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possible to stall after 9 day?
DaisyChainOz posted a topic in POST-Operation Weight Loss Surgery Q&A
Hi guys, I had my Sleeve 9 days ago, and am averaging 430 cals per day. Trying to get my 2 litres of water, but mostly 1.5 or so. Still on liquid diet, having one shake in the morning and 2 x 125ml (half cup) serves of home made soup with protein powder for lunch/dinner. At first the weight was falling off at .5kg (1lb) or more a day. but the last 3 days it hasn't dropped, in fact this morning it was 200 gm (half lb) up. Not panicking, I know that there will be stalls, but I didn't think at this early stage 🥲 I also know I probs shouldn't weigh everyday, but I *have* to 😝 Today I thought I might try to up the cal intake a bit and get a bit more steps in. Anyone else have this so early? -
So, I'm 6 months post op as of yesterday, and while maybe TMI, I'll say that I have not been this horny since my early 20's (I'm 35 right now). Not that I've ever had a low sex drive, but not only am I horny all the time, post weight loss things are now visibly bigger, I last a lot longer, and have found new angles lol.
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Surgery date Jan 22, 2025
ShoppGirl replied to Monica_54's topic in PRE-Operation Weight Loss Surgery Q&A
We can probably all remember the nerves. It’s a journey for sure but you will be a few months out and in a new groove before you know it and well on your way to a healthier version of yourself. Take measurements and pictures now and along the way and maybe even write a letter now to your future self to read when the weight loss slows down to give you the motivation to keep it up. Answer the questions of what is your reason for doing this and what your wishes are for your future self. The mental is just as important as the physical in this so journaling and logging your progress using something other than the scale can be really helpful. -
Food Before and After Photos
Lilia_90 replied to GreenTealael's topic in General Weight Loss Surgery Discussions
Breakfast (2.5 hours post a weight lifting and jogging session) 1 slice protein toast, 4 slices turkey breast, lite cheese, spicy mayo, lettuce and jalapeños. How I did: Had the rest an hour later. Approximately 314 calories for the whole thing. Also had a protein shake 1.5 hours prior. -
Weightloss being noticed: dealing with comments from others?
Boogie Bev replied to lily06's topic in Gastric Sleeve Surgery Forums
I like the compliments but I also use it as fuel to stop eating and to keep trying. After all the nasty rude comments this is a welcome change to my ego and when I’m exhausted and exercising I focus on the good changes and push on. After my surgery I hit an almost 4 weeks of no weight loss. It was heartbreaking and I almost gave up. Those positive comments kept me trying and sticking to the diet. My problem was I was on the wrong type of protein supplement but it was torture. Take the compliment as a positive. I tell people I will be the grandma on the beach wearing a thong and looking fabulous . YEAH. -
Modified Duodenal Switch
ShoppGirl replied to Lara in Arkansas's topic in Duodenal Switch Surgery Forum
For me the recovery was a great deal worse with the SADI than the sleeve but it was just gas. I think the gas thing is hit or miss and some of us are just unlucky. With my sleeve I was up walking in recovery and home the next day off pain meds and having to be reminded that I just had surgery and to take it easy. After SADI I was literally crying, begging the nurse for more pain meds after five days of not passing gas. It was awful until one morning I passed fade like 5 or 6 times and with each one I felt more and more relief. I honestly don’t think that pain medication does anything to touch the gas pain and if you are unlucky and get it stuck somewhere bad you just gotta deal with it unfortunately. My revision was robotic assist and the sleeve was not. That’s the only real difference. Same surgeon. Same incisions. Similar starting weight. But night and day difference in pain. I did get my gallbladder out with the revision but it was the gas pain that was the issue. After that it was about the same. -
10 years post-op accountability partner needed
Arabesque replied to healthygirlsd's topic in Gastric Bypass Surgery Forums
Have a look at Dr Matthew Weiner’s Pound of Cure website and podcasts. He has excellent information, books (incl the metabolic reset diet) and online nutrition classes you can sign up for. They also have support groups you may find helpful too. Personally, I wouldn’t go back to the pre surgical shake diet. (I’m with you, those shakes are disgusting.) Instead go back to how you were eating once your weight initially stabilised. That calorie load was appropriate for the weight you were so will be a deficit for what you are consuming now therefore weight loss will occur Focus of your protein goals eating protein first then vegetables and finally any complex carbs as you are able. Ensure you’re getting your fluids in. Aim for lowish carbs, low sugar (real, artificial or alternatives), lower fats & add a little fruit. Check your portions, try to eat regularly & watch snacking. Track your intake even from now so you can see where you may need to make adjustments. You can start slowly by focussing on one modifying one or two aspect s at a time then two or so weeks later add another change. -
So Scared Now, Please HELP!
