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Preop weight gain



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So due to the holidays I have gained 2 lbs. I have my final nut visit tomorrow. I plan to wear light weight clothing, plan to take an Epsom bath tonight and tomorrow am and only drink a half of a Protein Shake in the morning before the appt. I have been eating really clean (low sodium etc.) the past few days, drinking tons of Water and limiting to 1100 calories so I am hoping the scale looks better tomorrow.

So my question- does insurance look at the weight from the first and last doctor's appointment or the nutritionist? It is at 2 different offices and 2 different scales. My doctor appointment is next week and surely I can lose the 2 pounds by then and be less than my initial appointment. I can't delay either appointment due to insurance number of days requirement. Ugh!! I wish I would have been more mindful over the holidays.

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I would be shocked if a weight gain of 2lb caused and issue with proceeding with surgery. I mean, I have some winter boots that weigh much more than that! I'm not sure about your surgeon's policies by at my office, generally, the insurance company would only decline to cover if you had a large weight loss with lifestyle changes and they determined it was no longer medically necessary. However, the policy for my surgeon, was that you needed to have a small weight loss, and no large gains in the 6 mo leading up to surgery to ensure you were willing to participate in making the changes to help surgery be successful. 2lbs would not have been a factor for either of those situations.

Not sure about the cutoff weights, but one man in my group lost 70 lbs prior to surgery and his insurance still covered it.

Another woman gained 20 lbs during the pre-op program but then lost 5 in the month before surgery - she still got to move forward as well.

You can do this! And I don't think you need to take any extreme actions over the 2 lbs. Just work your plan consistently and you'll do well. Good practice for post op, too!

We're all rooting for you!

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Thanks for the encouragement. I went today and was down 2.5 lbs. so that's good. Now I just have to make sure I stay at this weight for the MD appt. next week. I found out they are submitting my info . to insurance today and "should" hear back in 15 business days. So fingers crossed. I am still expecting for it not to be covered since I don't' use a c-pap as I have a diagnosis of "mild" sleep apnea without any other comorbidities.

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    • LeighaTR

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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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