Diet, exercise, weight loss medicines, and surgery. Its not always like that. Sometimes, you have to jump straight to surgery.
In a recent post published in Medscape, a senior, triple board certified (internal medicine, endocrinology, and obesity), Almandoz pointed out that bariatric surgery may be the best and the only option for some people with morbid obesity.
One can easily start GLP-1 after or before surgery. In addition, at excellent centres, the complication rates of gastric bypass or gastric sleeve surgery are minimal and equivalent to cholecystectomy.