Hi Mandy,yes its Dr.Aditya!my doc too.Im in same position as you only 12 months down the line.last time I saw him he said I could have a bypass either way if i lose more weight but cant keep it off or if my bmi goes to 45.My suggestion to you is if he sends you to see dietician or physio ,go.See if you can get referals for other probs ie sever joint pain ei,sleep/breathing probs,diabetes gall stones etc.it all adds to him making a case for you to have surgery.Go to slimming world if you can,show him you can lose weight,then show how you cant keep it off.take you sw book a proof,any illness/procedures you have done record them and tell him in 3 months time.If he suggests reductil try it if it does not work it all goes on record.\i see him in september so hope to get a date then,or at least be told he is applying for funding and op should be within 18 weeks after it is agreed.So 9 weeks to appointment.wait for agreement then up to 18 weeks after that.My birthday is end of March so aiming for that!Ring me if you want a chat.