1 approval to go

Well as some of you know, I had my appointment with my NEW Nutritionist on Monday April 14th.

I really like her, and I got a lot of good information out of her. I am actually looking forward to a follow-up with her and I think she will really be able to help me be successful.

I stayed at goal for a total of 16.8 lbs lost when I weighed in with her. I was very nervous and didn’t eat at all until after my appointment. We talked a little about after surgery food, found out some things I didn’t know, but overall she was happy with my knowledge of the surgery and diet after surgery.

So then we get into my weight loss. Originally when I went to see Dr. Trivedi, he told me to maintain my weight until I saw Dr. Lemanski, because that is what they would base everything from. So I stopped working out (and pretty much ate whatever I wanted) so I was 5 pounds heavier when I weighed in with Lemandki. The nutritionist was basing her decision on that I weighed at Dr. Trivedi’s appointment and not Dr. Lemanski’s appointment . The good thing is, that I was still at an 11.8 lb loss from my appointment with Dr. Trivedi. (He only needed me to lose 10-15, Dr. Lemanski wanted me to lose 15-25.)

So Beth (my NUT) and I were talking and she told me she’d like to see me lose another 5 lbs- I said,
“Yeah, no problem, I’ll do that before the surgery easy.”
Then she says, “No, Before I approve you.”

I was stunned. This is my last appointment that I need for approval, and I have to jump through more hoops? I lost the weight I needed to, I will continue to lose weight, I need SOMEONE to be on my side.

I just sat there, looking stunned, and she must have realized in that moment I was not expecting that answer. She said,
“I am your last appointment for approval aren’t I.”
“Yes,” I said, “I’ve busted my butt to get everything completed and worked really hard to lose the weight I did.” I also explained that I was basing everything on what I weighed at Dr. Lemanski’s, and that I lost 16.8 lbs!

After we talked a bit, and she realized that Trivedi set 10-15 lbs and I reached that goal, she decided to approve me. I did a little dance inside my head, and thanked her up and down. She told me she would send the approval letter to Trivedi that day. But she still wanted me to lose more weight, and we’ll have a follow up soon.

So now it’s been a week, I’ve relaxed a bit with my eating and I think I am going to change gears a little. I am going to start eating more accurately to what I’ll be eating after surgery. Still low carb, but not as extreme as I was before, and I want to do a more low-fat approach too.

I just called my surgeons office. They have the paperwork but it hasn’t been sent out to my insurance company yet. That is the last thing I am waiting for, I need my insurance to approve everything so I can get my date. Hopefully I’ll only have to wait another week or so! I am so excited!