Or you could exercise and eat less. But that takes effort.
The only effort these fat bastards make is to get elected and steal our earnings.
Morbid obesity such as his completely alters the body and mind (satiety signals, ability to exercise, etc., etc.)and virtually noone has succeeded in losing and keeping off that much weight by sheer "will power" (which typically is neuropathologically altered in such cases).
That said, he actually has increased his chances for suffering medical and surgical complications by having his surgery done in two stages. The gold standard is the Roux-N-Y gastric bypass, which combines a drastic reduction in stomach volume with a significantly decreased area of intestinal absorption.
The majority of such patients -- even those larger than Nadler was -- experience few or no significant complications beyond an incisional hernia (10-15%) one year or so post-op. The repair of such defects is somewhat trivial and routinely is done on a same-day/ambulatory basis.
The success rate for keeping off one's excess weight via this approach is on the order of >80%, in contrast to less than 5% for those who lost more than one-hundred pounds through diet and exercise. Simply put, it becomes nearly impossible to eat, keep down, and absorb enough food to fail.
I underwent this procedure nearly three years ago and could write a book about the changes it has made in my newly regained life. Actually, I am writing a book (general market, technical, or both) about obesity, this surgical procedure, and my experiences -- "before and after."
If any FReepers continue to suffer from the curse of morbid obesity, please feel free to send me a FReepmail. In addition to my personal experience, I have professional education and experience in this and related medical matters....