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As far as I have been able to tell (and my wife is on the verge of having weight-reduction surgery, so I've done some research), the *only* things that work are:
1) Eat less, exercise more
2) Endure some sort of physical modification
All the rest is patent-medicine, snake-oil, hucksterism.
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"To those of you who are wearing ties, I think my dad would appreciate it if you took them off." - Robert Moog
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