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The primary goal of obesity treatment is to improve obesity-related co-morbid conditions and reduce the risk of developing future co-morbidities. The decision of how aggressively to treat the patient and which modalities to use is determined by the patient's risk status, their expectations and by what resources are available. Therapy for obesity always begins with lifestyle management as the backbone of treatment and may include pharmacotherapy or surgery (see Fig. 9.1). Not all the medications listed in Fig. 9.1 are FDA approved for weight loss therapy.

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