A neighbor of mine was really huge and having lots of health problems because of it. Her doctor finally suggested a gastric bypass as a last resort.
After the bypass she had some complications and had to make some important lifestyle changes.
However, at this point she is significantly smaller and glad she had the operation.
If you are morbidly obese a gastric bypass may be less risky than the health problems you are experiencing.
However, except for the above situation, a good healthy diet and exercise program is always the best way to go.
This site has a lot of information for anyone interested.
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