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Songbird1230

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Songbird1230    3

Songbird1230
Posted

Hey! I'm 28, from NJ, and a single mom. Recently found out that I'm pre-diabetic and may have thyroid issues. I have GERD and take meds for that and mild depression. Since I started on meds, I gained a lot of weight and simply can't lose it. I'm at 214 now, and my HW is 220. I know that most sleevers usually start out with higher weights. Any thoughts or advice? I have Oxford Insurance. Will I get approved? I did the gastric balloon with Dr. Ren at NYU last July, and it barely helped. I'm just so torn....

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njgal    535

njgal
Posted

Hey Bee7... found your post while researching Oxford responses and saw that nobody replied to it yet. I have Oxford too and am going through the approval (or denial, we'll see) process right now.

Your BMI with 5'5" and 220 doesn't seem to be high enough unless you have a co-morbidity and pre-diabetics doesn't qualify as far as I know. Best check for you particular plan though. Do you have a surgeon picked already? If you have and if their insurance coordinators are halfway decent they should also be able to give you info.

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Mhy12784    423

Mhy12784
Posted

On 8/7/2017 at 5:12 PM, Bee7 said:

Hey! I'm 28, from NJ, and a single mom. Recently found out that I'm pre-diabetic and may have thyroid issues. I have GERD and take meds for that and mild depression. Since I started on meds, I gained a lot of weight and simply can't lose it. I'm at 214 now, and my HW is 220. I know that most sleevers usually start out with higher weights. Any thoughts or advice? I have Oxford Insurance. Will I get approved? I did the gastric balloon with Dr. Ren at NYU last July, and it barely helped. I'm just so torn....

If you have bad GERD and are on medication for it I'm sure surgeons will encourage you to do the bypass instead. The sleeve is statistically likely to make GERD worse while the bypass improves it significantly.

The balloon is a gimmick. Get tested for hypertension sleep apnea and diabetes, otherwise it'll be a struggle to qualify

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Deleted Account    151

Deleted Account
Posted

I have had GERD for years, and have been on Nexium forever.

My surgeon recommended the bypass.

My gastroenterologist is ecstatic because drugs like Nexium etc. have recently been proven to be bad for you in other ways. Do a google search about them.

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readytorunagain    66

readytorunagain
Posted

Hey! I'm 28, from NJ, and a single mom. Recently found out that I'm pre-diabetic and may have thyroid issues. I have GERD and take meds for that and mild depression. Since I started on meds, I gained a lot of weight and simply can't lose it. I'm at 214 now, and my HW is 220. I know that most sleevers usually start out with higher weights. Any thoughts or advice? I have Oxford Insurance. Will I get approved? I did the gastric balloon with Dr. Ren at NYU last July, and it barely helped. I'm just so torn....

Hi...i am 41 and also live in NJ. I also weighed in at 220 at the time of surgery on 8/28. I also have severe GERD for which I was medicated for over a year now. I have decided to discontinue my medication for the GERD as I feel it is weight related. I also had a hiatal hernia which was repaired at the time of surgery. I also am prediabetic, inhale arthritis in my knees amd have high cholesterol and mild sleep apnea. I had no trouble getting approved for the surgery. I do not; however, have the same insurance. Now, I could be wrong but it seems like the requirements to be approved are pretty much the same across the board as far as BMI and/Or comorbidities. The nutrition requirements vary a bit.

Sent from my SM-G935T using BariatricPal mobile app

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Go To Topic Listing PRE-Operation Weight Loss Surgery Q&A

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    • KeeWee

      KeeWee

      It's been 10 long years! Here is my VSG weight loss surgiversary update..
      https://www.ae1bmerchme.com/post/10-year-surgiversary-update-for-2024 
      · 0 replies
      1. This update has no replies.
    • Aunty Mamo

      Aunty Mamo

      Iʻm roughly 6 weeks post-op this morning and have begun to feel like a normal human, with a normal human body again. I started introducing solid foods and pill forms of medications/supplements a couple of weeks ago and it's really amazing to eat meals with my family again, despite the fact that my portions are so much smaller than theirs. 
      I live on the island of Oʻahu and spend a lot of time in the water- for exercise, for play,  and for spiritual & mental health. The day I had my month out appointment with my surgeon, I packed all my gear in my truck, anticipating his permission to get back in the ocean. The minute I walked out of that hospital I drove straight to the shore and got in that water. Hallelujah! My appointment was at 10 am. I didn't get home until after 5 pm. 
      I'm down 31 pounds since the day of surgery and 47 since my pre-op diet began, with that typical week long stall occurring at three weeks. I'm really starting to see some changes lately- some of my clothing is too big, some fits again. The most drastic changes I notice however are in my face. I've also noticed my endurance and flexibility increasing. I was really starting to be held up physically, and I'm so grateful that I'm seeing that turn around in such short order. 
      My general disposition lately is hopeful and motivated. The only thing that bugs me on a daily basis still is the way those supplements make my house smell. So stink! But I just bought a smell proof bag online that other people use to put their pot in. My house doesn't stink anymore. 
       
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      BeanitoDiego

      Some days I feel like an infiltrator... I'm participating in society as a "thin" person. They have no idea that I haven't always been one of them! 🤣
      · 0 replies
      1. This update has no replies.
    • ChunkCat

      ChunkCat

      Thank you everyone for your well wishes! I totally forgot I wrote an update here... I'm one week post op today. I gained 15 lbs in water weight overnight because they had to give me tons of fluids to bring my BP up after surgery! I stayed one night in the hospital. Everything has been fine except I seem to have picked up a bug while I was there and I've been running a low grade fever, coughing, and a sore throat. So I've been hydrating well and sleeping a ton. So far the Covid tests are negative.
      I haven't been able to advance my diet past purees. Everything I eat other than tofu makes me choke and feels like trying to swallow rocks. They warned me it would get worse before it gets better, so lets hope this is all normal. I have my follow up on Monday so we'll see. Living on shakes and soup again is not fun. I had enough of them the first time!! LOL 
      · 0 replies
      1. This update has no replies.

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