I just finished a conversation with my grandfather who is a physician and he advised me to reason with my brother about proceeding with bariatric surgery. My brother is over 300 pounds and his BMI is in the range for morbid obesity.
At his last recent physical the doctor said there were no problems with his bloodwork (I'd personally like to see those results for myself). My brother is resistant to my grandfather's micro intervention because of his botched perineal surgery from years ago, though I understand that perineal surgery is very difficult and often causes complications.
I personally would like to give my brother another chance to solve his problem without resorting to bariatric surgery, though I have no fears over the safety of the procedure or doubts about it's efficacy. I'd just rather see him eat a healthy diet no matter what.
My Brother has declared that he will lose weight on a number of occasions, but it has never lasted very long. There is no prior incidence of obesity in my family or extended family (though my brother is actually my half brother). So he's living with family members who are for the most part considered "lean". Until my brother turned 15 he was considered lean himself (he is now 28).
Unfortunately I live a province away and I can't really be there to monitor his dietary habits. Fortunately he has the palette to eat a healthy diet, but clearly he doesn't always "eat like an adult".
Does anyone have experience with this sort of conundrum?