josh2e

I thought about having this surgery a couple months ago, until it looked like my insurance would NOT cover it. I found some new information out today and after talking to someone at BCBS of mn, I guess my plan does in fact, cover the surgery. I set up a dr. appt for this upcoming week w/ my GP but I'm concerned I might be just slightly under the 40 bmi... I'm 5'10, 270, which puts me around 38.5 I'm wondering if I just stand "short" when I get measured or actually try "gaining" a few pounds before my appt to get to this magic 40 bmi? i know that sounds crazy, but with the other medical problems I have (chronic low back problems, high blood pressure, high cholesterol, historical weight problems in family and of course, failed attempts at dieting), I'm wondering if going in "as is" will be okay? my doctor has never been one to really question me when I have brought up medical procedures, so i'm hoping i can convince him into signing off on this. "IF" i weight in at 40, is that typiaclly good enough or do i need all this other stuff i've been reading about, like a supervised diet for 6 months, etc.