I am in a catch 22, I had gastroplasti twenty years ago, I know it has stretched some, along with a historectomy. I have put on an average of 3-5 pounds in the last 10 years.. I have made arrangements to have another procedure to make the pouch smaller, but my insurance company want's me to show evidence of being on a diet. That is the catch, I only eat from: 500 to 600 calories a day, but have not been under a Doctors care, because that is just what the pouch will allow me to eat. I am and Asthmatic, and the more weight I gain, the more effort it takes to breath, they also requite me to have a diagnosis of Depression, yes I feel depressed, but not to the point of seeaking help. Please advise, as to wht, if any options I may have? Thank you Shorty 75180