Saxenda Injections After Gastric Bypass?

NikNik84
on 9/11/17 9:44 am

Hi!

I've gained a significant amount of weight back from Gastric Bypass in 2009. This is a on going battle.

My Doctor prescribed Saxenda Injections but my insurance will not approve it. The reason why is odd. They will not approve it because I had Gastric Bypass. I've asked 3 different people from my insurance company as to why this matters. NO ONE seems to know why! Ridiculous!!

I have Medicaid and plan on appealing. Is anyone in my shoes in regards to being prescribed Saxenda and denied from having Gastric Bypass?

Lastly, is anyone using Saxenda since you've already had Gastric Bypass? What is or was your experience?

Thanks!

Erin T.
on 9/11/17 11:05 am
VSG on 01/17/17

I used it before surgery and it did cut my appetite and I lost some weight (I think about 6lbs the month I was on it?), but it caused terrible acid reflux issues. To the point where I couldn't even sleep in a recliner because I had to constantly be swallowing to prevent the acid from coming up. I did not have GERD issues before/after the med.

VSG: 1/17/17

5'7" HW: 283 SW: 229 CW: 135-140 GW: 145

Pre-op: 53 M1: 22 M2: 12 M3: 12 M4: 8 M5: 10 M6: 11 M7: 5 M8: 6 M9-M13: 15-ish

LBL/BL w/ Fat Transfer 1/29/18

NikNik84
on 9/11/17 12:33 pm

Thanks for the info!

I just did the proper paperwork to appeal. I have my fingers crossed that it gets approved.

LettingLayneyLoose
on 9/11/17 12:57 pm

I haven't had gastric bypass but I just started taking Saxenda four weeks ago and so far, I've found it effective and haven't experienced any adverse side effects.

I lost a bunch or weight through diet and exercise and then a bunch more through a 12 week Optifast program and have continued to lose since with careful diet and exercise. I don't know how effective the Saxenda is or will be but my endocrinologist is hopeful it will help me keep off the weight I've lost at the very least. In the 4 weeks I've been using Saxenda (not quite up to the maintenance dose yet), I've lost 12lbs, which is consistent with my loss before.

I will say, it's been easy to stick to my 1200 calorie a day diet while on Saxenda and I haven't had any issues with cravings at all.

HW: 299 CW: 165 GW: 150

Started Optifast on April 21, 2017 at 248lbs through the Ontario Bariatric Network medical program.

NikNik84
on 9/11/17 1:04 pm

Congratulations!! Sounds like you're doing pretty well with your weight loss. I just really need that extra help. I'm hoping that my appeal letter will work.

Do you plan on having any weight loss procedures?

LettingLayneyLoose
on 9/11/17 1:30 pm

My plan was to have WLS but I lost too much during the referral period (my BMI is now 27 with no comorbidities) so it's not an option right now. I will be on the wait list in a second if I ever qualify again but in the meantime, I'm trying to keep losing without the surgery and hopin Saxenda is helpful.

Good luck with your appeal!

HW: 299 CW: 165 GW: 150

Started Optifast on April 21, 2017 at 248lbs through the Ontario Bariatric Network medical program.

Cathy H.
on 9/11/17 2:41 pm
VSG on 10/31/16

What happens if you use this miracle drug, and then you stop using it? You still have your tool...why not just return to eating the way you are supposed to be eating and use your tool to its fullest? Protein forward, low carb, measure, weigh and track. If you do that you'll lose.

Livin' La KETO Loca!!
134 lbs lost since surgery, 195 overall!! Initial goal reached 9/15/17, (10.5 months)!
5'3", SW*: 299 GW: 175 HW 3/2015: 360 PSW* 5/2016: 330 *PSW=Prog Start Wt; SW=Surgery Wt

M1 -31, M2 -10, M3 -15, M4 -16, M5 -8, M6 -6, M7 -11, M8 -8, M9 -8, M10 -4, M10.5 -7 GOAL

NikNik84
on 9/11/17 2:53 pm

I never said it was a miracle drug. It's ironic that you're on a weight loss page called Obesity HELP but are criticizing how one is handling things. I asked a question because I need HELP. I found your reply to be distasteful and just pretty disappointing.

Thank you NOT for not helping or showing any empathy. It REALLY makes me feel wonderful. Please don't reply as I have no interest in reading any of your negativity or showing "tough love".

Deuces!

Cathy H.
on 9/11/17 3:43 pm, edited 9/11/17 8:46 am
VSG on 10/31/16

No, I called it a miracle drug, as that is what I see it as like so many others before it. I did not criticize, I just asked valid questions. And offered valid advice to use your tool. If that's not what you wanted to hear, then sorry for that.

Livin' La KETO Loca!!
134 lbs lost since surgery, 195 overall!! Initial goal reached 9/15/17, (10.5 months)!
5'3", SW*: 299 GW: 175 HW 3/2015: 360 PSW* 5/2016: 330 *PSW=Prog Start Wt; SW=Surgery Wt

M1 -31, M2 -10, M3 -15, M4 -16, M5 -8, M6 -6, M7 -11, M8 -8, M9 -8, M10 -4, M10.5 -7 GOAL

ladygodiva1228
on 9/12/17 5:04 am - Putnam, CT
Revision on 02/04/15
On September 11, 2017 at 9:53 PM Pacific Time, NikNik84 wrote:

I never said it was a miracle drug. It's ironic that you're on a weight loss page called Obesity HELP but are criticizing how one is handling things. I asked a question because I need HELP. I found your reply to be distasteful and just pretty disappointing.

Thank you NOT for not helping or showing any empathy. It REALLY makes me feel wonderful. Please don't reply as I have no interest in reading any of your negativity or showing "tough love".

Deuces!

Cathy wasn't being negative she was asking a question. Pretty much all of those appetite suppressant/control things only work short term and the weight will come back once off of them.

What you need to do is ask yourself why you gained the weight back.

If it is because you ate off plan and didn't track/measure/weigh what you ate and drank then you need to get back to the dense protein, minimal carbs/sugar, plenty of water and vitamins.

If it is due to some sort of problem with your bypass then your doctor needs to determine what is wrong and make a plan to fix it.

Best of luck to you.

Dr. Sanchez Lapband 9/12/2003
hw305/revision w280/cw197/gw150

Revision from Lap Band to Bypass on 2/4/2015 by Dr. Pohl

    

×