This is the entire paragraph. Which doesn't tell me how many times I have to go to dietitian. Idk why they make things so complicated.
Documentation of participation in a physician supervised program of nutrition
and increased physical activity (including dietitian consultation, low calorie
diet, increased physical activity and behavioral modification). Documentation
of program participation must appear in the medical record no less than
monthly for a period of 6 consecutive months by the attending physician.
Documentation should include comments by the physician regarding patient
progress or lack of progress. A letter does not meet this requirement. There
must be medical records to document medically supervised weight loss
attempts;