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Pre diet issue

Hello. Being that my BMi is 39 and might or not be getting insurance approval, hopefully my doc will push it for me. My issue is as I'm in my six month phase and hopefully will get sleeved in June, should I be losing weight? I asked my surgeon and he said he wants me to start the good eating habits now , but his nurse told me since I a little under the 40 BMi that for insurance reasons I should drop the weight until I get approved. Very confused.......

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Do you have a history of being this size, or bigger? Something you can document through the time period your insurance requests/if they request that?

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I weighed as much as 420 back in 1988. Went as low as 240 a few years later, now about 290. I gave my doc a list of my weight ups and downs do we'll see

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