Do I really need that brownie? This age-old question possibly just became easier to answer for some. The FDA has approved a new weight-loss device for obese patients. AspireAssist is a surgically-placed tube that drains stomach contents into the toilet (~30% of calories consumed at the prior meal). A clinical trial followed two groups of patients over a one-year period. All patients received nutrition and exercise advice but only one group of patients used the device. AspireAssist users lost an average of 12.1% of their bodyweight while the control group reduced bodyweight by 3.6%. Social media commentary has been mixed with some likening the device to bulimia. Time will reveal patient and physician receptivity to AspireAssist. We’ll leave it to the waistlines to judge its effectiveness.