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How to get information before acquiring specific insurance
RickM replied to AmandaD.'s topic in General Weight Loss Surgery Discussions
Most insurance companies will have a "policy bulletin" (or some such term, that was Aetna's) for weight loss or bariatric surgery on their website that spells out the details of their requirements to qualify. BMI of 40, or 35 with certain comorbidities, and a psych evaluation are pretty much industry standards - they all do that. More specifically, they will get down to what procedures they cover (and maybe some that they specifically do not) and what other hoops they want you to jump through - a three or six month diet program of some kind is fairly normal, but not always, and they will spell out what they require from those. Some companies or policies may limit you to one bariatric procedure for a lifetime, and others don't. Beyond that, your surgeon or PCP may have other requirements to sign off on depending upon your health history - clearance from a cardiologist, pulmonologist or other specialist - and the surgeon or hospital program may have specific diet requirements or nutrition classes of their own. While being eager to get this over with, I wouldn't necessarily shy away from a six month diet requirement, depending upon how it's structured. Done well, either with a good RD's guidance or self guidance, correcting old bad dietary habits and establishing new healthier ones pays off in the long run, as that is really what helps to keep the weight under control in the years ahead; a quickie diet to lose a few more pounds (maybe) the first couple of months or pre-op isn't of much long term value. -
I hit my first stall at the three month mark and stalled for 3 weeks. After that I was a chronic staller and had to fight for every pound. Stalls are fairly normal. They happen. Having as many stalls as I had is not normal so you'll likely be fine and not stall as much as I did. But yeah, it's just your body readjusting itself. It'll likely happen a few more times in your journey. I'd say to try not to stress about it, but from experience all I did was stress so...
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One friend was back at a desk job after a week. Another took three weeks. Me, I took four. My blood pressure was very low (always a tendency pre surgery), my thinking was doughy & my energy was low. You can never really predict how you will recover. You may find it helpful to keep your return to work flexible with your employers just in case. Like have a second week off available if you need it &/or part time/reduced hours options available too.
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How to get information before acquiring specific insurance
SpartanMaker replied to AmandaD.'s topic in General Weight Loss Surgery Discussions
Sorry you're having trouble getting the info you need. It might be that all the plans require the same pre-op stuff? In my experience, it's the employer, not the insurance plan that ultimately determines coverage requirements. For example, I currently have United Healthcare Choice Plus-HSA and had the same thing with my previous employer. One wanted six months of dietitian visits and the other only three months. -
How to get information before acquiring specific insurance
AmandaD. posted a topic in General Weight Loss Surgery Discussions
Hello everyone! Currently I am not under my employers insurance plan yet. They list three different companies/plans: Aetna Choice POS ii (open) Blue Cross Blue Shield PPO United Healthcare Choice plus I am trying to get more information in the months to come on specifics (pre op requirements, if I need to go to a "center of excellence", etc.) I spoke to my job's HR dept. and they only gave me their medical benefits PDF which includes a very vague breakdown of their own requirements (BMI over 40, nutritionist, psych, physical commitment) other than that they just state to add whatever requirements are listed on the specific insurance policy. I thought it would be as easy as just calling these three companies and asking them their requirements based off of specific plans and I keep getting the run around. Most state that they can assist until I have enrolled so they can see specifics, but my jobs HR states I should be able to call and ask ahead of time. Do I need to wait until I enroll? I was hoping to call each company so I can compare/contrast pros/cons (I would prefer only needing 3 months of dietician, etc. rather than 6, etc.) but it seems I have to just (sort of) blindly pick one and hope for the best? I guess I assumed that each plan has it's own specific requirements set it stone, and then possible other ones that my job may add in... just seems a lot more difficult to try to get everything organized before diving in. Thank you!! -
Welcome to the July Peeps and also to the site. I'm sorry about your stall. That has to be frustrating going that long without the scales moving. After I lost 12.6 in week one, I lost 5.6 in week two and only 2.6 in week three. I need to be happy that I''m 20 lbs down but it feels like my progress has slowed to a crawl. At my 2-week post-op visit my surgeon told me not to worry about it. It's temporary and my body was going through changes. Many on the forum have mentioned a "Week 3 stall", so you are not the only one this happens to. It's temporary and you should break out of it soon.
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I’m right around the three month mark post surgery and I’ve hit a stall. Is this common around this point? I’ve lost 35 lbs since my surgery date.
