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Weight Loss before surgery



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I was wondering how many had to lose a great deal of weight before the surgeon would do the surgery? I called the office the other day and the gal said that if I have not lost the full 30 lbs before the surgery the surgeon would cancel my surgery. I find that hard to believe. Has anyone else had any experience in this area?

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my dr. wanted me to lose 25lbs. and i have lost 50lbs. the process has been really drawn out and i have been going at this since last october. i just keep going because the pre-op diet works and i have heard that kaiser will turn you away if you are not at pre-surgery goal. they will cancel your surgery and ARE that strict. i do not know who you are insured with or who your dr. is, but if you have kaiser, know that they do that!

good luck!

kelly

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I was really close to not being able to get my surgery because my BMI was 40, and you have to be 40 or over to qualify, so I could only lose 20 lbs. But, I had to lose something to prove to the insurance that I could lose or maintain my weight. I ended up losing 20 pounds before by my surgery day. I do know there were a few people who had to lose weight before he would do it though.

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I was wondering how many had to lose a great deal of weight before the surgeon would do the surgery? I called the office the other day and the gal said that if I have not lost the full 30 lbs before the surgery the surgeon would cancel my surgery. I find that hard to believe. Has anyone else had any experience in this area?

Believe it or not I was too heavy for surgery, I was 575 lbs, I got approved for Gastric Bypass 10/19/10... One week before my doctor told me they couldn't do the surgery as I was 498 lbs and the CAT scan at the hospital would only handle 400 lbs... I then went to another office and they started the sleeve process, I had 3 appeals with Cigna and finally got approved... Problem was I started working a new job and was on a strict 90 day probation period.

In short I think all of this made me stronger and better after the surgery, I have been chasing WLS since 2003 and never could get insurance approval. I started losing weight July '09 when this run at surgery started by the time I could get the surgery I was 375 and down 200 lbs. It made the recovery easier and the fact that I had already changed my lifestyle a great deal made the diet my nutritionist and surgeon prescribed a lot easier to handle.

Don't get me wrong I did have a last hurrah dinner, and I still do indulge from time to time since surgery but losing weight upfront beforehand made this whole process more effective.

I did have a lot to lose though so it was a different situation everyones journey is different good luck on the weight loss and think of the 30 lbs as a great jump start to the new you!!!

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My doctor wanted me to lose 15 lbs in one month. I have failed miserably. I will lose 5 lbs, then gain it all back w/in a week. while working out and dieting sad.gif I don't know what's going to happen. I go in for my follow up on monday. she's gonna be disappointed but i don't know what to say. I haven't cheated, i've even changed my diet drastically, i cut out red meat and started eating vegetarian "meats", elminated a ton of carbs, no soda, no snacking etc. substituted one meal for a Protein Shake etc. Been hitting the gym 5-6 times a week and nothing. My insurance company does not require me to lose weight, but my doctor does. my surgery isn't schedule til april 26th so i don't know what's gonna happen

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My doctor/insurance didn't require a certain amount of weight loss or nutrition classes, but if you gained weight from any one pre-op appointment to the next, you'd be cancelled. As such, I didn't really lose a lot of weight beforehand (15 lbs. in two months), just enough to not be kicked out.

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In my initial appt I was told it was mandatory for me to loose 20% of my excess weight which would have been 20 lbs. At my 2nd weigh-in with the nutritionist, I lost 1lb, at my third and final weigh-in (the day my info was being sent in for approval), I lost a total of 3lbs. I was still approved. The final weigh-in with surgeon (two days before surgery) I lost 13lbs altogether. Surgeon performed surgery without a problem.

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My first surgeon (when I wanted the band) wanted me to lose 85 lbs before surgery. I started at 335, and lost 50 lbs, and he still didn't want to schedule surgery. I got discouraged and gained about 30 lbs back over the course of 18 months. I got a new surgeon who only wants me to lose 20-25 lbs before surgery. Unfortunately it's so much harder to lose weight this time around. I'll get there soon though!

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Another example of widely varying practices. I weighed 385.5 when I went for consultation. Just had to go on two week preop but no specific amount of weight to lose(lost 19). I was self pay so had surgery within a month of consultation.

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      · 2 replies
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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.

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