DaisyChainOz replied to Bugg's topic in PRE-Operation Weight Loss Surgery Q&A
I second everything said by @Bessieboop1981 I was also sleeved 8 weeks ago, and have found it hard at times to deal with the head hunger and the change to my body and lifestyle (former chef and pastry chef) Food has been a HUGE part of my life for a long time, and now it is not so much! But that doesn't stop the desire! The physical pain of overeating is very real post surgery, I can not eat much at once, and sometimes grieve that, but I do know that after trying to lose weight my whole adult life, this is the only thing that will help to control the volume I eat. That is what I was after, the handbrake to stop me overeating, but it is only a tool, the fact is you need to be ready emotionally. The physical risk factor of Gastric Sleeve is minimal, however, as said above, all surgery has risks including serious complications and even death and this has to be weighed against the potential benefit. Only you can know if it's worth it to you. I also wish you well! -
Help! I need to decide on a breast size before I’m done losing
ms.sss replied to ShoppGirl's topic in Plastic & Reconstructive Surgery
something to note that i discovered many women (and men) don't realize is cup size is not static across band sizes (sorry if you do know, i just got the feeling that this wasn't clear in the thread above...) anyway... the amount of "boob volume" that can be stuffed into a 36C is actually LESS than the amount you can stuff into a 34C. along the same lines, that same 36C boob is larger in VOLUME than a boob in a 38C. sooooo... 3 women with bra sizes 34D, 36C, and 38B actually all have the same size boob (if they are wearing a properly fitting bra of course), however their TORSO sizes are different. with that said, 1) @ShoppGirl its reallllllllllly hard (impossible?) to tell what size you will be in the future. on top of that, it's equally (more?) difficult to determine if you will stay that way. 2) i do understand that you have a decision to make (under time crunches and duress, omg) but like everything else on here, its reallllllllyy hard to compare yourself and your outcomes to others cuz, well, you know... but since you asked, here are my deets: btw, 28D is like a unicorn to find in a retail store...i just get the sister size of 30C (which isn't that easy to find either, but at least better than trying to find 28D!) i didn't keep meticulous records of my changing bra size during active weight loss, so i can't say how quickly i changed bra sizes. i dont think i even bought a new bra during weight loss phase, just kept wearing ill fitting ones or none at all, ha. not sure i was any help here, but it there is anything to take away from this data of my sample of ONE, is that if you shrink proportionately as you lose weight, you will stay the same bra size (remember 28D has same boob volume as 30C, just smaller torso, which has nothing to do with implant size)...now, will you shrink proportionately? who even knows. 3) lastly, in my insignificant opinion (i mean i am just a stranger on the internet), if it were me, i would opt to err on the side of smaller vs bigger. i can always wear a padded bra if i wanna go bigger afterwards, but not much i can do to make a set too-big boobies smaller. good luck! ❤️ -
Post Duodenal switch Sadie
TryingtoloseTom replied to TryingtoloseTom's topic in Duodenal Switch Surgery Forum
Thank you very much! Congratulations to you as well for your successful journey. It's amazing to finally be free of the fat and, more importantly for me, the addiction to food and the total control/power I have over food now. It's seriously my lifelong dream at 55 so staying motivated was baked in.. Thank you again. I am sure I didn't elaborate or explain my reasons enough but actually I am concerned about slowing down the weight loss. I still eat very small portions and am worried it would be hard to sustain on just protein, without carbs. I like my body running more ketogenic than carbed up with the ups and downs of carbs. Without adding fat, and with our malabsorption aspect of the surgery, I am wondering if its possible or not so much..If I am being honest, at 240lbs, I started eating dirtier with carbs to try and stabilize at 240 until I got my knee surgeries, but then just dropped another 20+ within a month and a half or so. My steps and activity increased, small by normal people standards, but a lot for