Tips for losing the mandatory weight prior to surgery approval?

Like most, I have a mandatory weight reduction, in my case 5% or 15 pounds, to lose prior to my surgeon scheduling the surgery. Over the past few years I was already trying to lose weight including a 600 to 800 calorie Medifast Liquid Diet regime. It has badly impacted my metabolism and now I have great difficulty with losing any weight even on a high protein 800 calorie a day diet. For those that have the same weight reduction requirement, and also had already been trying to lose weight, can you offer tips on how to get that mandatory pre-op weight off?

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