Welcome to the Forum Erin!
Unfortunately a lot of doctors believe obesity can be cured with pills and surgery. The medical profession has a mentality towards the quick fix. The problem with this type of thinking is the quick fix is usually just a wallpaper cover up that leaves the wall underneath it cracked, rotting and ready at a future date to collapse totally.
You are right to be wary of Duromine. There are a host of side effects that aren't very helpful for your general well being. Also at very best it can only be of temporary assistance...a stop gap measure is what it really is. In my opinion you would do well to do without it. More trouble than what it is worth.
Everybody is gun ho these days about lap banding as if it is the final cure to obesity. The truth of the matter that many people who take this road still end up failing - and messing up their body to boot. The surgeons love it - marketable operation, relatively quick simple operation and good money. I've read a few books written by people who have undergone it. These books have been success stories and recommend the operation but in their pages the authors have been very candid about the difficulties. This operation can not be considered the easy option by any means. Firstly, you have to show that you can lose weight first before they will take you on. Secondly, as an overweight person, surgery of any kind carries an increased risk than the normal person. Thirdly, the lap banding adjustments are very tricky...being violently sick can happen even to those who have the best experience of it. Fourthly, medical intervention after the operation is for life...you will be taking pills to keep your vitamins up and probably reflux medication as well. Also your stomach will never be "normal". And lastly, there is no guarantee of success. Most surgeons will candidly admit that the surgery is just the start...success comes down to the patient eating and exercising right.
I recommend you read Melanie Tait's book "Fat Chance; My Big Fat Gastric Band Adventure". This is a success story and a good read but honest about the difficulties encountered. What I found interesting about the book is I believe she could have had the same success without the surgery. It was if by having the surgery she had given herself the permission to succeed. If only she had really given eating healthy and exercising well a real chance - she could have saved herself a lot of hassle (and money).
You can succeed in weight loss without pills and surgery. I was the wrong side of fifty, chronic asthmatic, bad back, ingrown toe nails, belly hernia the size of my fist and knowing nothing about weight loss when I started on the journey to lose weight. At my first weigh in I registered on the scales at 153.7kg. Exactly 60 weeks later I hit the scales at 66.6kg (87.1kg loss). It can be done...if I can do it - then anyone can do it - YOU CAN DO IT.
The main problem that hinders people from having success in weight loss is BELIEF. Many wish
to lose weight; some want
to lose weight - those few that succeed have
to lose weight. It is about moving the mind to belief. This is where a group such as this Forum can be a real help. People here understand the problem from within (unlike doctors for example...many don't have the first clue on the subject).
This road to weight loss isn't an easy road but it is the surest way to success. There are no short cuts to weight loss...anyone that promises you that is misleading you and setting you up for failure. But once you have moved your mind into the right set then everything will follow. Why not join into the activities of the Forum and learn the way to a BETTER FUTURE? It's waiting for you...you are willing to have your gut cut open...do you have the courage to try something far more harder but more worthwhile - to have your mind changed?
Risk it - it is more than worth it!