We concur with Dr Jones' comments on the great strides that have been made in treating morbid obesity. However, the focus of the Council on Scientific Affairs' report was on the medical management of obese individuals. It was not possible to include discussions of the surgical management of morbid obesity in a report of this length.With regard to Dr Stoll's comments, the Council Report provides general information on the treatment of obesity in adults and reflects the views of the scientific literature. Exceptions to the proposed treatment may occur because of circumstances involved in an individual case. If a patient has failed to respond to other less stringent treatment modalities for obesity, the physician may choose to prescribe a very-low-energy diet to achieve the desired weight loss in a given individual.Dr Beasley's comments regarding energy restriction and its potential effect on future weight gain are well
Hendee WR, Mondeika TD. The Treatment of Obesity in Adults-Reply. JAMA. 1989;261(15):2200. doi:10.1001/jama.1989.03420150049025
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