I considered it, at 295 pounds. I actually considered a sleeve or band. I did nothing, but then started involving myself in "projects" to help relatives. This afforded me some activity, because people always break things, and repairing things usually breaks people. So, I fixed everything as needed. I had a sister in law that was moving and needed A LOT done to her house, so I jumped in and helped. It triggered a hypo rush, do things got done until the final crash, literally. We got her stuff done, but The motorcycle wreck finished me and I found me back in depression. I'm now years later and have since started going to the gym and have lost tremendously weight, and gained some good muscle tone. I'm stably at 178 lbs now and also stable, with -to overuse the word because I can- a stable environment and a stable gym life.