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if weight is lost during 6 mo. pre op, can they disqualify you?



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ive been wondering if it is possible for the doctor to disqualify you from having the lap band if you lose weight during the 6 month pre op nutritionist visits..

can they assume that you are able to lose that kind of weight on your own and keep it off?

how much weight did you lose in your pre op diet? whether it was 2 weeks, or 2 months.. im curious!

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No. The weight they take at your first appointment is the weight they use to determine eligibility. My doctor requires that all of his patients lose 5% before surgery, because it shrinks your liver and makes the surgery much easier and hence much safer. If you do not lose you keep seeing the nutritionist until you do.

I lost 15 lbs before surgery.

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Kristy is correct! Atleast that's what my doctor told me. They take your starting BMI and weight. Also, insurance sees it as maintaining the weight off as well as losing it. They look at the long run also. I only have 3 months pre-op and can't stand waiting! Im trying to enjoy food before the surgery but still working out and watching what I eat because I wont be eating the same after surgery. It is recommended you lose weight to shrink liver and you will have less complications.

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I lost 341bs preop during 6 mos waiting. No prob with insurance either. I think it lets doc know how serious you are as well

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I've been told the same thing by my surgeon. I'm only 3 months from being banded as well. Hopefully Dec. I've lost 23 pounds so far. Keep loosing and gaining the same 6 pounds lately. I'm so excited to start this journey just scared of what life will be like when I'm not the fattest person in the room anymore. Anyone feel nervous about shedding all of this?

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My surgeon required a 10% body weight loss. My surgery was postponed for other reasons and I ened up loosing over 15%. No one likes to hear it (I certainly did'nt) but my surgeon said the more you lose before the surgery the sooner you will get to goal after.

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I've been told the same thing by my surgeon. I'm only 3 months from being banded as well. Hopefully Dec. I've lost 23 pounds so far. Keep loosing and gaining the same 6 pounds lately. I'm so excited to start this journey just scared of what life will be like when I'm not the fattest person in the room anymore. Anyone feel nervous about shedding all of this?

i lost 20 pds in the 6 month preop. 9 pounds post op im 6 days out. and iam very afraid of shedding the weight because in the past ive lost weight and then sabotaged myself when i was slim and had too much attention so this time i plan to get a therapist

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It is completely dependent on your insurance contract. Mine uses BEGINNING BMI as an indicator, and requires 3 months supervision, and a 6-pound (at least) loss.

That loss pushed my BMI below the level required--but it didn't matter; they went with my starting BMI.

Some policies have different stipulations. Read yours--it will spell out the requirements for you, and relieve a lot of anxiety!

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ive been wondering if it is possible for the doctor to disqualify you from having the LAP-BAND® if you lose weight during the 6 month pre op nutritionist visits..

can they assume that you are able to lose that kind of weight on your own and keep it off?

how much weight did you lose in your pre op diet? whether it was 2 weeks, or 2 months.. im curious!

I had no doubt I could lose the weight. I also have no faith in myself keeping it off. I've gained it back every time before. I got banded to keep it off, not to take it off.

I lost 95 pounds during the 5 months from my initial consultation until surgery. I questioned my surgeon's office at least once a month to ensure that it was my consultation stats they were forwarding to the insurance company.

Even if it weren't; I'd rather lose the weight and jeopardize the insurance company footing the bill than sit around and stuff my face until surgery.

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I asked his very same question at my first meeting. Our meetings (spread out over 6 months) are run by bariatric nurses and nutritionists. I was concerned because right at my starting weight I am just at the cut off point for acceptance for surgery with a bmi of 40. I was worried that if I dropped below that I would get denied. I was told YES, that has happened before and that the nurses have 'looked the other way' when people come in for their last meetings and get weighed with big pockets full of coins and weights hanging from the back of their pants. :biggrin:

Anyway, scared me enough not to drop a pound as of yet and I am almost done with my 6 months...yikes! :)

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
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    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
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      https://alluniqueguide.com/java-burn-coffee-reviews/
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