I guess my doctor read that document, because I know that the paperwork he gave me after the first visit with him said, "refused bariatric surgery." He didn't suggest anything else.
I'm not getting a lot of lectures, but everything that I have wrong with me, blood pressure, blood sugar (pre diabetic), plantar fasciatis, is all attributed to my weight. I've joined weight watchers, which my new podiatrist is happy about. I just wish that doctors were given some actual training in weightloss and food issues. I think that will be a long time coming.
Plus, there are so many issues with processed foods that are just now emerging. I just finished reading "The End of Overeating". If you haven't read it, please do! It is a fantastic book.