calories if I'm sitting on my butt all day. Best of luck!
  6. Bueno702

    New

    New here... half way through and getting ready to see the psychologist and see my doctor to start my testing. I'm open to all advice and encouragement! Sent from my SM-G955U using BariatricPal mobile app
  7. somegal

    Some gal

    May 1 surgery date. Bristol hospital in Connecticut On pre op diet now Waiting for my real life to begin
  8. somegal

    April 2019 Surgeries!

    How do I start a May group? IM having my bi-pass May 1. Anyone with me.
  9. So I can’t figure out this site. I want to add May surgery to the line up. I’m going for the by-pass on May 1. I’m doing the pre op diet now and it’s not that bad. I started this journey at 229 lbs and am at 190 now. Hoping to loose 6-10 pounds before surgery. Which can’t be hard. I exercise with YouTube and walking my dachshund pups who keep me active Insurance is approved and wow this is really happening. Can’t believe it. I’m so excited for this I am 4 foot 9 And being this weight. I kinda look like a blob and I think once I loose this weight I’ll love myself. I like me now. But will love me later I have a support system. My sister and boyfriend and his family And I still see my Counceling people. Why. Because they are helping me out a lot. And thought with a group of may surgery people we will have something in common Yeah for May !!!!!
  10. BulletWithButterflyWings

    Fear!!

    That's a great mantra.
  11. BulletWithButterflyWings

    Fear!!

    That's a way to think about it!!! Thank you for your uplifting story. I just need to calm down lol
  12. No, I generally eat 420-520 a day, and was suggested to eat 600-800. That seems high for 4 weeks post Gb. Just asking! Sent from my SM-N960U using BariatricPal mobile app
  13. Healthy_life2