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Seems strange. What did your nutritionist say? Are you tracking your food, know exactly how many calories you are taking in? Three months out, why are you only getting 30g of protein a day? How is your fluid intake? My plan allows me all foods also. My dietician stresses a balanced diet with some thing in moderation. Always focus on protein and veggies first and then add some carbs if I can. I track every single thing including fluids to make sure I am staying within my allowed calories/macros and hitting my goals.
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Monthly weigh in and measurements
catwoman7 replied to liveaboard15's topic in Gastric Sleeve Surgery Forums
that's pretty average. That's about what I lost, and we started out around the same weight. I don't know of too many people who've lost more than that at that juncture - a few lucky ones, and those who started out MUCH heavier than us. But otherwise, no. That's a pretty normal loss for three months out. -
I had my two week Post Op appointment this morning. I am right where I am supposed to be. I've lost 18 lbs since Pre-Op diet, wounds are healing nicely and I have advanced to pureed food! I put Amy's Organic Black Bean and Vegetable soup in a Magic Blender and had about 1/3 of it. Delicious after the liquid diet. My husband and I are leaving first thing in the morning to drive from CA to NY (a family cottage)...three days. We used to stop at fast food places but now it will be rest stops since I am bringing my own food...greek yogurt, cottage cheese, shakes and the leftover bean soup. Even my husband is bringing his own food. Since I have not told anyone about my surgery, it was my plan to have the surgery, get clearance to go to NY and by the time I return I will be on regular food (just smaller portions). It will be easier in those social situations back in CA. I am glad everyone is doing well.
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Eating/Drinking on a Road Trip: 4-5 Weeks Post-Op
KevinS62 replied to KevinS62's topic in General Weight Loss Surgery Discussions
@kcuster83 Thanks for your tips. Yeah, as I said, my diet plan is exageratingly conservative. It has no puree stage and very slowly introduces soft foods and meats (they say chew, chew, chew). It's probably a week or three behind others and I'm not skeert to reach into the week 6-7 menu for an item or two to try in weeks 5-6. In moderation, of course. I have learned NOT to ask the dietician anything. I won't like her answer. She goes strictly by the written guide. When I was able to speak to the surgeon, he was more open and basically said the menu was conservative to work for all patients and I could try something off plan, but to stop if it doesn't work. I'm not a huge egg salad person but I may try a light tuna or chicken salad. Taco Bell beans is a great idea. -
Hey y'all. I just wanted to post a Three-week update. I feel good. Pretty much normal even. Except, of course, with a smaller stomach capacity Incisions are fully closed. The small ones look good and only the largest still has any leftover scabbing. I'm trying to stay positive since I've lost more than 20 pounds since surgery. But my weight loss progress has slowed more than I thought it would this early. Maybe it's the third week stall we keep hearing about. W1: -12.6 lbs W2: -5.6 lbs W3: -2.6 lbs My conservative diet plan sucks, but it improves a little this week, since I can add cottage cheese, shredded cheese, beans, canned fruit and some specific well-cooked veggies (only carrots and asparagus look appetizing). I am logging everything. I am getting 80-100g of protein, 50-90 oz of water/fluids, and 650-750 calories daily. I have not done great on my steps/walking/exercise, but plan to fix that this week now that things at work has calmed a bit. I have now lost a total of 48.6 lbs since I started losing weight in late March when I had my "Oh Hell No!" moment and contacted the surgeon's office. I am feeling pretty good about that.
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Starting new journey what was your timeline
SpartanMaker replied to JourneyOfRabia's topic in Gastric Bypass Surgery Forums
I would first recommend talking to your insurance company to find out if they cover bariatric surgery, and if they do, what all is required/covered. One thing I learned is that even at the same insurance company, the coverage and the requirements to qualify can vary widely. This is because most larger employers actually are "self-insured". This means the insurance company just administers the health plan and your employer is the one paying the bill. As a result, the insurance companies let the employers have wide latitude in what they will and won't cover and what the qualification requirements will be. For example, I have United Healthcare. I was also on United Healthcare last year, but with a different employer. The bariatric programs are quite different in terms of what they required and what procedures they'll cover. Note that some insurance companies also have specific providers they recommend. Once you clarify all that, check with your bariatric program/physician. The bariatric program I chose required a psyc eval, an upper GI scan, and three months of meetings with their dietitian, even if the insurance didn't require those things. -
I am also three months out. One morning this week I woke up and my lips were stuck to my teeth from a dry mouth. I have been told to increase my liquids. Seems to have improved the last couple of days.
