That was the question I asked my surgeon at my initial appointment because I'm 10 - 12 pounds away from going below a 40. He said that they go by what your initial weight is at your first appointment. I still don't trust that though.
I have BCBS as well and they went by my first initial weigh in only. I lost about 20 lbs before surgery and that put me "under" their weight requirements but they never knew my weight after the first weight was submitted to them. I think you're safe if you already have approval before you start the process of pre-surgical diets! You should be fine! Best wishes!
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