Doctor insights on:
Guidelines For Insurance Covered Skin Reduction Surgery After Gastric Bypass
I had gastric bypass surgery ten yrs ago now have loose skin and hanging fat no one will help me get rid of it because of no insurance no help im mess?
Save: Even with insurance there is no guarantee of coverage. Often what the patient feels is medically necessary and what insurance companies feel differ and the physician is caught in the middle. If it is a priority then you could save money slowly and if you have hanging fat perhaps a little more weight loss would be in order. ...Read more
Stays unless removed: Individuals undergoing bypass who lose a substantial amount of weight will often have excess skin. The extent is highly variable. If the excess skin is creating a health issue such as rashes or skin breakdown or the pt desires cosmesis, it can be surgically removed, otherwise can leave alone. Surgically excising is the only way to eliminate. Exercise may help some but won't completely eliminate. ...Read more
Surgery: It requires plastic surgery.Get a more detailed answer ›
How can I tighten up loose skin? I had gastric bypass surgery last year and lost 130 pounds. I have lots of loose skin and have not been able to get rid of it. Any ideas short of surgery to remove it? Exercising has not helped.
Massive weight loss: Really the only way to successfully eliminate the hanging fat that remains after massive weight loss is surgery. Surgery to remove this skin will help improve appearance, clothing fit, body contour, and hygiene as well. The trade off are scars but those can often be hidden by undergarments/swimwear, etc and for many patients the tradeoff is worth it. Well done! ...Read more
When will I be a good candidate for a lower body lift? After having gastric bypass surgery four months ago, I lost 100 pounds. I now have loose skin in my midsection that I would like to have removed through a lower body lift procedure. Am I a good candid
I'm 28 hispanic male 5'9 n weigh 350, is there any program or insurance that can help me get the lap band or gastric bypass surgery?
Start investigating: First place to start is with your insurance company as many will pay for bariatric surgery if you meet their established criteria. Second is to start investigating the surgeons that do the procedure. Get recommendations and referrals from others that have gone through the surgery. Lastly, start an exercise routine now that you will commit to continuing after the surgery. ...Read more
What happens if one is on medicare disability can they have gastric bypass surgery and it be covered?
?: What would you like to know?Get a more detailed answer ›
Likely: But you need expert advice on exactly what was done and what is possible in the current situation. ...Read more
Bypass and band: Gastric bypass is the gold standard, been around for 50yrs, results in the greatest weight loss, highest cure rates for diabetes, hypertension, etc, but has a slightly higher risk. It is an excellent operation and accounts for the majority of weight loss operations done in the us. It is safe if done by a surgeon who has done thousands of cases. ...Read more
Snesthesia specific: Patient's who qualify for bariatric surgery are already at risk for sleep apnea and collapsed lungs. Why make things worse by triggering constriction of airways? I know of many bariatric surgeons who refuse surgery on smokers. Remember, post-surgical instructions are very strict so you have to demonstrate the ability to change unhealthy behaviors prior to surgery. ...Read more
Several reasons: Gastric bypass can help obese patients lose weight and also get rid of associated problems such as type 2 diabetes. There are several other types of procedures for weight loss, but this one works in two ways. It is restrictive and malabsorptive, meaning the stomach is smaller and also the digestive tract is shorter. ...Read more
Makes you feel full: Since the large stomach is eliminated or reduced in size one feels full after small meals. This helps to reduce intake and weight ultimately. ...Read more
Probably: Do not see any reason why not, but please check with your surgeon, who knows you well. ...Read more
Stop weight loss: Usually, weight loss tapers off and stops around a year to a year and a half after bypass surgery. If you are under a year out from surgery, I wouldn't worry about it. If you are several years out, make sure you eat enough food everyday. Some surgeons bypass too much of your intestinal tract and that can cause excessive weight loss. That can be fixed surgically. ...Read more
Yes, even safer: Pregnancy is perfectly safe after gastric bypass. In fact, many obese women have trouble getting pregnant until gastric bypass. Fertility improves almost immediately. Usually best to wait 6 months to get pregnant after bypass since losing weight so fast. I helped write an article about the safety here: http://www. Ncbi. Nlm. Nih. Gov/m/pubmed/17161090/. ...Read more
Absorption: Gastric bypass surgery, besides changing how much you can eat, also changes absorption in your gut (because you are bypassing a portion of your GI tract). This is particularly seen with vitamins and micronutrients, including b12, calcium, and iron. Consider taking a supplement after discussion with your doctor. ...Read more
Chew calcium citrate: Calcium citrate is the form best absorbed after a gastric bypass. Make sure it's a chewable form, and that you chew it thoroughly. Since iron, magnesium, and calcium all "fight" to be absorbed in the small intestine, please space these minerals at least 1 hour apart. Not taking calcium (2000 mg a day = two 500-600 mg tablets twice a day) will rob your bones of calcium and give you osteoporosis. ...Read more
As different people have different dimensions of weight and height, the current recommendations of bariatric or weight loss surgery are based on bmi (weight/height squared). People with bmi>35 and a comorbid condition such as high blood pressure, diabetes, sleep apnea or anyone with bmi>40.
You can calculate bmi this by going to http://www. Cdc. Gov/healthyweight/assessing/bmi/index. Html. ...Read more
Obesity, and...: Obesity is the main health problem to qualify. Bmi (body mass index) >40, or >35 with associated health problems such as diabetes, sleep apnea, hypertension. Formerly had to be "morbidly obese" >100 pounds (45 kg) over ideal body weight. Bmi=wt (kg)/sqht (meters). Can be thrown off if very muscular. Measures weight not amount of fat. ...Read more
Pre op labs: Blood tests before surgery are basically safety checks. A hematocrit, white cell count, platelet count and electrolyte panel give a lot of information to the surgery team about how the patient's organs are functioning. Surgery and recovery are hard work for the organs, so any dysfunction (yet without symptoms) is important to know. ...Read more
Sleeve gastrectomy: That's a common misconception by patients. The gastric bypass is a more complicated operation than a sleeve, but the risk of a leak is the same for either operation. In addition, if a leak occurs, it is much harder to control in a sleeve than in a bypass. There are many other pros/cons for each, but the bottom line is that the risk is about equal. For diabetes and heartburn/reflux, bypass is best. ...Read more
Gastric bypass safe: The the bypass is the gold standard for weight loss operations. It's been around for over 50 yrs and is a proven operation. It is the best in terms of overall weight loss. It is a safe operation but should only be done by an experienced gastric bypass surgeon. There are many lap band surgeons out there, but few are good gastric bypass surgeons. I have recommended bypass for family members. ...Read more
Which variety?: Cannabis sativa, indica or ruberalis? Sativa extract increases hunger and is used pharmacologically to treat the wasting syndrome associated with hiv/aids. The others induce euphoria but do not stimulate hunger, at least according to wikipedia. The underlying reason you needed gastric bypass is likely due to Insulin resistance, better to treat that first. Exercise regularly and avoid simple carbs. ...Read more
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