NEED 24 MONTHS SUPERVISED DR. DIETS.............!!!!!!!!

I have BCBS of NE. I have been denied despite all of the diet history and health problems I currently have. My physician says my health problems are weight related. I am 27 yrs old and have a BMI of 44.5. I have high BP, joint pain, asthma, shortness of breath, acid reflux, and trouble sleeping. Not to mention how uncomfortable I am every minute of everyday in my own skin. The ONLY reason they are giving me is that I have not had 24 months of Dr. supervised diets. I am furious!!!! I have seen this happen to people for a 12 month period but never 24. Does anyone have any suggestions on what I should include in my first appeal letter. My surgeons office is going to help me with it. I was thinking of sending them pics of me and my family. SUGGESTIONS ANYONE??????

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