I am a little frustrated. So in August I started my Sleeve journey with my first Pre-Op appointment where they weighed me, measured me, went over history etc. At this point I was 264 lbs.

I was told for insurance I would need to do a 3 month supervised diet with a doctor and lose weight during that time-- it didn't matter how much. So in early September I met with the dietitian at the center and was 268. I told her that I was ready to lose some weight and meet the insurance goal of at least losing weight in three months (I had to putting on weight like crazy the months before). I weight in again for a monthly appt. in early October and weight 267-- not great, but I did lose a pound. The dietitian looked at me and said I will see you for your last appt. in early November and remember you have to be lower than 264 to qualify for insurance. What? that is only two months dietitian supervised diet and when working with the dietitian I was 268, so shouldn't I be lower than that? She said no and that it is the date and weight I started working with the center. I had no idea.

So I have been struggling to lose weight and due to something unknown I have seen increases of a 1 lb a day with eating very little. So I am at about 268 now and need to be under 264 in three weeks. I just don't know if I can do it. Anyone find themselves in a similar situation where you had to really work to lose weight at the end of qualify for insurance? What did you do?

I was initially worried about losing too much and dipping below the required 40 BMI, but that isn't even a concern anymore.

My doctor required a two week pre-op diet for me. I had 3 Protein shakes and one Soup a day. Stayed away from high-fat and creamy Soups. I lost over 20 lbs during that time. Maybe you could try something like that?

Sounds like they're using your weight from your pre op appt that you mentioned at the beginning, so if you're over that, it'll count as a gain. Some insurances will deny you for a gain, no matter how small.

My pre op weight was 244, and this was taken before I started the six months of weigh in's. That's the weight I was expected to lose 10% of.

The good news is it's not a huge amount of weight to lose in the time you have left. I'd just concentrate on getting to or under the 264.

Edited October 19, 201510 yr by The Post Op

Certainly not healthy but a 7 day total body cleanse (under $30 at GNC) will rapidly drop several pounds.

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3 day military diet I've heard great things about that

I lost weight while still struggling with the liquid diet. I had 3 protein shakes daily while eating crap in small portions. I lost a few lbs a week. If you are gaining while dieting you may not be getting enough calories or water.

I had a dietician tell me once that I was hold a lot of water (and I was drinking lots of water to flush my system as well) and she had me take one day where I ate only apples and a 6 oz steak with very little water on that day. The next day I resumed drinking my 64 oz water and dropped 6 lbs in water weight by the end of the day. Part of my prob was too much sodium so I have to constantly remind myself to tone it down (I've been know to be a bit of a salt addict which I am certain led to high blood pressure in combination with the excess weight). Check with your nutritionist to see if this might be an option for you.

3 weeks to lose 4 pounds ?

You can easily lose this and much more.

Did they give you a diet to follow ?

If not, then as folks have suggested above there are ways to drop off weight really fast. The pre-op diet many of us followed dropped off a pound per day. It works due to calorie deficit and ketosis.

You've got plenty of time to lose the weight. You can do this with great success.

I had a dietician tell me once that I was hold a lot of Water (and I was drinking lots of water to flush my system as well) and she had me take one day where I ate only apples and a 6 oz steak with very little water on that day. The next day I resumed drinking my 64 oz water and dropped 6 lbs in water weight by the end of the day. Part of my prob was too much sodium so I have to constantly remind myself to tone it down (I've been know to be a bit of a salt addict which I am certain led to high blood pressure in combination with the excess weight). Check with your nutritionist to see if this might be an option for you.

Thank you for sharing this, salt does hold water and I love chips and cheese w/salsa..