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I am scheduled to get banded January 15th and I couldn't be more excited! I am self pay and will have to pay for my fills on my own as well. I'm pretty much wiped out financially from the surgery and I was thinking I'd have a financial "break" for a while. But after reading several posts it almost seems like the 1st fill comes within 2 months. Is that right? How often are fills needed? And does anyone know of a Dr in Charlotte, NC that has good fill prices? I'm having surgery in Mexico and can't be running back and forth for fills. Any tips??? Thanks!

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I am going to Mexico for the surgery as well. My advise to you would be to call the surgeons in your area to make sure they will provide follow-up care for patients banded elsewhere and what they charge self-pay patients for fills.

I called a few places and 1 doctor will NOT see any patients with foreign surgeries and the other 2 told me about documentation that they will need to give me aftercare in addition to their fees.

Since the lap band is just a weight loss tool, the after care and fills are just as important as the surgery. I was told that I would likely need a fill every 6-8 weeks after my surgery depending on my weight loss, hunger-level, etc.

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Basically when you're at your "sweet spot" you can basically eat normally but not be hungry for 5-7 hours. It can take a VERY long time to get there, but when you do..it's HEAVEN!!!

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I got my first fill 4 weeks after the surgery and second 4 weeks after that. At my appt. for the second one he said see you in six weeks. However my restriction seems to lessen everyday so i made an appt. for in a couple weeks.

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It depends on whether you are in control of your fills or whether your doctor and his schedule are. My doctor puts the patient in control of the fills. He does the first one at 4 weeks post op if we feel we need it. Our need is based on whether or not we're feeling hungry and whether or not we're still able to eat to excess...and are doing so.

I had my first fill of 3 cc's at 4 weeks, the second one of 3 ccs two weeks later and, 2 more cc's a week after that

My doc said that once you get true restriction, you probably only have to come in maybe once or twice that first year and then maybe once or twice the following year.

You want restriction. The band without it is just a piece of plastic. I have read of some people not needing any fills, but they're rare. It will all depend on you.

.

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My doctor expects to see me every 6 weeks for the first year; I will not necessarily be filled at each appointment, but he will assess the need each time. (And, of course, I will pay a copay each time.)

The "price break" really will NOT occur in the first year. Once you hit a point of good restriction, the cost of fills will taper, but there are still ongoing expenses to consider: good-quality bariatric Vitamins, Protein supplements to boost your intake during times when you have difficulty, and so on.

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    • Aunty Mamo

      Iʻm roughly 6 weeks post-op this morning and have begun to feel like a normal human, with a normal human body again. I started introducing solid foods and pill forms of medications/supplements a couple of weeks ago and it's really amazing to eat meals with my family again, despite the fact that my portions are so much smaller than theirs. 
      I live on the island of Oʻahu and spend a lot of time in the water- for exercise, for play,  and for spiritual & mental health. The day I had my month out appointment with my surgeon, I packed all my gear in my truck, anticipating his permission to get back in the ocean. The minute I walked out of that hospital I drove straight to the shore and got in that water. Hallelujah! My appointment was at 10 am. I didn't get home until after 5 pm. 
      I'm down 31 pounds since the day of surgery and 47 since my pre-op diet began, with that typical week long stall occurring at three weeks. I'm really starting to see some changes lately- some of my clothing is too big, some fits again. The most drastic changes I notice however are in my face. I've also noticed my endurance and flexibility increasing. I was really starting to be held up physically, and I'm so grateful that I'm seeing that turn around in such short order. 
      My general disposition lately is hopeful and motivated. The only thing that bugs me on a daily basis still is the way those supplements make my house smell. So stink! But I just bought a smell proof bag online that other people use to put their pot in. My house doesn't stink anymore. 
       
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    • BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
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    • BeanitoDiego

      Some days I feel like an infiltrator... I'm participating in society as a "thin" person. They have no idea that I haven't always been one of them! 🤣
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    • ChunkCat

      Thank you everyone for your well wishes! I totally forgot I wrote an update here... I'm one week post op today. I gained 15 lbs in water weight overnight because they had to give me tons of fluids to bring my BP up after surgery! I stayed one night in the hospital. Everything has been fine except I seem to have picked up a bug while I was there and I've been running a low grade fever, coughing, and a sore throat. So I've been hydrating well and sleeping a ton. So far the Covid tests are negative.
      I haven't been able to advance my diet past purees. Everything I eat other than tofu makes me choke and feels like trying to swallow rocks. They warned me it would get worse before it gets better, so lets hope this is all normal. I have my follow up on Monday so we'll see. Living on shakes and soup again is not fun. I had enough of them the first time!! LOL 
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    • BeanitoDiego

      Still purging all of the larger clothing. This morning, a shirt that I ADORED wearing ended up on top. Hard to let it go, but it was also hard to let go of those habits that also no longer serve my highest good. Onward and upward!
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