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Having GERD. Will insurance cover revision if BMI IS 31?
KeishaJolene replied to NewlySleeved12282020's topic in Revision Weight Loss Surgery Forums (NEW!)
My revision surgery was April 19, 2023 and I also have BCBS. my original sleeve date was 11/2016 and I lost 100 lbs the first year and half. My lowest weight was 135 and I’ve maintained that for the last five years. Around my second year post sleeve I developed acid reflux and heartburn daily. When I would eat, shortly after I’d need to either throw up the acid trying to come up or I’d have to sit and tolerate the acid burning until it subsided. Daily omeprazole and tums did very little to counteract the symptoms. If I ate, it was happening. 2020 I had another EGD performed that showed Barrett’s esophagus had begun to form in my esophagus and there was a hernia. The surgeon wanted to move forward with a bypass revision but because I didn’t want to lose any weight or have another major surgery I asked for other medications to try before we went straight to surgery. 2023 in March I had another EGD performed that showed three ulcers, the hernia and worsening Barrett’s. Nothing had worked so far and my quality of life just wasn’t good. Considering I love to cook and eat, I knew I couldn’t just live with this much longer. I agreed to do the surgery. The doctor sent over an EGD result, CT scan and upper GI to BCBS who approved the revision surgery. (My plan has Bariatric benefits) if your plan doesn’t have Bariatric benefits I would check with your insurance coordinator to see if there is another option. I am now three days post revision- no heartburn or acid reflux at all. Painful, but on the mend. -
Hello everyone I had my gastric bypass on 22nd February 2023 and although I am super thankful that I have lost weight, I am constantly worried I will not lose enough. One of the reasons I opted for the bypass (although there are other reasons) is because I do not have any children and I have unfortunately been diagnosed with premature ovarian failure and told that the only way I will possibly conceive is IVF, but I cannot get IVF on the NHS unless my weight is below 30 BMI. Some clinics do offer slightly higher BMIs (around 35) but they are all private and unfortunately I cannot afford to pay privately. For reference I am 5ft 5inches. I feel my weight loss has been quite slow for my starting weight and I read elsewhere that you usually lose 50% of your weight within the first 3 months, which has me worried as I think I am unlikely to hit 50% by 22nd May. I would be really grateful for anyone’s comments/experiences and have pasted below my weigh ins. PRE-OP DIET STARTS 7th February 2023 - 22st 5lbs 14th February 2023 - 21st 11lbs 17th February 2023 - 21st 10lbs 18th February 2023 - 21st 8lbs SURGERY DAY 22nd February 2023 - 21st 6lbs 26th February 2023 - 21st 3lbs 27th February 2023 - 21st 1lb 1st March 2023 - 20st 12lbs 2nd March 2023 - 20st 11lbs 4th March 2023 - 20st 10lbs 11th March 2023 - 20st 9lbs 12th March 2023 - 20st 7lbs 20th March 2023 - 20st 6lbs 24th March 2023 - 20st 5lbs 25th March 2023 - 20st 4lbs 30th March 2023 - 20st 2lbs 1st April 2023 - 20st 1lb 6th April 2023 - 19st 13lbs 7th April 2023 - 19st 11lbs 8th April 2023 - 19st 10lbs 15th April 2023 - 19st 9lbs 19th April 2023 - 19st 8lbs 21st April 2023 - 19st 7lbs My minimum goal weight for IVF is 13 stone.
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Planning on getting the sleeve
catwoman7 replied to ktorres1's topic in Gastric Sleeve Surgery Forums
I got the bypass rather than the sleeve, but my answer would be the same regardless. The first few weeks post-surgery can be rough and some people initially do have regrets, but once they get through that, almost no one has regrets other than they wish they'd have done it sooner. Having this surgery changed (and probably saved) my life. I'd do it again in a heartbeat. Best decision I've ever made! -
loose skin after gastric sleeve
Recidivist replied to John40's topic in Gastric Sleeve Surgery Forums
I'm a male who was 59 when I had gastric bypass--and yes, loose skin is an issue. I have it on most parts of my body to varying degrees, but it was most noticeable on my stomach and neck. I was obese for decades and skin just hasn't snapped back. I look older than I did prior to surgery due to sagging skin on my face (jowls and neck), and the only plastic surgery I've considered is a lower face lift and neck lift because they are always visible. (I still might do it.). I can live with the loose skin everywhere else--but I'm now almost 64 and am way past caring about what other people think of my body. Yes, it's a bit embarrassing to appear on the beach in a swimsuit, but I've managed to find a high bathing suit that covers the worst bits. In spite of all the above, I have zero regrets. I'll take a saggy body that is healthy and energetic over my old fat body any day! -
Any April Surgery Dates?
