Hi... sorry you are having so much difficulty. Maybe check out the Hauser diet. I know you're probably thinking... another diet?!?!? However, apparently it has rave reviews and people who have tried and failed at other diets, swear by this diet. It's different in the sense that it first tests you with a questionnaire, which then determines which diet plan (there are 5) fits YOU. Their idea is that not everyone is the same, and so they determine what your body type is first, what you require, etc., and then you follow the plan that best fits you. It's worth a try... before resorting to surgery. Surgery should be your last resort. Oh... and the book provides you with some really delicious recipes to help you on your way. Good luck!