To be quite candid I think someone here should suggest a protocol or flow diagram that helps the obese deal with their issues in bite sized portions.
First on my list would be a diet that gets the obese in harmony with non metabolic syndrome limits. That is, apart from weight.
If it wasnt sorted then one would have to deal with other issues:
diabetic and non diabetic.
Re: Is other disease present? Is this caused by gut biome? Self image, abuse, mobility, past health damage etc.
There are obese individuals who have a perfect metabolic score according to Ivor Cummings and their those like Bulkbiker who reverse their obesity and diabetes.
Clearly the cure of obesity when it comes to bypassing parts of the gut is a very difficult thing to embark on.
And not a cure all, they can have other issues.
It is possible for all to lose weight but the torture that causes is too much to tolerate.
We know that the expression of our genes can change. Identical twins seperated at birth and living different lifestyles can have different metabolisms.
D.