So due to the holidays I have gained 2 lbs. I have my final nut visit tomorrow. I plan to wear light weight clothing, plan to take an Epsom bath tonight and tomorrow am and only drink a half of a protein shake in the morning before the appt. I have been eating really clean (low sodium etc.) the past few days, drinking tons of water and limiting to 1100 calories so I am hoping the scale looks better tomorrow.

So my question- does insurance look at the weight from the first and last doctor's appointment or the nutritionist? It is at 2 different offices and 2 different scales. My doctor appointment is next week and surely I can lose the 2 pounds by then and be less than my initial appointment. I can't delay either appointment due to insurance number of days requirement. Ugh!! I wish I would have been more mindful over the holidays.

I would be shocked if a weight gain of 2lb caused and issue with proceeding with surgery. I mean, I have some winter boots that weigh much more than that! I'm not sure about your surgeon's policies by at my office, generally, the insurance company would only decline to cover if you had a large weight loss with lifestyle changes and they determined it was no longer medically necessary. However, the policy for my surgeon, was that you needed to have a small weight loss, and no large gains in the 6 mo leading up to surgery to ensure you were willing to participate in making the changes to help surgery be successful. 2lbs would not have been a factor for either of those situations.

Not sure about the cutoff weights, but one man in my group lost 70 lbs prior to surgery and his insurance still covered it.

Another woman gained 20 lbs during the pre-op program but then lost 5 in the month before surgery - she still got to move forward as well.

You can do this! And I don't think you need to take any extreme actions over the 2 lbs. Just work your plan consistently and you'll do well. Good practice for post op, too!

We're all rooting for you!

Thanks for the encouragement. I went today and was down 2.5 lbs. so that's good. Now I just have to make sure I stay at this weight for the MD appt. next week. I found out they are submitting my info . to insurance today and "should" hear back in 15 business days. So fingers crossed. I am still expecting for it not to be covered since I don't' use a c-pap as I have a diagnosis of "mild" sleep apnea without any other comorbidities.