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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


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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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      Four days post surgery. I am sipping as fast as I can and getting NO WHERE near the goal of 60 - 80 grams of protein or the 64 oz of liquids. I just feel FULL. I don't know if it can still be the gas build up (I would think by now that would be gone) but it is a struggle to drink. And so far I have not had the nausea or spasms and don't want to wander into that territory by pushing too hard with liquids. I about passed out today as it was my most "strenuous" day. Went from second story to basement for shower and I was sure I was going to pass out. Looking back on my last few days I have had a total of less than 1000 calories. Am I just not getting enough nourishment in me? Once again a friday where I can't get ahold of the doc until Monday rolls back around so I am hoping maybe someone here has some experience on how to keep energy going. I do have fibromyalgia too and that may be where some added fatigue comes into play. How did you all fair with the goals the week after surgery?
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    • Doughgurl

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      1. Phil Penn

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      2. Selina333

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      3. Doughgurl

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    • 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!
      · 2 replies
      1. Selina333

        I'm so happy for you! You are about to change your life. I was so glad to get the sleeve done in Dec. I didn't have feelings of regret overall. And I'm down almost 60 lbs. I do feel a little sad at restaurants. I can barely eat half a kid's meal. I get adults meals often because kid ones don't have the same offerings at times. Then I feel obligated to eat on that until it's gone and that can be days. So the restaurant thing isn't great for me. All the rest is fine by me! I love feeling full with very little. I do wish I could drink when eating. And will sip at the end. Just a strong habit to stop. But I'm working on it! You will do fine! Just keep focused on your desire to be different. Not better or worse. But different. I am happy both ways but my low back doesn't like me that heavy. So I listened (also my feet!). LOL! Update us on your journey! I'm not far from you. I'm in Houston. Good luck and I hope it all goes smoothly! Would love to see pics of the town you go to for this. I've never been there. Neat you will be traveling for this! Enjoy the journey. Take it one day at a time. Sometimes a few hours at a time. Follow all recommendations as best you can. 💗

      2. Doughgurl

        Thank you so much for your well wishes. I am hoping that everything goes easy for me as well. We don't eat out much as it is, so it wont be too bad in that department. Thankfully. Also, I hear you regarding your back and feet!! I'd like to add knees to the list. Killing me as we speak! I'm only 5' so the weight has to go. Too short to carry all this weight. Menopause really did a doosey on me. (😶lol) My daughter also lives in Houston. with her Husband and my 5 grand-littles. I grew up in Beaumont, so I know Houston well, I will be sure to keep in touch and update you on my journey. I may need some advice in the future, or just motivation. Thank You so much for reaching out, I was hoping to connect with someone in the community. I really appreciate it. 💜

    • 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
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      · 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!

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