How much weight did you lose on your medically supervised 6 month diet?

Jessica S.
on 3/14/10 1:00 pm
I just spent about two hours looking for the topic, so forgive me if its something that's been answered before!!  I started my diet back in December for the 6 month requirement and have my next weigh in on Tuesday. I have lost about 25 pounds since starting… I was just wondering if there was such a thing as losing “too much weight" before my surgery.. I don’t really want to ask my case worker “So if I lose too much will I be denied" I have a BMI of almost 60 so dropping below the 40 will not be a problem, and I would really like to be under 300 pounds before surgery since the more weight i lose, the better it all is for my health.

Just wondering how much people lost and still got approved for surgeries in their six month time.   May 10th is almost here after too many years of being overweight I don’t want 25 pounds to come in the way of surgery L.   Thanks!
Moj_ Patti
on 3/14/10 2:40 pm, edited 3/14/10 2:42 pm - Where the Jackalopes Roam, CA
Isn't the search function here on OH the worst? LOL!

We won't jump your case here on BMI > 50 as much as some other boards -- feel free to ask all kinds of newbie questions. Just no surgery wars, m'kay?

Anyway, I would think the only people who would have problems with losing too much would be someone who's real close to 40 BMI. You are right, the more you can lose now, the better off you'll be with your new tool. However, you may not lose as fast immediately postop as those of us who, ahem, didn't do as well with the preop diet. (I lost 12 pounds -- I just couldn't mentally get there.)

There are several people I've heard get disapproved because they didn't lose enough -- and they had ridiculous weight loss requirements like 100 pounds. But in those cases, I question why the doc feels losing that much is necessary. Having a really high BMI means more risk when you go under the knife and I think there are some docs out there who have these requirements only to keep their complication numbers down. Maybe their first reason for becoming a doctor isn't just to help people get well? I think in those situations, the patient should shop around and see if there might be a better fit with another doctor. (But not everyone has the luxury of shopping around for docs, either.)

BUT GOOD FOR YOU! Keep it up. I think that quite a few of us never had problems losing weight, just keeping it off.

Best of luck!!
One food makes you larger, and one food makes you small... 
MichelleInNY
on 3/15/10 9:21 pm
My medically supervised diet was from Dec. '08 to June '09.  I lost zilch.  Mainly b/c my insurance said that if I was able to lose 10% of my excess body weight in that period, I wouldn't be covered for the surgery.  I was too scared to flirt with that, so mostly just maintained.  I made the mistake of not seeing my surgeon until after I completed the 6 months, when I could have been going through all of the other tests simultaneously.  From July '09 leading up to surgery (Nov '09) through all of my appts with the surgeon and nutritionist and then the 2 week liquid pre-op diet I lost 36 pounds total.

While I think weight loss post op was a little slower as a result, I am very glad I worked to change my habits pre-op.  Giving up pop, large amounts of carbs, fast food, etc. a few months before surgery I believe made my transition a lot easier.  

It's a fine line to balance with insurance though... I'd say just know your insurance guidelines closely and make sure you don't do anything that would prevent you from having it.  Your surgeons office will have the best understanding of this... usually lol.
Jessica S.
on 3/21/10 4:39 am
Thanks for your input!!   I think for my own sanity I am just going to maintain for the next two weigh ins (last one May 7th!). I think even if I gain a couple pounds, as long as im under my original starting I will be fine. My insurance company didn’t confirm or deny if I lost a lot of weight what would happen…   I made the mistake of going thru all the tests and appointments before doing the diet plan… My insurance flipped over to the 6 month diet plan for surgeries after January 2010… and when I checked in October 2009, it wasn’t needed. Lesson learned on my part!
6 months seemed like a long time back in December, but now its not so bad…   I too gave up all the pop, red meat, alcohol so hopefully like after your surgery it will make my life much easier!
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