depressed

Janet HELP!!!!!

bmi over 40 5 year history of morbid obesity documented in med recs or a letter from your doctor stating that 2 comorbid conditions from the following list:  HTN, Diabetes, Sleep Apnea, Hypertention, CAD 6 month diet with nutritionist and primary care physician, never missing one apt for 6 consequtive months. Documented excercise in a log following an exercise program. Documented food log showing a reduced calorie diet, whether you lose or gain weight has nothing to do with denial as stated above. various attempts at other weight loss programs,  Tell them you also tried optifast or medifast. Pharmacutical therapy, etc...redux...fat blockers, meridia, phentermine etc... psychiatric clearance. A letter from your primary care physician of medical necessity. bmi over 40............no- 39.8  Doctor knew that before submitted to insurance.  5 years of morbid obesity.....no..obese,yes...also no comorbids?? I have high closteral and depression and urine incontince sp???  I have 6 month supervised diet by my pcp, excercise documented, reduced calorie diet and several attempts at other weight loss programs.  Been on phentermine and other drugs that have failed.  I also have a letter from my psychologist saying that I passed all the tests and am psychological am fit for surgery.  I also have the letter of medical neciessity from my pcp.  I don't know what to do because the surgon knew all this and made it sound like I just needed to go through the steps and he would see me in a few months.  Sooo does it sound like I will not get approved period, or should I still put up a fight?  Any idea or help would be appreciated. Thanks Kim