To be honest, people who undergo any kind of gastric surgery – bypass, sleeve, band, etc., have MUCH more to lose than 35-40 pounds. You are right in saying that it is better to lose weight naturally than to undergo major surgery, but when a person is faced with trying to lose 100+ pounds naturally, the prospect of controlling portions can be overwhelming and exercise virtually impossible due to the excess weight. It can become a vicious cycle.
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