Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Recommended Posts

Went to my doc today to get my letter of medical necessity. She told me that she didn't support me getting the lapband and that I needed gastric since I need to lose 100 pounds. She said that all of her patients who have had lapband lose 30-50 pounds max and that's not enough for me.

I told her that my surgeon supported me getting the sleeve, bypass or the band and he felt I could be successful at each. She then went on to say that she didn't think my ins would cover it because I don't have any comorbidities.

I am feeling so discouraged!

I've had my mind made up that the band is right for me and now she's made me doubt my ability to be successful.

I know the weight would come off faster in the beginning if I had the band, but I'm ok with slow and steady. I also think that the ongoing maintenance is key to success. You need to have fills to get and stay at the green zone and I get that.

Any words of advice?

Share this post


Link to post
Share on other sites

I feel the band is a healthier choice as if need ur Fluid can b taken out for certain situation! Both my mother and aunt have lost over 100 lbs with the band! Its all willpower! Im personaly against the bypass for iv seen first hand the out come of it both good and bad! I hope this helps any! The band is great if you learn to use it properly and keep ip with it lol!

Share this post


Link to post
Share on other sites

I know a gal at my job who had the bypass about 5 years ago and now she's WAY underweight and can't gain any back. She's a sweetheart but she looks like a skeleton with skin stretched over it. And she said she lost all her excess weight in 6 months.... that scares me because I don't want the excess skin hanging everywhere (I don't think she has that trouble, but who knows? I certainly didn't ask her....)

Share this post


Link to post
Share on other sites

I think it's time to find a new PCP, one that will let you make your own choice which WLS is best for you.

For the record, I had over 200 pounds to lose when I had surgery almost 5 months ago. I've now lost 92 pounds so far. Obviously, your PCP doesn't know the facts because you CAN be successful with the band, even if you have lots to lose, as long as you're committed to working for it.

Share this post


Link to post
Share on other sites

You need a new PCP that will support you!! Even if you did only lose 50 pounds, you would still be healthier! I think gastric bypass is downright SCARY!!!!

Share this post


Link to post
Share on other sites

What is your BMI? Most insurance companies require a BMI of 40 or a BMI of 35 with comorbidities. If you haven't done so yet, I suggest having a sleep study done to test for sleep apnea. Most of us that are overweight also have sleep apnea and insurance companies consider it a comorbidity.

Share this post


Link to post
Share on other sites

My PCP handed me the surgeons card and said you should check this out.

At first I didn't but I saved the card, it was about a year before I went to a seminar.

I now have the band thanks to my PCP.

Share this post


Link to post
Share on other sites

My PCP suggested lap band over bypass because I have no gallbladder and my intestines and colon are frequently unhappy with me over the whole situation. I would suggest a call to your insurance company to ask what they cover. See if your PCP can order a sleep study and do some labs to check for anything else I. e. high glucose, insulin resistance, high cholesterol, thyroid issues. And then proceed from there.

Share this post


Link to post
Share on other sites

My ins will cover me without any comorbidities. That is not an issue, she just said it as another reason to not support me. That's why I'm frustrated.

Share this post


Link to post
Share on other sites

Get a new PCP. I knew when I started my journey that the person I had been seeing infrequently would not be supportive based on past interactions. I found someone else who supported my weight loss 100%. he also wanted to run blood tests to make sure I didn't have anything inhibiting my ability to lose weight and found out I had hypothyroidism. My other Dr knew that the thyroid was a problem in my family but never bothered to order a test for me.

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 2 replies
      1. Selina333

        I'm so happy for you! You are about to change your life. I was so glad to get the sleeve done in Dec. I didn't have feelings of regret overall. And I'm down almost 60 lbs. I do feel a little sad at restaurants. I can barely eat half a kid's meal. I get adults meals often because kid ones don't have the same offerings at times. Then I feel obligated to eat on that until it's gone and that can be days. So the restaurant thing isn't great for me. All the rest is fine by me! I love feeling full with very little. I do wish I could drink when eating. And will sip at the end. Just a strong habit to stop. But I'm working on it! You will do fine! Just keep focused on your desire to be different. Not better or worse. But different. I am happy both ways but my low back doesn't like me that heavy. So I listened (also my feet!). LOL! Update us on your journey! I'm not far from you. I'm in Houston. Good luck and I hope it all goes smoothly! Would love to see pics of the town you go to for this. I've never been there. Neat you will be traveling for this! Enjoy the journey. Take it one day at a time. Sometimes a few hours at a time. Follow all recommendations as best you can. 💗

      2. Doughgurl

        Thank you so much for your well wishes. I am hoping that everything goes easy for me as well. We don't eat out much as it is, so it wont be too bad in that department. Thankfully. Also, I hear you regarding your back and feet!! I'd like to add knees to the list. Killing me as we speak! I'm only 5' so the weight has to go. Too short to carry all this weight. Menopause really did a doosey on me. (😶lol) My daughter also lives in Houston. with her Husband and my 5 grand-littles. I grew up in Beaumont, so I know Houston well, I will be sure to keep in touch and update you on my journey. I may need some advice in the future, or just motivation. Thank You so much for reaching out, I was hoping to connect with someone in the community. I really appreciate it. 💜

    • 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.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×