Aries – I don’t know what you’re talking about -lose weight first? They come for the surgery because they can’t. I never said they need a one -on -one trainer -you said that. Here are some requirements from a lap band web site: “Your serious weight loss attempts have had only short-term success.
You are not currently suffering from any other disease that may have caused your excess weight.
You are prepared to make major changes in your eating habits and lifestyle. You do admit “they have a therapist and a nutritionist on their team “, but the patient doesn’t take advantage of them. Like I said the doctor isn’t a policeman. The doc makes sure all this is in place, but he isn’t going to force you to do the right thing -this is up to you. As far as exercise is concerned, you don’t have to prove this as far as the doctor is concerned, but if you want insurance to pay for it… Insurance requires you to prove you have been seriously trying to lose weight -i.e. exercise, diet pills, diet books, weight loss programs, food plans. If you can’t prove that you have been seriously trying to lose weight, good luck on getting them to pay for it.