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How much weight are you requires to lose?



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With Kaiser, I had a 3 month "Options" class to take (12 classes) and the recommended goal was for everyone to lose 5%. That being said, the ONLY true requirement was that you could not gain any weight. If you did, you could not move forward with surgery.

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My insurance (Aetna) did not require a specific weight loss, but I was not allowed to gain any weight during my 3-month nutritional/exercise plan. I was already losing weight before I started the plan, so I just continued with what I was doing: cutting down calories and adding strength + cardio.

I'm now starting my two-week protein-shake pre-op diet and I've lost 55 lbs since mid-January. I lowered my total net calorie to about 1300 a day (plus exercise) a few months back and I'm feeling really good and not too worried about the shakes. If I do get really hungry I'll have some non-starchy veggies or Egg Beaters. The point of the pre-op diet is to shrink the liver, so limiting fat is the key.

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None.

My insurance didn't require a 6month diet, And my surgeon didn't require me to lose any weight.

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My doctor requires 10% and he told me that if I could lose 20-30lbs then we are good to go. ;)

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I am just starting the process and I have my first appt. next week. How much were you requires to lose before surgery. I am doing the sleeve. My endocrinologist and I have discussed options at great length and have decided this would be the best option for me. He referred me over to the weight loss center here.

Hi Lacy, my insurance required me to lose 5% of my weight which was 13 pounds, I will not say it was hard but it sure wasn't easy, but I did it. My surgery has been moved from the 28th to the 30th and my insurance company which is BCBS Excellus approved me in 3 days so I am happy about that. I start my pre opt liquid diet on Thursday of this week, so wish me luck on that one. Good luck to you and the time will fly by, you'll be sleeved before you know it.

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I'm with Kaiser, I weighed in at 330 and they're requiring me to lose 25 pounds.

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I'm with Aetna and they don't require you to lose weight but you can't have any net gain at the end of 3 months. They also don't require I see the NUT more than once. So my supervised diet is with my PCP. Personally I like that better because she knows me and I feel very comfortable with her.

Edited by txdogmom

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I have been set the target of losing 30lbs 10% of my starting weight. It's been stressing me out a little because after 2 months of supervised DE I've only lost 6lbs. My NUT told me not to stress out too much that it's not set in stone. My original target date for surgery was November but I want to have it after the second week in December so I can have the time off.

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    • Aunty Mamo

      Iʻm roughly 6 weeks post-op this morning and have begun to feel like a normal human, with a normal human body again. I started introducing solid foods and pill forms of medications/supplements a couple of weeks ago and it's really amazing to eat meals with my family again, despite the fact that my portions are so much smaller than theirs. 
      I live on the island of Oʻahu and spend a lot of time in the water- for exercise, for play,  and for spiritual & mental health. The day I had my month out appointment with my surgeon, I packed all my gear in my truck, anticipating his permission to get back in the ocean. The minute I walked out of that hospital I drove straight to the shore and got in that water. Hallelujah! My appointment was at 10 am. I didn't get home until after 5 pm. 
      I'm down 31 pounds since the day of surgery and 47 since my pre-op diet began, with that typical week long stall occurring at three weeks. I'm really starting to see some changes lately- some of my clothing is too big, some fits again. The most drastic changes I notice however are in my face. I've also noticed my endurance and flexibility increasing. I was really starting to be held up physically, and I'm so grateful that I'm seeing that turn around in such short order. 
      My general disposition lately is hopeful and motivated. The only thing that bugs me on a daily basis still is the way those supplements make my house smell. So stink! But I just bought a smell proof bag online that other people use to put their pot in. My house doesn't stink anymore. 
       
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    • BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
      · 0 replies
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    • BeanitoDiego

      Some days I feel like an infiltrator... I'm participating in society as a "thin" person. They have no idea that I haven't always been one of them! 🤣
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    • ChunkCat

      Thank you everyone for your well wishes! I totally forgot I wrote an update here... I'm one week post op today. I gained 15 lbs in water weight overnight because they had to give me tons of fluids to bring my BP up after surgery! I stayed one night in the hospital. Everything has been fine except I seem to have picked up a bug while I was there and I've been running a low grade fever, coughing, and a sore throat. So I've been hydrating well and sleeping a ton. So far the Covid tests are negative.
      I haven't been able to advance my diet past purees. Everything I eat other than tofu makes me choke and feels like trying to swallow rocks. They warned me it would get worse before it gets better, so lets hope this is all normal. I have my follow up on Monday so we'll see. Living on shakes and soup again is not fun. I had enough of them the first time!! LOL 
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    • BeanitoDiego

      Still purging all of the larger clothing. This morning, a shirt that I ADORED wearing ended up on top. Hard to let it go, but it was also hard to let go of those habits that also no longer serve my highest good. Onward and upward!
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