    Could you answer my question about sugars

    Sleeve diet guide: Avoid sugar AFTER GASTRIC SLEEVE SURGERY DIET You’ve made it past surgery and you’re on your way to a healthier life. You may think it’s clear sailing from here. Unfortunately, the hard part is just beginning. Now is not the time to cheat. While the two week diet was important reduce your risk of surgical (intraoperative) complication, the week 1 to 4 post-op diet will help prevent post-op complications. The first few weeks after surgery, you will experience frequent irritability and it’s not uncommon to second guess your decision to have surgery. The very extreme diet after your sleeve gastrectomy may seem like your surgeon is being overly cautious. It is utterly important that you follow his or her instructions to the ‘T.’ Cheating on your post-op diet can cause diarrhea, dehydration, constipation, bowel obstruction, or a very serious gastric leak. If you need more motivation to follow your post-op diet, this article will help. Below is a typical diet after gastric sleeve surgery for weeks 1 to 4. WEEK 1 – CLEAR LIQUIDS ONLY In week one you are limited to clear liquids only. This sounds tough. And it is tough. However, most patients have very little desire to eat. The hunger hormone ghrelin is almost non-existent after surgery. The part of the stomach that produces the majority of ghrelin is removed during surgery. Make sure all items listed below are sugar free. Water Broth Jell-O Decaf tea Decaf coffee Sugar free Popsicles Sugar free drinks that are not carbonated You should avoid: Carbonated beverages Very sweet beverages Sugar Caffeine WEEK 2 – FULL LIQUID DIET WITH PROTEIN During week two you may start to feel some hunger pains. Continue to stick to your surgeon’s recommended diet. Your diet may include all items from week 1 plus: Protein powder mixed with a sugar free non-carbonated clear liquid. Sugar free pudding. Soup with soft noodles. Non fat yogurt. Carnation instant breakfast. Look for the sugar free option. Very thin creamed soups. No chunks. Sugar free sorbet. Very watery hot oatmeal. Check the sugar content. Diluted no-sugar added juice. Sugar free, nonfat ice cream Thinned applesauce. Check sugar content. WEEK 3 – SOFT PUREED FOODS Week three after gastric sleeve surgery is tough. But the good news is that you can start adding some real food into your diet, albeit pureed. You still need to be careful to limit sugars and fats. The goals for week 3 include: Get your 60 grams of protein per day Eat slowly Introduce new foods one by one. Food may taste differently and will be tolerated differently than they were before surgery. You may find that dairy is harder to digest. It’s recommended that you introduce new foods slowly. Give your body some time to react to each new food. By doing this you’ll be able to identify foods that are causing gas, stomach upset, and/or diarrhea. The foods listed below are typically acceptable for week three after surgery. 1 protein shake per day. You can now blend them with yogurt or non-fat milk. Almond milk or coconut milk makes a great protein shake. Hummus Cottage cheese (low fat) Soft cereals – Let your cereal sit in the non-fat milk until it’s soft. Soft vegetables – steam or boil them until they are soft. Soft cheeses – limit these, they are typically high in fat. Ground chicken or beef. Add some beef or chicken stock to keep the meat soft. Soups Scrambled eggs – these are a great source of protein. Soft (steamed) fish. Remember to chew well. Canned tuna and salmon (you can add low fat mayo). Great source of protein. Mashed fruit. Bananas, avocados, and canned fruit (watch sugar content). You should avoid the following foods: While smoothies are ok, limit their sugar content. Sugar Starchy foods like pasta, rice and bread. Fibrous vegetables like celery, broccoli, asparagus, raw leafy greens. WEEK 4 – INTRODUCING FOODS! You’ve followed your diet up to week four. Now it’s time to start introducing real foods. Your sleeve and stomach are still sensitive, so go slow and remember to chew each bite thoroughly. You’re done with pureed foods, but you should continue to look for softer versions of food during this week. Continue your daily protein shakes Introduce chicken and beef very slowly. Ensure you chew thoroughly. Any type of fish. Fruits Vegetables (it’s still recommended that you cook these to soften them a bit). Sweet Potatoes Mashed and baked potatoes. Cereal Caffeine can be introduced. It’s recommended that you limit this. You should avoid the following foods in week four: Sodas Fried foods Fibrous vegetables (i.e. celery and asparagus) Sugary drinks Candy Dessert Pastas and other high carbohydrate, low nutrient foods (pizza). Whole milk and other whole milk dairy foods. Nuts WEEK 4 HEALTHY SNACKS While it is recommended that you only eat 