Diet and exercise can have more of an impact on weight loss and maintaining weight loss then procedures such as gastric bypass surgery: http://news.yahoo.com/s/afp/20101026/hl_afp/healthusobesitydiet
Actually, for me, that's no surprise. As I repeatedly stated, to lose weight and keep it off you have to:
1. Eat less,
2. Eat better, and
3. Move more.
And, you have to keep up all three things for the rest of your life. You can't "eat better" for a month, lose a few pounds and then go back to your old eating habits.
No, you have to make lifetime changes. Losing weight and keeping it off is not a short term endeavor.
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