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Nutrition Evaluation?



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So, the nutrition evaluation is the last thing to do before scheduling. Now, I want to get the most out of my visit obviously but I also want to know what to expect. I've heard that people have to have repeat visits before they're cleared and I obviously want to get cleared asap. Any tips? Thanks in advance!!!

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I did not have a "evaluation" it was just a nutritional class, one on one with a nutritionist. I told her what I ate and how much, how often. They really want to get a good idea on much you know or don't know about porition control, healthy eating, what foods are good and what foods are bad. They want to make sure you have a good handle on the fact that you have to work with the surgery buy eating normal poritions of good fresh healthy foods. At least that is what my 1 1/2 hour nutrition "class" was like. Good luck you will do fine.

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That makes sense. I guess I'll do ok since I KNOW how I should eat and what I should eat, I just don't do it! Lol! Thanks!

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Every insurance company has different requirements. I have an out of state BCBS (illinios) and my employer is Catholic Health Initiatives and they have a program called carewise. Through them I had to have six months of phone nutrition calls with a documented end weight from primary doctor at end of six months. I also had a RN case manager. Basically, we talked about any diagnosis I had, concerns, changes I needed to make to prepare for surgery. I lost maybe 10 pounds then regained bc I hurt my back and was literally in bed for a time. So in the end I weighed 3 pounds less then when I started. They were fine with that. I struggled with years being insulin dependent and very metabolically resistant even when I ate low carb.

I also had to have a psych review, primary doctor review. The entire process went fast even though initially I thought six months would take forever. I am glad it took that long gave me plenty of time to weigh my options and do lots of research on complications and lifestyle changes. I started the process May of 2012 and had surgery Jan 24 2013.

I can say trying to eat smaller portions, with baby spoons and all that is tough prior to surgery and for the most part I didnt do it just knew I would have changes to be made after surgery. I have had no issues since surgery. Good Luck

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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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