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I think the surgeries have their tiime and place. I don't think people should resort to surgery just to make it easier. An example of when it makes sense is a neighbor of mine. She weighed over 600 pounds. Just walking to bathroom took all she had. She was basically in a position of "lose it now or die". She did have the surgery but that was followed by 6 months recovery in a nursing home. She was under constant care, went through lots of health and fitness training. She's been home for about a year now, so its's been about 18 months. She is now at 275 and still losing. She was lucky and got the proper training to go along with it. Without all that, I don't think she would be alive today.
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