gottaloseit708

It took about 2 days once it was in their systems, however my Drs. office sent it certified returned receipt and they actually received it 2 weeks prior to that.
The only required a letter of "medical neccesity" from the Drs. office.
I kept calling Humana but they will NOT tell you anything over the phone. It wasn't until I received a letter in the mail, my Drs. office received one as well.
Humana Rocks!!!

There’s no doubt weight loss surgery helps you eat less. Whichever type you get replaces your regular stomach with a smaller pouch (or stoma or sleeve). But your struggle with food isn’t automatically over the minute you get out of surgery. The sooner you accept and confront this, the more weight you can lose, and the easier your weight loss journey is likely to be.
Whether you get the adjustable gastric band, gastric sleeve, gastric bypass, or another type of Weight Loss Surgery, your Weight Loss Surgery is a restrictive procedure. It helps you fill up sooner, stay full longer, or be unable to tolerate certain foods. (And yes, some procedures such as the gastric bypass are malabsorptive – they reduce nutrient absorption – but all of them restrict food intake).


The Struggle Often Continues
For some patients, Weight Loss Surgery can lower your interest in food, so you are not constantly thinking about it. There’s no question Weight Loss Surgery can help you gain control of your eating, but it’s unlikely to eliminate your struggles with food disappear. A few lucky Weight Loss Surgery patients really do stop being tempted by food. The rest, who make up the vast majority of Weight Loss Surgery patients, continue to struggle.
You still may be hungry, enjoy salt, fat, starch, or sugar, or be tempted to use food as an emotional crutch. Your family members may continue to insist on keeping high-calorie foods in the house, or pressure you to eat things you shouldn’t. Your friends may still be going out to eat and inviting you to join them in ordering high-fat, high-sugar items.
“Why Me?” Isn’t Appropriate
It’s easy, even natural, to think of yourself as unlucky. Why should you have to struggle with food? Why should you have to monitor every bite you take, while some people don’t? The fact is, almost everyone does. Ask almost any skinny person how they stay skinny, and you’ll get some variation of the same answer: “I work hard for it.”
Just like you, they are aware of what goes into their bodies. They sometimes may be hungry; they sometimes may want to eat more than they should. But they, like you now, take responsibility for their decisions. They may:
Skimp on portions if they over ate at the previous meal.
Choose healthy foods first.
Have a strategy for dealing with emotions and boredom that doesn’t involve eating.
Have a support system that promotes healthy behaviors.
Accept It and Manage It

If you find you still have a rocky relationship with food after weight loss surgery, don’t conclude that WLS didn’t work for you. Instead, accept that you will need to fight the cravings and urges for months, years, or life, and start making a plan. Don’t be afraid to ask for help in developing strategies – whether you ask other BariatricPal members or an always-thin person you admire!
Persist in Order to Get the Answers You Need
We all want to be able to trust our doctors. You want to believe your surgeon takes care of all aspects of your Weight Loss Surgery, including your post-op, long-term nutrition. But it doesn’t always happen like that. Nutritional counseling may not be part of your surgery package, or you may only get a limited amount of generic information.
Or, your surgeon may simply not know how to help you nutritionally. Remember that many doctors have no more than an hour of nutrition education in medical school. To become a weight loss surgeon, doctors need to learn surgery. There is no dietary education requirement.
If you need help finding strategies to satisfy hunger – physical or head hunger – and your surgeon and primary care doctor are not able to help, keep looking. A session with a nutritionist may be more affordable than you think, and worth every penny.
Your Emotional Support System and Your Relationship with Food
The support system you built so carefully can come in handy right about now. Take advantage of your ability to talk to a therapist or psychologist if you have one to bring up your concerns. Discussing your ongoing struggles with portion sizes, food choices, and over-frequent nibbling with a mental health professional can help you come up with some strategies that work for you.
Group sessions are also appropriate forums to talk about food struggles and strategies. Though it may feel embarrassing at first to admit you’re still thinking about food a lot, you will find nearly everyone in that room did or does have that same experience.
Most Weight Loss Surgery patients do not find their surgery instantly eliminates their food struggles. You can take months or years to come to terms with a food addiction, and it may be something you need to learn to live with for life, but in a healthier manner than before Weight Loss Surgery. Be honest with yourself and those around you, and be open to suggestions, and you can figure out strategies that work for you. Do not assume WLS did not work for you!