Good evening everyone!

First, thank you for taking a second to read this, and thank you extra special for answering.

I am a canidate for Gastric Sleeve here in Texas. I am currently under Amerigroup Texas Medicaid Star program, and I have a few questions for others who are familiar with how this works.

1) What pre-qualifiers did you need to be approved?

2) Were you able to use your PCP as a Dietician, or is a Dietician a necessary route in conjunction as your PCP?

3) What all was necessary for you to do in order to be approved?

Currently I am 5'0" and weigh 238.7 lbs. Medicines helped me a lot to get to this high number, and it's something that I have been fighting over for nearly 20 years now. For some reason, my body refuses for me to loose any more than 30 lbs. I did Atkins, and a multitude of other diets...but with my last round of Atkins (I've done it 3 times thus far), I did the plan straight from the book, never strayed, exercised at the rec center 5 days a week...and in 3 months lost 30 lbs. I continued exactly what I had been doing...nothing else happened. NO more weight loss. No matter what I did. I only drank Water the entire time, even cut out coffee, tomatoes and onions. I continued the plan for an entire year. Plan and exercise. Nothing more was lost.

This is a re-occurring theme for me over the past 20 years. It would seem that it is time for a different approach. I need serious help.

I have High Blood Pressure (158/98), and am on 2 blood pressure meds, GERD, severe joint pain, Migraines triggered by the high blood pressure, irregular menstrual cycle, BMI of 46.

Any help in my approach for gaining assistance to save my life is so very appreciated. Thank you all. Have a gorgeous day!

Not familiar with them but I wish you the best of luck on your journey!

Thank you!