where I have been, after I got another Cortisone shot to the knees. This just illustrates my concern once I reach goal weight and I am rucking, hiking, and lifting. Those three things will be lifelong for longevity and mobility going forward. Obviously everyone is different as far genetically and such, but I have been extremely low calorie, plenty of short fasts up to three days, and have plateaued at certain points during my weight loss, and after doing a refeed with carbs and basically whatever I want to eat, I recharged my metabolism for another huge run of weight loss. The refeed was usually only a couple days to a few days but less than a week. Now with this approach remember I am lifting weights. I mean hard as I can weight lifting 4 days a week. It sucks! Low energy lifting is not fun but the recomp.. I really believe the built-in calorie burn from lean muscle mass is the most efficient way to permanently stay in shape. Male or female doesn't matter. IMHO if your metabolism is slow and you are struggling with the last few pounds, I mean the literally like 5-10 pounds from goal BF, man or woman, start lifting weights. The body recomp will floor you. And that weight or really I think just your body composition after significant weight loss without adding lean muscle mass leaves you looking(Sometimes) like a no muscle bag of skin. Flat. It's not fun but the results.. Anyways thank you for the reply and just to make clear if any of the vets care to weigh in, the WLS gave me the tool, the only tool I will ever need again to lose weight. It's so powerful for me that I need to think about slowing down my weight loss combined with, if possible, being low carb and more ketogenic as a lifestyle choice I prefer. I just don't know if low carb is sustainable without the fat calories. that specifically is what I am looking for. Does anyone prefer low carb/ketogenic after surgery and is it possible? I already realize that fats can be problematic, is anyone doing carnivore after DS Sadi. Not my preference but the only option it seems for low carb without the keto fat plan. Thanks in advance for any tips. -
Help! I need to decide on a breast size before I’m done losing
ms.sss replied to ShoppGirl's topic in Plastic & Reconstructive Surgery
something to note that i discovered many women (and men) don't realize is cup size is not static across band sizes (sorry if you do know, i just got the feeling that this wasn't clear in the thread above...) anyway... the amount of "boob volume" that can be stuffed into a 36C is actually LESS than the amount you can stuff into a 34C. along the same lines, that same 36C boob is larger in VOLUME than a boob in a 38C. sooooo... 3 women with bra sizes 34D, 36C, and 38B actually all have the same size boob (if they are wearing a properly fitting bra of course), however their TORSO sizes are different. with that said, 1) @ShoppGirl its reallllllllllly hard (impossible?) to tell what size you will be in the future. on top of that, it's equally (more?) difficult to determine if you will stay that way. 2) i do understand that you have a decision to make (under time crunches and duress, omg) but like everything else on here, its reallllllllyy hard to compare yourself and your outcomes to others cuz, well, you know... but since you asked, here are my deets: btw, 28D is like a unicorn to find in a retail store...i just get the sister size of 30C (which isn't that easy to find either, but at least better than trying to find 28D!) i didn't keep meticulous records of my changing bra size during active weight loss, so i can't say how quickly i changed bra sizes. i dont think i even bought a new bra during weight loss phase, just kept wearing ill fitting ones or none at all, ha. not sure i was any help here, but it there is anything to take away from this data of my sample of ONE, is that if you shrink proportionately as you lose weight, you will stay the same bra size (remember 28D has same boob volume as 30C, just smaller torso, which has nothing to do with implant size)...now, will you shrink proportionately? who even knows. 3) lastly, in my insignificant opinion (i mean i am just a stranger on the internet), if it were me, i would opt to err on the side of smaller vs bigger. i can always wear a padded bra if i wanna go bigger afterwards, but not much i can do to make a set too-big boobies smaller. good luck! ❤️ -
6 months post op 4 months of stall
