IS it the pills that cause the problems or is it the natural depression that comes with suicide. Surely something like depression is very hard to distinguish what is causing it.
When I literally couldnt lose weight for eating 1200 calories aday and going to the gym for two hours every other day I begged my doctor to give me orlistat but he was very against it. He said I wasn't fat enough and even if I was he said the drugs were very new and had concerns as to what the side effects in years to come would be. He did some test and found i needed metformin to help my insulin receptors andI started losing weight immediately but the only reason I put the weight on in the first place was because I ate like two pigs when I was pregnant.
I'm inclined to agree with darkm, if you have a thyroid problem, insulin resistance etc then these can be treated but its not rocket science, you eat less exercise more. There does seem to be a big thing of I'm fat and its not my fault. I expect the percentage of people who really cannot help themselves is minute and gluttony and mental health problems are mostly at large.
The results achieved from gastric banding and bypasses are marvellous though, I think as a long term solution these are great for the patient and cost a lot less than the fat related diseases these people would suffer later in life and surely it has to totally adjust a patients relationship with food.