This is several ways fo manage your obesity.

1. Begin with a comprehensive assessment

An effective treatment plan should begin with a comprehensive assessment of the effects of obesity on the individuals health and emotional well-being. In addition to determining BMI and waist circumference, the evaluation should include an assessment of the impact of body weight on the obese person•s current health and risk for future disease.

The presence of significant comorbidities may justify consideration of pharmacotherapy in patients with BMIs as low as 27 and bariatric surgery in patients with BMIs as low as 35. The obese person should receive a thorough physical examination that specifically assesses risk for diabetes, dyslipidemia, and hypertension„conditions that are very common yet often go undetected among obese individuals. The initial assessment should also include an assessment of behavioral risk factors, including sedentary lifestyle, consumption of a high-fat diet, and binge eating.
Quality of life indicators including social adjustment, body image satisfaction, and emotional status (i.e., the presence of anxiety and depressive symptomatology) ought to be included as well. Acareful individualized assessment will often reveal important behavioral and psychological targets for intervention such as binge eating, body image disparagement, anxiety, depression, or poor social adjustment„problems that need to be addressed regardless of whether weight loss itself becomes an objective of treatment.

2. Discuss treatment expectations

Virtually all obese clients begin weight-loss therapy with unrealistically high expectations about the amount of weight loss they can achieve. These faulty expectations may lead patients to discount the beneficial impact of modest weight losses. Treatment of faulty weight-loss expectations may improve the patient’s satisfaction with the outcome of weight-loss therapy and thereby foster better maintenance of weight loss. In some situations, it may be particularly important to address the internalized aesthetic standards that produce faulty weight-loss expectations.

Teaching patients to resist the social pressure to achieve an ideal body, to adopt nonderogatory self-statements about large body size, and to uncouple the association between body weight and self-esteem should represent signi“ cant objectives for therapy.

3. Focus on behavior change

Obese persons do not have direct control over how much weight they lose. Therefore, treatment goals should be framed in terms of behaviors that they can control, such as the quantity and quality of food they consume and the amounts and types of physical activity they perform. Moreover, obese persons should be informed that significant health benefits can be derived from even modest weight losses of 5% to 10%. The maintenance of stable weight and the prevention of weight gain should be recognized as a legitimate treatment option for some obese persons, particularly since the natural course of obesity entails weight gain.

4. Include multiple indicators of “success”

Successful outcome in the care of the obese person should not be viewed solely in terms of weight change. Bene“cial changes in risk factors for disease and improvements in quality of life represent important indicators of success. Improvements in the quality of diet should be a component of care independent of whether weight reduction is an identified objective of care. Reductions in amounts of dietary fats, particularly saturated fats, can improve health as well as assist in weight loss.

Similarly, increased physical activity and a decrease in sedentary lifestyle can represent beneficial components of long-term care irrespective of the impact of exercise on weight loss. Finally, self-acceptance, independent of weight body, may also be a signi“cant indicator of success.

5. Adopt a lifelong perspective

We believe that obesity should be viewed as a chronic condition requiring longterm, if not lifelong, care. The clinical challenge is not to convince the obese person that they need to be in treatment forever. Rather the challenge is to convince the overweight person that successful management of weight will require constant vigilance and ongoing efforts at selfmanagement of eating and exercise behaviors.

Although weight management may become somewhat easier over time, it is always likely to entail conscious efforts to maintain behavioral control of one•s energy balance. In a compassionate manner, health providers must communicate to their obese patients not merely a recognition of the chronicity of problem, but also an empathic understanding of the emotional aspects of what it means to be obese in a culture that values thinness. Finally, clinicians need to assure obese patients of their ready availability to assist in the long-term management of weight and related issues.