How does this sound?
Thanks for the suggestions. I made some revisions (in bold):
I have been obese since my early teen years. Having experienced various diets, and exercise programs throughout my life have proven to be ineffective. My doctor instructed me to join Weight Watchers, as it was her understanding this will satisfy your requirements. I have been diligent in ensuring I completed this six-month monitoring, along with periodic follow-up with my doctor. This documentation was also submitted to you.
I did not decide to become obese. Nor did I wake up one day and decide to have weight loss surgery. I have researched bariatric surgery for over a year, and discussed this at length with my family. I believe my case of medical necessity has more than been established based on your current guidelines. I am asking you to please review, and reconsider your decision.
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Baron Patrick
It Ain't Over Till I Say It's Over-And I Won! 
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Top / Pre / Current / My Goal
280 / 263 / 190 / 180
LAP RNY 5/29/07
TT Gym Rat Club Member #19
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