TwinkleToes87 replied to TwinkleToes87's topic in Gastric Sleeve Surgery Forums
I agree with you, I definitely feel so much better and in less pain! I just can’t believe for 4 months I’ve been in this stall when it seems that the first year is major weight loss for most people 🥺 I do have regular check ins with my dietician and have been following the advice they give and they also suggested adding some calories but it’s hard to fit in my stomach. But no excuses I gotta do it. Just frustrating and no one on my care team seems to be alarmed or offer any medications even though it’s been 4 months of this. lol -
Help! I need to decide on a breast size before I’m done losing
SpartanMaker replied to ShoppGirl's topic in Plastic & Reconstructive Surgery
Well, as a guy I obviously have no real experience here but I wanted to point out a male perspective. My experience is that breast "size" is relative to overall body size. What I mean by that is proportionally a C cup can seem quite big on a 5 foot tall 100 pound gal, whereas a DD cup might seem small on a 6 foot 250 pound woman. What the majority of guys like is just for a woman to look proportional. There are certainly exceptions (afterall people like what they like), but the majority of guys probably prefer something in the middle, thus not super small and not super big. If you have a significant other right now, you might ask for their thoughts here? If not, I'd definitely recommend going no larger than a D cup as that can look normal at almost all the weights you're likely to land at based on your height. In other words, I think your initial gut feeling that a C or D cup will be right for you is spot on. As to weight loss and where you "should be", it's all up to you. This whole idea that you will eventually stop losing at some number of months or percentage lost post surgery is based on averages, not science. I also think if you were to poll people here, you'd find that almost all of us tend to set initial goals much higher that what is attainable, so for those that have gotten into a "normal" range, we've probably adjusted our goal weights down at least once, it not more. In my own case, I initially set my goal for 200, partly because it's a nice round number, and partly because that was lower than I remember ever being as an adult. Once I blew through that, I adjusted down to 180. I'm leaving my "goal" there at this point because I'm now focused on body recomposition. In other words, I'm trying to add some additional muscle and lose a bit more fat. Per my last In-Body scan, I'm at 13.5% BF and would like to be sub 12%. (Lean, but not shredded.) That would put me in the 165-170 range, but I want to also add roughly 8-10 pounds of additional muscle, so I'll leave the goal where it is for a while. Let me close by saying I'm in awe of how well you've been handling the cancer diagnosis and treatment! I think I would have have completely fallen apart had I been in a similar situation. I know many of us here are rooting for you. -
What to say to friends who think that surgery is “cheating” or lazy
NickelChip replied to GmaBecks's topic in Gastric Bypass Surgery Forums
"Surgery is cheating? Oh no! I didn't know there were rules. Have I forfeited my eligibility to be awarded a weight loss trophy? I guess I'll just have to take looking good in my clothing and not dying prematurely as a consolation prize." "You can either be supportive of my decision or you can stop talking because I didn't ask for your opinion and am not seeking advice at this time." "Oh, is today the day we're sharing what we disagree with about each other's life decisions? Hold on, let me go get my list. I've got a few things for you that I'm sure you'll want to hear." The bottom line is, you have the right to live your life the way you see fit. The people making comments like this are not trying to be helpful. They are trying, even if they don't realize it themselves, to control you and take away your right to do what you feel is best for you. When you try to explain and convince them, you play into the idea that they have a right to tell you what to do or that you need their permission. What they don't expect is for you to have the confidence to laugh in their face at their audacity and tell them point blank to get back in their own f*ing lane. And they will not like it one bit when you do, but it'll feel pretty fantastic on your end. -
HEAVY Weightlifting is a GAME CHANGER Ladies!!! Pics included!
