Insurance approval
It would be very unusual but not impossible for an insurance company to qualify you with 36 BMI and high cholesterol, GERD and osteoporosis. The comorbidities that are usually accepted are
Arthritis
Sleep Apnea
High Blood Pressure
High Cholesterol
Type 2 Diabetes
Venous Stasis Disease (Collection of Blood in the Lower Limbs)
Soft Tissue Infections
With a BMI under 40 two of the above conditions are what is normally considered qualifying.
Real life begins where your comfort zone ends