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High BP, sleep apnea? I did not go through my PCP to get the surgery I went straight to the surgeon. But the entire time I kept my PCP up to date with everything and went and saw her every month. My insurance (and most do I think) require a 6 month program like jenny Craig or weight watchers but I just had my dr record my weight and BMI and that I was trying to loose weight and that we had talked about it every time I went in and that worked for my insurance company.