My BMI has finally hit 40, how long do I need to make sure i stay here?

My BMI has been 37-39 for 5 years now. No matter what diet I try, I cannot lower it below there. Before that it hovered around 35 for a few years. Last year I started to talk about WLS with my PCP. He did not think I could qualify for surgery because he thought that my difficulties such as chronic pain when walking and breathlessness upon exertion did not qualify as co-mords. My bp is slightly elevated and I have GERD but he doesn't find them to be significant enough to qualify as comords. He gave me a hard time about not "trying hard enough" to lose weight (I did try, honestly). He cautioned me not to try to gain weight because my insurance is almost an auto approve when you are over 40 BMI. I don't know what their policy is for at 40 because it says over 40. I can't believe I am saying this but I didn't listen and worked hard (it really did feel like hard work) to get my BMI over 40 and it's just 40 now. I have an appt with a brand new PCP who is supposedly supportive of WLS pts (though I don't know if he will be for someone who is on the line) and with a surgeon next week. I am afraid that because it is just 40, my insurance won't approve. Anyway, I am fearful of dipping below 40 in the next few weeks. What should I say to my new PCP? Should I tell him about the co-mords? I think my last PCP thought I was making it up. After I see the surgeon, will I be weighed again? Is there a possibility of being denied at 40 and is there a possibility of being denied after approval? I feel like I am in hell, can't get below 37 and can't get above 40. Marlene

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