When I met the surgeon yesterday he gave me a list of requirements needed by my ins company which was the recommendation and clearance from my pcp, meet with a psychologist, meet with a nutritionist, and 4 months of a documented physician assisted diet. He didn't say I had to lose weight but I could not gain anything from my initial weigh in with him. My bmi is 43 plus I do have high blood pressure high cholesterol and I was prediabetic but I'm normal range now. Idk. I'm gonna call the office tomorrow and see if they've heard this before about my insurance.