Ckpodo80 replied to rokse23's topic in PRE-Operation Weight Loss Surgery Q&A
New to the group, had my Bypass on the 7th, I’ve lost 17lbs since. -
Any April Surgery Dates?
Chloe Zoe replied to rokse23's topic in PRE-Operation Weight Loss Surgery Q&A
Hi, friend. I had bypass on the 11th and I'm definitely still struggling with some fatigue and light-headedness, although starting on soft foods has definitely helped. Are you meeting your protein goals? I don't think I would be close to mine without my one protein shake that I throw in some decaf iced coffee in the morning. Did they have you stop your Trulicity after surgery? That would definitely account for your numbers going up. I stalled weight loss wise for a few days too and then saw a big drop yesterday. I hope sincerely that your lightheadedness goes away and your energy comes back very soon. ❤️ Edit: "I stalled" not "installed" -
Any April Surgery Dates?
Jmfpeterson replied to rokse23's topic in PRE-Operation Weight Loss Surgery Q&A
Worried I am doing something wrong and looking for some insights. Had gastric bypass on 4/12 and over all feeling better each day. I am noticing my morning fasting blood glucose levels starting to climb. Was in the 90s in the hospital and now this morning at 124. Pre op was on trulicity 1.5 1x a week for type 2 diabetes. I still get very tired easy and am lightheaded most of the day. Have had some vision changes since surgery as well. Starting weight 231 - 4/20 today 224 which has not changed for 3 days post op weight 239 went up day after surgery and is now at 224 Started foods on Sunday with dr recommended : 3oz protein and half cup veggie2x a day or fruit 1x a day - every meal is measured and strict to guidelines. My surgeon does not allow any protein shakes or any processed food of any kind. drinking minimum 64oz water up to walking 1.5-2 miles per day -
DS possible after gastric sleeve?
catwoman7 replied to midniteblue102's topic in Duodenal Switch Surgery Forum
yes! Gastric sleeve for years was phase 1 of the DS, back in the days when a lot of surgeons did the DS in two stages - first, they created a sleeved stomach, and then, several months later, they'd go back in and bypass most of the small intestine. However, enough people lost enough weight on stage 1 alone that they started offering it as a standalone surgery - and the VSG was born! long way of saying - of couse you can, since the sleeve is the first stage of the DS. -
Actually, I have 2 questions: 1) I had a gastric sleeve almost 5 years ago; after losing 60 lbs., my pannus changed size & shape, becoming EXTREMELY uncomfortable. I stopped losing weight, gained back 20 lbs., and fortunately maintained my net 40 lbs. weight loss. Does anyone know if I can has DS after a gastric sleeve? 2) I originally wanted DS but the bariatric surgeons in my area did bypass or sleeve only. I live in eastern Washington State; does anyone know of surgeons anywhere around my area (WA state, Idaho, Montana, or Oregon) that perform DS?
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Getting gastric sleeve tomorrow
Alex Brecher replied to smanzi40's topic in Gastric Sleeve Surgery Forums
I had Lap-Band 20 years ago. I then had the removal of my Lap-Band and revision to Gastric Bypass in March 2018 and Gastric Bypass reversal due to a lower bowel blockage in June 2019. I regret getting the Lap-Band and using a surgeon for my Bypass that wasn't the greatest (to be kind.) Thankfully, I've kept almost all my extra weight off, and my health is great. -
Getting gastric sleeve tomorrow
MarisAthena replied to smanzi40's topic in Gastric Sleeve Surgery Forums
Hi Alex, I see that you received a gastric bypass 20 years ago. Did you have to do any other gastric surgeries in the past 20 years? How is your health and do you have any regrets? Thank you so much! -
Hurry Up and Wait!
