Just found out today that I passed my psych eval, which was the last step in a long process. The information was submitted to my insurance this afternoon (to get approval for sleeve) and they said I should hear back within a week!

I'm really excited - it's starting to seem like this is really going to happen. I first logged onto bariatric pal January 2013 - it's been a long road with many ups and downs.

Now I just have to lost those last 12/13 pounds off to get 10% of my weight off. In some ways, it seems like my appetite has gone up a lot. I'm not sure if it's stress about the upcoming challenges, other things that are going on in my life - or some weird self-defeating behavior. I really hope I can get this back under control in time to get the rest of the required weight off. Any advice on this last part very appreciated .

@@docbree congratulations! You will do great losing your 10% I hope they get back with you quickly with your approval so you can get your surgery date!!!

Good Luck!

Summer

Thanks @@Summer Rain

Edited October 30, 201411 yr by docbree

That is soooo exciting!! I really happy for you! You have made it so so far already, don't let anxiousness get in ur way now????

I was on a 2 week Protein diet that really helped me lose right before surgery. I went into Ketosis and lost 15 lbs in that 2 weeks.

What ever works for you, I wish you the best on your journey????????

@@BellaLuce4 thank you! I think I'll try starting the liquid diet a little early .

Edited October 31, 201411 yr by docbree

Congrats question.....is the weight loss a requirement of insurance

While you are waiting, you can get a head start with these modifications:

Drink Water until your eyeballs float.

Eat Protein and lots of it. At any meal eat your protein first (skip the gravy). Fills you up

Eat green veggies and avoid starchy veggies as much as possible.

Try to keep fruit at 1 serving per day.

If you are going to eat anything high in carbs (like bread or a banana), eat it early in the day - no carbs after lunch. That way, your metabolism will be more efficient in burning fat, since there are fewer carbs / starch to burn up first.

Go easy on the salt, to reduce water retention.

Start logging calories, protein, and carbs - either with a notebook, or with My Fitness Pal (or Sparkpeople, etc.) to make yourself accountable.

Watch portions, and weigh and measure everything you consume so that you get a clear idea of how much actually goes in your mouth.

Move your body every day. Sir Isaac Newton (the falling apple gravity guy) was the one who said, "Objects in motion tend to stay in motion, and objects at rest tend to stay at rest."

So, these suggestions are nearly universal with all of our bariatric programs.

I wish you good luck and good health.

Congrats question.....is the weight loss a requirement of insurance

No - it's just required by my surgeon

While you are waiting, you can get a head start with these modifications:

Drink Water until your eyeballs float.

Eat Protein and lots of it. At any meal eat your protein first (skip the gravy). Fills you up

Eat green veggies and avoid starchy veggies as much as possible.

Try to keep fruit at 1 serving per day.

If you are going to eat anything high in carbs (like bread or a banana), eat it early in the day - no carbs after lunch. That way, your metabolism will be more efficient in burning fat, since there are fewer carbs / starch to burn up first.

Go easy on the salt, to reduce water retention.

Start logging calories, protein, and carbs - either with a notebook, or with My Fitness Pal (or Sparkpeople, etc.) to make yourself accountable.

Watch portions, and weigh and measure everything you consume so that you get a clear idea of how much actually goes in your mouth.

Move your body every day. Sir Isaac Newton (the falling apple gravity guy) was the one who said, "Objects in motion tend to stay in motion, and objects at rest tend to stay at rest."

So, these suggestions are nearly universal with all of our bariatric programs.

I wish you good luck and good health.

Great recommendations! Thank you very much .

Yay! So happy for you!

Yay! So happy for you!

Thank you

passed my psych eval

.@@docbree

i demand a recount and 2nd opinion

they had to give me the once over two times

glad things are getting wrapped up

finishing jumping through the hoops and hurdles of insurance

ready for the official approval and blessing

i understand you are stressed, excited, nervous

all those things we love/hate pre WLS!!!

self sabatoge?? nawwww - don't go there!!!!

i went through my own funeral right before surgery

"maybe" indulging in one or two foods pre-op would be ok

don't go overboard

butttt, it isn't necessary to have that food funeral

remember, in the not too far away future you will be able to eat all foods you like

llllllimited portions (couple of bites)

those bites need to be calculated in your calorie intake

start using MFP

write down EVERY bite you eat

be honest

keep track of your Water intake and exercising too

you are approaching the big day

you have been doing your research

one year on the board

seeing and listening to all the wise people on the board (especially me!! )

learn/practice pushing yourself and drink as much water as you can

stop drinking 30 minutes before you eat

don't drink with your meals!!!

don't drink after you eat for about 45-60 minutes

the above #s are from my NUT

do whatever your NUT tells you always

IMO water rules are the hardest to learn and deal with in your daily new life

practice eating very slowly

chewing thoroughly

put utensil down between bites

use a small plate

i know you can/will comply with all the rules

you know what to do

can't wait to welcome you to sleeveland

the wonderful world of health and happiness

i will be the one throwing the confetti!!!

good luck

kathy

congrats

Edited November 3, 201411 yr by proudgrammy

is weight loss a requirement of insurance

@@Qtpie28

my doc told me not to gain any weight

but loosing 5%, 10% wasn't required

some docs/insurance do require that you loose 5% , 10% of your initial weight

weighing 350 lbs you must loose either 35 lbs or 17.5

but, on the other hand

the more you loose pre op, the better

obviously that means you have all the less to loose post op

follow all the necessary rules for WLS

practice as you get ready for the big day

these are rules you will be following for the rest of your healthier, happier, longer life

good luck

kathy

Edited November 3, 201411 yr by proudgrammy

.@@docbree

i demand a recount and 2nd opinion

they had to give me the once over two times

kathy

congrats

Lol! You are too funny .

You always give excellent advice - and I will follow your suggestions. So glad to see you back on the boards!