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6 month medically supervised plan plan



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Yes I did. The appointments had to be spaced out exactly and if I missed one I had to start over. The dietician basically discussed good eating habits and gave me pointers. I was not put on any specific meal plan until after surgery. My insurance also required a Psychological evaluation.


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Did anyone have to do a 6 month medically supervised plan for their insurance? What did it include? What was the meal plan from the dietician like?
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Yes, i have to do a medically supervised weight managment plan for 6 months. Basically i have 1 appt for 6 months. Each appt is different. Im 4-5 months in now. First month i did a weigh in met with the surgeon he explain the process to me(oct). The next month i met with a psychologist(nov). The next i had a group nutrition class after that i met 1 on 1 with the nutritionist (same month.dec) i met with the nutritionist again in jan. She signed off on me to take the surgical courses. This month i met with psychologist again she signed off for me to take the surgical course as well. In march i have my final 3 appts. The surgical courses. A nutrition class for post surg. And to meet with a workout trainer (not required). Then im not sure what happens after that i think ill meet with surgeon again in april and hopefully submit for approval. Do not miss an appointment some people have to start the 6 month process all over if 1 month is missed.

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Yes, i have to do a medically supervised weight managment plan for 6 months. Basically i have 1 appt for 6 months. Each appt is different. Im 4-5 months in now. First month i did a weigh in met with the surgeon he explain the process to me(oct). The next month i met with a psychologist(nov). The next i had a group nutrition class after that i met 1 on 1 with the nutritionist (same month.dec) i met with the nutritionist again in jan. She signed off on me to take the surgical courses. This month i met with psychologist again she signed off for me to take the surgical course as well. In march i have my final 3 appts. The surgical courses. A nutrition class for post surg. And to meet with a workout trainer (not required). Then im not sure what happens after that i think ill meet with surgeon again in april and hopefully submit for approval. Do not miss an appointment some people have to start the 6 month process all over if 1 month is missed.

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That's what I was told. I'm just nervous and can't wait to see what the dietician says next week. The surgeon will not even do the first consult with me till after I do my 6 months

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That's what I was told. I'm just nervous and can't wait to see what the dietician says next week. The surgeon will not even do the first consult with me till after I do my 6 months

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Dont be nervous. Just go in learn as much as you can be honest with them and yourself. I didnt receive like a diet plan she just gave me pointers. My issue was i went long stretches with out eating and when i ate i ate a lot. So my dietitian wanted me to eat more frequent small healthy meals. From what i got out of it they just want to learn your pattern correct anything that your doing wrong. Seeing if you may or may not have an eating disorder or any type of emotional eating. You will do great! Im excited for you for taking the first step! Woohoo

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Dont be nervous. Just go in learn as much as you can be honest with them and yourself. I didnt receive like a diet plan she just gave me pointers. My issue was i went long stretches with out eating and when i ate i ate a lot. So my dietitian wanted me to eat more frequent small healthy meals. From what i got out of it they just want to learn your pattern correct anything that your doing wrong. Seeing if you may or may not have an eating disorder or any type of emotional eating. You will do great! Im excited for you for taking the first step! Woohoo

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My issue is I am always hungry. I can eat till satisfied and 30 mins later I'm starving. I have tried drinking Water when I feel hungry, changing my activities but no matter what I'm still hungry. I ate the other night till I ended up being in pain but I was still hungry. Hoping the sleeve will help with the reduction of ghrelin being produced.

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My issue is I am always hungry. I can eat till satisfied and 30 mins later I'm starving. I have tried drinking Water when I feel hungry, changing my activities but no matter what I'm still hungry. I ate the other night till I ended up being in pain but I was still hungry. Hoping the sleeve will help with the reduction of ghrelin being produced.

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Aw man i know what you mean. well follow up with the appts. Let us know how it goes. If you want u can dm me keep each other motivated.

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I'm currently on month 2 of my 6 with the dietician and it is a requirement of the insurance company. I see her for the 3rd time on 3/8. So far she's just given me tips and ideas but no official eating plan or anything, like the others have said. I am doing the psych eval next Friday.

Luella

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My program is a combination of the requirements of the bariatric group and of the insurance requirements. Insurance only requires 3 months of supervised diet, a visit to the Psych and a nutritionist visit. my group requires 10 classes though so instead of spreading those across 6 months i have to get them in in three months, so i am basically at the surgery center every week for a class. I was placed on a nutritional stop as well so i had to have a A1c done to get a reading below 10.0 and log my food for a week which i will review with my nutritionist next week. I will also meet with my Surgeon soon and then once my 3 months are complete my packet is sent to my insurance company, once approved i begin a month long pre-op diet.

All said and done i expect to be having surgery in mid may.

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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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