How can I help my step-daughter adjust to gastric bypass surgery?

My step-daughter had surgery 11 months ago. She went from 275 to 125. She still continues to vomit. She also sweats, has difficulty breathing at times and cannot eat over one to two tiny meals per day. She suffers from the same depression she had before the surgery and extremely low self-esteem. Her immune system is shot. Her hair is beginning to fall out. She looks gaunt and pale. She had extremely poor eating habits pre-op and post-op. She continues to smoke. She also has diarhea at times looks as though she has difficulty walking. She has no energy and seems to drag herself through the day.

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