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1500 Cal diet BEFORE RNY?!?!

lor101421
on 8/10/12 10:20 pm - Troy, PA
Hi Everyone! 
I'm new to OH and just wanted to write a topic on having to do a 1500 Calorie diet and also follow a walking schedule before surgery. I've met with the doctor then the fitness specialist then the psych. and then the dietician. I was wanting to have surgery in September but now having to do a 1500 cal diet and go back for my second visit's on Sept 5th I don't think I'll be having surgery in Sept. :( Major Boo hoo since our first anniversary is in Oct, and then the holidays... Eeek.

How long does it take for insurance to approve you?...

Has anyone else had to be on this diet and walking schedule?...

I do have sleep apnea and have been faithful with wearing my mask at night..

Suggestions?... :) Thanks! 
MrsLitch
on 8/10/12 10:29 pm - Morris, IL
RNY on 06/04/12
Is the diet your doctor's requirement or your insurance requirement? Some Insurances require a 3mo others a 6 mo supervised diet prior to approval

View more of my photos at ObesityHelp.com

5' 3" - HW: 244 SW:234  GW:120 LW: 107 CW:110 Made goal 3/16/13!    

lor101421
on 8/10/12 10:35 pm - Troy, PA
I'm not really sure.... I think part of it is the doctor's requirement.. I had a terrible time at remembering to eat before being on this diet. I would often get ''too busy to eat'' and forget to eat.. Sometimes only eating one meal a day... It could be a insurance requirement, I'm not sure... :/ I pray it won't be a 6 month time frame, my goodness that is a long time to wait for approval on surgery! :(

Thanks for the info. :) 
juleskar
on 8/10/12 10:40 pm
I had a lower calorie diet during all my appointments pre-op, them had a 2 week liquid diet before surgery. My surgeon wanted my liver to shrink, so the surgery would be safer, and also to weed out any patients that weren't going to give 100%. Personally, I thought the pre-op diets were much harder, because you're doing all the hard work without having a small pouch.
Chihuahuan
on 8/10/12 10:57 pm - Seattle, WA
RNY on 05/16/12
 Mine was a 1000 calorie diet 3 weeks prior to surgery. It was exactly for the reason Juleskar states.  Most of us have fatty livers from being overweight on top of livers full of glycogen which has water attached to it, and to do the RNY surgery laproscopically the liver has to be lifted and manipulated out of the way for them to get to the intestines and stomach. If the liver is too large, then they may have to go ahead and convert to an open incision surgery which takes a lot longer to recover from.   It is well worth your while to be sure to follow the VLC diet prior to the surgery.  Now, that being said, my 1000 calorie diet did not start until I had a surgery date.  My doc wanted a 30 pound weight loss from me prior to surgery, which at that time was 10% of my body weight.  15 was to be done and then the surgery scheduled for about 3 weeks out and then he wanted the other 15 by the day of surgery.  I lost the 15 and then was able to lose 11 more before the day of surgery.    In the mean time of the first 15 my surgeons office got the approval from my insurance so it was the docs requirement rather than theirs because I had the approval before I had lost the first 15.   Good luck! It does suck but just keep in mind that you really want the laproscopic rather than a huge incision and the pain that goes with that.  

            

    
lor101421
on 8/11/12 2:06 am - Troy, PA
Oh you are so right! - I agree 100% !! - It makes perfect sense now as to why I am on this cardiac diet, secondly it makes it easier for me to keep doing what I'm doing. I must say i've been really good at following it faithfully and will continue to do so.

Thanks for all of the info everyone! - You've been great :) 
AlohaJen
on 8/11/12 6:15 am
RNY on 09/05/12
Hi, I have been on the 1500 cal diet since March. My ins and my surgeon required it... I have lost 21  lbs and have learned so much... my surg is sched for 9/5 and they will submit my packet for approval on 8/22 after my final appt at the surgeon's office.  It is important to follow and start learning a new way to relate to food.....  I am in PA too..... Near Pittsburgh, where are You ?

            

HW 304   SW 258  CW 199  GW  160?

lor101421
on 8/12/12 7:56 pm - Troy, PA

I haven't really minded being on the diet. I just look at it as a new phase of my life before I have surgery. :) Eating healthy is so important and starting now is even better!! I'm in NE PA - more towards the PA & NY border. Bradford County. :)  Thank you for your advice. :) I appreciate it.

