What insurance does she have? I also have mandatory meeting with a nutritionist for 6 months but told me ahead of time the % of weight I need to lose for surgery. Depending on how much weight she has to lose to start with I guess would determine if she drops under 40. I would think if you have been approved going under 40 shouldn't matter. Does she have high blood pressure, or sleep apnea....ect?

no she dont have HB or sleep apnea. kaiser is her insurance and she must go to providers they tell her to. not helping much. and the nutritionist didnt give her % to lose

I have Kaiser as well. I started out at 223. I am 5ft 2. I was told i will need to lose 11 pounds by the time of the surgery. I meet with my nutritionist once every 6 months. I cannot skip a month or will have to start over. She would also have to attend 1 group meeting.
This is their process. She should have received a packet at the orientation. I am now 213 at 3 months in and I am under 40 but then again I have sleep apnea and gerd ( not sure if that plays a part in it). I think she should ask more questions. This doesn't sound right to me only bc I have the same insurance. Also, she should have received a letter prior to meeting with the nutritionist stating that she was approved providing she meets the requirements for the surgery.

butterfly53- thank you so much for the information . i didn't hear from her about a letter, and the Nutritionist didn't tell her how much weight she needs to loos either. she don't have medical conditions, so i am pretty sure the BMI must stay above 40. i will tell her . thank you again