Excellent point, Kristine. Seems to me there are a number of options to pursue first. Since most of these surgeries result in having to eat LC afterwards anyway (if you can only eat a small amount, you need to limit yourself to nutrient rich foods like protein and green veggies), why not start with LC? And prescribe psychotherapy with a therapist who knows their binge-eating stuff. Get the person involved in daily OA meetings for support. Heck, even WW (if it can be successfully managed for a lifetime) is better than risking death and lifetime of disability! Seems to me that years should be spent supporting a patient through these options first . But of course that presumes that patient health is more important than profit, which I suppose is not so.

Thanks for starting the discussion, Atrsy. I hate thinking about these poor folks, but I know they're out there.