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Low BMI VSG topics?



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I am a lower BMI person. My insurance covers WLS pretty well but the lowest BMI they will cover is 35 and only if you also have diabetes with that lower BMI.

So I am going to go to Mexico and be self pay, my date is 1/101/16. But even with that they said I MUST show up with a BMI of at least 30 of they will not do surgery.

I have found only a few posts or YouTube videos on folks in my situation.

What if I lose too much on the pre-op diet?

Will the surgeon make my sleeve "bigger" because I'm not as heavy as most?

How does weight loss go after the surgery? Meaning we know that heavier people in general can lose weight more rapidly on the same "diet" as those that are light, so what can we expect?

Are the complications the same such as chance for dumping syndrome, chance for acid re-flux, chance for needing gall bladder removed later, etc?

I am sure I am not the only one with these questions and think that we could support one another and give info on our journey that may help others in the future.

If there is a section on this forum that I missed specifically for lower BMI WLS please feel free to move this post.

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Just 6 days post-op low bmi...if you like to have a chat, pm and I would be happy to pay it forward (like so many here did) and speak with you about my experience:)

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Would also love to hear some stories. I have a 30 bmi and am scheduled for the sleeve in Mexico on January 11th.

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I don't meet the BMI standard alone per my insurance, however with my GERD and obese BMI I may qualify. I'm waiting for my first appointment to get more information.

I'm very nervous.

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Just 6 days post-op low bmi...if you like to have a chat, pm and I would be happy to pay it forward (like so many here did) and speak with you about my experience:)

Thanks. I will have to figure out how to PM. How would you feel about questions here on the forum so others could join in? I see there is more interest!

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I don't meet the BMI standard alone per my insurance, however with my GERD and obese BMI I may qualify. I'm waiting for my first appointment to get more information.

I'm very nervous.

Good luck to you on this. Insurance varies so much. My insurance covers this very well but they are super strict. They would not allow sleep apnea, elevated cholesterol, GERD, or stress urinary incontinence to pass. They said the lowest BMI I could have is 35 and with that I MUST have diabetes or it was a No-Go. I hope yours is more lenient

Would also love to hear some stories. I have a 30 bmi and am scheduled for the sleeve in Mexico on January 11th.

I am scheduled for January 10th in Mexico as well!

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Hello, I have a BMI of 29, and I had the sleeve on Monday 12/20, my doctor did make my stomach bigger the others, he made it the size of a banana and a half, they can use different size bugiee ( i am sure I spilled that wrong) but they place this down your throat and than cut next to it, the bigger one they use the bigger your stomach will be... there are 3 different sizes

I really feel great.... No pain, have not thrown up at all and have no issues drinking. I think this is due to the low BMI....

I was only approved because I had a lapband which failed

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I'm so glad I found this forum! I'm currently 30 bmi. I have T2 diabetes and I want to get my sleeve Mar 2016. This gives me hope I can still do it with a lower bmi

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Hello, I have a BMI of 29, and I had the sleeve on Monday 12/20, my doctor did make my stomach bigger the others, he made it the size of a banana and a half, they can use different size bugiee ( i am sure I spilled that wrong) but they place this down your throat and than cut next to it, the bigger one they use the bigger your stomach will be... there are 3 different sizes

I really feel great.... No pain, have not thrown up at all and have no issues drinking. I think this is due to the low BMI....

I was only approved because I had a lapband which failed

Hi Scotty! How are you doing since your surgery?

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Is there a low bmi forum? I'm starting to feel guilty for not having a higher bmi. Feel like nerves are getting to me and I haven't even booked my surgery :(

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Is there a low bmi forum? I'm starting to feel guilty for not having a higher bmi. Feel like nerves are getting to me and I haven't even booked my surgery :(

There are a few threads "BMI 31-32" and "does anyone have 60 lbs or less to lose". They're not super active threads but just reading past comments and questions has helped me feel more comfortable going thru with the sleeve.

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Hi everyone,

I'm finally back for an update! I had been in the typical stall for quite some time, so was hesitant to post too much and come across pessimistic.

Here's a recap. Had my surgery January 9th in Mexico. BMI was 29, weighed in at 153.4 (only 5'1) on January 1st when I started my pre-op. I had an easy pre-op, basically just did Protein shakes for Breakfast and lunch and then veggies and chicken for dinner. Three days before surgery was yogurt only diet, but I did add a Protein shake once a day just to keep my Protein up and my carbs down. Day of surgery I weighed 148.4 lbs, which put my BMI at 28.

I went down to Mexico on the day of surgery and spent a few days in San Diego afterwards. First time I weighed myself on my home scale I was 139.2 and that was on January 17th.

Jan 18 - 137.2

Jan 19 - 137.0

Then my weight started to bounce around and stall out so I stopped weighing daily.

Feb 1 - 137.6.

I started working out Feb 1, scale was still moving super slow, so again just weighed every once in a while

Feb 5 - 136.0

Feb 23 - 135.2

Then I went on vacation to California. Just got back last night and I weighed in this morning at .... 129.0!!!!!! That puts me at a BMI of 24.4, the high end of NORMAL WEIGHT.

Why did I finally drop? I don't exactly know, but here's two things that probably helped.

1. I ate out a lot, and although I didn't eat lots at a time, my calories were definitely higher, so I think that actually helped boost my metabolism.

2. I got super sick the second last night, stuck in the bathroom (sorry if this is TMI - but basically all night pooping and puking --- although it was mostly dry heaving since there was no food in me). So I probably am down quite a bit of Water weight, and fully expect I may gain a couple pounds once I get hydrated again and eating somewhat normal.

Anyways, I just wanted to post an update since it's been a while, and I feel like I may have finally broken this stall. I am less than 6 lbs above my lowest weight as an adult. Still 14 lbs above my goal weight, but that being said, I am looking forward to increasing my exercise and putting on muscle, so realize it may be difficult for the scale to drop steadily if I'm toning up.

Hope everyone else is doing well!

--I am going to copy and paste this post to a few of the other "low BMI" threads, so sorry for the repeat to those of you that follow those threads as well--

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    • 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!

    • 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. 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.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

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

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.
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