3 small meals each day and hydrate in-between meals, you may need a small healthy snack. If your surgeon approves this, the items below make healthy snacks. Hummus with rice crackers or softened (boiled and cooled) baby carrots. Hard boiled egg. Quarter cup of oatmeal. Quarter of a baked sweet potato (or microwaved) Banana Strawberries or fresh fruit. WEEK 5 AND BEYOND Continue to introduce foods one by one to see how well they are tolerated. Watch out for constipation, diarrhea, and upset stomach. Eat three small meals every day. Hydrate throughout the day. Stop drinking fluids 30 minutes before each meal. Avoid snacking. If you do, choose a nutrient-dense food (fruit, vegetable, nuts). Take your recommended daily vitamins. Ensure you get 60 grams of protein. Supplement daily with a protein shake. Incorporate exercise into your daily routine. Make it a habit. Avoid sodas. Prepare for bad days. How will you cope when you are in a difficult situation? Find an accountability partner. Go to a support group and make friends that you can call. 6 TIPS – HEALTHY EATING AFTER GASTRIC SLEEVE SURGERY Choose foods that are nutrient dense. Bread is not nutrient dense. An apple, banana, fish, etc. are nutrient dense foods. Do not drink your calories. It won’t fill you up and most caloric drinks are filled with sugar. Expect an emotional roller-coaster. Don’t let food be your comfort. Create a plan. Chew your food thoroughly and take your time eating. Plan what you will eat if you’re going out. Ask for half the portion size at restaurants. You may get a discount and you won’t be tempted to overeat. Make water your new best friend. Drink it regularly throughout the day. Buy a reusable 64 oz bottle that you can carry to work with you. Make sure you finish the entire bottle each day. But remember not to drink with meals (this helps prevent stretching your pouch).
  14. So I had my removal on Friday. During the week leading up to the removal, I spent 2 days eating only soft foods, then 2 days of an all-liquids diet (including pureed soups, egg drop soup, and commercial protein shakes). The day before the procedure was clear liquids, milk, and smooth yogurt only. I was also told to drink the occasional fizzy beverage (coke zero, mineral water, etc) as that apparently helps remove food particles from the surface of the balloon. Conceptually they want your stomach as empty as possible so that you don't cough anything up during the procedure. Nothing to drink after 7pm the night before. So on the morning of the procedure, I was a little grouchy and very thirsty. I spent about an hour doing all the pre-checks, then they knocked me out and did their thing. It seems to have taken them longer to wake me up this time around (I think they may have been a little worried) but I seem to have survived haha here I am. After another hour or so in the recovery room, they sent me home. Apart from a WICKED sore throat and a big bruise where they put the IV in, I actually wasn't feeling too bad. No nausea, a little cramping but not anything I needed even a tylenol for. The worst side effect was probably the gas; they do puff you up while you're under the anesthesia, and all that gas finds its way out eventually. So it's probably best to clear your social calendar for 3 days or so, unless you want to fart up your blind date or your high school reunion. Like others mentioned, I was wickedly hungry once I got home, but that's no surprise; I'd had a whopping 400 calories the day before (really hard to rack up the calories on diet soda, broth and yogurt) and hadn't chewed in almost a week. Outside the single day, though, I've not noticed any real difference in my appetite, so this is good; it means my portions are enough to keep my body happy and comfortable without giving myself extra calories. So really the removal is fairly unremarkable compared to the misery of the insertion. I'm pretty much back to normal although my throat is a bit scratchy still. Would I recommend the balloon to someone? I would, but only in conjunction with an actual support program that included access to a dietitian/nutritionist, a behaviorist/counselor and a doctor. I believe it's an excellent tool to help reshape your eating behaviors, but that you need other tools as well, and your weight loss program has got to help you get those tools. Oh and the final totals... I lost 65 lb in the 5 months and 3 weeks that I had the balloon, which I think is pretty darned good. More importantly, I think I am in a place where i can continue to lose now that the balloon is gone. I've also lowered my resting heart rate by ~25 beats per minute, lowered my blood pressure from the "needs medication" range to the high end of normal range, and lowered my blood sugars from pre-diabetic to the high end of normal range. Good stuff
  15. Avery's Mom

