Question:
Medically supervised diet? What is involved with that?
My BMI is 39.75 and I have 2 co-morbidities. What is involved with the 6 month supervised diet? What if I lose 20 lbs and my cholesterol and bp drop due to meds and weight loss? Do I just make sure I don't lose any weight during the 6 months? — ajordan (posted on September 6, 2008)
September 6, 2008
that is really good question, Amelia. I was just wondering the same thing
myself.
— TRIPLELLE
September 6, 2008
I had to do the supervised diet with the nut, you just go and get weighed
she tells ya what to eat, you try to follow her instrutions, I lost the
first 5 months, an by the 6th month had gained it all back, she was worried
the insurance co. might not approve me, but she was as shocked at I, got
approved within a week. She might have you keep a log of what your eating,
but you just go every month and relax, most insurance co.s' are getting
better about approving people. I am 7 weeks out and am enjoying life so
much more even tho i have only lost 40 pounds, but more inches. Good Luck!!
— [Deactivated Member]
September 6, 2008
If you take a look at my OH profile, in my blog I have my
"supervised" diet listed there that I am to follow. That can
give you somewhat of an idea of what it will entail.
— bicngillette
September 6, 2008
I came upon a problem during my six month weight management. My PCP, at
first seemed okay with my wls. Then after I lost so much weight she changed
her mind about the wls and wants me to stay on the diet plan for a year. I
was in shock. If weight loss surgery is something you really want you might
have to stand up to your doctor over this. I know I am going to.
— Nancy1Marie
September 6, 2008
The point is this: What is your history with weight loss? Is it like
millions of other people including me? My history is that I lose 20 to 30
pounds the first couple of months out, then the weight loss stalls, and I
eventually gain it all back because I just can't keep going and going and
going on that blasted diet and be hungry all the time and not lose weight.
— cydthekid50
September 6, 2008
i have BC/BC of Michigan & all i had to do was attend weight watchers
for 6 months & turn in my progress card they give you to the WLS
office. I was told by Barix that I could lose all the weight i could, they
still use the weight at the initial appointment. I too thought that i
couldnt (or shouldnt) lose weight- but for me, that wasnt the case. I was
approved as soon as i turned in the progress card.
— Cristina K.
September 7, 2008
Most of the surgeons want you to prove that you are motivated to keep on a
diet plan after surgery, but also to reduce some of the belly fat that they
must go through to do the surgery.
I have been following the diet plan that I will have to adhere to after
surgery for 8 months. No carbonated beverages, no caffeine, no gum, high
proteins, keeping a daily log of all foods, no alcohol and an exercise goal
of 45 min of cardio 4 to 5 days a week. I have to prove that I can do all
these things before they will approve the surgery. I understand that the
criterion is higher because the bariatic center has a certificate of
excellance that must be maintained. I think if all centers had this
criterion there would be less problems post op. jackie
— Boggma
September 7, 2008
I've wondered the same thing. My BMI is 41-43 (depending on my weight
fluctuation) and I also have 2 co-morbidities. I have to complete a 3-mo.
medically supervised diet. So I'm seeing my PCP and trying to stick to a
reasonable diet. I looked at my weight history over the past five years,
and it goes up and down, up and down, whether or not I was dieting at the
time. About a 10-lb. fluctuation at some times, other times only 2-5 lbs.
— sem51
September 7, 2008
Make sure your visits are no more than 30 days apart and no less that 25
days apart. Also if you don't lose any weight that should be OK - I
maintained my weight through the whole "diet". Make sure they
weight you every time you go in to see them. My doctor also took my waist
measurement every time I went in. If ANYTHING hurts or if you are having
ANY problems tell them at your visit. I don't care if you toe hurts - you
need to tell them! BCBS of AL required a 6 month diet, but I ended up
going to my doctor for 8 visits. When you have your last appt with your
doctor go ahead and make an extra one just in case your insurance company
needs you to go one more time. I hope this helps! MC
— Melissa D.
September 7, 2008
Some insurance companies (like Priority Health) require you to go on a 6
month medically supervised diet. For the surgeon's office that I was
approved to go through, that involved a 17 week diet and weekly dr. visits
and weekly group sessions, all of which you have to pay your copays for. Oh
and you have to eat their food, which insurance doesn't pay for. It was
800-900 calories a day, high protein instant food. All in all, around $100
a week for 17 weeks. I lost 18 lbs. and got approved right after I was
done. It's a very expensive hoop to jump through. My husband told me to
look at it as an investment in my future. I wasn't going to get the surgery
without it, so.....good luck to you.
— penneynurse
September 7, 2008
No, No, No, you want to lose weight!!! This shows your ins that you can
stick to a diet. I lost 25lbs during the 3 mo I was on a Surpervised diet.
My BMI was 39 when I started and 37 after 3 mo. My Dr said it could go to
35 as long as you had 2 or more co-morbidites. I only weighed 197 the day
of surgery but because I had 3 co.mor. plus 2 times with cancer in 5 yrs my
ins paid 100 %
— 102807
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