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b'The idea that a morbidly obese person can achieve a healthy weight through willpower alone is outdated, according to The idea that a morbidly obese person can achieve a healthy weight through willpower alone is outdated, according to Howard Simon, MD, Howard Simon, MD, director of director of bariatric surgery bariatric surgery at Upstate. People with morbid obesity (with a at Upstate. People with morbid obesity (with a body mass index body mass index above 40) have a metabolic disease too complicated to treat with just drugs, diet or exercise, he says, and most will regain weight lost through those methods. He explains why bariatric surgery, combined with behavioral changes, has a high rate of long-term success.\\xa0 above 40) have a metabolic disease too complicated to treat with just drugs, diet or exercise, he says, and most will regain weight lost through those methods. He explains why bariatric surgery, combined with behavioral changes, has a high rate of long-term success.'