heatherdbby replied to Misty Marie's topic in PRE-Operation Weight Loss Surgery Q&A
So you got options. But let me start with this advice, that will help you stay sane. Do not judge others journeys against your own. You will go crazy. I finally had surgery after three attempts, I will lay out each timeline. First surgeon, Meeting in november, decided to start program in january bc I would meet my deductible and my insurance requirements, I could be done in about 8 weeks, because all I needed was one dietician appt and a physch eval. My insurance added it as a blacklisted item when the year changed over so I didn't get it. This doctor also was heavy on sleeve, and said that bypass wasn't important and he felt was overdone. Second. Was going to go to mexico. I filled out the only paper, and had a call with a coordinator in 48 hrs with approval. LIterally could have scheduled 2 weeks out, If I had the money in hand. I would have had a 14 day clear diet with them or else they could have gotten me in sooner, lol. Custody battle took my surgery money, so, cancelled. Third time the charm My surgeon was heavy bypass. And I am glad bc in my EGD they were able to see I had silent reflux and lots of ulcers. So I needed bypass regardless. I had my first appt May 2nd, and was given a list of requirements that my surgeon had, and another sheet with my insurance requirements. My Ins reqd a phych eval, a dietician clearance, and a recommendation letter. My surgeons office requires phych eval, 4 dietician classes to be completed 1x a week while on preop diet, 1 dietician meeting a month prior to start preop, EGD, and if needed based on medical records cardio and EKG. I left the appt on May 2nd with my EGD appoint, that was 6 ish weeks out, mid June. I didn't understand that I was supposed to make the phych appt, so that was kinda stalled, but they sent everything to insurance for approval in mid august. I started the 1 month preop labor day weekend and had surgery Oct 3rd. But insurance companies can require things that will make it longer, esp if they require a supervising diet. -
Hurry Up and Wait!
Brandiwine77 replied to Misty Marie's topic in PRE-Operation Weight Loss Surgery Q&A
Hopefully you can get the approval to start research asap! That's so exciting. Yeah, my coworkers are both 65+, and sisters. It's actually my really good friends mom and aunt, so you would think that would be cool. But NO! It's awful mean girl mentality with them. To the point that they ran off a MALE coworker a few months ago. So yeah, it is bad. So no one personally knows, other than my husband and a lifelong friend who had bypass about a year and a half ago. I have a pretty sedentary job, so hopefully can come back as quickly as I did with my thryoidectomy and gallbladder, so that they won't have a clue, lol. And my insurance didn't have a whole lot of requirements. I had to do bloodwork and primary clearance, psych eval, their required nutrition class, and then the nutrition class with my dr office they require. So not much at all, for which I am grateful. -
I am wondering how long it took everyone from the time you initially talked to your doctor about wanting to get the surgery to how long you had to wait. I started this journey at the beginning of the year. My first conversation with the surgeon was on January 5th. I did not like her, as she was pretentious and rude. She kept saying, "Someone of your size" cannot get the gastric bypass, so I debated just not doing any of the procedures. I tried to explain to her (as we were doing this as a telehealth visit) that she was misjudging my size by only looking at the numbers. I hold my weight way too well. In high school, I outweighed girls my height and clothing size by 60-80 pounds, but was a state-placing cross country runner. My actual body fat composition was low when tested, versus weight/height ratio. Came to find out that she doesn't like doing bypasses, so she tried to convince all her patients to do the sleeve. After reading up on both, I decided I would actually prefer the sleeve, but not for any of the reasons she gave. I have had three visits with my primary, done the blood tests, and am now waiting on the surgeon's office for my psychology appointment and my final dietician appointment (which is over a month out.) Once I have those, along with an EKG from my primary and getting my paperwork signed off, I then have to wait for insurance to give the final approval. After that, I then wait. So what started on January 5th will take until a minimum of May 15th (final appointment) to even have everything completed... and then two to three weeks for insurance. Then, as my surgeon explained in January, it takes up to 6 weeks for the surgery to scheduled. I am a school teacher with my youngest heading off to college in August, so I am not going to miss taking her. I am majorly concerned that by the time I finally get the surgery, the summer will be over and I won't be able to get time off at the beginning of the school year for this surgery. I am debating talking to my doctor and telling her that I just won't have the surgery because this process is just taking way too long. I have already lost 22 pounds since I first weighed in at the beginning of the year from changing my diet. I am thinking I will be down another 20 by the time I finally get this surgery... or if I can get this surgery.
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How long did it take for your incision area not to hurt?
