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Low BMI sleeve and weight loss



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Hi everyone,

I'm new to this site but have been reading the comments here. My question/concern is this: I'm a low BMI pre op sleever (35) and I'm concerned about losing weight pre op.

My concern is that if I loose too much weight, my insurance (federal bcbs) won't cover me. Does anyone else going through this? It's looking more and more that Mexico might be the option for me!

Thanks!

Sent from my iPhone using the BariatricPal App

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You should talk to your insurance carriers and your surgeon's insurance coordinator about the requirements. Some insurance companies gauge your eligibility solely on your starting weight. Others have different requirements. Any reputable surgeon should have a knowledgeable insurance coordinator who can help you figure it out for sure. Good luck!

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Hi everyone,

I'm new to this site but have been reading the comments here. My question/concern is this: I'm a low BMI pre op sleever (35) and I'm concerned about losing weight pre op.

My concern is that if I loose too much weight, my insurance (federal bcbs) won't cover me. Does anyone else going through this? It's looking more and more that Mexico might be the option for me!

Thanks!

Sent from my iPhone using the BariatricPal App

I'm going through that too. I am a BMI 35 but have multiple co- morbidity issues. It took me an hour on the phone with my insurer to just get a person to talk to me about how they make decisions, But it was worth the effort. United Healthcare apparently looks at multiple factors when making the decision. If my weight fluctuates up and down, it will not disqualify me. I've done 2 of 6 consults, psych eval, EKG, DVT, ultrasound, stress test, seminar, & nutrition counseling. Fingers crossed for you and me both! I weigh myself before appts and drink a ton of Water right before the office weigh in.

Sent from my GT-N8013 using the BariatricPal App

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Hi everyone,

I'm new to this site but have been reading the comments here. My question/concern is this: I'm a low BMI pre op sleever (35) and I'm concerned about losing weight pre op.

My concern is that if I loose too much weight, my insurance (federal bcbs) won't cover me. Does anyone else going through this? It's looking more and more that Mexico might be the option for me!

Thanks!

Sent from my iPhone using the BariatricPal App

Do you have any health issues related to your weight?

For insurance purposes it's usually BMI 30-39 WITH other health problems related to your weight.

For BMI 40 and over you don't have to have other health issues.

This is just generally speaking, your insurance may pay with your BMI and no other issues, but you need to ask.

Good luck!

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I have original Medicare. My insurance coordinator told me not to drop below 35 bmi or I would be disqualified for surgery. I successfully maintained at 36 bmi for 2.5 months knowing that I had spent the last year jumping through hoops and I was not going to do anything to cause a denial. Good luck.

Sent from my SM-T530NU using the BariatricPal App

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I had the same issue... my doctor was afraid I'd lose too much on the pre-op diet so instead of 1100 calories a day they told me to do 1300 calories a day because the purpose of the diet is to shrink my luver, not lower my weight drastically. I still lost 10 pounds, but I'm still able to have the surgery in a few days :-)

Sent from my SAMSUNG-SM-G900A using the BariatricPal App

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    • 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.
      · 0 replies
      1. This update has no replies.
    • 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💪
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    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
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      https://alluniqueguide.com/java-burn-coffee-reviews/
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