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Mandatory to loose weight prior to surgery?



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Is the pre-op diet mainly to shrink your fatty liver or did the surgeon require you loose a certain amount of weight prior to surgery? or both?

If it's to loose weight - how much did your doctor require?

Thanks

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Most (but not all) surgeons require a diet for 1-3 weeks before surgery to shrink the patent's liver. I was on a modified low-glycemic diet for three weeks before my surgery. Some people have to lose a certain number of pounds (I've heard anywhere from 10-30 pounds), some people have to go on Protein Shake diets.... It all depends upon your surgeon.

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Is the pre-op diet mainly to shrink your fatty liver or did the surgeon require you loose a certain amount of weight prior to surgery? or both?

If it's to loose weight - how much did your doctor require?

Thanks

Can only tell you what my doctor said and that was the pre op diet was for the fatty liver problem. He didnt want to have to reschedual the op because he opened people up and found out that he wasnt able to go ahead because of the liver. He did warn me that in some cases even people who had followed the liquid diet scruplously still had to be rescedualed because of liver problems. Friend of mine who went to another doctor was told that she had to lose 20 kilos before he would consider operating as it was just too dangerous at the weight she was at. This was very frustrating for her because as she said ....if she could lose 20 kilos she wouldnt need a band.

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My doc required 10% loss of excess weight. Toward the end of my pre-op phase I found out that if you didn't hit your target right on the nose he would still submit you for approval to the ins. co. If you lost less than 5% you would be required to go on a stringent liquid diet for a couple weeks prior to surgery to shrink your liver. Because I came very close to my 10% target, I only had to do liquids for the 2 days immediately prior to surgery + bowel prep just to ensure that everything was out of my system prior to surgery. I've heard that some docs/ins co(s) require a 6 month supervised diet. The pre-op diet requirements seem vary greatl from doc to doc and ins policy to ins policy.

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My program requires us to lose 10 lbs to shrink the liver, and puts everyone on a 2-week pre-op diet consisting of 3 replacement meal shakes/bars and a small meal of lean meat and veggies.

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My surgeon never gave me a number. He just said that at 365 lbs my liver would be huge and that I should try and lose weight prior to surgery.

At the rate I'm going and with any liquid diet that may be required, I should be down 75 lbs when I finally have my surgery.

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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.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
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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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    • bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
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