I had my first consultation this week. I was told that I now had to pay the "insurance game." I couldn't not lose weight because then the insurance company would determine I wasn't motivated and if I lost too much, they would determine I could do it on my own. I have a BMI of almost 44 with comorbidities of sleep apnea, high blood pressure, high cholesterol and a fatty liver so technically would still be a candidate with a BMI of 35. But, I'm just going to be very friendly with my scales for the next four months, the amount of time that I have to be on a medically supervised diet.