Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Almost done with my 6 months have only lost 5 lbs



Recommended Posts

I have my last appointment next week to finish out my 6 months required for insurance approval. Im worried I wont get approved because ive only lost 5lbs... I am hoping that being I didnt gain I will still get approved. I did change my diet alot, no pop of any kind, cut back on sweets but I did have a few cheat days here and there... its the mental after surgery I wont be able to eat this mind game.. Ugh what do you all think will I still have a shot? I have upmc for you I live in PA

Share this post


Link to post
Share on other sites

The goal of the six month program is not necessarily loss, so much as showing that you can adhere to a program, since you'll have to change your habits for good postop. I wouldn't worry. You're almost there!

Share this post


Link to post
Share on other sites

Were you supposed to lose weight or just maintain?

My insurance plan wanted me to have a 5% weight loss over my six months to show that I was dedicated to the plan. Some insurance companies want more, some want nothing at all.

I'd check with your provider for details.

Share this post


Link to post
Share on other sites

I was told not to gain weight. But im not sure if that was every month or overall lol

Share this post


Link to post
Share on other sites

Every insurance is a little bit different. Mine was looking for no gain, plus the PA I'd been working with had to submit documentation that it appeared I'd been following the plan well. If your insurance doesn't require a certain amount, and your surgeon/team didn't give you a specific amount to lose, it doesn't seem like they'd have grounds to deny you based on that. Good luck!

Share this post


Link to post
Share on other sites

I had Gastic bypass surgery in 2002 my start weight was 303 and within a year I lost 134 pound putting at 169. In the last three years I have gained most of my weight back CW269 I have been talking with my doctor about revision surgery. I'm just not sure which revision surgery will be the best one to have.

If anyone has had revision surgery I look forward to hearing from you Thanks

(I also had a healthy baby boy 16mnths ago)

Share this post


Link to post
Share on other sites

I think what you lost is pretty much exactly what you want in this situation for the most part. You don't want to disqualify yourself from surgery, but you also don't want to arouse concern due to weight gain (practically impossible if you've followed the prescribed program...this is the proxy they use to determine whether or not you have done so). So there is a Catch-22, but there is a sweet spot that avoids it, and it is right about where you are.

You have more than a shot...I expect this to go through without a hitch.

Share this post


Link to post
Share on other sites

My dietitian never gave me a "prescribed program" so I've been floundering along trying to eat better. These past 3 weeks I resorted to Atkins because I gained 3lbs on my last visit (4th month). I feel like we're in the same boat. I've lost a little, but I'm not sure what my insurance company is looking for. Mainly I've focused on better eating habits, chewing for long periods, not drinking with meals, that sort of thing. Joined the Y three weeks ago, so hopefully that will help some, too.

My dietitian told me last month that the companies don't want to see a gain over your initial weigh-in. They want to see that you can keep to a plan, show dedication and prove you can make the surgery work for you. Doesn't stop me from being worried for this Thursday's appointment! We can be 6-month "losers" together.

Share this post


Link to post
Share on other sites

You are probably fine as many others have said, the purpose of the 6 month program is to test your ability to follow a program and stick with it. The fact you have such low results is actually good for getting approved! If you lost like 50lbs they'd say "hey this is working for you, just do another diet!" But if you gain weight to them it shows you aren't in it for the long haul and the diet is very strict in the beginning especially so you have to wrap your mind around all that. The fact that you stuck with it and walked away with only a 5lb loss says you tried and you need help.

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • LeighaTR

      Four days post surgery. I am sipping as fast as I can and getting NO WHERE near the goal of 60 - 80 grams of protein or the 64 oz of liquids. I just feel FULL. I don't know if it can still be the gas build up (I would think by now that would be gone) but it is a struggle to drink. And so far I have not had the nausea or spasms and don't want to wander into that territory by pushing too hard with liquids. I about passed out today as it was my most "strenuous" day. Went from second story to basement for shower and I was sure I was going to pass out. Looking back on my last few days I have had a total of less than 1000 calories. Am I just not getting enough nourishment in me? Once again a friday where I can't get ahold of the doc until Monday rolls back around so I am hoping maybe someone here has some experience on how to keep energy going. I do have fibromyalgia too and that may be where some added fatigue comes into play. How did you all fair with the goals the week after surgery?
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      2 days until I fly out to San Diego to have my Bypass Surg. in Tiajuana Mexico. Not gonna lie, the nerves are starting to surface. I don't fear the surgery itself, or the fact that I'm traveling alone, but its the aftermath that I'm stressing about the most, after this 8 week wait. I'm excited to finally be here, but I am really dreading the post surgical chapter. I know its going to be tough, real tough and I think I'm just in my head to much now that the day i here. Wish me luck, Hopefully I'm one of the lucky ones, and everything goes smoothly. Cant wait to give an exciting update,. If there is anyone else have a June bypass or even a recent one, Id love to have someone to compare war stories with. Also, anyone near San Antonio Tx? See ya soon with the future me. 💜
      · 3 replies
      1. Phil Penn

        Good Luck this procedure is well worth it I am down to 249.6 lb please continue with the process..

      2. Selina333

        I'm in Houston so kind of near you and had the sleeve in Dec. Down 61 lbs. Feeling better. Was definitely worth it. I hope the everything is going well for you. Update us when you can!

      3. Doughgurl

        I am back home after my bypass surgery in Tiajuana. I'm post op day 4. Everything went great! I guess I'm one of the lucky ones who have not encountered much pain at all, no nausea thus far and I'm having no problem keeping down broths and water. Thank you for your well wishes. I cant wait to keep up this journey and have a chance at better health and simply better quality of life. I know there will be bumps in the road ahead, and everything won't be peaches and cream, but at least I have a great start so far. 😍

    • LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 2 replies
      1. Selina333

        I'm so happy for you! You are about to change your life. I was so glad to get the sleeve done in Dec. I didn't have feelings of regret overall. And I'm down almost 60 lbs. I do feel a little sad at restaurants. I can barely eat half a kid's meal. I get adults meals often because kid ones don't have the same offerings at times. Then I feel obligated to eat on that until it's gone and that can be days. So the restaurant thing isn't great for me. All the rest is fine by me! I love feeling full with very little. I do wish I could drink when eating. And will sip at the end. Just a strong habit to stop. But I'm working on it! You will do fine! Just keep focused on your desire to be different. Not better or worse. But different. I am happy both ways but my low back doesn't like me that heavy. So I listened (also my feet!). LOL! Update us on your journey! I'm not far from you. I'm in Houston. Good luck and I hope it all goes smoothly! Would love to see pics of the town you go to for this. I've never been there. Neat you will be traveling for this! Enjoy the journey. Take it one day at a time. Sometimes a few hours at a time. Follow all recommendations as best you can. 💗

      2. Doughgurl

        Thank you so much for your well wishes. I am hoping that everything goes easy for me as well. We don't eat out much as it is, so it wont be too bad in that department. Thankfully. Also, I hear you regarding your back and feet!! I'd like to add knees to the list. Killing me as we speak! I'm only 5' so the weight has to go. Too short to carry all this weight. Menopause really did a doosey on me. (😶lol) My daughter also lives in Houston. with her Husband and my 5 grand-littles. I grew up in Beaumont, so I know Houston well, I will be sure to keep in touch and update you on my journey. I may need some advice in the future, or just motivation. Thank You so much for reaching out, I was hoping to connect with someone in the community. I really appreciate it. 💜

    • 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!

  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×