I had the same thing happen actually. I thankfully realized I had gained 5 lbs when I went to see a different doctor. I was 285 at initial apt and 290 a couple weeks later. Unfortunately every insurance is different. My surgeons group had a specific person who dealt with my insurance company's rules for the pre-op diet so I called her to verify. When I did see the 290lb I did get sad for a couple days because my insurance won't let me gain any weight. I have to stay the same or lose so I started looking at what I was eating. I have a sweet tooth. I'm working with a therapist now to get mentally prepared for after surgery, no binges or overeating, and cut back on sweets. I was able to get down to 284 in a week that way. I follow high protein, high fiber, low fat, low carb. Sugar doesn't make you fat, fat makes you fat. I'm also vegan. Animal meat is much more fatty than tofu, tempeh, or seitan. Oh, and don't know if you know this, drinking alot of water will help with water retention during your period which will help with weight. I also lift weights or do leg lifts, stability ball etc while I'm watching TV. I can't do much as I have back problems and chronic pain. These are just a few things I do. I hope these help you! Good luck! You can do it! Sent from my SM-N920T using BariatricPal mobile app