Our expert says:
Yes, I can understand your problem, with a current BMI of 38, you urgently need to lose weight. I would agree that you are a candidate for bariatric surgery, which is available in SA, but is usually NOT covered by medical aid. You could, however, consult such a surgeon (ask your gp to refer you) and he/she may be able to motivate that the surgery is essential for your health. If this does not help, then I would suggest Xenical in combination with a very-low-energy diet. Your gp can prescribe this medication for you and also try to motivate the cost via the medical aid. It will certainly not be as expensive as the surgery and speakers at the recent Obesity Congress agreed that Xenical can have good results. In the meanwhile stick to your diet as prescribed by your dietitian (you know what you are doing wrong) and don't skip meals as this throws your food intake for the day out of kilter.
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