Secondly, there is a strong genetic component to weight and metabolism (studies suggest that this can be anywhere from 30 to 70 percent) so you may be genetically programmed to carry a bit more weight or have more difficulty losing excess weight.
It has been named in lawsuits for its use of ephedra, a stimulant linked to heart attacks and strokes that was previously a component in some of its weight-loss products.
Weight loss surgery, since it has a cosmetic component, can be controversial at best so make sure that you have great documentation to prove that it was medically necessary and ordered by a doctor.
Dr Fetissov's work also adds weight to the idea that two other neurological diseases, schizophrenia and Tourette's syndrome, have an autoimmune component.