You guys are exactly right. I have had this Dr for eight years and she knows what I have done to try to lose weight. I obviously have a good deal to learn. The reason she gave me the prescription is to help me with weight loss and for documentation. I will go in every month for a check up. She hasn't agreed to recommend me for surgery. She asked me if I had considered surgery. Due to health issues it is difficult for me to exercise enough to lose the weight and because of the amount of weight I need to lose. I have a pulmonary embolism, emphysema ando because I am so overweight back pain. Today is just day one for me when it comes to learning about any type of surgery so I have a long way to go. The three to six months comment was how long she wants to document my weight loss attempt. I have Medicare. I just want to get an idea of what to expect if I decided that I would like to move forward. Trust me I am not going to act like a know it all. I probably no the least of everyone on here, that is why I am asking all of you. Thank you for any and all help.