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Weight Gain Pre Op

Has anyone gained weight during 6 mo medical weight management? My consult weight was 331 and I'm up to 347. They told me I need to get back to my 331 weight by my pre-op appointment. I have my last medical management appt on June 1st trying to lose 13 pounds by then as I'm down to 343. Has anyone got denied due to weight gain?

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  • Recidivist
    Recidivist

    I only lost about 20 pounds during my 6-month program. It ended several months before my surgery, during which I gained it all back. That was not an issue for my surgeon or my insurance.

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I only lost about 20 pounds during my 6-month program. It ended several months before my surgery, during which I gained it all back. That was not an issue for my surgeon or my insurance.

Isn't that the hardest part? "Don't focus on the scale!" is a mantra for after surgery but prior to it, we are all its slave and live in fear of its judgement and retribution. Evil sadists, the lot of them, stringing you up for every mistake :404_popcorn: you enjoy. Oh, popcorn, how I long for you!

Okay, I kid, but it is hard to know what your weight will mean for you. You need to ask your insurance and office plainly "If I can't lose this weight but show I am doing this to try (diet, food tracking, exercise) per the program... what is the program policy?". My surgeon emphasized I could "not" gain weight between my pre-surgical consult and surgery, but neither of my insurances have weight or program requirements that way. What they do require is that I follow the clinic program, so my surgeon could choose to postpone if I was not in compliance. I was 100% on board... before my surgery got canceled 1 week into my liquid diet. After that torture, and working from home for 8 weeks, of course I ballooned. Ughs!

I kicked my butt and started back on my program a few weeks ago, then got my reschedule last week. I am back to my weight in January when I saw him, but 10 pounds over where I was the last time I started the liquid diet in March, which is frustrating. I will do it though and not cheat! I make it a competition to get through each day and I love to win. I had to find my motivation again with this whole situation derailing it, but it IS hard when you don't know about surgery. It is so easier to stay motivated with a deadline, at least for me.

So I guess my advice is to 1) get an answer from your program about the weight and 2) find that motivation. You might not lose the pounds but find a way to prove you are on the program (journal food, fitness tracker?) to let them know you are a proactive part of your own success, if they will just work with you.

  • 2 months later...
On 5/8/2020 at 8:23 PM, Recidivist said:

I only lost about 20 pounds during my 6-month program. It ended several months before my surgery, during which I gained it all back. That was not an issue for my surgeon or my insurance.

Hey! So just to clarify you gained weight from your original weight and didn’t have an issue day of surgery? I already got approved for surgery for this week but gained like 10 pounds or less and just nervous they’re going to reschedule for some reason.

thanks!

2 minutes ago, Lzmeyers27 said:

Hey! So just to clarify you gained weight from your original weight and didn’t have an issue day of surgery? I already got approved for surgery for this week but gained like 10 pounds or less and just nervous they’re going to reschedule for some reason.

thanks!

Sorry if I wasn't clear. I lost 20 pounds during the 6-month weight loss program, which was at a different hospital--it was not connected with my surgeon's office. I first met with my surgeon about three months later, and during that time I had gained back those 20 pounds. However, I did not gain weight between the time I first saw the surgeon and my surgery date.

Nonetheless, I don't think your weight gain would be enough to delay your surgery. However, you should discuss it with your surgeon. Just tell the truth and don't try to "cheat" by starving yourself before your next appointment.

Thank you! Yea I called them and they said it shouldn’t be a problem but I didn’t realize I gained 10 pounds and I am freaking out. I tried to have one last night of having a couple of beers with a burger with some friends and it bit in the butt with 10 pounds. So I’m trying to do the liquid diet till my surgery even though my doctor didn’t tell me I needed to it.

I’m just nervous day of they’re going to be like nevermind lol but the doctors office said I’m approved and it should be fine. Thanks for letting me vent lol

Okay good to know! I’m hoping I’ll be able to lose 5 pounds on the liquid diet in the next few days to play it safe and no obstacles to cancel my surgery.

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