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6 Month Pre op. Help!



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Spoke with the bariatric nurse today through the program I'm going through and she mentioned I'd only need to show a 3-5lbs lost in the 5 months I have left. Well with my thyroid problem and other conditions it's been very hard to lose anything!! When's the best time to start this diet? And show the insurance I can make these life changes??!

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Start now. I followed a low carb/high protein/high healthy fat diet for my six-month insurance-required diet program. I lost 99 pounds pre-op; I re-established my relationship with food, and I began an exercise program. This prepared me more for the physical and mental demands of the surgery than anything else could have. My surgery was relatively easy, and my recovery has been accelerated, and I attribute much of that to the work I did pre-op.

Good luck!

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start now! I managed to lose 78lbs pre-op - how did I do it?

started logging immediately on my fitness - and be honest with it. Once you see it there in front of you - it's very easy to see what you should cut back on.

I started with cutting out sugary drinks altogether and started cutting back on carbs - potatoes and pastas were my go to foods. Each month, I dropped my calorie goal a little more.

And each month I increased my activity/exercise more. Working on the exercise and especially building some core strength is going to make your recovery immediately post op so much easier!

And start working on the mental - this journey is really about changing the way you think about food. Figure out what triggers your eating. And find other things to take the place of food. Even though you won't have much physical hunger post-op, the "head" hunger and cravings can still hit you with a vengeance and you'll want to know how to reset your brain and get rid of the food craving - for me it is doing something active, particularly with my hands (it's hard to put food in your mouth if your hands are busy doing something else).

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@@blizair09 Only issue is I have 5 months to lose this an she mentioned I can't gain weight but I also can't lose no more than 5 to prove to insurance I want this lifestyle change. Lol sorry I'm a little confused. And thank you!

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Why can you not lose more than 5 pounds? Are you close to the BMI minimum?

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have they said you cannot lose more than 5lbs? I'd get that clarified. While some insurance will take the final weigh in BMI, some use the BMI from your initial consult for determining eligibility. Do you mind sharing what your current BMI is?

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I would start working out and start figuring out what is problematic about your relationship with food. Track your calories and exercise and weight and then you can make adjustments as the months progress.

Sent from my Nexus 5X using the BariatricPal App

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@@heidikat72 I'm borderline at 36 so that's why I was a candidate for medical conditions more then BMI

Sent from my iPhone using the BariatricPal App

It really is ridiculous that you can't work to improve your health situation without risking insurance implications sometimes. (But I also understand how insurance can be, and as one who has watched over $40K in medical charges magically become less than a $1400 obligation for me over the past few days, I know how important appeasing them is!)

Anyway about it, I would work on changing your relationship with food. Specifically, think about how to build a new situation where food isn't the center of every event in your life. That has really helped me!

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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.

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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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