What does Aetna consider as a medical supervised diet?

For this surgery, I want to be sure to have approval from both my insurance companies. My primary is no problem, but it has a maximum lifetime limit. My secondary insurance is Aetna. They have a provision in the policy that requires a 6 month medically supervised diet within the past 2 years. My PCP is supportive of the WLS. His comment when I told him this is "what the heck do they mean by medically supervised?" I was able to document almost 30 years of diet history. My only medically supervised diets included Phen/Fen and the Blood Type diet with a naturalpathic physician. After the Phen/Fen fiasco (I do have a mild valve damage) I'm not sure I want to take prescription medication again and my PCP knows this. Of course I've tried a many other over the counter pills (I've stayed away from ephedra). I did do a 7 month stint at Curves that my PCP knew about within the past 2 years and he does know I work at losing weight since we talk about it regularly. I also have a thyroid problem and am on medication for that. Any suggestions as to what I can do for the insurance requirement? I won't ask my PCP to lie, but there might be some ethical things I can do with my past 2 years efforts or even any suggestions as to what I can suggest to him to do now, even if it puts things off for 6 months.

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