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Debby and Cindy are sisters who have decided they want to lose weight for their upcoming...

Debby and Cindy are sisters who have decided they want to lose weight for their upcoming family wedding. Debby was a healthy weight in high school and was very active in sports. She has gained weight over the past few years since graduating from college 5 years ago. She is currently 5'6" and weighs 160 lb. Cindy was overweight as a child and has continued to gain more weight as an adult. She is 5'4" and weighs 230 lb. Debby decides she is going to go on a High Protein/ Low Carbohydrate diet to attempt to lose 25 lbs in 2 months to get back to her high school weight. Cindy has tried diets in the past and has found that she always gains the weight back when she goes off the diet, so she decides to consult her doctor for more aggressive treatment. She discovers that she has high blood sugar, high blood pressure and a family history of heart disease. The doctor discusses the options of medications as well as gastric surgery with her. Cindy has heard about Phentermine from some family members, but she found the doctor will not prescribe that for her but he did discuss the option of gastric surgery with her.

1. Why would Cindy's doctor discuss gastric surgery with her? Do you think that gastric surgery would be a good option for Cindy? Why or why not?

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1.A weight of 230lb (104kg,BMI=38.5 kg/m² :230lb×703÷(64.8 in inch)² is categorized to be overweight or under morbid obesity. A client in this BMI in order to prevent complications due to excess weight and lead a quality life gastric surgery is one of the preferred method.She has history of hypertension, diabetes,family history of heart disease which can aggravate the situation and her health condition due to morbid obesity .Hence this is a good option for her

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