Most obese individuals have struggled unsuccessfully with their weight for many years. The numerous diets, commercial slimming clubs, and weight loss centers offering treatments such as hypnosis, pituitary hormones, appetite suppression drugs and behavioral therapy attest to the great difficulty many overweight people have in losing weight and keeping it off. Some of these weight loss strategies may be successful in people with mild obesity, but nearly all fail in individuals 100 pounds or more over their ideal body weight. At present, surgery is the only proven, effective therapy for severe obesity or morbid obesity.


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