Hiliaryw replied to Kat2013's topic in Fitness & Exercise
I am 7 months post op and have ben lifting "heavy" for about 3 months now. i am trying to follow a body recomp plan but its been so hard to dial in the right macros, especially when i do loose. I just had a meeting with a dietician who told me i should stick to 1000 calories a day but i am in the gym 2x a day plus i am very active outside the gym as well. im not a competing athlete of course, im still very over weight, but i am pushing my body harder than ever before and i just don't think that my personal trainer or doctors recommendations are correct. one is only thinking about the size of my stomach ( i had bypass) the other is only thinking about the extreme amount of activity. i feel best between 1200 and 1400 cals however my trainer wants me at 2050 and the bariatric dr.'s dietician says 1000. when you were starting out did you eat back the calories burned while exercising to maintain your calorie deficit ? i see so many people saying contradictory things but most haven't had the surgery. id be interested to know what worked for you because your progress is amazing! -
1 Year Post-op 🎉🎉
AmberFL replied to Bypass2Freedom's topic in General Weight Loss Surgery Discussions
HOLY ISH! A year already?! Time has flown! I still remember the beginning of your journey and those first posts—wow, you've come so far and done so incredibly well! I'm seriously so proud of you!! I totally agree with @SpartanMaker—maintenance is no joke, and exercise really does make all the difference. Weight lifting has been key for me too. It helps so much with maintaining, even more than cardio sometimes. Build that muscle and you're burning calories just by existing. Cardio is still super important,! I’m still figuring out maintenance myself, but my workouts have been consistent and even through my 2month spat of not being able to get my nutrition in control, making sure I kept up with exercise has been key I have been consistently doing this and its been great: 35–45 minutes of strength training, 5 days a week, At least 30 minutes of cardio daily (treadmill, dog walks, biking—whatever tickles my fancy), 2 lower body days, 2 upper body, 1 full body and one day a week my doggy and I do a 5-mile walk (she gets a walk every day, but that’s our long one). You’ve been so fabulous through this whole process, and I can’t wait to hear about your continued journey! -
While I have always been an avid exerciser (think everything from running, cycling, weight lifting, marital arts, HIIT, hiking ...etc.) I have always taken up a supplementary form of exercise that is fun and that I looked forward to. A few years ago I played tennis twice a week, then hiking, then taekwondo (reached the blue belt then had a very bad ankle injury that cause a lot of my weight gain), now I do Pilates twice a week in addition to my gym routine and these two sessions are the highlight of my week. Once you find something you enjoy be it tennis, padel, hiking, cycling, swimming or even walking it will be easier to build on that routine and do the things you don't so much enjoy (like weight lifting for example). It is also always good if you have a group you can exercise with (or play certain sports with) or a gym buddy. I also made sure to build a gym studio in my new house and that has been wonderous, I wake up early and workout and don't need to worry about the commute or how to shower and do my hair before work, so a set of dumbbells and a bench at your home can do wonders (if you have that option). I was always asked by friends and family why I am so adamant and a freak about my exercise regimen and if I get bored or sick of it, and my answer is I do it more for my mental wellbeing than for my physical appearance. Nothing comes close to that post workout feeling, it is literal therapy to me. I love to challenge myself and I love to work hard and feel like I've earned it, and I feel sluggish and not great on days I don't workout. Once you commit to a sort of movement daily, it will become a healthy addiction and the feeling that that brings is euphoric, if I say so myself. Just make sure you start easy and build on that.
