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

Recommended Posts

Hi everyone! I started my journey in the beginning of November when I had my initial consultation with my suegeon. About 2 weeks later I had my first visit with my nutritionist. It was right before my period was supposed to start and I had gained 5 pounds between the visit with my surgeon and the nutritionist. I have Aetna and I'm doing the 3 month program they offer. In their guidelines, it says I can't have a net gain during the program. Does this mean I will be denied since I gained in the very beginning?? Or do they look at the weight the first weigh in and the last after I complete the program and it can't be a gain between those two?

I'm so nervous that I'm doing all of this work and all of these visits and I'm going to be denied from the very beginning.

Thanks for your help everyone!

Share this post


Link to post
Share on other sites

Hi everyone! I started my journey in the beginning of November when I had my initial consultation with my suegeon. About 2 weeks later I had my first visit with my nutritionist. It was right before my period was supposed to start and I had gained 5 pounds between the visit with my surgeon and the nutritionist. I have Aetna and I'm doing the 3 month program they offer. In their guidelines, it says I can't have a net gain during the program. Does this mean I will be denied since I gained in the very beginning?? Or do they look at the weight the first weigh in and the last after I complete the program and it can't be a gain between those two?

I'm so nervous that I'm doing all of this work and all of these visits and I'm going to be denied from the very beginning.

Thanks for your help everyone!

You can't have a net gain, so that would mean you can weigh more than you did in your initial weigh in after the three months are done. If you started in November, then by February you need to be the same or less weight. (I'm guessing based on what you wrote)

How has your eating been? Are you keeping carbs low, not drinking calories??

I never bought into the period weight gain thing. Sure my weight fluctuates, but I've never seen that fluctuation around my period.

Share this post


Link to post
Share on other sites

Thank you for your reply. That's how I was reading it, but I wanted to make sure someone else thought the same thing as me.

I have been watching what I eat. I'm focusing on the Protein, limiting carbs, drinking only Water (at least a gallon a day) and watching my sugar in take since I know after surgery I won't be able to eat much of that. I know the weekends are my downfall and I've been working on that too. I've been exercising based on what my exercise therapist has me doing.

I'm back to the weight I was when I weighed in with my surgeon, but I can't seem to get lower than that despite my efforts. Right around my period I gain about 3-5 lbs every month from retaining so much Water. A couple of days after I'm able to lose it again. I have anot her appointment with my nutritionist and exercise specialist this week so I'm going to ask them what I can change. It's frustrating with insurance because this is the reason why I need the surgery because I can't lose the weight on my own after attempts with all different approaches.

Share this post


Link to post
Share on other sites

.....so I'm going to ask them what I can change.

This is the best thing you can do. Keep up the line of communication with your nutritionist and surgical team.

Share this post


Link to post
Share on other sites

Thank you! It's so hard. I feel my clothes getting a little loser, people are noticing I'm looking a little thinner and I feel better. I'm just so nervous that I don't see the scale going down and that's what my insurance company wants. I'll see what the nutritionist says Tuesday.

Share this post


Link to post
Share on other sites

It is very hard!! I agree with you 100% !! I have been on the other end of the waiting period; waiting to hear from ins, from Dr's to give me clearance for surgery, trying to be faithful and follow the mindful eating programs.....don't get discouraged. Keep on working even when it seems your "stuck". Your doing the best and right thing by seeing your nut. I'm sending you a big smile and lots of "You Can Do It!!!!" ????

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

    • Theweightisover2024🙌💪

      Question for anyone, how did you get your mind right before surgery? Like as far as eating better foods and just doing better in general? I'm having a really hard time with this. Any help is appreciated 🙏❤️
      · 2 replies
      1. NickelChip

        I had about 6 months between deciding to do surgery and getting scheduled. I came across the book The Pound of Cure by Dr. Matthew Weiner, a bariatric surgeon in Arizona, and started to implement some of the changes he recommended (and lost 13 lbs in the process without ever feeling deprived). The book is very simple, and the focus is on whole, plant based foods, but within reason. It's not an all or nothing approach, or going vegan or something, but focuses on improvement and aiming for getting it right 80-90% of the time. His suggestions are divided into 12 sections that you can tackle over time, perhaps one per month for a year if a person is just trying to improve nutrition and build good habits. They range from things like cutting out artificial sweetener or eating more beans to eating a pound of vegetables per day. I found it really effective pre-surgery and it's an eating style I will be working to get back to as I am further out from surgery and have more capacity. Small changes you can sustain will do the most for building good habits for life.

      2. Theweightisover2024🙌💪

        That sounds awesome. I'll have to check that out thanks!

    • BeanitoDiego

      I've hit a stall 9 months out. I'm not worried, though. My fitness levels continue to improve and I have nearly accomplished my pre-surgery goal of learning to scuba dive! One dive left to complete to get my PADI card 🐠
      I was able to go for a 10K/6mile hike in the mountains two days ago just for the fun of it. In the before days, I might have attempted this, but it would have taken me 7 or 8 hours to complete and I would have been exhausted and in pain for the next two days. Taking my time with breaks for snacks and water, I was finished with my wee jaunt in only 4 hours 😎 and really got to enjoy photographing some insects, fungi, and turtles.
      Just for fun last week, I ran two 5Ks in two days, something I would have never done in the past! Next goal is a 10K before the end of this month.
      · 0 replies
      1. This update has no replies.
    • Teriesa

      Hi everyone, I wrote back in May about having no strength. I still get totally exhausted just walking from room to room, it’s so bad I’m using a walker with wheels of all things. I had the gastric sleeve Jan. 24th. I’m doing exactly what the programs says, except protein shakes. I have different meats and protein bars daily, including vitamins daily. I do drink my fluids as well.  I go in for IV hydration 4 days a week and feel ok just til evening.  So far as of Jan 1st I’ve dropped 76 lbs. I just want to enjoy the weight lose. Any suggestions or has anyone else gone thru this??  Doctor says just increase calorie intake, still the same. 
      · 0 replies
      1. This update has no replies.
    • Stone Art By SKL

      Decorative Wall Cladding & Panels | Stone Art By SKL
      Elevate your space with Stone Art By SKL's decorative wall claddings & panels. Explore premium designs for timeless elegance.
      · 0 replies
      1. This update has no replies.
    • Clueless_girl

      Losing my hair in clumps and still dealing with "stomach" issues from gallbladder removal surgery. On the positive side I'm doing better about meeting protein and water goals and taking my vitamins, so yay? 🤷‍♀️
      · 0 replies
      1. This update has no replies.
  • 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

    ×