I'm a little confused

C. It is expected that appropriate non-surgical treatment should have been attempted prior to surgical treatment of obesity.

Non-surgical treatment of morbid obesity appropriateness criteria:

• Medical record documentation of active participation in a clinically-supervised, non-surgical program of weight reduction for at least 6 months, occurring within the twenty-four (24) months prior to the proposed surgery and preferably unaffiliated with the bariatric surgery program. NOTE: The initial BMI at the beginning of a weight reduction program will be the “qualifying” BMI used to meet the BMI criteria for the definition of morbid obesity used in this policy.
• A program will be considered appropriate if it includes the following components:

1. Nutritional therapy, which may include medical nutrition therapy such as a very low calorie diet such as MediFast or OptiFast OR a recognized commercial diet-based weight loss program such as Weigh****chers, Jenny Craig, etc.
2. Behavior modification or behavioral health interventions.
3. Counseling and instruction on exercise and increased physical activity.
4. Pharmacologic therapy (as appropriate).
5. 5. Ongoing support for lifestyle changes to make and maintain appropriate choices that will reduce health risk factors and improve overall health.

So,  I'm thinking that the six months doesn't have to be continous. Is that right? The reason this is a big deal for me is that I'm hoping to have surgery during Spring Break. With my WW records and the appts that I've set up with my PCP, I should reach the 6 month mark in Feburary. Any clues as to how this works?