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Angela,
Each practice is probably different, but we do the supervised diets with ourselves so we usually do the initial consult first. It certainly wouldn't hurt to get started with your PCP though, just make sure the visits are at least monthly and that you have your doctor document diet, exercise, weight, and BMI.
Dr. C
Cincinnati, Ohio
www.TheBandDoctor.com 877.442.BAND
DISCLAIMER: I am not your surgeon, any comments made by me are not meant to be taken as medical advice, just general guidelines. Contact your surgeon about your specific problem!