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Bariatric Surgery Patients

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Bariatric Education Timeline  (rev. 7-31

We offer patients a comprehensive nutrition education program when preparing for bariatric surgery.  This education program helps patients achieve their weight loss goals.  We also offer supervised weight loss documentation (see below) for those needing it as required by their insurance company.  If did not complete our program before you had your surgery, please see our "Back on Track" program by clicking HERE.

 

IMPORTANT Classes must be attended in their entirety.  Tardiness and/or leaving early is disruptive.  Failure to attend any of the required classes in full will result in your being rescheduled for the next available date.  Please be advised you will NOT be cleared for surgery until all services are attended in their entirety.  The Bariatric Nutrition Education Class is only offered once a month.  

 

 

Services in our bariatric education program include: 

 

  • An initial consultation/ assessment for surgery with the Registered Dietitian who specializes in bariatric nutrition. 

 

  • Bariatric Nutrition Education class: This class goes over eating habits, reading food labels, portion control, understanding the differences between: fat-free, low-fat, reduced fat and light foods, how to calculate whether or not a recipe or prepared food is considered low-fat using the information from the nutrition label, how to identify hidden sugars in foods, reducing/removing "empty calories” from your fluid intake, the importance of protein, mini-meal examples and more. You will be provided with a binder and handouts for this class.

 

  • Pre-Op Nutrition/Vitamin class:  This class includes information on vitamin, mineral, and protein supplements, including purchasing information are discussed. Vitamin deficiencies are real and can cause serious health issues; we see these issues on a regular basis in patients not following a post-surgery vitamin/supplement regimen.  Deficiencies can occur many years after surgery, and they are 100% preventable.  Our goal is to help patients achieve optimal health and prevent all of these avoidable complications with detailed education and support.  Also discussed are ways to avoid post-surgery complications that can happen at any time after your surgery such as dehydration, constipation, gas, etc.  This class will help you prepare for the liquid diet your surgeon will place you on both before and immediately after surgery.  You will be emailed class materials within 1 business day of your scheduled class if you have an outstanding balance due at the time of this service materials will not be emailed to you until your balance has been paid.  We do not provide handouts at this class.  Should you need hard copies there is a fee for printing them for you. 

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  • Clearance letter to the Surgeons indicating the patient is ready for surgery once you have completed all the mandatory classes.

 

  • All patients: Any blood work needed, to prevent delays in surgery, is the patient’s responsibility to have the surgeon or primary doctor order, as we do not have the ability to order blood work.  These results can take up to 3 weeks to receive.  A copy of the lab request form to take to your ordering physician needed once a year for bariatric clients as per ASMBS guidelines is located for download.  The patient can then fax the results to us at 443-490-5060, email, or bring to their scheduled appointment.  Labs are not automatically sent to our office from the ordering physician, it is the patient’s responsibility to send a copy to our office.  We can also not request copies be sent to us from your physician, this must be done by the patient.  It is the patient’s responsibility to contact our office to make an appointment to review these labs and receive deficiency repletion information.  

 

  • Any additional services not listed above, have a fee for service for which the patient is responsible.  (Ex. follow-ups, online coaching, classes, seminars, materials, memberships, etc.)

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  • If you prefer a hard copy of any educational materials there is a $25.00 fee for each packet associated with our classes. 

 

 

REVISIONS:  

 

ASMBS guidelines have determined the need for pre-operative lab work be done in order to identify any vitamin/ mineral deficiencies before surgical clearance may be granted. Your dietitian will discuss this with you at your initial consultation.  Once you have had the required lab work completed and faxed to our office the dietitian will provide recommendations to you via email or phone consultation.  

 

  • Services listed above. 

 

  • Pre-operative blood work is required if you are seeking a revision surgery.  To prevent delays in surgery, is the patient’s responsibility to have the surgeon or primary doctor order, as we do not have the ability to order blood work.  These results can take up to 3 weeks to receive.  A copy of the lab request form to take to your ordering physician needed once a year for bariatric clients as per ASMBS guidelines is located for download.  The patient can then fax the results to us at 443-490-5060, email us, or bring to their scheduled appointment.  Labs are not automatically sent to our office from the ordering physician, it is the patient’s responsibility to send a copy to our office.  We can also not request copies be sent to us from your physician, this must be done by the patient.  It is the patient’s responsibility to contact our office to make an appointment to review these labs and receive deficiency repletion information.   All follow-up appointments have a co-pay for service.  

 

  • Clearance letter to the Surgeons indicating the patient is ready for surgery once you have completed all the mandatory classes.

 

  • Any additional services not listed above, have a fee for service for which the patient is responsible.  (Ex. follow-ups, online coaching, classes, seminars, materials, memberships, etc.)

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  • If you prefer a hard copy of any educational materials there is a $25.00 fee for each packet associated with our classes. 

 

 

 

Supervised Weight Loss Documentation:

 

For Patients Needing Supervised Weight Loss Documentation. 

 

Fees*: 3 months = $105, 4 months = $140, 6 months = $210 (*all fees are subject to change without notice).  You can pay in full at month one or $35.00 a month.  If opting to pay monthly we only accept cash. 

 

The majority of insurance companies require patients to complete 3-6 consecutive months of supervised weight loss documentation before you can be cleared for surgery.  We would be happy to offer this service to you as well and intertwine the appointments with the education program (see above) required by your surgeon.  If you have documentation and need to know if it is sufficient for your insurance provider please call your surgeon's office and ask to speak to their insurance specialist.

 

Each supervised weight loss documentation class lasts 30-40 minutes in length, based on the number of patients scheduled.

 

 

 

 

 

 

 

 

 

This class is designed to help you transition back to solid foods after surgery. You will be supplied with information regarding “red flag” foods to avoid for the first

few months post-op and all food/fluid stage advancement information, head versus physical hunger symptoms, body signal information, information on plastic surgery for skin removal, exercise resources, hormonal changes, eating out resources, lists of recommended products for supplementation, how to read vitamin and supplement labels, and more. A 68-page packet will be emailed once payment is received. To register and pay the $50.00 fee for this class please call 443-490-1240 or click here to register online, please note registration is not complete until payment is received.

 

Follow-Up Appointments: 

 

Follow-ups are a necessary step in making sure you are reaching and maintaining your weight-loss goals, avoiding plateau’s and avoiding vitamin/mineral deficiencies that can lead to serious medical problems. 

 We recommend you schedule your first follow-up 1-2 months after your surgery.

 After that, we recommend scheduling a maintenance visit every 3-6 months, with the full lab panel once a year. You should fax your labs to 443-490-5060 prior to your scheduled appointment.

If we do not see you at least once during the prior 12 months it will be necessary to schedule you for an hour visit, vs. a 30-minute follow-up, to re-establish you as a patient.  Our fees are $65.00 for 30-minutes or $125 for 60-minutes.  Contact us for specials! 

 

Online Coaching: 

 

We offer online coaching to help you stay on track with your weight loss avoiding plateaus by use of our food/exercise log review coaching.  We also offer online coaching for lab work review to help you avoid deficiencies.  Click HERE for more information.  Please note you must have been seen within the prior 18 months in order to qualify for online coaching.

 

MEMBERSHIPS: 

Become a member! We offer a monthly membership to our bariatric patients, this will give you access to our registered dietitian to review a food/exercise log or lab work reviews once a month. You will save $10 off the a la carte fee for online coaching and receive discounts on other services we offer that will not be available to non-members.   Click here for more information.  

 

 

All prices are subject to change without notice

Additional Services

Post-Op Transition Class: