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15 may 2012 - Mexico City, Mexico - Maria Elena attends a monthly consultation with Doctor Pratti, bariatric psychologist, at the Ruben Leñero General Hospital in Mexico City. Maria Elena Quevedo is a 36 year old Mexican woman with severe morbid obesity. The oldest of three children, all suffering from morbid obesity, Maria Elena has been overweight since she was 10. She weighed 491 pounds and was 175 centimeters high with a BMI 72.8 when she first arrived at the Ruben Leñero General Hospital for treatment in 2009. With the help of a nutritionist and Dr. Francisco Campos Pérez, bariatric surgeon and coordinator of the Obesity and Metabolic Diseases Clinic at the Ruben Leñero General Hospital, she was able to lose enough weight to get a Laparoscopic sleeve gastrectomy in november 2010. The surgery enabled her to lose weight and she today weighs 339,5 pounds with a BMI 50.2. But in the last few months she has been unable to lose any more weight and in July 2012 she will have a Gastric Bypass surgery. As an obese person she says she suffers from discrimination, and employers have refused to give her jobs because of her condition. She lives with her brother and her sister who financially help her out. Overweight and obesity are one of the most important public health problems in Mexico. Mexico has one of the highest obesity rates in the world, for this reason the government of Mexico City created the countries? first clinic for surgical treatment of these patients.The Comprehensive Clinical Surgery for Obesity and Metabolic Diseases of  the Ruben Leñero General Hospital offers not only affordable surgery but also advice on how to live healthy. Photo credit: Benedicte Desrus