Hi there
The parameter which influencr the advice is BMI (Body mass Index). It is the ratio of weight and height. In his case, this amounts to 34.38. Moreover, he is diabetic and has fatty
liver. In his case, the best advice is to undergo Bariatric(Obesity) surgery. Bariatruc surgery causes sustained weight loss and improves the diseases resulting from obesity(In his case they are
Diabetes and Fatty liver). American diabetic association has termed Bariatric surgery as curative for diabetes
Next Steps
Visit a Experienced Bariatric Surgeon