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Hey guys...

I haven't been on here for awhile but I do have a question...

My insurance company requires a 6 month physician monitored weight loss program before surgery, which I am doing right now. I'm curious to see who all had to do this. I'm scared to lose weight and try b/c the insurance company may come back stating I can lose weight on my own. My problem isn't necessary losing the weight, but keeping it off and gaining more than I originally started with. I would love to lose weight and become healthy... my PCP also recommended Phentramine (SP?) to assist with weight loss b/c my blood pressure is actually really good. This would be a temporary, kick-off, type deal.

Any comments, suggestions, opinions? Thanks guys!

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HI mrsgriffin2u, I, too, started off on a 6 month weight loss program and found out 2 months into it that BCBS dropped the requirements. THe Dr I used for my 6 month program (through the Bariatric Center) said that there is only an issue with weight loss if you are a 40 BMI. If you have a higher BMI then don't worry about it. Good luck!

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I had to do the 6 month supervised diet too. I lost 20 lbs before surgery. Don't worry about losing weight prior to surgery, the docs submit to the insurance company your starting weight. That is the weight they consider your surgery. Showing you are serious and losing a few pounds will help you, besides making your surgery a bit safer as it will help to shrink your liver. My nutrionist had me on adipex for weight loss. It helped to curb my appetite.

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I did a 6 month supervised diet and wieght loss wasn't the entire goal of the program. They mainly focused on getting me to change my attitude with food and to start getting rid of things like sodas and fast food. I only lost 6 pounds during that time, but they approved me to go onto the next stage. Afterwards I was told that the program was really set up so those who weren't really serious about the WLS would bail out or be impatient. I don't know if that is true, but I know that my journey started way before I said hello to the surgeon and I am glad to have had that 6 month period of internalizing the upcoming changes and taking it step by step.

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I just finished my 4 months required monitored program. I only lost 8 pounds in the process. They only turn in your starting weight, at least that was my experience. I got approved for surgery one week of them submitting it to my insurance and I am scheduled for surgery on Feb 14! I'm on my second day of the proten shakes. So far so good.

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I was told they look at the starting weight too.

I think I gained 8lbs in the first few months and then lost 10lbs right at the end.

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Thanks guys! That really helps...

To be honest I think I've gained 5 pounds from the stress. Mentally I need to get over food! I didn't want to lose if it would keep me from the surgery so I think I over-ate again! STUPID!

I've weighed in every month as I should and speak to the Dr. about my diet. Luckily, my PCP is the best!

Good luck with your bands!

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Thankfully I don't have a weight loss requirement, but I do have to submit a food diary for 3 days or some such. I have to go back and look at the paperwork. It is either 3 days or 3 weeks. They do say they want you to lose 10lbs before surgery, but its not 'required'.

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Mine required a year of phd support and a 10% weight loss before they would approve. I got there, but had to take up a very bad habit for 15 days to get there! (ate 600 cals a day to drop 9 pounds) Not recommended!! Now the doc is asking me to lose 1 pound a week. I told him he was nuts!! I'm lucky if I can lose 1 pound a month at a 1000 cal/day diet!!

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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.
      · 0 replies
      1. This update has no replies.
    • 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.

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      Officially here for a long time, not just a good time💪
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    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
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      https://alluniqueguide.com/java-burn-coffee-reviews/
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