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Hurray! We’re off to London this week 🤩 The past couple of weeks have been a little stressful but I managed to get last weeks 2.5lb gain off plus almost a lb more so I’m happy. I just want this to be a ‘normal’ week - no hospital appointments, worries or stressing over weight. I know my weight will go up but so what? We’re having a mini-break in a posh hotel, just the 2 of us. It can give us some badly needed time together where we’re just us, no work stresses (hubby) or health concerns etc. I think sometimes we lose sight of ourselves as an actual person and not a collection of ailments and anxieties over different things. Clothes are out and ready to be packed. I’ve tried to go outside my comfort zone a little and not just take the fat woman’s uniform of leggings and tops! I’m not taking dresses or skirts, purely because I haven’t managed to perfect getting on and off my scooter in a semi-ladylike way without flashing my wares to unsuspecting passers-by 😜 I have tried for a more dressier wardrobe so we will see. Nails to paint this afternoon and then hairdressers tomorrow. It’s nice to have that bit of a pamper (which we all deserve) I did manage toenails yesterday without making a complete hash of it so I will take that as a NSV as I was actually able to reach them, for once! Have a thoroughly wonderful week everyone. Onwards & Downwards!!
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Wellbeing Checkpoint! ✅
NickelChip replied to Bypass2Freedom's topic in General Weight Loss Surgery Discussions
Fingers crossed the lump turns out not to be a concern. I had to have a biopsy earlier in the year for a suspicious finding on my mammogram but so far so good, they just plan to monitor it. Best to get everything checked, but I do wonder if weight loss can lead to some of these irregular findings. I'm a little stressed with Christmas just around the corner. Not quite ready for it and it's gotten so cold I don't want to do anything for the next few days except sit under an electric blanket! Got to get the motivation up for wrapping gifts tomorrow. -
Hey all. I turn 60 in September and surgery date was 5/23/2022. I was my lowest June 2023 at 123.4. I am currently running about 142. I am mad that I gained back what I have. I don’t want it to keep climbing. I am back to using my app and trying my best to keep track of food water and back to race walking jogging every other day and walking the dogs in the park every other day. I hope to regulate the water and vitamins. The vitamins still cause constipation and that for me is serious. I hate taking dulcolax or pills for this. Anyone else having issues gain back? Or the vitamin issue?
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August Surgery buddies
ShoppGirl replied to Averdra's topic in PRE-Operation Weight Loss Surgery Q&A
How is everyone else doing with the cravings post thanksgiving splurge (if you did a little too)? I am having a hard time with all the yumminess still in the fridge. I broke down and had a slice of cake last night and of course feel guilty today. It hasn’t affected my weight because I have also exercised a bit more I guess but I still feel like it’s junk my body doesn’t need -
My Life Changing Experience in Tijuana
kevinmarty posted a topic in Weight Loss Surgery Success Stories
Hi all, my name is Kevin, and I'm new to this board. I just signed up because, for the first time, I think I have a story to share. I've been reading on this board for months as I've been weighing surgical possibilities, and now it's weird being on the other side. I did my gastric sleeve with Renew Bariatics in Tijuana about 4 months back, and I'm at -82 lbs to date. If you're undecided or on the fence—believe me, I'm there. I wasted YEARS jumping around, attempting every diet, every exercise craze, every miracle pill. Nothing held. I'd lose 20 lbs and gain 30. I was at my all-time high last year at 312 lbs, and it started affecting every area of my life—my knees hurt all the time, my energy level was zero, and quite frankly, I just didn't know who I was anymore. I eventually made the decision after my first doctor quite kindly suggested WLS. Insurance here in the US would take an eternity with all the pre-reqs, so I investigated Mexico (fairly skeptically at first). But Renew Bariatrics would keep coming up in every search, and I started watching videos, reading testimonials, even