That's what i'm concerned about-taking the chance and being denied because I lose some on the med. supv. diet. The fact that BCBS wants the weight reported for every pre op visit makes me think that if I do lose and get under that 40 BMI that they could deny. I could possibly lose - and would like to try before WLS but I don't want to ruin my chances at getting sleeved. I don't have a medically supervised weight loss before this that would qualify for what BCBS wants- several months on adipex a handful of the other medications, low carb, low calorie, but I have a hard time adhering for too long and well... none of those are six months consecutive. I would really like this tool to help me succeed. I wish I knew more people who have BCBS of GA or locally who have had this procedure but with so much stigma seems like no one talks about it. I, for one, am excited to get some help and hope.