I want the sleeve not RNY
TRICARE doesn't cover the following services:
- Office visits solely for the treatment of obesity
- Non-surgical procedures for treatment of obesity
- Nutrition and diet counseling
- Biliopancreatic bypass (jejunoileal bypass, Scopinaro procedure)
- Gastric bubble or balloon
- Sleeve gastrectomy
- Gastric wrapping/open gastric banding
- Unlisted procedures
From their website.
That is why I say to call and ask for your plan specifically would be your best bet. That will help with your worries.
The nice thing about being an adult is that you get to make your own choices - not just do what your husband thinks is best, eh?
VSG with Dr. Salameh - 3/13/2014
Diagnosed with Binge Eating Disorder and started Vyvanse - 7/22/2016
Reconstructive Surgeries with Dr. Michaels - 6/5/2017 (LBL & brachioplasty), 8/14/2017 (UBL & mastopexy), 11/6/2017 (medial leg lift)
Age 42 Height 5'4" HW 319 (1/3/2014) SW 293 (3/13/2014) CW 149 (7/16/2017)
Next Goal 145 - normal BMI | Total Weight Lost 170
TrendWeight | Food Blog (sort of functional) | Journal (down for maintenance)
I haven't had my surgery yet but I went in wanting VSG or nothing. In addition to my own reasons these were big for me:
I didn't want a lifetime of vitamin/nutrient malabsorption.
Wanted to keep my pyloric valve.. Wanted a normal functioning stomach in smaller capacity. Bypassing the pylorus is risky in my opinion and is essentially why RNYers experience dumping syndrome and others like reactive hypoglycemia at muchc higher rates than people with pylorus preserving procedures.
The long term complications with rny were too numerous for my comfort level. Pouch or stoma dilation, strictures, vitamin/nutrient deficiencies, ulcers
I did not want food or mediation restrictions. I want a somewhat normal life. With rny I didn't want to go thru the possibility of dumping syndrome (even though there is a possibility with VSG, I felt it was almost guaranteed with rny) but the big scare for me was medication restrictions for life. NSAIDS and steroids are a no go with a rny pouch. I realize I might not ever be diagnosed with a condition or disease that requires steroid use, but it is POSSIBLE. I want the best long term results with the least amount of complications. Malabsorption is not anything to play with in my mind.
If you have anemia, which I do, Rny will make it worse.
im sure there are other medical reasons out there and again this was just my reasoning and you have to do what's best for you. Thankfully my surgeon was totally on board with VSG so I was thrilled. Good luck in your journey.