Is suragey the key here? or just a starting point?

as I read in profiles, after you have suragy, you start exercising and eating better or less? is this only giving a boost to the weight loss? or is the suragy really helping here.... I dont' want to have suragey if I can find another way around it.. my bmi is 47 ... but if I say anything about this at chat.. people get fussy .......... I wonder If i can't loose the weight without haveing suragey?

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