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pre op diet question

OK so I am at 207lbs. Bmi is 40. I keep being told that I am on the line of what is required to be approved for wls. But I keep reading how others were 230lbs to begin and then did the pre op diet and the day of surgery weighed 193lbs . So how is or that the insurance company still approved surgery? So confused

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I think they go by the original weight you had when you first saw your surgeon. Also, you can have a lower BMI if you have other conditions such as high blood pressure or other weight related conditions.

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