does cigna deny you if you haven't been on a medically supervised diet?

I am 110 lbs overweight. my bmi is 44.7. I have several co-morbities. I have been on many diets I have materials and receipts from weight watchers, jenny craig and been to a dietitian. I went to a medically supervised diet but could not afford the 400 per month it cost for shakes and weekly fee. I don't know how shakes 5x a day can help you learn to eat better, it seemed to be a quick fix and then you gain it back, because who can live on liquid? will cigna deny me because of not having a diet on my medical records like this? I am worried about this any advise would be appreciated thanks

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