Princess Brandy
on 8/11/12 6:18 am - PA
 We had to diet, exercise,mlog everything and insurance required 6 months. 
        http://poundsago.blogspot.com/.  My daughters weightloss blog, would love if you all support her in her journey. 
lor101421
on 8/12/12 7:56 pm - Troy, PA
I'll look into it! :) Congrat's to her and her new journey. I wish her well! 
courtwillbehealthy
on 8/11/12 4:02 pm - burlington, VT
 my diet was 1200-1300 cal. diet and i had to walk everyday. 
lor101421
on 8/12/12 7:58 pm - Troy, PA
Yes here too - Walking everyday... Started at 15 minutes week 1, 20 wk 2, 25 wk 3 and 30 wk 4... and so on..  1500 cal diet. I can't imagine doing 1200 right now... lol Maybe a cpl years ago but not now.. :) I'll adjust and maybe go down to a 1200 cal diet ?... Not sure. :)
Trish C.
on 8/11/12 8:09 pm - Waynesburg, PA
RNY on 10/11/12 with
I had to be on a diet for my insurance as well. 800-1200 for 6 months. But, luckily I knew that before starting my journey and started it early. I have one more Dr note to go and then I can send in for approval. Surgery already scheduled for Oct 11th. It goes by fast and it will prepare you even more for surgery! :)

Good luck!
    
HW 365   SW 317
    
lor101421
on 8/12/12 8:00 pm - Troy, PA
Thank you and good luck to you too!!

Yes I had a list of things I had to do, including the PCP Doctor's note so I got that... I pray that I don't have to wait six months, :/ however If I must I'll do it. :) Anything to be healthy!! Good luck hun! :)
GraceGirl
on 8/11/12 8:30 pm
On August 11, 2012 at 5:20 AM Pacific Time, lor101421 wrote:
Hi Everyone! 
I'm new to OH and just wanted to write a topic on having to do a 1500 Calorie diet and also follow a walking schedule before surgery. I've met with the doctor then the fitness specialist then the psych. and then the dietician. I was wanting to have surgery in September but now having to do a 1500 cal diet and go back for my second visit's on Sept 5th I don't think I'll be having surgery in Sept. :( Major Boo hoo since our first anniversary is in Oct, and then the holidays... Eeek.

How long does it take for insurance to approve you?...

Has anyone else had to be on this diet and walking schedule?...

I do have sleep apnea and have been faithful with wearing my mask at night..

Suggestions?... :) Thanks! 
You need to find out what your insurance requirements are. There are so many different companies and policies. You need to be informed so you know exactly what you need to do if you miss 1 thing they will deny you, and they look for ANY reason to do so. I was denied the first submit- cigna claimed they did not get all my nutrition program notes...My surgeons office sent everything. They went back and forth, then when my surgeons office demanded a peer to peer (my surgeon vs their medical director) they suddenly APPROVED me onthe spot. They play games. You need to know what to expect.

My surgeons requirements were:
clearance from a cardiologist
2 support group meetings
clearance from Psych consult
I had to do a 4week pre op diet

Insurance required:
6 months of nutrition visits
letter from primary Dr
5 year weight history
clearance from psych

My whole process from Seminar (september 2011 ) to Surgery (July 12, 2012) approx 10 months
 
"If you're interested in achieving success, you'll do what's convenient. When you are committed to success, you'll do whatever it takes."

lor101421
on 8/12/12 8:04 pm - Troy, PA
Oh Goodness!! - I'll look into this tomorrow and call and see what the requirements are...

Dr. Alley ordered
Fasting blood work, sleep study, found out I have sleep apnea and restless legs - on meds and on c-pap machine, wearing it faithfully and actually enjoy it. Had the Psych consult, went to one support group, one dietitian, but i think I need to see her and the fitness specialist twice. and probably need to go to another support group. Planning on doing next month 1st Thursday of every month.

I'll look into this - but boy your requirements sound a lot like what I'm needing to do... Hmm! I'll check into it and update this blog once I know. Thank you!! :) 
bugsmommy
on 8/12/12 8:48 am
They are suggesting a 1200 Cal diet. I have to lose 25lbs before I'm approved for surgery.
This goes along with my:
4 dietician appts
2 psych appts
4 WLS support group meetings

And the hoops to jump thru to get to those appointments .... I.e. can't have psych appt until 1st nutrition appt, called for psych appt and can't have that until PCP visit since my PCP and I email more often then visit and I'm on a every 3 year pap schedule.
lor101421
on 8/12/12 8:06 pm - Troy, PA
Oh my! - I hope everything works out for you. Its such a hassle but worth it in the end for sure. :) I just keep telling myself that. lol