An extremely obese female patient with weight gains during pregnancy and menopauses, repetitive attempts on weight reduction by a diet lead to further weight gains (yo-yo effect). Successful treatment during the 3rd hospitalization, at the beginning of which the patient was in a critical state in connection with concurrent illnesses.
Now, the patient presents weight stability, has reduced her weight by 64 kilograms in total and has been indicated for gastric by-pass as an long-term effective solution of the morbid obesity.