Kim, don't give up! Just because the insurance denied you doesn't mean you can't fight it! With the help of your PCP (as mine did for me and as most will do for their patients) you can have them send in a letter to your insurance company that states that you tried many over the counter diets (like I did with metabolife and such) as well as reduced calorie diets that just didn't work for you, then plead your case to your insurance company and they might reconsider it. I know my doctor wrote a one paragraph letter to my insurance company stating that I am morbidly obese and that I have sleep apnea and arthritis in my knee and that they should evaluate me for gastric bypass surgery! And believe it or not that worked!! So please don't give up just yet, keep trying, if you need someone to talk to please feel free to e-mail me, I'd be more than happy to help you out if I can!!! Keep the faith!