Gastric Bypass Consultation

My Mom is heavy. I mean, really heavy. I live in a different state than her, and I have noticed that every time I go visit her, or she visits me, she is a little heavier each time. She was never thin when my sisters and I were still living at home, but now she is simply obese. I finally asked her about it a little while ago, and she broke down and cried. She admitted that she went for a gastric bypass consultation, but the doctor told her he will not operate until she loses 40 pounds so the operation is safer. Now, she needs to find out how to lose 40 pounds in a month.