I have a dilemma, help! I have Tufts insurance and am 2 months into the required 6 month I Can Change program. My BMI is 40.3- just over the requirement for surgery approval. In getting myself ready to go I've now discovered that my cholesterol and c-reactive proteins are high. I also have acid reflux/heartburn. While my doctor still feels that lap band surgery is the way to go, she also doesn't want me to wait 4 months to start working out and losing weight. Unfortunately, my co-morbidities are not the ones that count for Tufts in order to go down in BMI. What do I do? Has anyone else had this dilemma and if so, have you found ways to convince Tufts to approve you if you have chosen to go ahead and start dropping the weight? It's so frustrating. Heck, I know I can drop 20 pounds but that's where it all falls apart for me and I need to lose a lot more than that long term. :smile2: