I think it’s similar to trying to help an alcoholic out of that addiction. Once metabolic syndrome reaches a certain intensity, it takes both psychological and physiological discipline, much like alcohol addiction. A friend of mine just had gastric bypass surgery, and thankfully it has given him an edge in the fight. I believe he could have accomplished the same end with a less risky approach: one 72 hour fast, then one hour of eating as much and anything he wished every 48 hours until the desired body mass is achieved, then same every 24 hours to maintain. This approach avoids the complexity of controlling appetite and food selection desire. A person learns very quickly that carbs don’t offer the benefits that meat and fat can provide. I gain ten to twenty pounds during the holiday season, come the new year it’s back to reasonable alcohol consumption and OMAD eating. It’s nice to be able to choose gluttony for a time and know how to recover the tailspin.