[Lutherf]

My experience in losing weight is that it requires a lifestyle change, not just medication. It's taken me 2 years to lose roughly 5 stone and I've got another 5 to go but diet and exercise have been the key thus far. The one change that has been most beneficial is to change my eating habits so that I don't eat full meals at night. I eat a hearty breakfast, a reasonable lunch and a moderate dinner (generally speaking). Cutting back dramatically on sugars and foods with a high glycemic index has also helped as has introducing substantially more high fiber food.

I know a lot of people who have been helped by medication and surgery but it seems to be the lifestyle change that keeps weight off. As others have mentioned, it's just too easy to slip back into routines that allow weight to accumulate.