When should I consider a consult? How much does it cost?

I'm gonna try to lose, If not when should I consult a DR???A little scared... I know at a weight of 379 by now I should know that I have trouble keeping weight off. I also know that I need to learn how to eat small meals several times a day which I have been working hard on. I told my mom today that I am going to come home from college for a semester in the fall. I also told her that if I cannot lose weight this time around, I am going to look into WLS. I am not ready to give up on dieting just yet, because I know that I do well when I follow a plan. The problem is also I am very scared about getting surgery again. I don't heal very well (another complication of my weight) I had breast reduction surgery in May 2000, and I had a lot of problems with Post surgical infection, the year prior to that I had ovarian surgery and healed badly after that. Yet, I am so scared that if I don't do something in the next year I may die or something. So, if I am gonna try dieting for the next 6 months when is a good time to consult??? How much does a consult cost? The insurance I am gonna sign up for does not pay for Dr visits.

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