Will you feel the same way when you're heart valves are damaged?

I think not.

Whatever your struggle might be to lose weight, and keep it off,
remember that you can rather easily get used to most anything, if you
set your mind to it, and let yourself be fully committed to it.

Why consider only the two most dangerous, most drastic, ways of losing
weight?

This forum is well-populated by people like Chris, who have lost a lot
of weight, and kept it off successfully for years, without endangering
their health as you propose.

How do you propose even knowing if the pills you receive, are actually
fenluramine, or just some inert or even slightly poisonous, powder
inside the capsule? Fraud is rampant in these markets.

Please consider your other options.

adak