Attend your scheduled appointments. No shows, cancelling appointments or having months between appointments may negatively impact the approval process with your insurance provider Cancelling with a provider at the last minute affects their availability to assist others who also need care Lose weight if you can. Our nutritionist will help you get started with weight loss, which is important to help your medical status and make your weight-loss surgery safer for you Many insurance providers will not authorize a bariatric surgical procedure if the patient gains weight during the evaluation process Exercise. After getting approval from you primary care provider, start an exercise program to help your heart and lungs and decrease some of the operative risk Follow the correct sleep apnea treatment. Individuals who have obstructive sleep apnea and are prescribed positive pressure therapy for sleep need to understand how important this therapy is to health