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What if I lose too much weight pre-op???



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Hi! When I weighed in at my surgical consultation on Oct 13 I was 217lbs (at 5'4"). Everything was sent to insurance today and I just weighed myself and I'm 211 lbs! What if I lose too much weight? Do they weigh me on my operation day? Do they tell insurance? What do I do?

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The weight they have for you is the weight they submit to insurance. At least that is what happened with me. I had to be a certain weight pre op before they would do the surgery because my bmi was really high. It all depends on the requirements of your insurance.

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In my experience, there's no such thing as losing too much weight before surgery. I wasn't weighed on surgery day either. Good luck!

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It depends on your insurance. I couldn't drop below a bmi of 35 or I'd be denied.

Sent from my XT1254 using BariatricPal mobile app

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Some insurance companies have a requirement where you have to lose a specific amount of weight, some don't care, and some if you lose any at all they deny.

But, I think it is common across the board that when they approve you, you can lose as much as you want from packet weight to surgery day weight. Once the pre-authorize you for the surgery there would be law suits from insureds, surgical groups and hospitals if they reversed their approval. The pre-authorization is all that is needed to schedule and preform the surgery.

They know most surgical groups require a liver shrink diet (I lost 17 lbs in 2 weeks). They also only see that surgical day weight AFTER the surgery, either submitted by a case manager (if they required continued stay reviews) during your stay, or after discharge when billing.

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My doc said don’t lose too much.

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9 hours ago, JT2002TJ said:

Some insurance companies have a requirement where you have to lose a specific amount of weight, some don't care, and some if you lose any at all they deny.

But, I think it is common across the board that when they approve you, you can lose as much as you want from packet weight to surgery day weight. Once the pre-authorize you for the surgery there would be law suits from insureds, surgical groups and hospitals if they reversed their approval. The pre-authorization is all that is needed to schedule and preform the surgery.

They know most surgical groups require a liver shrink diet (I lost 17 lbs in 2 weeks). They also only see that surgical day weight AFTER the surgery, either submitted by a case manager (if they required continued stay reviews) during your stay, or after discharge when billing.

Can I ask how you lost 17 pound in 2 weeks I need to lose 17 pounds to get my surgery I go to doctor january3rd and I'm doing everything they tell me,and still I'm stuck in doing 2 shakes a day replacing 2 meals 64 oz Water if not more and eating dinner which consist of salad or chicken or fish n veggie I'm so stressed,if you can plz help me.

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11 hours ago, Pamela wallace said:

Can I ask how you lost 17 pound in 2 weeks I need to lose 17 pounds to get my surgery I go to doctor january3rd and I'm doing everything they tell me,and still I'm stuck in doing 2 shakes a day replacing 2 meals 64 oz Water if not more and eating dinner which consist of salad or chicken or fish n veggie I'm so stressed,if you can plz help me.

I followed my surgical groups pre-op surgery diet. It was 1,200 calories per day, by doing 7 Premier Protein (Chocolate) per day. I was also allowed about a cup or 2 of beef/chicken broth (I added hot sauce for flavor), and up to 2 sugar free Jello (pre-made jello cups). You can have as much water/crystal light as you want.

There was NO other food, and I did not cheat at all. I lost 17 lbs in those two weeks (297lbs - 280lbs).

Edited by JT2002TJ

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I followed my surgical groups pre-op surgery diet. It was 1,200 calories per day, by doing 7 Premier Protein (Chocolate) per day. I was also allowed about a cup or 2 of beef/chicken broth (I added hot sauce for flavor), and up to 2 sugar free Jello (pre-made Jello cups). You can have as much water/crystal light as you want.
There was NO other food, and I did not cheat at all. I lost 17 lbs in those two weeks (297lbs - 280lbs).

Hi! I am currently doing the pre-op diet and I lost 13 pounds the first week. I started my second week about 4 days ago and have lost 1 additional pound. My plan is heavy on Protein Shakes (3-4 per day), 1 sugar-free popsicle, 1 sugar-free jello, plus I can have up to 2 cups of very specific vegetables (list attached). I drink Premier clear Protein fruit punch, Crystal Light, Water, and low-sodium broth as well. I was told to make sure I get at least 90-120 grams of protein per day and 80 ounces or more total of all fluids.


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The more you lose the better off you are. Less complications, easier recovery. I lost 20 pounds preop, every bit helps

~*~Sent via BariatricPal mobile app. Join me on my journey at www.curvylogic.com~*~

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