stalking threads here. I ended up deciding to go for it. The Tijuana experience was much better than I expected. The hospital was clean, the staff were nice and genuinely professional, and they were very organized. I went alone (which intimidated me), but I never at any point felt in danger. My coordinator was responsive and the time to prepare me ahead of time, like what to bring and how the day would go every time. Surgery day was actually a blur. I was terrified of heck, but the surgical team made me feel comfortable and at ease. I had no severe complications—only some expected gas pain for a couple of days. The hardest part? The adjustment in my mind afterward. Eating slowly, learning to stop when full, and knowing that food wasn't going to be my crutch anymore took work. Still does. But here's the thing—I got my life back. I can move again. I sleep better at night. I walk into rooms upright. I've still got a long way to go, but this has made such an amazing difference, and I'm glad that I pushed the limits and gave it a try. If you're considering Renew or just need to talk to someone who's gone through it, go ahead and comment or contact me. I recall how valuable it was reading actual people's posts when I was still on the fence. Happy to return the favor. Thanks for reading my long tale—I'm happy to be here! -
Struggling 😔
Bypass2Freedom replied to Bypass2Freedom's topic in General Weight Loss Surgery Discussions
Thank you so much everyone for all the comments - I was really overwhelmed (in a good way) to see so many, and this community really does keep me going sometimes. I am so appreciative ❤️ So, as some of you may know, I am a new driver and I am a bit anxious now I can go out there on my own! I realised I could drive to the gym now which would make things so much easier, in terms of getting there in the morning, so last night I practiced the route there and back and it went well. I didn't manage to get to the gym this morning, but I am trying not to kick myself! Perhaps I do just need to go for a walk first and get my steps up! I also realised I am having PMS so perhaps that is adding to the sudden weight gain & emotional state 😂 Again, thank you everyone ❤️ -
This is the what one Hospital provided me for Gastric Bypass Medicare costs and requirements. One thing I noticed is "Consecutive diet counseling within 1 year of surgery" but did not specify a duration time for the diet. Anyway, thought some might derive some useful info from this. TRADITIONAL MEDICARE Insurance Requirements Primary Bariatric Surgery - covered benefit? Yes Revision/Conversion Surgery - covered benefit? Yes - BASED UPON MEDICAL NECESSITY Special Facility Requirements? N/A Specialty Referral or Authorization required from PCP? ● No referral required for clinic ● Policy Copay Fees Registered Dietician (RD) ● One on One Counseling Session ● Diet Class $0 DX: DIABETES $30 Psychology $0 Specialist ● (Surgeon, APP/NP/PA, Cardiology, Pulmonology, Obesity Medicine Specialist) $0 ● BMI requirements ● BMI >= 40 - OR - ● BMI >= 35 with 1 of the following: ● OSA on CPAP ● TIIDM ● HTN ● Nutrition Education ● Consecutive diet counseling within 1 year of surgery ● Documentation includes weight, diet education, supervised by an MD ● Must meet weight goal set by Dietician to return to see your surgeon and schedule surgery ● Psychology Evaluation ● Clearance within 1 year(s) of surgery (Special considerations may apply, to be discussed if needed) Medical Evaluation ● Letter of Medical Necessity by ANY medical provider Yes ● On his/her letterhead ● Signed and Dated by the MD/DO/RN/ARNP/APP ● Documents previous failed attempts at weight loss ● Lists co-morbid conditions related to obesity ● Additional Medical Clearances no
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I went with the sleeve because my surgeon recommended this based on my age and general health (35, no comorbidities, no history of GERD) I went on the NHS here in the UK so as it was covered by public funds, I only got the choice of sleeve or bypass. I was also hesitant to choose the bypass because my mother had it, had insufficient weight loss and because her operation went wrong and the had to fix something years ago, they couldn't fix a bowel perforation that she had which she died of. So because of her history with that, I wasn't sure that I wanted to go that route. If my surgeon had recommended bypass, I would have chosen that.