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Nutrition Evaluation



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My insurance is requiring me to go to a Nutritionist before they will approve me - so I called my insurance to find out who in my area is available - and they tell me that don't cover Nutritionist - for me just to go to my PCM - - - a month ago this would have sounded strange - after dealing with Tricare daily - it seemed perfectly normal :-)

My question is - would you pay out of pocket and go to a Nutritionist or just go to your PCM?

Also, what is evaluated during an evaluation? What did you guys go through?

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I'd go to my PCP and take a food diary ( a week or so), you surgeon will probably have a nutritionist on staff so why waste time finding one you will only go to once. Your PCP is going to evaluate your diet...i.e. You need more fruits/veggies in your diet or you don't take in enough protien daily or you don't appear to have a good source of Calcium in you diet do you take a supplement? It's not a big deal and will probably be quiet informative.

I was private pay so I didn't have to jump through any hoops.

Good luck. Tammy

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I saw an independent RD/nutritionist. Was sent to her as a referral from my PCP. We went over my food history. What I liked to eat what I didn't etc etc etc.

Then we discussed what would be on a 1200 calorie diet. She had plastic food in correct portion size that we talked about. Gave me a list of good, okay but not the best choice, and bad foods.

Made an appointment for a follow-up to see how well I was doing and if I understood everything.

She wrote a report saying that I had good understanding and willing to follow a prescribed eating plan.

This report was sent to the insurance company by the surgeon.

Myra

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Thanks for responding, that makes me feel better - doesn't seem to difficult. I have been calling Dr.s today for my psych eval - most don't have appts until December - wow am I in the wrong business. Hopefully the Nutritionist wont be so bad.

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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.

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