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They need a years worth of documented medically supervised history of weightloss. Does anyone know how detailed it has to be? Thanks for your help, I feel so depressed now.

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i had soooo many documented weightloss --i went to weightwatchers,2 different gyms,2 nutritionists,LA Weightloss,Richard Simons,Xenical,etc... Stuff like that. If you know youve toldd your doctor youve tried losing weight through such programs and usually they are willing to send over a few pages to your surgeon. Good luck hopefully that will help. let me know if you need anything else:)

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I Work For An Insurance Company And When We Ask For That It Can Be Submitted 2 Ways...by The Physicians Medical Records Or By The Patients Own Records. I Sat Down And Wrote Out Every Diet And Exercise Plan I Tried And The Insurance Company Accepted It!!! Check And See Exactly What You Can Turn In For That!!! Good Luck :)

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Thank you for all who responded. The criteria states as follows:

A documented failure of twelve (12) continuous months of compliance with medically supervised non-surgical methods of weigh reduction. Medical supervision must occur under a MD, DO, or nurse practioner wihtin the previous 24 month period prior to the request. A medically supervised weight management program is expected to consist of:

1. Nutrional therapy or medical nutrition therapy including a very low calorie diet (ie., Medifast or Optifast) unless contraindicated,

2. Behavior modiciation or behavioral health interventions

3. Supervised increased in activity

4. Pharmacologic therapy

5. Maintenance support to continue to encourage nutrition choices to reduce health risk factors and amaintain a healthy lifestyle.

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Beth, it sounds as though your doctor is going to need to provide notes for you. Have you been seeing any doctor in the last couple of years in an attempt to control your weight? My carrier had a similar requirement (for six months, though) and it was satisfied by my doctor's notes that I had sought treatment for my weight issues over the last couple of years.

If you don't have such a record you may just have to pull up your bootstraps and get started now. A year isn't all that long, and will go by very quickly. Call your PCP and make an appointment right now to start that medically supervised weight loss program!

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My doctor has March 2003 diet pills and January 2005 and June 2005 so worse comes to worse can starting going and then apply in January, my only fear is if they stop covering it by then.

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Beth –

I know the feeling. My ins. co wants 6 months of doctor supervised plan and I started it last month so I have 5 more months to go. Right now my ins. covers the surgery but who knows what will happen with open enrollment for next year. But all we can do for now, is to do what ever we need to now to get approval and worry about things that may change when they happen.

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i remember one of my ins requirements was that i had to have a medical condition DUE to my obesity.WHAT?!?!?!I dont have any medical problem like diabetes,high cholestoral and id prefer not to wait until i did to have this surgery!!i wrote them a letter pretty much stating that(along with all my other medical proof) and got approved :)

i think maybe they might have changed that part since thats not right at all,considering how young i am and are lots of people trying to get this surgery!!

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      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
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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.
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      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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