Nechomah -“but when a person is faced with trying to lose 100+ pounds naturally, the prospect of controlling portions can be overwhelming and exercise virtually impossible due to the excess weight. It can become a vicious cycle.”
You’re correct, but any procedure will Not stop the vicious cycle.
After any procedure you need to watch what and how much you eat and also excercise. This will halt the vicious cycle. Otherwise eventually you will regain weight.