bubbz333 49 Posted December 27, 2016 I purposely gained weight before my initial weight in to make sure that my BMI was at or over 40. I only had to gain about 5 or 6 pounds but I was feeling the exact same way after eating like garbage for weeks. Luckily my pre-op diet (not a liquid diet) started right after orientation and I was back to eating healthy and feeling better. My starting weight is what counts (insurance wise) so I'm not too worried about my BMI going below 40 before surgery. It sucks that some people actually have to do this in order to get the help we need. From what I've read on here some people have had luck qualifying for surgery with a BMI below 40 w/no other health issues but every insurance is different. Do what you think is best for you. If you can manage to not completely self-sabotage then go ahead and keep trying to gain. I would try a healthier approach to gaining weight like body builders do. I realized before it was too late that there are better ways to gain than eating junk 24/7. Share this post Link to post Share on other sites