EMERGENCY HELP needed on TT appeal, please!!

Quick background... I had surgery almost 11 months ago and have lost 155, but still have 90 to go. For the past 5 months, I've been essentially stuck. NOTHING makes a difference. After much discussion with my PCP, surgeon, nutritionist, and psychologist, everyone agrees that my "answer" at this point is to have a panni because so much of my weight is in my stomach. The plastic surgeon agrees that it would be be extremely beneficial even though I'm not at goal. He says I may need/want to do it again then, but to get there, I need to do this now. I have a HUGE apron, hanging down on my legs, sloshing around when I lay in bad, it's gross! He says having it done now will reset my metabolism and another patient of his who had it done like this went on to lose 75 more pounds fairly quickly. Anyway, CIGNA doesn't think it's necessary, citing no documented history and it's not a pysical limitation (hahahahahaha!! - they even had pictures!) All previously mentioned specialists are willing to write letters for the appeals process, but I am hoping for some tips on what they should include. Especially from my psychologist, he has specifically asked me for what type of information I hope he'll say. ANY tips would be greatly appreciated!!! THANK YOU!!!!!!!!!

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