I am in my last month of counseling and I haven't lost any weight. Has any one else not lost any weight? I hope they will still approve my surgery. I am probably one of the fittest obese people and am very active. I literally just cannot lose weight.

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I lost 3 lbs in 3 months. Woohoo. Lol My nutritionist said it wasn't about losing but learning healthy eating habits. Ask your nutritionist or surgeon? I know every program is different but I didn't have to lose. If you gained - I assume that would be an issue.

There are several aspects to the medically monitored weight loss program in addition to losing weight.

1. food journal that documents your meals. This is a good learning tool for knowing the calorie count on the meals that you eat. It documents your meals.

2. I also used the food journal to document my daily exercise.

3. I attended Bariatric Surgery Support Group meetings once per month during this time and received signed slips that showed my attendance.

So even though you might not lose weight during this time, you have a documentation trail that shows that you really tried. This process leads to a referral letter from the doctor to the surgeon's office that will become part of the packet forwarded to the insurance company to show compliance.