Should a woman with a BMI of 38.8 be considering gastric bypass?

I am a 40 year-old woman who was 358 pounds last November 1st. I went on the Atkins diet and am still only eating 20 grams or less of carbs a day. Idon't think this healthy, so I continue to take multi-vitamins. The problem is, I have been here so many times before, and I know that if I EVER start eating ANY carbs again I will gain the weight back and then some. I have proven that I can stick with a diet, but what will I do for a permanent solution? I have lost down to 254 pounds and am so discouraged that even after all this time I probably still qualify for gastric bypass surgery. I am so proud of the loss so far. Many of my pains and my acid reflux are gone, but my hair has been coming out just behind my bangs and I am worried that I'll be bald if I continue eating this way. It sounds funny, but it is scary. Also, my skin is VERY loose, even though I am using my firm flex every day. Any advice will surely be appreciated. Thank you, Kate

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