Yes, I get this all the time. I have always gotten this while I have tried to lose weight over the last 25 years. I started this with a BMI just over 36. Initially my patient advocate even said she was concerned about me being approved. I have always had chicken legs and chicken arms. At times I choose to dress in such a way that my chicken (now normal sized) legs and arms are emphasized and my torso is minimized. I also had liposuction on the quadruple chin a few years ago for job stability. So yes, I do look smaller than I actually am. I also don't have a BMI over 40.

But...there are some people who don't question my decision

My PCP doctor who writes my three blood pressure medications each month.

My Rheumatologist who treats the fibromyalgia and arthritis

My Endocrinologist for my diabetes

My husband who sees the rolls on my five foot frame under the clothes.

My husband who pays the $300.00 copays on meds each month and hopes we never lose insurance and can't afford my scripts

My children and grandchildren who want me to attend graduations and weddings in the years to come.

Myself....I want to live longer, be happier, be healthier, have less pain, take less medications and feel better about myself.

So I might not have reached a BMI over 40. I was not as healthy as a lot of people with that magic BMI of 40 plus. Fortunately for me the criteria for surgery include "unhealthy" people with a BMI over 35.

Source: Weird Comment by fellow Bandster