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Im posting this here in case it helps someone else. These are the workout video creators I follow on YouTube. I am three months(ish) out from gastric sleeve surgery so I like to switch it up. Leslie Sansone-Walk Away the Pounds. She is the OG of walking videos. Her walks range from ten minutes to 45 minutes. The majority require no equipment and the ones that do have it as optional. I started with her immediately after surgery. Now to challenge myself, I do them in my pool for more resistance. The downside is she is EXTREMELY OVER THE TOP PEPPY so sometimes I've muted her and have followed along to my own music. https://www.youtube.com/channel/UCVl6ZdslZz2Zj-34bMJFPbg Burpee Girl-I just found her and I do at least two of her workouts a week. She can be modified for all levels. She has videos that are walking to Pilates to dumbbell work. Her music she uses is extremely upbeat and engaging. She also has active break segments in her videos so you get a chance to cool down in between rounds. She doesnt talk or explain the moves but there is a ten second preview of each exercise before you do it. Highly recommended if you're wanting to challenge yourself a bit more. I put her at an intermediate level. When I outgrew Leslie Sansone, I found Burpee Girl and love her content. https://www.youtube.com/c/BurpeeGirlLiss Billy Blanks-Tae Bo. AS a 90's girl, I remember doing this in gym class and sweating to death. He has his own YouTube channel with really good workouts. A lot of focus on kicking and punching, great for when I need to expend a lot of negative energy. https://www.youtube.com/channel/UCMGIp3jifsoufZv_y8_c1Qg Yoga with Kassandra- She is so soothing. I love her videos and do them on my off days to stretch. She's very calm and it makes you feel like you're in a yoga class. If you cant do a move, she recommends ways to do it so you can modify your practice. I am not a yoga person but the stretches help and she doesnt make it new agey.https://www.youtube.com/c/yogawithkassandra
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It has been 12 years since my husband passed. I am scheduled for surgery August 24. I have not dated at all since his passing But I feel this may change after my bypass. I am 60 years old. Have two wonderful grown responsible children. And three grandchildren that are the loves of my life
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Yes, you are over thinking this. During this phase, the first month or so, there is virtually zero correlation between your loss rate and what you are doing, as there is a lot going on with your body changing states trying to adapt to this big caloric deficit that you have thrown at it. Do a search here for the three (or third) week stall and you will see lots of anxiety over what is my weight loss doing and what have I done? Your loss will slow, often stall and maybe climb a bit before going down again. It often happens right around the time that our diets are moving from one stage to the next, so "that mush be it!" but it isn't - even those of us who never had all those stages go through something like this. Short answer is that when you go into a serious caloric deficit like this, your body first starts drawing on you glycogen reserves, short term carb reserves stored in you liver and muscles, which give you your quick response bursts of energy. There is a lot of water weight associated with glycogen. Once that is largely consumed, your body usually pauses to see if you are really serious about this caloric deficit thing. Then it will start to draw on your fat stores, which is what we are here to do in the first place. Fat also burns more slowly than glycogen/carbs (its that 9 cal/gm vs 4 cal/gm thing,) and it has to rebuild some of your glycogen reserves again (water weight on) so weight can be real flaky here for a while. If you really feel that you aren't eating enough, then a bit more wouldn't hurt and may be helpful, though that won't be what gets your loss moving again. I was up around 1100 calories fairly quickly, within the first couple of weeks, but I was also progressing on food types more quickly than your program suggests, and we had no specific caloric guidance. Others on these forums at that time were insisting that anything more than 6-800 calories would be death to your weight loss. I did fine, at least with my decent guy metabolism, and they did fine as well. I wouldn't rush things on too much, as it is much easier to add more later if you feel the need to than to cut back once you get used to eating a certain amount. I didn't increase my average calories from there until I was within about 10 lb of goal weight (at about six months) and needed to slow things down.
