where do i began?

i am very interested in the surgery and i dont know where to start. i have heard to go to the doctor and start some medical diet pills and then if they dont work go back and see if you can get approval from the surgeon to get the surgery done. is that true? please email me at [email protected] and help me on where to began. my bmi is 41.6 and i a weigh 270# and i really want to lose the weight and nothing seems to help. thank you!!!!!

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