Blessd1 replied to Nyxienoodles's topic in Gastric Sleeve Surgery Forums
Had my gastric bypass and hernia repair surgery 3/29. I'm going through the exact same thing. I fear I over worked myself around the house and walking too long. The worst pain is near my belly button (probably referred pain from left incision). It's miserable right now. I can't stand up for more than a minute. I hope you're doing better! Sent from my SM-F926U using BariatricPal mobile app -
I am working towards my surgery. I have to admit that I have kind of gone off the deep end eating everything that I feel I won't be able to eat after the surgery. It has only been in the past few weeks that I decided to actually take this seriously. A few years ago, I tried HCG shots. Lost over 50lbs. Put the weight back on in about six months. Did it again. Same results. I just couldn't maintain. That is what worries me the most. I can do this for awhile, but long-term? I have a really thin daughter who eats everything and an overweight husband who couldn't care less about eating healthy and hates most of the "healthy" foods I eat. That is a serious challenge. I have over 200lbs. to lose to meet my goal weight. That is really depressing. My doctor refuses to consider doing a gastric bypass and will only do the sleeve because I am not diabetic. I do have terrible acid reflux at times, but she wouldn't even talk to me about this. My husband totally wants me to get the surgery, but I think his reasons are selfish. Not sure if he is doing this as a way for me to prove that even if I lose the weight, I won't leave him... as a kind of power trip thing. My biggest fear is that he will try to constantly sabotage me, or use my not being able to enjoy food out with him to try to make me feel like I owe him whatever he wants from me as recompense for altering our lifestyle now. I am only 3 years from retirement (need 30 years) and finishing a degree so that I can change my job to something more challenging. Once I get my retirement and finish my degree, I want to feel confident to go seek a position and being obese does not give me the confidence. (I get judged way too much as being dumb for letting myself become overweight.) Anyhow, I am super super nervous about this surgery and all that will change in my life because of this.
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I’m having full gastric bypass and mine is being done by a robot also but a surgeon is assisting. Mine is on 4/20
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Any April Surgery Dates?
martinkamegan replied to rokse23's topic in PRE-Operation Weight Loss Surgery Q&A
Just had bypass yesterday 4/17. In hospital till weds -
Like the original poster, I was curious what happened with the "unused" part of the stomach. The part of the stomach sectioned off is in a 24/7 fasting state. It will never see food again in it's bypassed state. As for the pouch, yes. Vitamins are critical. I took them preop and will start chewables at my 2 week mark tomorrow. As well as my soft foods phase. I won't fast my new little stomach intentionally. Following doctor's orders all the way but I can't promise I won't try it down the road if need be.
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My bypass surgery was 2/14 and I thought my hunger was supposed to supress after surgery but I am always hungry. And before you say it not head hungry. I know what that is like. I am talking real hunger. The kind where I just want food... any food. Unfortunately when it comes to meals I still can only take about 4 bites before I am full... momentarily. Then an hour or so later I am back to being hungry. What gives? Sent from my SM-N960U using BariatricPal mobile app
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One week out of gastric bypass surgery, I was a bit down. Tired, sore... so decided to watch something to lift my mood on TV. What normally would make me smile, chuckle or laugh wasn't happening. I thought. Oh no! Have I lost my sense of humor already with all of the hormonal changes happening? Shirley not Post whatever makes you happy. I'm sure many here would love to smile with you
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I haven't heard that, but who knows? It might be true. I know bypassers are susceptible to vitamin deficiencies, though, because of the malabsorption. That's why it's critical for us to keep on top of our supplements - the consequences of slacking off are more severe for us than they are for sleevers. EDITED TO ADD: I'm not really sure about fasting in general, though. I know the malabsorption the first few months is super strong - you malasorb calories in addition to nutrients. Unfortunately, the malabsorption of calories seems to go away after a year or two - whereas the malabsorption of nutrients stays. I had a 20 lb regain in year 3 (which is unfortunately very common - usually 10-20 lbs), and I currently struggle to keep my weight where it is, so the part of fasting where you lose weight isn't true - or at least not for me. But maybe he meant for the first year or two? Or was referring specifically to nutrients ? Not sure.
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Correct me if I'm wrong but I recently heard a bariatric surgeon say that bypassing the stomach leaves it in a 24/7 fasting state. I'm big on all the benefits of fasting so knowing that fact was exciting to me. I'd love to hear a more in depth teaching on the subject along with reestablishing a healthy microbiome, setpoint etc. via surgery.
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yep - the others are right - they're needed for digestion. And yes - bypass is technically reversible, although they don't do it unless you have serious issues that can't be resolve any other way.
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A Fib and Gastric Bypass
MarisAthena replied to MountainClover's topic in Gastric Bypass Surgery Forums
I know that I am late to this topic, but as a person that was newly diagnosed with AFib and has the surgery scheduled for 6/5/23, I think I understand the subject well. There is solid research coming from Australia that shows that AFib reverses or at least improves after drastic weight loss. This is what my Mayo Clinic cardiologist told me. I hesitated for years to get a gastric bypass but after learning this aspect, I scheduled my gastric bypass surgery. I talked to my gastric surgeon, he knows I have Afib and that I take medication for it and there are no issues whatsoever. I am sure he is consulting with my cardiologist. I wish you the best, this gastric bypass surgery might save us from Afib at least for some years. Let’s hope that the Aussies are 100% correct! 😀