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Sleeve Post-Op Calorie Intake
Sunshine Princess replied to KevinS62's topic in Gastric Sleeve Surgery Forums
I dont have a calorie goal; mine is strictly protein. I need to eat between 75-90 grams of protein a day and also match that with water. Im three months post op. Calories in My Fitness Pal vary between 550-750 calories a day. -
Sleeve Post-Op Calorie Intake
I♡BypassedMyPhatAss♡ replied to KevinS62's topic in Gastric Sleeve Surgery Forums
I am right at two weeks post op, and during the liquids phase my paperwork says nothing about calorie goals. My goals are 60 - 90 grams of protein and 64 ounces of liquids. Liquids for me is three, long weeks. Pureed and soft diet stages I have a calorie goal of 650 - 800 calories. Protein and liquid goals are the same as the liquid phase. Full bariatric diet has a calorie goal of 1000 calories for the first six months and 1200 calories from six months onward. Protein and liquid goals are the same as the liquid phase still. Hope this helps. -
Terrible pain in the recital area - 28 days post
Supafly82 replied to Supafly82's topic in POST-Operation Weight Loss Surgery Q&A
Thank you so much for your guidance. I hope we don’t have to do this for the rest of our life? I’m this is just the first couple or three months or so? Thank you. Sent from my iPhone using Tapatalk -
Marriage changes post op
Sunshine Princess replied to KimA-GA's topic in Gastric Sleeve Surgery Forums
I'm just shy of three months post op but I feel this changed my marriage for the better. Before, I was just so tired and achy and I didnt want to do anything. Because I didnt do anything or exercise, I was always moody and withdrawn. My husband and I had nearly stopped communicating because I would take things the wrong way and would then smoke pot and eat to make myself feel better. After surgery? It's been different. My energy level is as high as its ever been so I'm doing more around the house. We're actively talking and sharing things again. We're making plans to do things we used to enjoy like go to water parks, concerts, ball games, kayaking etc, and it's brought his energy levels up. I cook a basic protein and vegetable for dinner and he adds to it depending on what he wants-like rice, potatoes, pasta etc. We tend to sit and talk during meals. I think he feels like he has his spouse back so it's been an improvement all around. -
12 lbs in three weeks at your starting weight is normal. Unless someone is the size of the people on "My 600 lb Life", they usually lose somewhere in the 15-25 lb range that first month post-surgery. Yes - you'll sometimes find people who lose more or less than that range, but they're outliers. I lost 16 lbs the first month post-op (not sure where I was at the three week mark since it's been over seven years, but I was probably exactly where you are - about 12 lbs down), and I ended up losing 100% of my excess weight - over 200 lbs. if you stick to your program, you WILL lose the weight, whether fast or slow. In the end, your level of commitment to your program is what determines your success, not your rate of weight loss.
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Best tips for preparation?
Hop_Scotch replied to Gucci73's topic in PRE-Operation Weight Loss Surgery Q&A
I live by myself and travelled for surgery. So I made sure before I left that I had some things at home that would do for the immediate post op phases so I wouldn't have to rely on anyone to do errands etc. I reviewed the guidelines provided to me by my surgeon's dietician and took a chance on what I thought I would be able to tolerate afer surgery and made sure I had that at home. What I hadn't planned on was covid. I missed a deadline to arrive back home in my home state and then had to quarantine for two weeks (back in March 2020). Thankfully I had a friend who was happy to do a shop run for some additional supplies. So have a contigency plan in case you need it. You will likely experience some pain and / or discomfort. If you know your pain / discomfort tolerance levels make sure you have supplies of the medications that will help as well as other things. Some people find that heat pads help with stomach cramps for instance. Read and re read your post op guidelines, don't be afraid to ask questions of your dietician or surgeon. Ask questions in these forums if you need to but do be mindful that your guidelines should likely take precedence in the immediate / initial phases until at least two or three months. -
Gonna make sure I follow the rules
Arabesque replied to Candigrl1's topic in Gastric Bypass Surgery Forums
It still happens to me at three years. Not often but sometimes there are just circumstances &/or distractions which cause you not to eat mindfully. Then your body really reminds you you’ve done the wrong thing. Groan. A couple of months back I was staying at my mother’s & we were having a ‘discussion’ and yep ate too fast & got the foamies. At least me rushing to the bathroom ended the discussion. 😉 Bet it was the plum skin that caused your experience @Tomo. Just a little too coarse & got stuck. -
Vitamin suggestions liquids are awful [emoji20]
I♡BypassedMyPhatAss♡ replied to Blue432's topic in Gastric Sleeve Surgery Forums
I think most of them are awful until you get to the point post op that your surgeon allows you to take pills. I take Bariatric Fusion chewables. I can't take vitamins in pill form until three months post op. They're not super terrible, but they're not great either. I just suffer through it, keeping in mind that it's temporal and will pass and soon I can have the pill form.