Joe Giummo worked hard all of his life and welcomed retirement a few years ago. But he was also living with type 2 diabetes, high blood pressure and ongoing heart issues. And, over time, his weight had crept up to over 300 pounds. To manage these serious health conditions, he took up to 10 medications a day. While he made an earnest effort to lose weight, the diabetes medications made any substantive weight loss difficult. Joe’s cardiologist in New York suggested he consider a