Is It Possible To Lose Too Much Weight Pre-Surgery?
I started my quest to have WLS in May, although I had been mulling it over for a couple of years prior to asking for a referral. I desperately wanted to lose weight.
My history is that I am a Pro at losing weight and have done so on many occasions only to gain it all back and then some. This is primarily why I wanted to have the surgery. Not so much to lose the weight but to ensure that I keep it off.
Once I made the commitment to do this I began eating healthier and the weight began to come off. Then I had my appt with the Dietician and we started to change my eating habits etc and I got put on an eating plan.
Since June 1st I have lost 27 lbs. Yeah! I started at 275 lbs and am now at 248 lbs.
Realistically, I don't believe I will get Surgery until January at the earliest. It is entirely possible that by the time my surgery comes around I could be hovering around 200 lbs or even below 200. I am fairly lucky as I tend to lose quickly with short stalls.
Is it possible that if I lose too much weight I will become ineligible for surgery?
Referral - May 31/17; Orientation - June 15/17; First Appt Nurse - June 26/17; Bloodwork and ECG - June 27/17; Sleep Study - July 5/17; Dietician Appt - July 10/17; Counsellor Appt - July 10/17; Abdominal Ultrasound - July 10/17: Endoscopy/Colonoscopy - July 25/17; Second Dietician Appt - September 14/17; Internist Appt - October 2/17; Meet the Surgeon - November 21/17; Pre Surgery Nutrition Class - January 12/18; Surgery - January 16/18
on 8/6/17 2:09 pm
I have a friend who is like you- a pro at losing weight ---- but regains it... she is like between 40 BMI & 35 consistently... I know she wants the surgery but will they allow it if she is 35 BMI and yes has a great deal of medical issues. From what I read you can get the surgery if you are 35 BMI with issues.
You should double check with your centre as they are all different, but I was told by the nurse that your qualification is based on your weight at the first nurse appt that is recorded. My mom lost quite a bit pre-op and they still performed her surgery because the issue as you mentioned is being able to keep the weight off.
Humber confirmed at orientation in July that you can still qualify for surgery even if you go below a 35 BMI, they go by your referral weight. It makes sense because most of us can lose some weight but cannot keep it off long term.
Orientation July, Surgeon consult Sept, Internist Nov, RD/RSW/RN Dec.
RNY March 2, 2018 HRRH Pam (49 / 5'5 ½)
HW: 237, PreOpti: 226, Opti: -10, M1: -20, M2: -12, M3: -13, M4 -10, M5 -9, M6 -7, M7 -2, M8 -3, M9 -1 CW 138
Yes I have known folks this has happened to. They got too low and were steered to the non surgery program.
17+ years post op RNY. first year blog here or My LongTimer blog. Tummy Tuck Dr. Matic 2014 -Ohip funded panni Windsor WLS support group.message me anytime!
HW:290 LW:139 RW: 167 CW: 139
Great question! I too thought at the rate I was going I would lose too much to get the surgery - but I was assured that they went by the referral weight/BMI and if you lost in the process they were happy with that because it meant you were taking suggestions and working towards a new way of life. You will be fine. I'm 6 days post op. TWH
TOGETHER we can be BETTER
Best, MJ
Yes I have known folks this has happened to. They got too low and were steered to the non surgery program.
How heartbreaking would that be, eh? To get to your 3rd app't (w/ the Nurse Practitioner) only to find out that you disqualified yourself...Holy Jumpin'! :(
If someone has a BMI of 40 and no co-morbidity, it might be advisable not to loose Any weight until their weight has been recorded at the hospital during the NP appointment...
That's exactly what happened to my BF's sister 18 mos ago: she let her BMI drop to 39.5, and sadly she didn't have any of the 3 qualifying co-morbidities...With her height and weight, we're talking a difference of just 3 to 5 lbs!
Cold :(
Thanks for posting this thread, this was something I was worried about also. And thanks to everyone for your answers!
Referral: 23MAY2017 - Orientation 26JUL2017 - Social Work 20OCT2017 - Nurse 16NOV2017 - Nutrition Class 20NOV2017 - Endoscopy 23NOV2017 - Psych 01FEB2018 - Nutritionist 13FEB2018 - Surgeon 27APR2018 - Surgery 19JUN2018
Hi Sweetride,
I too had this question early on. My BMI was close to 35 when I was referred and I am eligible for surgery only because I have sleep apnea. I asked this question at Orientation and I was told that if my BMI ever went below 35 then I would not be eligible for surgery. I am in Hamilton. I have had a lot of stress about this and have in fact gained quite a bit of weight during the past year waiting to find out when my surgery will be. I still don't know when it will be. I would say that for me this is worse than just waiting for the surgery. It's been extremely stressful and somewhat depressing. I am looking forward to being healthy and being at a healthy weight and maintaining it.
Thanks,
Barb
Referred May 2016, Orientation July 4, 2016, Pre-Nutrition Class March 31, 2017, Nurse April 10, 2017, Blood work/ECG April 13, 2017, Ultra-sound April 27, 2017, Psychologist May 30, 2017, Colonoscopy and Gastroscopy June 5, 2017, Internist June 13, 2017, Dietician June 14, 2017, 2nd Round of blood work August 2, 2017, Surgeon September 6, 2017, Surgery September 12, 2017 - St. Joe's Hamilton - No Opti
Height 5"4" HW 231 SW222 CW141
PreOp-9 lbs M1-20lbs M2-11lbs M3-13lbs M4-7lbs M5-8lbs M6-7lbs M7-5lbs M8-5lbs M9-2lbs M10-0lbs M11 - 0lbs M12 - 0lbs