Pre Op- Told to Lose, Scale Not Moving, Now What?

My last visit with the surgeon was 4 weeks ago, at that time he told me I need to begin losing weight. He booked another appt for me for April 7 and my impression was he expected the scale to be moving in a down ward motion. I just stepped on the scale, it hasn't budged. I work out at least 3 times per week, drink water like a mad woman and am following Atkins. What more can I do? I have not been approved from insurance yet, though it has been submitted. Any suggestions are greatly appreciated. Thank you.

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