40 BMI. Weightloss on NHS. Gastric sleeve?

[ScabberPig]

I'm mentally preparing to go to my GP and ask about assistance with weightloss.

My BMI is 41.
Nice guidelines say that that puts me in category obese III and coupled with a 237cm waistline (guidelines say over 88cm is very high) means doctor should consider drugs and surgery.

I have been doing this for 16 years now. Since 20 years old.

I've printed out all reciepts and emails starting from 2006.
Multiples of the following:

Weight watchers memberships
Slimming world
Gym
Hypnotherapy
Personal trainers
Exante
Slim and save
Lipotrim with Drs
Saxenda weightloss injections

.. as evidence that I've struggled with this and really tried so many times

I've also got a record of my weight fluctuations on my fitness pal. In the last 18 months I've lost and gained the same 20lbs 3 times :(

I'm just wondering what to expect realistically.

I just need help.

Just thought I would update.

Saw GP today. She's given me orlistat to try and lose 5% of my body weight.

She's referred me to weight services and an 8 week nutrition course which is a requirement for bariatric surgery so she said I can see how the orlistat Goe but I can get the course done in case I want to pursue the surgery route.

That's good news OP - well done.

I had a sleeve in Turkey for £2k. In the scheme of things, the amount I spent on diets and clothes was well worth it. Stayed in for 2 days, flew home on Thursday was back at work on Sunday. Am a healthy size 10 and eat really well and have totally gone off snacky foods. Worth every penny. The NHS is a joke, not worth waiting 5 years for.

Was that recently? It's more like 5k now abroad?

I still can't afford that :(

I think waiting time is about 2 years

how long ago did you have it grantoderek and now much weight have you lost in total?