Tikvah

I have Horizon BCBS PPO, here is what I was told to submit: 5 Years Weight History, 3 Continuous Visits to a Nutritionist, Psychological Clearance and the surgeon consultation. I thought the BMI requirement was closer to 40 though. I have 2 co-morbids (sleep Apnea with BiPap and High Blood Pressure) and a BMI over 50. I'm also submitting records from my sleep apnea doctor and my gym records just in case.

First step is signing up. Make sure to focus on lifting to preserve lean body mass over cardio.

So many good compound exercises can be done with barbells and dumbells: Full or box squats. Works quads, glutes, hamstrings, and lower back. Lunges. Works quads, hamstrings, glutes, and calves. Full clean and press. Work almost everything except for chest and biceps. Push Press. Works quads, triceps, and shoulders. Do a combination of these plus something like incline and flat bench pressing for your chest, and I guarantee that you'll be able to build more muscle and see definition than something like Zumba or Cross-fit. I personally dislike utilizing any machines when I'm doing resistance training. You're better off using barbells and dumbells to build better form and balance. You also control the range of motion in which you are working.

I personally love Trutein by TruNutrition Sciences, Cinnabun flavor. I've used ON Whey in the past when I did resistence training.

I personally love Trutein by TruNutrition Sciences, Cinnabun flavor. I've used ON Whey in the past when I did resistence training.

Low fat is not very smart. Fat has the lowest RQ rating out of the 3 food types (Carbs, Protein, and Fat), which means it takes more energy to break down. Plus, fats are very necessary for proper brain function.