    Anyone else into Slow Jogging?

    Yes. I try to do some sprinting on the treadmill too
  16. Avery's Mom

    Hello Gay Sleevers

    Welcome!
  17. Healthy_life2

    I keep seeing you can have sugar

    AFTER GASTRIC SLEEVE SURGERY DIET You’ve made it past surgery and you’re on your way to a healthier life. You may think it’s clear sailing from here. Unfortunately, the hard part is just beginning. Now is not the time to cheat. While the two week diet was important reduce your risk of surgical (intraoperative) complication, the week 1 to 4 post-op diet will help prevent post-op complications. The first few weeks after surgery, you will experience frequent irritability and it’s not uncommon to second guess your decision to have surgery. The very extreme diet after your sleeve gastrectomy may seem like your surgeon is being overly cautious. It is utterly important that you follow his or her instructions to the ‘T.’ Cheating on your post-op diet can cause diarrhea, dehydration, constipation, bowel obstruction, or a very serious gastric leak. If you need more motivation to follow your post-op diet, this article will help. Below is a typical diet after gastric sleeve surgery for weeks 1 to 4. WEEK 1 – CLEAR LIQUIDS ONLY In week one you are limited to clear liquids only. This sounds tough. And it is tough. However, most patients have very little desire to eat. The hunger hormone ghrelin is almost non-existent after surgery. The part of the stomach that produces the majority of ghrelin is removed during surgery. Make sure all items listed below are sugar free. Water Broth Jell-O Decaf tea Decaf coffee Sugar free Popsicles Sugar free drinks that are not carbonated You should avoid: Carbonated beverages Very sweet beverages Sugar Caffeine WEEK 2 – FULL LIQUID DIET WITH PROTEIN During week two you may start to feel some hunger pains. Continue to stick to your surgeon’s recommended diet. Your diet may include all items from week 1 plus: Protein powder mixed with a sugar free non-carbonated clear liquid. Sugar free pudding. Soup with soft noodles. Non fat yogurt. Carnation instant breakfast. Look for the sugar free option. Very thin creamed soups. No chunks. Sugar free sorbet. Very watery hot oatmeal. Check the sugar content. Diluted no-sugar added juice. Sugar free, nonfat ice cream Thinned applesauce. Check sugar content. WEEK 3 – SOFT PUREED FOODS Week three after gastric sleeve surgery is tough. But the good news is that you can start adding some real food into your diet, albeit pureed. You still need to be careful to limit sugars and fats. The goals for week 3 include: Get your 60 grams of protein per day Eat slowly Introduce new foods one by one. Food may taste differently and will be tolerated differently than they were before surgery. You may find that dairy is harder to digest. It’s recommended that you introduce new foods slowly. Give your body some time to react to each new food. By doing this you’ll be able to identify foods that are causing gas, stomach upset, and/or diarrhea. The foods listed below are typically acceptable for week three after surgery. 1 protein shake per day. You can now blend them with yogurt or non-fat milk. Almond milk or coconut milk makes a great protein shake. Hummus Cottage cheese (low fat) Soft cereals – Let your cereal sit in the non-fat milk until it’s soft. Soft vegetables – steam or boil them until they are soft. Soft cheeses – limit these, they are typically high in fat. Ground chicken or beef. Add some beef or chicken stock to keep the meat soft. Soups Scrambled eggs – these are a great source of protein. Soft (steamed) fish. Remember to chew well. Canned tuna and salmon (you can add low fat mayo). Great source of protein. Mashed fruit. Bananas, avocados, and canned fruit (watch sugar content). You should avoid the following foods: While smoothies are ok, limit their sugar content. Sugar Starchy foods like pasta, rice and bread. Fibrous vegetables like celery, broccoli, asparagus, raw leafy greens. WEEK 4 – INTRODUCING FOODS! You’ve followed your diet up to week four. Now it’s time to start introducing real foods. Your sleeve and stomach are still sensitive, so go slow and remember to chew each bite thoroughly. You’re done with pureed foods, but you should continue to look for softer versions of food during this week. Continue your daily protein shakes Introduce chicken and beef very slowly. Ensure you chew thoroughly. Any type of fish. Fruits Vegetables (it’s still recommended that you cook these to soften them a bit). Sweet Potatoes Mashed and baked potatoes. Cereal Caffeine can be introduced. It’s recommended that you limit this. You should avoid the following foods in week four: Sodas Fried foods Fibrous vegetables (i.e. celery and asparagus) Sugary drinks Candy Dessert Pastas and other high carbohydrate, low nutrient foods (pizza). Whole milk and other whole milk dairy foods. Nuts WEEK 4 HEALTHY SNACKS While it is recommended that you only eat 3 small meals each day and hydrate in-between meals, you may need a small healthy snack. If your surgeon approves this, the items below make healthy snacks. Hummus with rice crackers or softened (boiled and cooled) baby carrots. Hard boiled egg. Quarter cup of oatmeal. Quarter of a baked sweet potato (or microwaved) Banana Strawberries or fresh fruit. WEEK 5 AND BEYOND Continue to introduce foods one by one to see how well they are tolerated. Watch out for constipation, diarrhea, and upset stomach. Eat three small meals every day. Hydrate throughout the day. Stop drinking fluids 30 minutes before each meal. Avoid snacking. If you do, choose a nutrient-dense food (fruit, vegetable, nuts). Take your recommended daily vitamins. Ensure you get 60 grams of protein. Supplement daily with a protein shake. Incorporate exercise into your daily routine. Make it a habit. Avoid sodas. Prepare for bad days. How will you cope when you are in a difficult situation? Find an accountability partner. Go to a support group and make friends that you can call. 6 TIPS – HEALTHY EATING AFTER GASTRIC SLEEVE SURGERY Choose foods that are nutrient dense. Bread is not nutrient dense. An apple, banana, fish, etc. are nutrient dense foods. Do not drink your calories. It won’t fill you up and most caloric drinks are filled with sugar. Expect an emotional roller-coaster. Don’t let food be your comfort. Create a plan. Chew your food thoroughly and take your time eating. Plan what you will eat if you’re going out. Ask for half the portion size at restaurants. You may get a discount and you won’t be tempted to overeat. Make water your new best friend. Drink it regularly throughout the day. Buy a reusable 64 oz bottle that you can carry to work with you. Make sure you finish the entire bottle each day. But remember not to drink with meals (this helps prevent stretching your pouch).
  18. I was on Depo for a few years in my 20s. I gained weight while using it, but I don't know for certain that it was related to the shot. I also stopped due to the bone density concerns, especially since my mom was diagnosed with osteopenia around the same time. At the time of my second c-section I had a tubal, so that's been my birth control since surgery. I think I'm going to have to get either an endometrial ablation or the Mirena IUD again, though, because my bleeding has been really excessive since I lost weight.
  19. OhMyGracious!

