The punch line of the joke is it's from the inventor of the Segway- anyone else happy that didn't catch on?
In the end, how much of medical weight loss is a doctor's blessing on an eating disorder? Bypass has dumping, and I think everyone has heard of Alli by now, and know it's effects on clothes. There was even a feeding tube diet that received media attention.
The hardest to learn really is the least complicated.