Nervous & hoping

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Happy New Years Eve to all!

I have tinkered with the idea of gastric bypass surgery for over 5 years. I went to a seminar on GBS/lap banding & when I brought it up to my then PCP he suggested I try Adipex. I did & within 4 months I had lost 50 lbs. My high blood pressure resolved itself & for almost 8 months I was able to maintain my loss. I got married & since my husband is in the military we moved 8 hours from home, with all the changes I let myself slip & the weight started creeping back on, before long I was back up the whole 50 lbs.

My husband deployed & I made up my mind I would drop the weight while he was gone. I started with a new PCP & begged her to give me Adipex but she refused due to my blood pressure being high again & restarted me on meds. I was also diagnosed with hypothyroidism & PCOS & started on meds for that too. Since my PCP wouldn't give me weight loss meds I decided to try an OTC appetite suppressant. It didn't help too much with that but it did give me the energy to start working out. By the time my husband was due back I had lost 40 lbs & was again back off my blood pressure meds.

We tried to start a family on our own but failed so I was referred to a Reproductive Endo who told me my weight was still an issue & started me on the Atkins diet in late Jan 2010. I followed Atkins for 8 months & lost another 25 lbs, getting me under 200 lbs for the first time since 1998! We have yet to have any luck getting pregnant & after struggling with Atkins the entire time I quit. The weight piled back on in record time despite continuing to work out regularly.

What brought me back to GBS was going home for Christmas. My brother-in-law had GBS almost 9 years ago. I realized that by watching him & his eating habits that GBS can be a lifelong success. He lost the weight, continued to follow the program & has kept it off for 9 years. That is what we are all hoping for right?

I worked up the nerve Mon to call my PCP to make an appt, unfortunately her office is closed for the week for the holidays...ARGH! I have never discussed weight loss surgery with my PCP so I don't know her stance on the matter. I am concerned that by not initiating this until after the holidays that Tricare will think I was trying to beef up with all the high calorie goodies over Christmas. This is not the case, in fact I gained less than 5lbs. More concerns are that I am teetering on the BMI line & I know hypothyroidism & PCOS are not recognized co- morbidities, with my continued exercise my blood pressure has stayed within normal ranges. I have read that Tricare does not go by BMI but by Metlife body scale so perhaps that would benefit me. Either way I have to work up the nerve to call my PCP again on Mon to get the ball rolling.

I want nothing more than to lose the weight & keep it off & be healthy. Though I know it would prolong us trying to get pregnant GBS could be the best tool in conceiving & to maintain a healthy pregnancy. I'm hanging my hopes on this & hoping that the gatekeeper at Tricare will see my potential. Here's to a new year, a new life, a new family!

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While Tricare should have an across the board level of service and requirements mine was based on BMI a year ago, actually 2 years ago when I first signed up for the surgery. One of the things they looked for was documented weight loss issues such as not being able to lose weight for a long period of time. The also wantedto see you were not in a gaining phase right now. I was told it was an immediate disqualification for surgery if I gained any weight during the screening process, no matter what the reason. It was also suggested to start making lifestyle changes before the surgery so that it was an easier transition after surgery. Please post any additional questions you have. Good luck & Happy New Year.

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I think alot of things are dependent on who your surgeon is and if it is done at a MTF. You can look on here for the tricare forum and get the infor as to what you need to be to qualify. At the MTF I am going to PCOS is considered a comorbid. If you go on the tricare web site though, they have some of the comorbids listed. Good luck on your journey!

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