Thanks for posting. It's refreshing to hear from a surgeon who considers his role as a last-ditch option that comes with many caveats and risks. Everything we share seems to point to the theme of the foundational need to make lifestyle changes to experience health improvements. It's a simple concept, but it's challenging with the many and varied competing ways one must choose among to make those improvements. It takes time for each individual to make the personal investment to learn what works. Many don't want to make that investment, so we have the burgeoning business culture of "health experts" that will gladly take your money to tell you how to eat and live. This is another situation where being a skeptic and having a hunger for knowledge is an advantage.