My Dr refused, said I was fine as I was, just needed to do some excersie, I swear I was in there for 15 mins trying to persued him! Was sooooo upset, so decided to have Christmas and New Year then pluck up the corage to go see another Dr, which I did, he was a bit younger and agreed to sign it )well write a letter giving permission, as I had lost the form!) So here I am on day 12 and lost 14lb so far!!!!!