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Newbie here I just have a few questions.



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Hi I’m considering getting the sleeve done but I’m not too sure of the proper steps to take. Like should I consult with my PCP or should I look into an doctor who specializes in weight loss? What are some of the qualifications that you need to meet in order to qualify for the surgery? & what are some of the pre diets like?

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The way I would handle it, some of which I did, some I should have. PCP first, say to him/her "Do you think I would be a good candidate for Bariatric Surgery? If not how can I get healthier so I would be a good candidate?" If PCP agrees ask if they would be willing to write a letter of referall or do they know of nearby bariatric programs. Ask for a Center of Excellence accreditated hospital or center, they are the creme de la creme of facilities, they can handle all facets of your care and much less likely to have anything go wrong. Study up on the procedure you want, I'll be having a RnY bypass but many people have as good a luck with the Gastric Sleeve, few places do Lap Band, even fewer in the US do,Mini bypass or SIPS but if you're interested just say on here, there are veterans who'll tell you where it's done, one that comes to my mind is Duke University but I'm sure there are more. To meet criteria: BMI above 40, your PCP probably can help you calculate yours if you don't know already. Some programs won't take you If you are below 18 or above 60 years of age. I'm lucky that they don't feel that way in Central Ohio, I am very healthy except for my weight, PCP told me I had a 45year old body trapped in this 72 year old shell.If you have BMI of 35-40 you have to have a condition aggravated by obesity, medicalese name for that is comorbility. sleep Apnea, Diabetes, GERD which is gastroesophageal reflux disease, commonly severe heartburn, lung issues, severe arthritis, those the ones I can remember if the top of my head. If you're under 34.9 most US surgeon's will tell you that you can diet it away. Truthfully I think it's more that insurance won't pick up the cost. You'll probably,pay out of your pocket and may even have to go to Mexico. I wouldn't do it, an old saying from my youth:

Everyone to their taste said the old lady as she kissed the cow.

Have a list of questions ready for the surgeon. You'll probably want to know how long you'll be hospitalized, whether a liquid prediet is necessary? Varies from just the day before to several weeks. People on here complain about them quite a bit but sometimes they are necessary. Ask what prerequirements the practice and/or your insurance requires. I had originally private which required 6 months of nutritional supervision, one I have now only requested you be above BMI 40, I had no problem with that as I also had 2 comorbities. I've recently switched programs, my previous surgeon required no liquid prediet, just balanced and low carb before. The new one I'm not sure of, if he requires a liquid I'll try to do it with minimal whining. I have waited so long for my surgery I'd probably crawl over broken glass to get it. Hey text back if you have many questions seems like I'm almost always here, if not there will be someone else with an answer. Hopefully you'll have a beautiful day! PS I have heard Nationwide Children's Hospital in Columbus Ohio does do under 18 year olds with severe obesity, that's something new under the sun.

Sent from my VS880PP using BariatricPal mobile app

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Hi I’m considering getting the sleeve done but I’m not too sure of the proper steps to take. Like should I consult with my PCP or should I look into an doctor who specializes in weight loss? What are some of the qualifications that you need to meet in order to qualify for the surgery? & what are some of the pre diets like?






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I went to my PCP and he thought it was a great idea. He referred me to a nutritionist and wrote me a letter as well. It’s been six months and last week I had my last nutritionist visit. Good luck to you in your new weight loss journey [emoji1487]


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I would first see if your insurance will cover the procedure and what the specific are (preferably in writing )
Then find surgeons that accept your insurance. Next go to a few seminars and narrow down your choices. Talk to your PCP and have them on board and follow the steps they will give you from there

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1. Find out if your insurance requires a referral to the weight loss surgery center
2. Find out from your insurance what the medical policy is and what’s required to qualify
3. Pre-op diet is different for each center. Some have all liquids and some have reduced calories


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I went to my PCP and he thought it was a great idea. He referred me to a nutritionist and wrote me a letter as well. It’s been six months and last week I had my last nutritionist visit. Good luck to you in your new weight loss journey [emoji1487]




Thank you & Good luck to you also [emoji847]


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@ UnDefinedBeauty and @ LauraD84, did you ever have your surgeries. I meet so many nice people on here and I often w/o see how their stories end.

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    • LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
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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.
      · 1 reply
      1. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • 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
      1. This update has no replies.
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