I have a pre-op appointment in about a month and surgery scheduled in about a month and a half. Having this glimmer of hope that something might finally work I've been eating better and doing more walking. I have been so excited about the prospect of finally losing the weight effectively that I've lost almost 10 lbs in the last six weeks.

Will losing too much weight pre-op jeopardize my insurance approval (BCBS)? I don't want to gain weight just for the sake of gaining weight, but I know I won't be able to keep it off without the procedure.

If you haven't been approved by insurance you shouldn't drop below 40 BMI until you weigh in over 40 BMI and they give you the go ahead to drop pre-surgery weight.

After approval just make sure to ask the surgeon if they will still do the surgery if you lose weight and go below 40 before the surgery.

I haven't heard of any ever saying no, but I would ask just to be safe, as I don't know how crazy some insurance companies may get.