I am very close to the 40 BMI like just a few lbs shy of it. I know I can get approved with a BMI of 39 with 1 or more co morbidities but it would seem easier is the BMI was 1 point higher lol. Anyhow my initial appointment is next month. Have any of you wore heavy clothing or padded a few areas with some extra weight? I can always gave weight without trying but now that I am wanting to lol its not happening.

Have you recently weighed in a little higher, like at your doctor's office for a physical? That may be good enough. When I was still in the nonsurgical program at my hospital, I weighed in at a BMI of just over 40. At that point, my doctor suggested I look into surgery. I was pretty shaken by hitting that number and I immediately made some changes, so 2 weeks later when I came back for my first appointment on the surgical side, I was around 39.8. They said it was fine, that they go by the highest weight for qualifying. And yes, I wore my heaviest shoes that time, just in case! I know that usually they will deduct a couple pounds for clothing, but they didn't for that highest weight, I think just to be safe. I do have a comorbidity, though, so I would qualify anyway. You might try a few days of salty foods before your next appointment, too.

I am surprised at the BMI of 39, most insurance will cover it with a BMI of 35 and two comorbidities after that it seems like once a person hits 40 BMI you only need one, and sometimes no comorbidities, and a BMI of 50 or more will usually get covered on BMI alone. None of this exempts you from any other insurance requirements though.

If you are self-pay you should not have to worry about this at all only what the clinic wants you to do.

As for heavier clothing, putting rocks in your pockets, and filling up on fluid before a first-time weigh-in, I did not do it, BUT I know others have. It could be a good idea if your insurance is going to require you to lose a percentage of your body weight before surgery approval. At that point, you'll be wearing the lightest breeziest outfit you have with no shoes.

Okay, so you bulk up before your weigh in with food, fluid, heavy clothing or shoes, or weighing down your pockets. I would worry that you go the second time without this additional bulk & you weigh a lot less & they think wow you’ve lost a lot of weight great. But the third time your weight has slowed a lot to what would be appropriate for your real weight. Plus the more you weigh the more they may want you to lose before surgery.

Be careful, besides taking off my shoes I’ve been asked to remove a heavier skirt before my weigh in so they’d get a more accurate result. (Didn’t wear it on purpose just because I liked it.)

My friend was told she was a couple of kilos short of meeting the BMI requirement. I remember who saying oh well a couple of weeks until Christmas & I always put on weight then so I’ll make another appointment for January. She did & she met the requirement. You have Thanksgiving soon so it may be a moot point.

9 hours ago, Arabesque said:

My friend was told she was a couple of kilos short of meeting the BMI requirement. I remember who saying oh well a couple of weeks until Christmas & I always put on weight then so I’ll make another appointment for January. She did & she met the requirement. You have Thanksgiving soon so it may be a moot point.

I've been a lot more careful with my eating since July, but last week I had a business trip to Las Vegas. I didn't go completely crazy, but I was eating in restaurants every day and the food was so salty. Plus flying, which always causes me some water retention. I weighed myself Sunday, the day after I got home, and I was up 10 lbs! But I know this was almost all water because I weighed today and I'm back down to where I was before the trip. A big, salty Thanksgiving meal and a couple days of leftovers would probably do the trick!

I switched electrolyte powders to LMNT which has a ton of sodium in it and I swear I gained 5 lbs in 3 days. Right before my first post surgery weigh in. I'm so mad! Needless to say I've decided NOT to continue taking it. But you might try that to put on a few lbs to tick your BMI over. Or like others have said, go eat out a few restaurant meals, they have enough sodium to bloat you too!