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Trouble losing pre-op weight with nutritionist



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Hello! I have been extremely excited about this journey toward weight loss that I've failed to achieve on my own.....however, I have gained 4 pounds during the course of my nutricianist appointments that she advises that I see her for another month before my final appointment with the surgeon and submission to the insurance company (I've already completed the required 3 month visits). Has anyone experienced this? Could this really delay my chances?

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It's shouldn't they go by your weigh in after the 2 week liquid diet. I actually start my 2 week tomorrow and I'm scheduled for surgery Dec.13 I'm excited yet nervous I'm here if you ever need to talk good luck


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All insurance companies are different. Mine wanted 6 months consecutive with a 10% weight loss before they would approve. I've heard of others accepting some net loss, but no gain. I think gain is going to be a problem for the insurance company. You might want to follow the nutritionists advice and try one more month before submitting. It's important to remember that the surgery by itself will not cause you to lose weight and keep it off....your lifestyle changes, your eating habit changes are the real work and get the real results. The surgery is one tool in the tool box, but not the most important one.

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Have you addressed why you gained 4 lbs ? I'm four months post. We have to stick to the rules after. It's not easier to be honest. More risks with post op risk of leak etc. This is life changing. This opportunity. I'd discuss why your risking it not working out. What are you eating ? I didn't even have to lose weight for mine but I chose to. Maintaining is one thing. But gaining .. therapy is important. Or talking honestly here. Good luck

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You have not completed the three month requirement to LOSE WEIGHT. You gained. The idea is to lose weight in those 3 months. There for. You need to commit to longer to achieve the requirements. Doesn't seem complicated.

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It's shouldn't they go by your weigh in after the 2 week liquid diet. I actually start my 2 week tomorrow and I'm scheduled for surgery Dec.13 I'm excited yet nervous I'm here if you ever need to talk good luck




Thank you and good luck on your surgery day!!


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All insurance companies are different. Mine wanted 6 months consecutive with a 10% weight loss before they would approve. I've heard of others accepting some net loss, but no gain. I think gain is going to be a problem for the insurance company. You might want to follow the nutritionists advice and try one more month before submitting. It's important to remember that the surgery by itself will not cause you to lose weight and keep it off....your lifestyle changes, your eating habit changes are the real work and get the real results. The surgery is one tool in the tool box, but not the most important one.

You’re absolutely right. Thank you!


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All insurance companies are different. Mine wanted 6 months consecutive with a 10% weight loss before they would approve. I've heard of others accepting some net loss, but no gain. I think gain is going to be a problem for the insurance company. You might want to follow the nutritionists advice and try one more month before submitting. It's important to remember that the surgery by itself will not cause you to lose weight and keep it off....your lifestyle changes, your eating habit changes are the real work and get the real results. The surgery is one tool in the tool box, but not the most important one.

And that’s what I need to keep in mind..a tool. It begins with me. Thank you!


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Have you addressed why you gained 4 lbs ? I'm four months post. We have to stick to the rules after. It's not easier to be honest. More risks with post op risk of leak etc. This is life changing. This opportunity. I'd discuss why your risking it not working out. What are you eating ? I didn't even have to lose weight for mine but I chose to. Maintaining is one thing. But gaining .. therapy is important. Or talking honestly here. Good luck

Sent from my Vivo 5R using BariatricPal mobile app



Thank you for the feedback.


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Best wishes on your journey, shay. Using a fitbit and uping my exercise by walking helped me with my diet more than I can say. Best thing to do is to call your insurance and see what their specific policies are. Wishing you a safe productive outcome:)

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I start liquid fast of Dec 4. I see my surgeon tomorrow for my pre-op but I'm up 5 pounds. Should I be worried he will reschedule my surgery. I know I will be at my goal after liquid fast. My surgery is Dec 18. Please let me know.


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Best wishes on your journey, shay. Using a fitbit and uping my exercise by walking helped me with my diet more than I can say. Best thing to do is to call your insurance and see what their specific policies are. Wishing you a safe productive outcome:)

Thank you! I can do that.


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I start liquid fast of Dec 4. I see my surgeon tomorrow for my pre-op but I'm up 5 pounds. Should I be worried he will reschedule my surgery. I know I will be at my goal after liquid fast. My surgery is Dec 18. Please let me know.




Hi and thank you for sharing. Your doctor may not reschedule you but strongly advise that you are strict with the liquid diet before surgery. Stay positive because the 18th buys you more time to make it work. I know we both can knock these last few pounds off. Good luck!


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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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