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Documented Weight loss Attempt



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Hello Hellooo :)

I was wondering what is considered documented weight loss attempts by a Dr.? Does it mean, pcp, nutrionist, or surgeon?

I know some insurance companies require this (3-6 months). But my surgeon didn't list it in my pre op requisites. He did want only 1 visit to the nutrionist.

Now, I don't know if I should start seeing my pcp monthly, recording my weight, so they have it on file. I just don't want my surgery date of October 2015 to become January 2016...because I needed to track my "weight loss attempt".

I have been doing weight watchers for 6+months and have prior records of my weight watcher's attempts, but they weren't something my Pcp followed me up with at all.

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I wrote a letter outlining my weight loss attempts and my PCP signed it. I used WW too. She hadn't supervised it, but she knew I was doing it so she signed the letter.

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If you are using insurance, it depends on your actual insurance. Here is what mine said (Cigna) so I would agree if you can document your WW attempts and have you PCP sign off, it might work:

"Medical management including evidence of active participation within the last 12 months in a weight-management program that is supervised either by a physician or a registered dietician for a minimum of three consecutive months ((i.e., ≥ 89 days). The weight-management program must include monthly documentation of ALL of the following components:

 weight

 current dietary program

 physical activity (e.g., exercise program)

Programs such as Weight Watchers®, Jenny Craig® and Optifast® are acceptable alternatives if done in conjunction with the supervision of a physician or registered dietician and detailed documentation of participation is available for review. However, physician-supervised programs consisting exclusively of pharmacological management are not sufficient to meet this requirement. "

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I have a BCBS plan and it required six months. I saw a dietician every month for six months. The weight loss clinic you are attending should know how to get your surgery paid - it's part of what they do. I'd discuss it with them as well as your insurance company. That's if you want to make sure you don't run into any issues.

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      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.
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      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.

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        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

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