Hi guys ...
I’m on my 5 month pre op for sleeve and didn’t loose yet the weight ? required by my insurance , the nutri told me today that I must loose 10 pounds or they won’t approved me . My question- does anyone had been through this ?how did overcome ? I’ve been following the meal plan ; I guess I will have to put more effort on it —just afraid I will not make it - I’ve come so far

How long do you have to lose the 10lbs? That may determine your strategy.

I will have my last visit with nutritionist September 20th and then they send all the paper work for insurance I have all others doctor cleared already

Ok, well a month is not long, but depending on how overweight you are, you should be able to do it unless you are very metabolically resistant. Log every single bite. Measure everything. The pre op meal plan they gave me was 1500-1700 calories, which is far too high for me to lose any significant weight at my height, so you might have to play with the calories. Some people swear by keto for quick weight loss and getting that initial water off. Good luck!

Thanks @swanton_Bomb I will find a wAy; I have to be very carful .

Definitely to lose quickly consider cutting some carbs. Try staying to less than 50 grams a day and that should help you.

Focus on lean protein and vegetables. I would stay away from breads, rice, pasta, and high sugar content fruit until your last visit. One month means 2.5 pounds a week. You can do it, but you will need to stay very focused on plan.

Will they simply delay submission of info for surgery until you lose the weight? You were given 6 months to lose 10 lbs? Was this the insurance or doctors requirements? Hoping the best!

Edited August 21, 20187 yr by GreenTealael

I have 30 days until my last visit after that they will submit the paper and I assume they will delay; but I’ll do the best to loose all until the last visit ...As well as the insurance requires 6 months of process. Insurance required me to lose 5% of my weight ;

Have you lost some of the required 5% already?

No kept the same weight

I've found that lots of water and exercise is a great way to get it to come off. YOu might also want to resort to protein shakes for breakfast and lunch and then a sensible, low-card dinner. Give that a try....

I'm curious, were you *really* following the diet they gave you to the letter without cheating? If you really did, and you didn't lose any weight, I personally would call out the nutritionist for providing you with a diet that wouldn't meet your needs.

But, 6 months to lose 10 lbs, isn't hard to do. Simply cutting most to all carbs, soda and sugars will net you a 10 lb drop fairly quickly.

I know @ Matt Z To it’s not ; to be honestly ; I’ve haven’t been strictly following the diet the way I should , but I did cut the half portion when I eat during week days , I don’t drink soda during week but on Sundays BBQ’S yes I do have carbonates drinks and basically eat during it . I guess I will have to really focus ; I haven’t been able to really exercise due to my lower back problems I do walk 3 times week I try to push my self at least 40 minutes ; but due to weight my knees and ankle start to really fill the pressure , I fell most of the time bloating I will try to minimize everything ....
Thank you all for the advices - ?

20 minutes ago, lili@ne said:

I know @ Matt Z To it’s not ; to be honestly ; I’ve haven’t been strictly following the diet the way I should , but I did cut the half portion when I eat during week days , I don’t drink soda during week but on Sundays BBQ’S yes I do have carbonates drinks and basically eat during it . I guess I will have to really focus ; I haven’t been able to really exercise due to my lower back problems I do walk 3 times week I try to push my self at least 40 minutes ; but due to weight my knees and ankle start to really fill the pressure , I fell most of the time bloating I will try to minimize everything ....
Thank you all for the advices - ?

ride the recumbent bikes. easier on the back and knees overall. And really push the water intake, it's so very important to get in more water than your body typically needs and to avoid things that are diuretics right now, like soda, coffee, tea, caffeine... you'll get back to them later on, but if you REALLY want to make sure you stick this surgery... you've got to pretty much give up everything, for now.

Are you really ready for this?

16 minutes ago, GreenTealael said:

Are you really ready for this?

This is so important. Make sure you are mentally ready to commit to the type of changes you will have to go through for this surgery. Pre surgery it is very hard to commit to the changes but you have to if you want to succeed. The sucky thing now it that you have to REALLY commit to it all and in a very short amount of time. Hopefully this does not discourage you. Follow the advice given here and by your NUT. You CAN lose the weight in the time you have left. If you need support we are all here to do just that. Ask questions, ask for support whenever you need it. We all want to succeed and help each other succeed. Don't feel like your alone.