yes, my insurance requires me to have atleast 3 medical reasons to be approved. I'm insulin resistant, high blood pressure, high cholesterol, cellulitus in my legs which is causing boils on my thighs, and I have a hypothyroid. My first appt was today and he didn't say I had to lose weight but it was just a first appt. He said I should be ok to have surgery 01/16. I was there for over an hr and still have so many questions.