 [ Symptoms ] i have problem breathing and its progressing [ Disease ] there are other options you could look into first have you seen a dietitian who deals with eating issues understanding what is behind your eating tracing back to childhood could help immensely no matter what weight loss path you choose practicing mindful eating can help a great deal and there is lots of good research showing its effective for binge eating as for weight loss weight loss surgery has the best long term success newer treatments like the sleeve help to decrease hunger hormones but is less invasive then bypass surgery i would start with a registered dietitian and look at all your options unfortunately weight loss drugs need to be safe good luck and do not give up