Bunnyrae 3 Posted April 22, 2015 I posted a question a few weeks backs about "fluctuating weight during the 6month pre op diet" and if that was ok? So I have the final correct answer in regards to my insurance requirements. They say that weight can fluctuate over the 6 month diet as long as the final appt weight is less than the initial appt weight while maintaining a BMI of at least 40. So for me I'm 5'8" my first appt I weighed 272 so my weight can go up and down in the next 6 months as long as my last visit I weigh 271 or less and my BMI is still 40 so that means I can go as low as 265 and still have a BMI of 40. Just another FYI on Kentucky Passport Insurance. Share this post Link to post Share on other sites