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How much has everything been required to lose before surgery?

I started at 376, I am now 335 and my surgeon is requiring that I lose six more over Thanksgiving for a Dec 1 appt, and at least ten more during the two week diet or he will cancel surgery. I have already spent 30K on fulfilling his requirements so I can't stop now. The surgery will be another 19K. I have been working towards this since February and have been struggling. I inspect food service facilities all day every work day. I have gotten the "you must not want this enough" and my day is ruled by the scale (am required to weigh daily) and I get so stressed out over it all. Reading through here it seems most at my weight aren't required to lose this much. I am self pay so it isn't due to insurance requirements. Any insight?

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Our clinic did not require any weight loss however sometimes insurance companies do so some people in my pre op classes did have to lose a certain amount of weight.

There is a two week surgery prep diet to get your organs shrunk for the surgery.

I was 360 and they required I lose 30% before surgery. I did and am in my 3rd week post op

HW: 360 SW: 323 CW: 297 RNY: 10.31.2016

Doctor preference

HW: 360 SW: 323 CW: 296 RNY: 10.31.2016

Hi and first off I am so sorry this has happened to you!! I had my RNY July 2, 2013. I was put on Protein drinks for 2 weeks preop and then 4 weeks postop. He never gave me the amount of weight he wanted me to lose. But he did say that any amount that I lost would help shrink my liver. He said he would need to move it around so losing weight helped with it being fatty. My insurance didn't have any requirements but honestly, I had looked into WLS around 9 months before. But that DR wanted to do the Lap Band. At that time our insurance didn't cover the Sleeve yet. So I backed out. I knew how much trouble my hubby had with his so it was a NO GO for me!! We actually went to him for my hubby. His band had malfunctioned and needed to be taken out. When I said I was interested but could only have the Lap Band I was told I could get the RNY. So I had my surgery July 2, 2013. Then my hubby had his Sept 2013, but it was a fail for him. If I was you I would use this time to get prepared for everything. Good Luck

I had surgery in Mexico 10/3/16. I sent in all paperwork, medical and chose my doctor in July, he notified me 8/3 (my bday) that I too had to loose weight prior to accepting me as patient. (He didn't tell me how much to loose but told me he wouldn't consider til Oct.) I spoke to the nutrionist and started the pre op diet, which other patients were starting 2 weeks prior to surgery. It wasn't easy but I stuck to it and lost 49lbs in 2 mths.

I bought a Fitbit and walked 1.5-2 miles a day at the YMCA. I started taking 100 billion cfus Probiotics. (doctor required probiotics over 50 billion cfus a day, so I went big-found at GNC)

I am thankful I had to lose the weight prior because I was high risk for many complications. My liver was not in good shape, diabetes ect. This is a life changing event for me and will be for you too. You can do this!

  • Author

I had surgery in Mexico 10/3/16. I sent in all paperwork, medical and chose my doctor in July, he notified me 8/3 (my bday) that I too had to loose weight prior to accepting me as patient. (He didn't tell me how much to loose but told me he wouldn't consider til Oct.) I spoke to the nutrionist and started the pre op diet, which other patients were starting 2 weeks prior to surgery. It wasn't easy but I stuck to it and lost 49lbs in 2 mths.

I bought a Fitbit and walked 1.5-2 miles a day at the YMCA. I started taking 100 billion cfus probiotics. (doctor required probiotics over 50 billion cfus a day, so I went big-found at GNC)

I am thankful I had to lose the weight prior because I was high risk for many complications. My liver was not in good shape, diabetes ect. This is a life changing event for me and will be for you too. You can do this!

Hmm probiotics...I have read studies that link weight to the gut biome. My surgeon never said anything about this though. I'll have to look into that. Thanks for sharing this and good luck!

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My doctor's requirement was 10 pounds. (~10% of excess weight)

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Wow...I wish my doc used that calculation. I know it's for my own good but after 9 months of dieting, I'm struggling. If I was good at doing this on my own long term and keeping it off, I wouldn't need the surgery. Bah. I can't wait to be on the other side.

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I know how you feel not to that extent but I am back to fighting to get this done, I have less than 2 weeks to drop another 10 or my surgeon will cancel as well. We will make it one way or another, I have no idea how I am going to drop this extra 10, but I will do it. Good LUCK

  • 2 weeks later...

Ok Its Monday morning and I am officially 2 days away from surgery. Insurance approved, pre testing complete labs done and upper gi passed on Friday..... WHY AM I freaking out! I am sleep walking , which I have not done in years, I am not hungry but obsessed with food, I feel like I am going to sabotage myself.

I guess I should explain... I know I have mentioned I do not really eat.... well I eat but not well, I had lost 6lbs so far on the pre op diet, back in the day I used to sleep walk and eat....have not done that in years, I woke up in my daughters room a couple of days ago still so not know why.... I have been having nightmares about the dr cancelling the surgery today I woke up in the basement with an empty cookie tin and crumbs everywhere. I was covered in crumbs! I do not even want to go near the scale. I searched my daughter room and found a few empty cartons of ice cream. I have no idea why I am doing this to myself! I am sure the liquid diet has been erased along with the weight loss, NOW what , I left a messages for my dr . maybe I am not ready for this, maybe I dont deserve it. I need it and want it , but I may be just setting myself up for another excuse to fail. I never thought of myself like a "fat person" but the last 3 days shows different. I am my own worst enemy and now I am sitting here feeling like a failure. Fearful that I ruined this opportunity to have my health back. I am weak I have some messed up mind crap, and am unable to find the strength needed to reach the simplest of goals. 10 lbs in 2 weeks. I hate myself for letting this happen. SUCH A LET DOWN.

  • Author

@militaryma Oh my goodness! I can't imagine how much this must hurt. I was talking to my nutritionist and she said that there have been those that have obviously not followed the diet and still got the surgery and not to worry if the weight doesn't fall off as expected. But, the threats of the surgeon trump that for me and stress me out to no end. I hope and pray for your sake that your surgeon will move forward given that you have put good faith effort toward jumping through all the hoops. Take some Metamucil as it will push whatever u ate through your body and don't lose hope. Sometimes I feel that are different standards for different people even in the same practice and that is unfair. Hopefully, your surgeon won't be too hard on you for this. Obviously, that isn't something you can control. Hugs.

Starting weight 367

CW 335

Sleeve scheduled for Dec. 19, 2016

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