What kind of suggestions can you give me for starting the predetermination over again

I have exhausted all appeals and have gotten some new insight as to what my insurance is looking for after going through the insurance department. I now weigh 203 lbs which brings my BMI between 38 & 39 and I have made an appointment to see my surgeon again. I will see him on 9-26-03. What do I need to include this time around?

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