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6 month physician diet question



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Next week I have my first appt with the Bariatric Dr. I know to be considered for the Lap Band I need to go through a 6 month physician monitored diet for both my insurance and the practice (lehigh Valley PA0. I was just wondering what kind of diiet they usually recommend and do they prescribe meds or anything along those lines. I was just wondering what everyone's experience was.

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Hi Moxi,

I had to follow a six month physcian supervised diet and exercise program for insurance qualifications also. Because part of the Bariatric Center's requirements were to see the nutritionist, I got advice from her and my doctor noted that I was reducing calories and carbs along with exercise. I pretty much saw the nutritionist monthly along with my PCP. My doctor did not put me on diet pills as I had a TIA (Transient Ischemic Attack) years ago and she didn't recommend diet pills.< /p>

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I had to be weighed in once a month for Cigna Insurance requirements, there was no weight loss requirement for Cigna, and my surgeons only rule was I wasnt allowed to gain any weight, I ended up only taking off 3 pounds.. So it really depends on your insurance requirements (which you can research to make sure) some want a 10% weight loss. My nurse did RX phentremin (Wrong spelling !) but I didnt take them. Good luck either way,and theres plenty of people on here to help you..!!!

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My insurance required a 6 month plan as well. (BCBS). i thought it was bull at first but it was really helpful. i was told they do that so to prepare you for the changes to come. For me , i have learned to eat slower and take smaller bites as you would with the band. through ou the six months, my nutriionst weaned me off carbs. so pretty much i was put on the Atkins diet.. it was been a slow process. but in 5 months i am 29 lbs lighter!! Good luck to you.!!!

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I know that for a lot of insurance companies they have to have a 6 month diet plan, you don't have to lose weight, but they just want to see if you can do it on your own. I know it's a requirement for CIGNA (I'm a claim adjuster). They really just need to put you on a restricted diet and exercise to make the insurance company happy.

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I had BCBS and I just went tom my PCP for six month. She weighed me and set a new goal each month. I only lost weight one month. We both knew that it was just a formality. I then went to the dietician which was a joke. She asked what have you tried I gave her the long list of diets over the year and she said looks like you have tried every thing. 7 minutes later I was on the way home $35 less in my pocket. Went to the psch consult and it ended up costing a lot more around $80 because it falls under something other than the regualar co pay. Had to do a long drawn out interview and a written test. Turned it all in and with the dr. statement and was approved 2 days later. Process really took about a 2 years because that is when I first attended the seminar. I knew I wanted it then and what the requirements were, but I tried for a year to lose it on my own (not wanting to admit I couldn't) before I started my supervised 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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