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Will I have to lose weight before surgery?



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I went last week to a free seminar and the consultant told me I would probably have to lose weight before surgery. I am currently 5'6" and 360 pounds at a BMI of 58.1. She said I would probably need to be down to a BMI of 50 for surgery. I have heard of people much larger having it done so I was surprised. Does anyone know if this is true, and also would it be due to the surgeons preference for surgery safety issues or could aetna have something to do with it? How much would I need to lose to be down to a 50 BMI?eek.gif

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It all depends on the doctor. Some require a certain amount of weight loss. Others are comfortable that you will lose weight on the preop diet.

I was 340 when I started this journey (I had already done my 6 mo supervised diet the previous year and gained weight). I only lost 2 lbs on my preop diet even though I didnt cheat and my doc didnt say anything to me.

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When I started this whole process back in january of this year I was 440 with a BMI of around 58. They told me the only thing holding me back was i needed to be down around 400 for surgery, not because of the doctor or insurance, but because of the equipment in the hospital is only designed for up to 400. I started a diet then and when I went in for my preop on September 28, I was 400. I started the liquid diet the 1st of October and when I went in for surgery on the 11th, and discharged on the 12th, I was down to 380. It all depends on doctor and insurance is my guess.

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The first seminar I went to they said their policy was a minimum of 5% body weight loss presurgery. There was a moan that came from those in attendance. I ended up going to a different doctor and he required a 10% body weight loss. Since my surgery was postponed for other health reasons I ended up losing closer to 17 % body weight. My nurse explained hat your belly area is like a suitcase the more fat you remove the easier it is for them to work in there.

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    • LeighaTR

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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.
      · 1 reply
      1. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • 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💪
      · 0 replies
      1. This update has no replies.
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