i have issue with my knees hurting as well a my back.I have been diagnosed with severe sleep apnea.I take a diuretic for swellin gin my legs and feet.BMI is actually about 64.All of this documented along with other info that my doc submitted.They denied it saying something about and exclusion.so i am just tired of dealing with them back and forth.at this time i do not have the money to pay for it.i am so terrified at even trying to lose again on my on because i know what always seem to happen.