my BMI is at 40 right now. At first I thought mine was going to be too low, but come to find out my primary doc tells me that if you have any sort of medical problems associated with your weight, the BMI isn't that big a factor. For example, because of my weight my blood sugar is running high, and I have sleep apnea. I swear I cannot get a good nights sleep without waking myself up snoring. I went for a sleep test and now sleep soundly (on most nights) with my CPAP machine. Just recently I began my doctor evaulated 6 month diet, I am yet to even have a consult my the surgeon I am going to be seeing. I'm a newbie, but I am sooooooooo trying to keep my spirits high.