Well, in my experience, the patients who have this much weight to lose will do well with some form of partnering and/or medical management.
Ngokwamava endinawo, izigulana ezifuna ukuhlisa ubunzima obungaka ziye zincedwe kukuba nabantu abazilolonga nabo kwaye bafumane namayeza okulawula ubunzima bomzimba.