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My surgery is on Wednesday and I had to be under a 49 BMI in order to avoid the $1,000 charge for high BMI. I started at 335 in December and this morning I weighed in at 291.2! My personal goal was to make it down to 290 and I still have a two days to go so I think I'll make it, but I'm just happy to be under the doctor's cut off which for me is 294.5... 44 pounds gone in 3.5 months doing an 800 calorie VLCD.