    One Week Check UP

    I am one week out today. I’ve lost 5 pounds and 8.5 inches. Consider measuring yourself because scales are not the only indication of success. Find non-scale victories to help remind you that you are successful. Almost a pound a day is amazing. Think about your highest weight, pre-op diet weight, surgery day weight to now. Proud of you!
  20. Healthy_life2

    I keep seeing you can have sugar

    Some links about the sleeve that may help. Sleeve diet guide: https://www.obesitycoverage.com/the-big-gastric-sleeve-diet-guide/ Sleeve reference manual https://www.obesitycoverage.com/gastric-sleeve-reference-manual/ bypass https://www.obesitycoverage.com/category/weight-loss-surgeries/gastric-bypass/ duodenal switch https://www.obesitycoverage.com/category/weight-loss-surgeries/duodenal-switch/ Mini gastric bypass https://www.obesitycoverage.com/mini-gastric-bypass-the-good-bad-and-ugly/ gastric ballon https://www.obesitycoverage.com/before-and-after-your-gastric-balloon-complete-guide/
  21. Yes. However I usually check the health inspection reports of any restaurant I patronize.
  22. FancyChristine15

    Advice for people taking care of you

    Just make sure you have the right things for you to eat/drink right after surgery. I think the best thing that they can do for you is to let you take care of yourself. I did, and I think it was the best thing for me. I had to get my own water, jello, let my dog out, etc. I think that got me up and healed faster than laying around would have.
  23. Today
  24. Sberryblond

    April 2019 Surgeries!

    We’re almost surgery twins! My surgery was April 15 and I had a VSG. I’m 5’1”, starting weight was 227, day of surgery weight was 216, and my goal weight is 145-150. I hope things are going well for you! I can hardly wait to get to my puréed food stage lol I’m already sick of all my fluids! I haven’t had any issues. How have you done so far?
  25. MaureenAnn

    BUffalo NY

    Hi all. I am trying to decide between our 3 hospitals for my sleeve operation. All 3 ( ECMC , Buffalo General and Sisters ) accept my insurance. I only know one person who went to ECMC and she loved it. How did you choose which surgeon to go to ? Thank you.
  26. Frustr8

    Gallbladder Warriors! Sound familiar?

    How many times have I heard " Well, everything LOOKS fine" and I tell them not everything feels fine or works fine, 80% of the time I am the one correct! Pretty good gambling odds, if you don't feel in your gut things aren't RIGHT, trust it, often your mind can be fooled but you have an inate wisdom about YOURSELF.
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