IvyLeagueNP

Some go by initial weight, others go by the weight with the last NUT visit. Call insurance company to check or ask someone at your WLS

You need to call your insurance company and ask them. They all vary in requirements. Mine does not care if you lose or gain during the 6 months... the BMI submitted for approval (at the end of 6 months) has to be at least 35 with comorbidities or 40 without.

Sleeve. The center I'm going to no longer do bands. Too many complications.

It will be approved no worries!

Within a year of submitting approval for surgery you have to have 6 months of documented weight loss/nutritional counseling. Sometimes the 6 months need to be consecutive. Check on that.

Before you go Thursday you should call up insurance company and ask them what kind of psych eval is needed... If u simply just need the psych eval for the WLS why did she require 3 more sessions? Sounds like she's trying to make some $$$.

I started my 6 months of nutritionist visits in December. My weight has stayed the same... Which for me I'm happy with as I was on a 40 lb gaining spree over the last year.

I am not required to lose any (some insurances do). My BMI is at 40 and I don't have any comorbidities, so if I lost I could be denied surgery. I've battled w my weight since 3rd grade. Lost weight plenty of times before only to gain it back. I want this surgery as I know it will help me with Portion Control.

I am focusing on drinking enough Water every day, Vitamins, getting the recommended Protein, measuring/weighing, food journaling and being active, no soda, not drinking before/with/after meals... All the things you need to do post VSG.

Great job!!! U look amazing

Awesome results!!!

Welcome!

Luxy hair extensions are really nice too. A little on the pricier side but well worth the quality.

Can Protein Powder be added to your drinks or broth? (Like unflavored). Maybe the extra Protein will help reduce hunger.

mclorrie... If you require a high pressure on the cpap machine sometimes it's difficult to get used to. I'm a nurse practitioner in pulmonary/sleep/critical care. What we do, for people experiencing difficulty with prescribed cpap is lower the pressure and increase it to goal over time. You can request a follow up appointment with whoever is managing your sleep apnea. They can take a look at the smart card in the machine too.

I understand your frustration... On the upside, since your sleep apnea is mild it will most likely go away with weight loss!

Good thread! Have the same build and thighs/hips/butt seem to be stubborn in past attempts at weight loss. This time around I am not going to be so hard on myself about it because the "Kim K" look is "in" lol. I do know what you mean about the deposits. I'm very self conscious about my legs and dread showing them. Have not worn shorts since middle school.

Supposedly some of this can be evened out with skin brushing (check Google- I think that's what it's called). Probably gimmicky but worth a shot. I believe surgery would probably be the only way to target a certain area.

Building muscle under can help w shape. I like doing the bike too. Stairclimber is also good- def works the butt too.

Increasing Water intake may help because it helps to flush your system. Everyone will lose at different rates and little plateaus along the way are normal. It will pick back up!

Hi all! I'm pre-op but starting to practice the no drinking rule before/during/after meal.

I find it somewhat difficult but know it will get easier. Wondering what your personal experience has been with this? Does it become easier after surgery to not have fluids with your meal?

Thanks for the insight!

It depends on your insurance. You should call them up and ask them what their policy is. Some require a BMI of 40 (if there are no comorbidities- high blood pressure, diabetes, sleep apnea, high cholesterol...) if comorbidities then at least a BMI of 35.

If they require months of nutrition counseling the weight they go by is the last month. So you would need to have the required BMI at that point.

I got the test results from my sleep study yesterday, and I'm shocked it came back negative for sleep apnea. I snore so loudly that my husband can't get to sleep unless he goes to bed half and hour before me.

What a shock and a real set-back to my getting approved with a BMI of 37. My insurance coordinator suggested I make an appointment with one of the doctor's at the sleep center to get a consult and see if we should do the test a second time. Beyond approval for the sleeve, I also just want to be sleeping better! I am tired all of the time and wake up with wicked headaches.

You should ask them what your sleep efficiency was... If for some reason you didn't have a lot of time in REM then you might not have had enough apneic events on the test. Did the sleep center have you come back to explain the test results?

Best wishes!!!!

I think one of the harder things is the no drinking with meals... Maybe start practicing that. No fluids 15 mins before a meal/during/30 mins after.

Start tracking your food.

Measure everything.

Chew chew chew.

Your weight at this point should not matter. You probably had to have a bmi of 40 without comorbidities for surgery approval. If you have a surgery date they approved you so you have nothing to worry about.

June!

Hopefully the time will go by fast for us! just keep thinking- by the holidays we'll have lost noticable weight and next summer will be much more enjoyable!

Are you required to lose weight for your insurance to cover the surgery? I haven't lost any and I'm on month 3. I'm not required to lose weight but it would be nice. The dietician said they don't care about the numbers, they just want us to start incorporating the post op behaviors before surgery so we're already accustomed to it (protein and Water intake, exercise)