AM I A CANDIDATE for weight loss surgery?
Calculation of your BMI is the first way to find out whether you are a candidate for Weight Loss Surgery.
Body Mass Index “BMI” is a quick and easy calculation using a person’s height and weight. BMI is one of the screening tools used to determine if a person is eligible for weight loss surgery.
- 18-24.9 – Normal
- 25-29.9 – Overweight
- 30-39.9 – Obese
- 40-49.9 – Morbidly Obese
- > 50 – Supermorbidly Obese
- Select Units (Imperial or Metric)
- Enter your height and weight
- Press the “Are you overweight” button
- Your BMI results will appear
Are you interested to continue from here? Simply follow the easy 4-step process below to get started on your Route to Surgery.
Step 1: Calculate your BMI
Step 2: Attend an online or in-person First Step weight loss seminar and test your knowledge
Step 3: Complete our quick on-line questionnaire on our contact form.
Step 4: Check your insurance and financing
Additional factors other than the BMI — such as illness like diabetes or high blood pressure — are involved when asking yourself if you are a candidate. Read All Below. Also, FAQ Here
In Addition to the BMI, research has shown that people meeting the following criteria benefit most from weight loss surgery:
- You are more than 100 lbs. over your ideal body weight.
- You have a Body Mass Index (BMI) of over 40.
- Your BMI is over 35 and are experiencing severe negative health effects, such as high blood pressure or diabetes, related to being severely overweight.
- You are incapable of maintaining a healthy body weight for more than a short period of time, even through doctor-managed diet plans.
- You have been overweight for more than 5 years.
- You are at least 18 years old.
- You do not drink alcohol in excess.
- You are not addicted to drugs or alcohol and you are clean and sober.
If you’re significantly overweight and desire a lifestyle change, you may be a candidate for bariatric surgery at Tri State Bariatrics and eligible for LAP-BAND® System, Laparoscopic Bypass, or Laparoscopic Sleeve Gastrectomy.
Frequently Asked Questions
The first step is for you to attend a free information seminar conducted by one of our Bariatric Staff. These seminars are offered weekly at each of our office locations.
If you have decided that weight-loss surgery is for you, then we offer a fast-track session in Middletown, Suffern, Fishkill that includes a review of your history and a physical examination with a Nurse Practitioner, a nutritional evaluation and consultation with a Dietitian, a meeting with our insurance specialist who will go over your specific insurance plan’s coverage, and a meeting with a patient navigator, who will explain all of the pre-operative tests and consultations that you will need. Should you take advantage of the fast-track option, the only cost to you for meeting with all our team members is your co-pay.
The entire process from seminar day to surgery typically takes 2-6 months.
Many insurance companies now require a 3-6 month period of supervised medical weight loss.
We highly recommend that you attend at least 2 of our support groups before surgery. We have several scheduled group meetings each week, at different times and locations.
Our program strongly encourages a 5% pre-operative weight loss to decrease your risk of surgery, and also to get a head start on your weight loss journey. A few insurance companies require the 5% weight loss. Be assured that our team will assist you with this.
Our team of professionals is here to assist you with meeting these requirements. We view this as an opportunity to help you get fully prepared for major changes in your diet and lifestyle that will greatly increase your chances for long-term success.
Most insurance companies now cover weight-loss surgery for severely obese patients.
Each insurance plan has its own specific set of requirements.
Our insurance specialist can assist you in all matters regarding your insurance.
If you do not have insurance, or find out that your plan does not cover weight-loss surgery, we offer attractive finance programs that can be custom tailored to your needs.
All three procedures require very similar significant changes in food choices, portion sizes, and eating techniques to achieve successful weight loss. Each surgery provides a different type of tool to assist with weight loss.
The Sleeve Gastrectomy is a restrictive bariatric surgery. The restriction comes from the new size of the stomach which is 2/3 smaller. The stomach will hold about 2 to 3 ounces of food. The new smaller stomach allows a person to eat a smaller amount of food to feel satiated. A decrease in physical hunger occurs because a large part of the stomach is removed from the body, reducing the level of Ghrelin, a hunger-promoting hormone produced in the stomach tissue.
The Lap-Band® is a very safe, effective, and reversible surgical tool to assist patients with weight loss and maintenance of their weight loss. The properly adjusted band reduces physical hunger and provides satiety with small meals.
The Gastric Bypass causes both restriction and some malabsorption of food. The restriction comes from the small size of the new stomach pouch. The malabsorption comes from the food bypassing a portion of the small intestine (the duodenum and a portion of the jejunum), so fewer calories and nutrients are absorbed.
Our professional staff can assist you in deciding which procedure is right for you.
- The Lap-Band surgery takes about 30 minutes.
- The Sleeve Gastrectomy takes about 45 minutes.
- The Laparoscopic Roux-en-Y takes about 75 minutes.
Most patients having the Lap-Band surgery are discharged on the same day.
Most patients having the Sleeve Gastrectomy are discharged the day after surgery.
Most patients having the Gastric Bypass surgery are discharged on the second post-operative day. Some patients have been discharged on the first post-operative day.
Depending upon the nature of your work, you may return to work in 1-3 weeks.
If you have a light, sedentary job, then you should be able to return in 1 week.
If your work entails heavy physical activity, then you may return in 3 weeks.
We encourage as much physical activity as you can tolerate comfortably after surgery.
The first 5 days after surgery, you should have 3 ounces an hour of sugar-free, fat-free clear liquids.
During the next 2 weeks, you should only have low calorie protein drinks and an additional 64 ounces of sugar-free, fat-free clear liquids.
Subsequently, our dietitians will see you every 2 weeks to guide you through the semi-solid and solid foods, until you are comfortably adjusted to your new food choices, portion sizes, and eating technique.
Once you have advanced to solid foods, we continue to encourage you to make proper food choices, which include lean proteins, such as fish, chicken, egg whites, and appropriate protein drinks, fresh vegetables, and fresh fruit. We discourage all forms of sugars and carbohydrates not present in vegetables and fruits.
Generally, patients that strictly follow our dietary guidance can expect to lose approximately 2-3 lbs per week.
Moderate exercise can increase the weight loss by an additional pound a week.
Introducing sugars, carbohydrates, and fats can significantly slow or stop weight loss.
Patients that undergo the gastric bypass surgery will generally lose weight more quickly due to the greater restriction they experience and due to the malabsorption imposed by the bypassing of the first part of the small intestine. It is very important for gastric bypass patients to consume enough protein and additional supplements to avoid deficiencies.
All patients will be seen by the surgeon on the 5th – 10th post-operative day.
Subsequently, patients will be seen every two weeks by our dietitians and/or nurse practitioners for several visits.
Once you and our staff are comfortable with your mastery of proper food choices, portion sizes, and eating technique, and are seeing a satisfactory weight loss in progress, then the recommended frequency of visits is once a month.
After reaching your weight loss goal, we encourage you to visit us at 3 month intervals to monitor your maintenance of weight and address any potential nutritional deficiencies.