My insurance requires this. I had actually started a supervised diet back in March before looking into lap-band. I lost a little weight the first 2 months but then ran into some stressful life situations and gained it back plus more! I was hoping they would consider March as my 1st month as I had gone in monthly and June would be the 4th month. However, my question is, do you have to show continual loss? Doesn't the gain show I have a problem? A problem I have had my whole life. I have lost weight on countless diets but can NEVER keep it off. Quite honestly if I had to start over and show a loss each month, I am afraid i would no longer be approved as I may have too low of a BMI. I am under the 40 and about at 37, but have Diabetes, CAD, high BP and cholesterol. Yes, I may be able to lose the weight starving myself and they say you are too small. But my life history has proven I cannot keep it off. It is a big rollercoaster. what are the insurance companies looking for in these 6 months?