Each of these women has seen more doctors in the last couple years than the entire rest of our stable of deathfats combined. Corissa is trying to document her lawsuit over Ozempic, so she needs the most solid and consistent medical records possible. Her lawyers would have explained that mucho records = $$$$.
Juliana was on her doomed quest for testosterone and then a tit chop. At least it got her to doctors for a while.
The closest analogy I can think of is going from driving a Camry to operating dump trunk
But it's more like your Camry slowly morphed into a dump truck over many years. Each month, your Camry got 1/4 inch wider and 1/2 inch longer...until you couldn't wipe your own ass anymore, LMAO.
I don't think Corissa would get approved for a liver transplant, should her NAFLD advance into NASH, and then cirrhosis. Her BMI is too high (>40); she's diabetic;
Most transplant centers have max BMIs that range from 35 to 40 (the higher end being more common). Many transplant patients have diabetes because that's one of the main causes of the organ failure in the first place, so that's OK as long as it's been controlled for a long while. It's like alcoholics getting livers. (They have to be totally sober for a long time before they get the organ, of course)
It's still nuts to do a kidney or liver transplant on someone with a 40 BMI because the complications can kill the new organ even if the recipent would have survived the complication itself. It's not like a simple gallbladder removal or WLS.
Ironically, hilariously and infuriatingly,
Duke University Hospital has a combination program doing liver transplant surgery and gastric sleeve surgery
at the same time. Un-fucking-believable. There are young people dying without those livers, but aging deathfats are getting one before they even got the WLS.
From the link:
Incorporating sleeve gastrectomy into a liver transplant procedure is fairly simple, according to Portenier. “The stomach is super accessible due to the large upper abdominal incision required for transplant,” he says. “Once we’ve seen that the patient is doing well and the transplant has gone smoothly, it’s pretty easy at that point for us to do the sleeve at the end.”