erp

Minus 117 pounds

The first is in March 2012 when I was in Bali. The second was in July and much less exotic because I was at work but wow I look better! I was sleeved in May.
I will need to get an updated photo the weekend.

I won't miss being tired and out of energy all the time

I won't miss being the largest person in the room

I won't miss feeling my breasts rest on my stomach when I sit down

I won't miss sweaty chub rub or sweating through my pants/skirts when sitting for a long time

I won't miss people giving me a wide birth then they walk by

This may help you some. The 46 will be somewhere between those last two pens. You can see the difference between the sizes is really very little until you get to the 54. Somewhere in there you start to get into the stretchy part of the stomach which is what they want to avoid, so you may ask about that.
Also, i was told by my surgeon's office that the real success of this surgery is based on the removal of the Grehlin, which is that hormone your stomach produces that tells you that you're hungry. Many people with the 40fr are doing just fine. I've never seen anyone on here with a 46, but there could be. Just ask him about all of that. See if you can talk to some of his patients.

I am in the same boat. Fortunately, I am with a small employee funded insurance, and have been for almost 10 years. They have said that they will take a look at the sleeve if it is better for me... we shall see. They have covered all of the problems that I have had due to my weight problem including medicines and several surgeries. I am hoping that those problems will convince them that the sleeve is for me. My surgeon is writing a letter stating that it is the best option for me. Fingers and toes crossed!

My new insurance was the same way. My surgeon had to write them a letter explaining why the sleeve was needed and it worked. First time they always deny it and tell you bypass or band. Its a game and you have to play it to get what you want. Don't give up. Play the stupid game.
I have worked in healthcare for over 25 years and have seen the changes to patient oriented services to the demi gods deciding who gets whats and it sucks.
Heres something most don't know, the people making those decisions aren't even qualified to make them. They are just people off the streets hired into the positions, no medical knowledge or experience whatsoever. Damned scary.
Insist on the sleeve I did and I would not have had the surgery if I couldn't have gotten it.

The whole bariatric Center is not unique to Healthnet. It is not that bad; however, they will probably have a set of requirements. Find out who their centers of excellence are and locate a physician that has worked with healthnet in the past and talk to their insurance coordinator. They will be best able to advise you.