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Dr. Cirangle - patients with low bmi?



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I noticed on Dr. Cirangle's website (http://www.lapsf.com), there's a little blurb that says something like "It's smarter to have surgery in San Francisco than Mexico..."

I'm assuming he must have a fair amount of out-of-town patients. Does anyone know if he's more lenient about bmi like the Mexican surgeons are? I'm between 30 - 31 and know there aren't that many good US surgeons that will accept a VSG patient at 30bmi.

If anyone has experience of info regarding Dr. Cirangle and lower bmi, would love to hear from ya.

Thank you!

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Also, does anyone know what his self pay price is?

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I'm someone you'd like to talk to probably! Dr. C is THE best! I was bmi 32 and self-pay was $17,500. Included all pre-op testing (EGD, etc) and follow ups for like 5 years.

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I'm going to call his office tomorrow and see if I can do a Skype consult - his website says that he will do that if you're out of town. I would love it if it worked out. I read thru his whole website and it kind of seems like he'll be open to lower bmi. I'd be happy to pay that amount for such great surgeon and to stay in the US!

How many nights does he have you in the hospital? Does he do the swallow test with barium/x-ray?

How far out are you?

Thanks for responding!

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I'm going to call his office tomorrow and see if I can do a Skype consult - his website says that he will do that if you're out of town. I would love it if it worked out. I read thru his whole website and it kind of seems like he'll be open to lower bmi. I'd be happy to pay that amount for such great surgeon and to stay in the US!

How many nights does he have you in the hospital? Does he do the swallow test with barium/x-ray?

How far out are you?

Thanks for responding!

He was and is awesome. I kinda have a crush on him. Lol He is very straightforward and always asks for my questions...although I don't really have anymore now.

I had surgery at 5 or 6pm (it was an hour late) and was discharged the next day at 2pm. So it's normally one night. He also fixed a hiatal hernia i had. No swallow tests...he'll tell you why he doesn't do them.

I'm 6 months out. I'm pretty much at goal but he'd like me to lose 10 more so it's easier to maintain here in the long run. I'm not sure what the lowest bmi he'll operate on but he didn't flinch at my 32. He believes it's better to get obesity under control now before things get worse...why wait? He does have patients fly in to see him. I'm lucky enough to live in the Bay Area so I see him once a month or two.

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He was and is awesome. I kinda have a crush on him. Lol He is very straightforward and always asks for my questions...although I don't really have anymore now.

I had surgery at 5 or 6pm (it was an hour late) and was discharged the next day at 2pm. So it's normally one night. He also fixed a hiatal hernia i had. No swallow tests...he'll tell you why he doesn't do them.

I'm 6 months out. I'm pretty much at goal but he'd like me to lose 10 more so it's easier to maintain here in the long run. I'm not sure what the lowest bmi he'll operate on but he didn't flinch at my 32. He believes it's better to get obesity under control now before things get worse...why wait? He does have patients fly in to see him. I'm lucky enough to live in the Bay Area so I see him once a month or two.

Hi Im having surgery with him May 28, I feel pretty reassured about his expertise and skills! What advice would you give me?

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Hi Im having surgery with him May 28' date=' I feel pretty reassured about his expertise and skills! What advice would you give me?[/quote']

You are in great hands! Just try to follow the rules and email Gabriella when food questions come up. Now that I'm 10 months out, it's really easy to make bad choices sometimes, but I go back to basics and my weight goes back to my goal weight...

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You are in great hands! Just try to follow the rules and email Gabriella when food questions come up. Now that I'm 10 months out' date=' it's really easy to make bad choices sometimes, but I go back to basics and my weight goes back to my goal weight...[/quote']

Thank you for reassuring me! I know he is the best :) I am so worried about nausea and a leak!!! Otherwise I am not scared about pain or not being able to eat solids, I just pray I will not have complications!! Congrats on your success you look amazing!

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I'm someone you'd like to talk to probably! Dr. C is THE best! I was bmi 32 and self-pay was 17' date='500. Included all pre-op testing (EGD, etc) and follow ups for like 5 years.[/quote']

I just set my surgery date with Dr Cirangle for June 17 and am self pay. But, the $17.5k doesn't cover the pre-op tests, he said my insurance would cover them since they don't mention weightloss surgery. I wonder why my case is different than yours, do you think they've changed their policy? If I don't have to use my insurance and pay the copays, etc. for all these tests that would be great!

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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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