Helpful Link
Others have often posted helpful tidbits of information on this site. The American Heart Association has a site www.americanheart.org. If you go there click on the scientific statements. Go to obesity. 1997. report number 71-0130. Print this out. When you reach Treatment of Obesity and Heart Disease, note the paragraph of BMI>35 and comorbidities exist, gastrointestinal surgery becomes a consideration. When the BMI is>40, surgery is the treatment of choice. Read on a bit and note: No matter what the therapeutic approach, it is important to realize that obesity is a disorder and recidivism is common, wih<5% of patients maintaining their reduced weight at 4 years. Thus, the therapeutic regimens must be maintained indefinitely; even then, only surgery has been proved to produce substantial sustained long-term weight loss. Maybe this printout can educate some of those pcp's.
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