In order to sell a drug for an indication, there has to be a diagnosis. With a diagnosis of BED, doctors can (ethically) at least try someone on stimulants before moving on to the gastric bypass option. I think that’s the case – perhaps some are too obese for stimulants to be safe. Considering the fact that the basic stimulants have been around forever, they are generic and therefore cheap. It seems like a reasonable option.
