it is in combination with those things. in kids who are severely obese diet and exercise interventions aren t enough. if we look at society in general. sometimes it s difficult. if you can intervene with diet and exercise that s great. if your health is going downhill you might need something else. normally we have a pyramid where we try lifestyle interventions first even for adults. if that s not working you jump to medication. not that you want to be on them just that you have to weigh the risks and benefits. if you start getting sicker and there are more problems you might have to jump to the surgery. in terms of the results the surgery outcomes are good in kids compared to adults. jon: i love this stuff after sandra: fewer than 2,000 operations each year. ask your doctor about it if you have questions about your child. exactly. spending time in orbit a space sandra: thank you, nice to see you. plane completed the longest jon: the effort to eliminate mission in the milit