Hi, I do have fatty liver disease. I just found out about my sugar and high cholesterol, so I have started meds. I have proof of sleep apnea and my sleep Dr wrote a letter for me , so did my primary. I have degenerated disc disease in my lower back, so most of my dr have written letters. My Medicare requires a BMI of 35 or greater, one comorbidity, and documents showing failed medical supervision weight loss. I have all of that but I'm seeing that each one who has Medicare has had do something different than the other. Maybe it's state related. My Medicare is thru SS disability. I called Medicare and the above is what the told me I needed.