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Pre op nutrition questions

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I went for my first consult about two weeks ago and I can’t wait for my surgery date!!! My insurance requires the 90 day nutrition counseling and I will go back mid January. The nutritionist had me set goals on being a more mindful eater and to start logging food but nothing else. She didn’t seem concerned about me losing any weight before the surgery (I assume it’s because I’m closeish to the cut off for insurance coverage). Has this been the case for anyone else? Should I be worried about insurance not covering me if I gain weight in the 90 days? Any insight or advice would be great!

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It really depends on your situation, your insurance (down to the specific plan, not just carrier), and your surgical team.

This is a personal anecdote, but I was close to the cutoff the whole time, but actually gained about 20lbs through the first 3 months of my 6 month diet because I have Rheumatoid Arthritis and had to be on a 3 month course of steroids. Nobody on my team was all that concerned, but they did make it clear that in the last 3 months they wanted to see some kind of change - statistically, you are more likely to have a successful surgical resolution if you manage to lose even a little bit of weight beforehand. Side note, most insurances, when you apply for surgery, take into account only your pre-op BMI.

Some real tips I found helpful - start focusing on Protein and getting in 50-70 grams of protein a day. It is good practice for post op.
Buy a bunch of different Protein Shakes (look for shakes that are low in calories and very low in carbs/sugar and high in protein) and try them. Find a set few that you think you like and start incorporating those into your diet, but be sure to give yourself kind of a selection after surgery because what worked for you pre-op might not work post-op.
Logging and mindful eating with actual goals is huge. You should be logging after surgery until you can reliably get in your 70-80 grams of protein per day, so getting in that habit is super important.

Sent from my SM-G965U using BariatricPal mobile app

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    • New To This23

      tl:dr at bottom,
      I could use some advice. I went to see my dietician today (not a bariatric surgery dietician, I can explain why I am seeing her if you want to know). She knows I am going to have weight loss surgery as long as I hit the goal weight my insurance told me I need to be at. I have to be at the goal weight by June 24, 2023, in order for my insurance to pay for my surgery.
      I had a weigh in the doctor's office a couple of days ago and weighed 301, my scale at home said 302. However, on the same day, the scale at a friend's house said 313. 
      I knew I had this Dietician appointment two days later and I knew she would weigh me. I continued to weigh myself at home (after getting new batteries) and I was at 302 then 299 and today at home I weighed 303, right before my appointment, when I got to her office I was weighed and it said 313.
      I am concerned about what to believe since the doctor's office and my scale show similar numbers. I also bought a new scale today and it said 313. 
      The Dietician told me I needed to eat more protein, which honestly I struggle with. she said I needed 150 grams!!  I said are you kidding? that seems like a lot.  She used my weight to come up with this number. 
      Should I really be trying to eat enough protein for a 300-lb person or should I be eating protein for a goal-weight person (mine is 170)?   
      also, my clothing is loose like I lost the 20 lbs mine and the doctor's scale shows, and not 10 lbs like everyone else's scale shows. Also, I have always naturally been more muscular even when I was 120 lbs and did not eat any protein aside from what is in plants. 
      tl:dr- should I be eating enough protein to support a 300lb person or should I be eating protein for a "normal" sized person? AND should I trust the Doctors scale more so than the Dietician's scale? 
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