You are a candidate for obesity surgery. This surgery is very specific and most be done by trained and specialised surgeons. You have to go to a hospital that has a Massive Weight Loww clinic with endocrinologists, dieticians, laparoscopic and obesity surgeons, plastic surgeons and psychologists.
The surgery alone, will not solve all your weight problems, you will have to follow an adapted program to render your project successful.
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It is recommended that all individuals see a Family Doctor for a full medical examination annually. Adults should get their blood pressure checked (US Preventive Task Force), a flu vaccine (CDC) and more each year.