Mercy offers complimentary membership and private training at its own fitness facilities for 6 months following surgery, having a discounted rate after that.

Group sessions focus on goal setting, overcoming body-image issues and dealing with alterations in relationships. Patients may find meizitang soft gel members of the family withhold support or perhaps sabotage their efforts to keep losing. They learn about mindful eating--paying focus on the process of selecting, preparing and eating food--and ought to keep food diaries with entries for thoughts, feelings, moods and the body sensations.

In July 2012, Misty Morgan, then 30 along with a mother of two, attended an informational seminar about surgery at Mercy. At 5 feet 2 inches and 377 pounds, she had lost the confidence to seek work after losing an earlier job. In September, she entered a six-month supervised weight-loss program at Mercy Health Fairfield Hospital in Cincinnati, and lost 40 pounds. Her insurance company approved a gastric bypass and she or he had the procedure in April 2013.

Months before surgery, she began posting regular video updates online that they thought would help others. She talked about trigger foods, like sugary sweets that they found difficult to give up eating once she started, her struggle with bad food choices and her efforts to create her husband, Jeffery, observe that buying her sweets and fast food wasn't helping.

Following the surgery, she discussed the good and the bad of trying to stay around the wagon, in addition to complications, like a frightening go back to a healthcare facility five months after surgery for unrelated thrombus.

In a video post on her one-year anniversary, she announced she was down to 204.8 pounds and described "the best year of my entire life," together with a flight to Las Vegas without the need for an additional seat or seat-belt extender, and the weird sensation of driving a vehicle without feeling her stomach touch the controls.

After recovering from surgery, Ms. Morgan says she did cardio workouts three times per week at the Mercy gym, met regularly with a nutritionist and attended behavioral modification classes and organizations. An online grocery tour helped her make smarter choices while shopping, and today she reads labels religiously.

"They teach you how to change the way you appear at and consider food, and to stop living to consume and eat simply to live," she says.

Ms. Morgan landed a job inside a medical billing office and joined someone support group. She and other post-op patients exercise and plan activities together to remain moving and motivated.

Rather than a night out with her husband to some restaurant, she says, "we go out and do things, prefer to the amusement park and go on red meizitang a scary roller coaster."

She has lost 197 pounds, weighing in last week at 180.6 pounds; her goal is 175, and she or he will attempt to get rid of in five-pound increments after that. The Mercy program "helps keep me accountable and keeps me on track," Ms. Morgan says.