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Do you mean lose weight before your surgery is approved? If so, no. Usually that's only the case for people who are extremely heavy and the doctors usually require that for them to just make sure they are fully committed to this before proceeding. However, most doctors do require a pre-op diet to shrink the liver.

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If you are using health insurance, almost all of them require some sort of medically supervised diet prior to approval of the surgery.

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I think most insurances require proof of some sort of medically supervised weight loss effort before they will approve. Even though my doctor had recommended Weight Watchers and I submitted my Weight Watchers records, along with a note from my doctor, my insurance wouldn't accept that... they wanted things done in a certain way with my physician, so we had to follow their exact protocol to get approval. It was a pain but worth it in the end.

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