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Because weight loss surgery is not intended to be an initial treatment for obesity, most surgeons and insurance companies follow the guidelines set forth by the National Institutes of Health in determining if gastric sleeve or other bariatric surgery is medically necessary. Bariatric surgery may be an option for individuals who: have a body mass index of at least 40, or have a body mass index of at least 35 along with an obesity-related health condition, such as heart disease, sleep apnea, or diabetes. Teenage patients who have gone through puberty and reached adult height may meet medical necessity guidelines if they meet the following criteria: a body mass index of at least 35 along with a serious obesity-related health condition, such as diabetes, or a body mass index of at least 40 with high blood pressure, high cholesterol, or another less severe obesity-related health problem. Read more here: https://thesleevecenter.com/when-gast... Contact us for a free consultation: https://thesleevecenter.com/#gform_1