There's a drug called Naltrexone/Nalmaphene that's used in addiction to alcohol, narcotics and food.
It works by blocking the endorphin reward when consuming the substance over time, so weakening the association between indulgence and reward.
Eventually, in combination with compliance and mindfulness from the patient, they can be returned to the state of a non addict, as the reward super highway in the brain is 'undone'. Most people lose all interest in the substance, don't get triggered, don't feel deprived, and can indulge occasionally, in combination with the medication to block endorphins. Others just lose all interest in the substance, and turn their energy and time to healthy hobbies, old passions etc.
Again, it requires compliance, co operation and a genuine willingness to change from the patient.
Of course there's many ways to undo being super morbidly obese, all require awareness, work, and a willingness to change that she simply doesn't have. She's not self aware enough to realise she's a garden variety food junkie, like every other super morbidly obese person. There's nothing complicated or special about it. She'll never change, because nothing about the state of her body is 'her fault'.
Watching this compilation during the week, I think her compulsive liar mask slipped, and she accidentally explained, quite insightfully, why she's doomed. Every weight loss plan she's ever attempted is just Youtube channel window dressing.
Original, time stamped -
https://youtube.com/watch?v=gkyI4gSUY74:1015First 15 seconds after timestamp is for context.
