GBS is a tool, just like any other tool. Some people find it effective, even if primarily psychologically, and use it as a reason to change their habits, behaviors, and life for the better. Some people just double back and add on the pounds like any other type of weight loss solution. I doubt the failure/non-compliance rate is all that different from any other weight loss solution out there.
For some people, they can be determined to lose the 30-50 or whatever that is needed to "prove worthiness" for the surgery, but perhaps they wouldn't be able to muster that determination for the years it would take to lose the 200 or whatever they need to overall.
While some may see it as an "easy fix" (that comes with considerable hardship and risk), and a way to make all their weight problems go away like magic, plenty really see it as their only hope. Maybe they're right, or maybe they're stronger than they think and could do it "on their own." Maybe they can't. Not everyone has the strength, courage, determination, and self esteem to lose that much weight on their own.
Hell, I'd rather people in my family would look at this option rather than do what they do... believe they're meant to be the size they are and there's no hope and nothing to be done about it so lets go eat some more McDs.
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