So the doctor finally reviewed my CT scan results which confirmed what the ultrasound showed, liver fibrosis. My doctor is an Endocrinologist. I started seeing her in spring of 2015 and have gained 20 lbs while she's been treating me. I've been on ever diet and diet med she knows of. I have a metabolic disorder. I just don't know what to do. She'd prescribing Metformin and a repeat course of Qysmia. She said the next step is to try to get the insurance company to cover bariatric surgery. My BMI is 32, it needs to be 35. I'm ready to self pay if necessary. Does anyone know of any options for me in the USA? It anyplace for that matter?