Hi Molly,
Actually you should start the 1200 calorie diet right away and start losing right away. So by the time you see the surgeon and you've already reached -10% of your starting weight, you'll be able to see the case manager.
At my orientation at Richmond Kaiser (back in Sept) they kept saying to start losing 10% now so the process could be quicker. Also your starting weight is the weight you were at orientation.
And Christine,
I have been following the 1200 cal diet and my loss is in my signature now...
I've only been to orientation, psych apt, 1 support group meeting (which is not mandatory and where you are able to weigh in but I chose not to), and surgeon apt.
I knew I had to lose 10% before getting my surgery and my surgeon never said anything. By the time I met him I reached my goal and he said, "Ok you are under your 10% you can schedule an apt with the nurse case manager." He actually put my goal weight as what I weighed in at his appointment which is lower than the "10%" goal.
I think/assume if you have no co-morbidities they definitly want you to lose 10% before surgery but if you have co-morbidities they will be a little more flexible, I think.