Hi first of all I want to say congratulations on taking the first step to getting to where you want to be on your health journey. My surgery is coming up this Friday. I’m not sure if I’m answering you correctly but I will say this, I was speaking with a nutritionist through Medicaid for some months before I even got in with a surgeon dr. Once I did though, I had to be in his program for six months, though mines was longer but that’s his requirements. I was in it longer because He wanted me to lose 100 pounds on my own before we could actually have the surgery. But once I lose it I did have to meet with their office nutritionist even though I was speaking with one. Though it was only a one time thing. It was more like I had to see the surgeon every month so he can see how I’m doing as well prescribe me this appetite suppressant. I do not know if everyone is the same or not.