Should I consider bariatric surgery?

I am only checking this out as a last resort. I have a metabolism which continuously adapts to a low cal diet. I have been on 1800 or less calories for almost 12 years, (with of course, the occassional cheating, but not enough to sustain my weight, let alone gain weight. I am 286, and was 284 three weeks ago, and pretty much will be 287-288 in another two or three weeks when I visit my doctor. Right now, she suggested Xenical. Where my metabolism is so "efficient", is this actually something that I need to consider (bariatric surgery, that is)? It is not very common to have a metabolism like mine, especially when I don't experience a lot of problems with moving around (although as of late, my ankles have been swollen and I'm not as inclined to take my mile and a half to two mile walks on the beach with my children). Anyway, I need to hear from people who have or had this problem. Even at 1100 calories for 16 weeks, I was only able to lose two pounds, only to gain four back within the next two weeks, staying on the 1100 calorie plan. I was also sick for a couple of months and could not keep food down, but weight gain seemed consistent. Please e-mail me your comments and/or suggestions. Thanks.

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