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

Medically Supervised Diet



Recommended Posts

So my insurance requires a 6 month medically supervised diet before my surgeon can submit for approval.

I am not sure what I was expecting but I have to say that what I am getting is not what I expected. Its just a class where the nutritionist talks about food, exercise, snacking etc. I feel like I should be getting more out of all of this. I see guys on here who loose a nice bit of weight pre-op, I have maybe lost 5 pounds since starting in January.

What was your insurance required diet like?

Share this post


Link to post
Share on other sites

I also have the 6 mo supervised diet, I have already had 2 weigh ins. I started out at 267 lbs, and down to 251.2 as of rt now. 4 more weigh in to go

Sent from my SM-G900V using the BariatricPal App

Oh and I just pretty much eat as if already had surgery. Protein first, then veggies, ect, ect...

Sent from my SM-G900V using the BariatricPal App

Share this post


Link to post
Share on other sites

Same as blue eyed. The did a RMR test and told me to eat this many calories and do 300 minutes of exercise a week. 64 oz Water and 50g Protein a meal

Sent from my iPhone using the BariatricPal App

Share this post


Link to post
Share on other sites

Since my insurance specifically did not cover Bariatric surgery, I was a private pay and did not have to jump through the hoops like the supervised diet, the cardiac stress test, psych eval... that has been required by other people with insurance. Good luck @@SpeakerSpeaking

Share this post


Link to post
Share on other sites

Our dr supervised WL class is nothing like it sounds lol. We are just told about the surgery, after surgery, what to expect, watch short videos, and a bit of nutrition advice...all by the NP who assists the surgeon,. Never once have i been told to lose weight. Tomorrow is my last NUT and dr supervised and then I should be submitted. My hubby was approved and will be sleeved on may 2. I need a band to sleeve revision and I am super worried that I wil be denied.

Share this post


Link to post
Share on other sites

Oh and lucky us....we get to pay TWO surgeon copays of $200 each. Sheesh.

Share this post


Link to post
Share on other sites

I had to pay a $450 fee that wasn't covered by Insurance. Made a payment toward it last mo., and went to pay more this mo. Was told to hold on to it till they decide by next mo what they were going to do. They said they may do away with it and pay back what we have already paid.

Share this post


Link to post
Share on other sites

So my insurance requires a 6 month medically supervised diet before my surgeon can submit for approval.

I am not sure what I was expecting but I have to say that what I am getting is not what I expected. Its just a class where the nutritionist talks about food, exercise, snacking etc. I feel like I should be getting more out of all of this. I see guys on here who loose a nice bit of weight pre-op, I have maybe lost 5 pounds since starting in January.

What was your insurance required diet like?

Yeah, mine wasn't all that impressive either. Every month I had a weigh-in and usually met with somebody different to talk about what I was eating, any questions about the surgery, etc. I think I only met with the nutritionist twice during that time. At my initial consult though, my surgeon said to basically eat a small Breakfast (one egg and toast) and then eat Healthy Choice frozen meals for lunch and dinner. So that's pretty much what I did for six months. Just off of that I ended up losing about 40 or so pounds before the all-liquid pre-op diet 3 days before my surgery.

So yeah, the 6-month supervised diet was definitely not what I expected it to be. It was pretty much all up to me to do whatever it took to lose weight before the surgery.

Share this post


Link to post
Share on other sites

Well....dangermouse it truly is going to be up to you. Yes most likely you will get a golden year of opportunity to lose weight and change your eating habits. Then , again .. That will be up to you and your commitment to really want to change your lifestyle. I think it is hard, but so worth it!

The weight did not come back on for me after surgery nine years ago.... And it took 2 years for me and my band to figure each other out. But I would do it again.

I'm just reminding all of us that it is a daily reality[emoji177]

Protein, Water. Exercise.

Repeat.

Please keep us updated!

Best of luck!

Share this post


Link to post
Share on other sites

Ok, here is my take on this....

I was told I needed to take a 6 month supervised diet also....and I had to go for weekly weigh-ins, exams, and counseling..

Also using their products.

I had to pay out of pocket, and it got very expensive.

I asked why??? Why do I need this?

I was told, because your insurance wants it on record, that you have explored, and tried to loose weight by conventional methods,and FAILED!

I told them I have tried every diet under the sun....but bottom line, it was not documented, along with progress notes, charts and graphs, all signed off by a licensed MD

So I took the program, and I did try very hard to succeed...however, just like every other diet I have ever been on, I started out great...then cheated a little, then cheated a lot....and by the time the 6 months were up I failed miserably...

I did not plan it that way, but it did show that that is how it is for me....that's my M.O., and surgery is/was the only alternative left.

Proving surgery was a last resort.

So I commented that I am going to pay all this money just to show them it won't work?

Share this post


Link to post
Share on other sites

My insurance told me I needed it, but I actually didn't. I just needed to see a nutritionist twice. Scheduled my surgery for first available time a few months later during spring break.

Sent from my iPhone using the BariatricPal App

Share this post


Link to post
Share on other sites

I went through a 6 month medically supervised weight loss program. I met once per month with my doctor specialized in weight loss. I kept a journal of what I ate. I attended a bariatric surgery support group meeting each month. And I exercised. So what did I learn.

First get off the caffeine and carbonated beverages at the get-go. I had a 6 diet coke habit prior to the program and lost 20 pounds on this change alone. Also cutting out caffeine from my diet through me in withdrawal syndrome which consisted of over a week of severe headaches and body aches. So since you have to give this up prior to surgery, I suggest you take that step now. Because you do not want to compound the effects of caffeine withdrawal and the effects of surgery. That is like a one two punch.

Next, walk 30 minutes each day. This is a really good habit because it dramatically improves your recovery process. I also walked as soon as they let me in the hospital. I took no pain medicine after I left the recovery room. I didn't need to because I had almost no pain. This was due to the walking.

Next, I paid a lot more attention to food label and at restaurants, I paid close attention to calories. As a result I cut out milk shakes at shake and Steak. But I also uncovered some meals with good Protein and minimal calories. Things like chili at Wendy's and crunchy tacos at Taco Bell. I avoided all you can eat buffets.

Share this post


Link to post
Share on other sites

Oh and lucky us....we get to pay TWO surgeon copays of $200 each. Sheesh.

Be happy. My deductible is 4k

Sent from my SM-G900T using the BariatricPal App

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

    ×