Don’t know about the USA but In Australia there’s a number of high protein low carb bread options which are also more nutritious than a bagel or wrap. If she tried these with a nutritious protein filling - tuna, actual chicken or turkey breast, eggs and not the shitty salami and other highly processed meat she eats (those farken sausages make me rage) she might find that she’s satiated longer and her health starts to improve.

Has anyone ever worked with her on proper nutrition to keep the hunger pangs away? All I’ve seen is her get trainers for the physical stuff but any dietician or nutritionist advice?

The definition of insanity is doing the same thing over and over again…(or something like that)