Don't worry about not losing weight on the nutrition appointments. They are just looking for you to try dieting and see if it works for you. Almost EVERYBODY doing this has tried dieting but the insurance company wants you to do it anyway. They are mostly looking to make sure you can make an eating adjustment and stick with it. When I did my 6 visit nutritionist appointments I actually gained 12 pounds by the end of it. I'm days to surgery and this liquid diet you are too be on will make you lose weight. I've lost 27 pounds in two weeks of this. I'm looking forward to losing after the surgery. Just sick with exactly what they tell you to do and I don't see how they can decline the surgery. After all we are taking this step BECAUSE everything else has failed. With this tool for weight loss we have a fighting chance to succeed but it is still hard work. Good luck!