Almost nobody permanently loses weight that way - they lose weight for a little while, then they gain it back. The only thing that really works is gastric bypass - which is not particularly safe. (I'm in the medical field and have some knowledge of this.)
The reason people gain the weight back is because the "cards are stacked against them" - any weight loss results in physiological changes that increase the propensity to gain weight.
Let's hope that the political bent of Congress is much different!
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