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Can you lose too much weight preop?



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I know this sounds very strange but is it possible to lose too much weight prior to obtaining authorization from the insurance. My BMI is 44 right now. I'm afraid that I'll lose one pound too many while I'm working through my six month requirement and drop my BMI to 39.9 and then not qualify for surgery. Is that possible? Or do they use the starting weight from your first appointment?

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I hope not. I have lost 73 pounds so far pre-op.



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The center I go to says they use your initial weigh in weight. So yours should be the 44 bmi . I'd double check with them, but it doesn't seem likely for it to be any different.

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Yes to@Newme17. Once you have been weighed at your first surgeon's appt, you can start losing without worry of insurance impacts. In fact, I bet your surgeon would be thrilled as it makes surgery easier for him if you lose weight.

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Be careful with that, one month I got off 10 lbs and my Doc told me the insurance company may look at it as you can do it on your own. I would wait to drop the most after the final visit. My 6 months was a perfect example of what I alway do, lose then gain.


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My bmi did go below 40 and I was approved with no comorbities.

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My nutritionist said we will watch that I don't drop too much because if BMI gets below 40 they may not approve it. I think it really is dependent on the insurance.

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Thank you all for the feedback! The person that would know the answer was not in the office today when I went in for my follow up and psych eval....which I passed today! One step closer!


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I started in my clinic at a BMI of 41 and dropped down to 36. The first surgeon I saw said I was "so successful so far" he didn't think it was worth it to operate on me and that I should try just going on as I have been. Luckily I was able to seek a second opinion within the clinic who agreed surgery would definitely be beneficial to me in not only losing more, but maintaining my current loss. but yes I was very nearly rejected for being "too successful" within the clinic. not a nice feeling.

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The insurance company qualifies you from where you start. Some entitle you to lose weight before the surgery some don't. As long as you don't drop below 35, you will still get approved. Congratulations on your new you


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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💪
      · 0 replies
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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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    • bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
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