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September 22, 1993

Futility and Avoidance: Medical Professionals in the Treatment of Obesity-Reply

JAMA. 1993;270(12):1423. doi:10.1001/jama.1993.03510120044018

In Reply.  —Dr Schachter compares the treatment of obesity with that of other disorders for which treatment protocols have been developed. Perhaps there is a consensus on the management of medical problems for which a single form of therapy is uniquely effective, but the treatment of obesity is still primitive, and as with other diseases in which no form of therapy is clearly advantageous, many forms of treatment have emerged. None is appropriate in all circumstances. Is it fair to hold obesity to a higher set of therapeutic standards than we do those diseases for which no therapeutic consensus, and surely no protocol, has evolved?I agree with the use of a multidisciplinary treatment model as proposed by Dr Roman-Diaz. Obesity is usually best treated in this format. This is not unique; examples of the utility of a therapeutic team include pain management, cancer, arthritis, and diabetes. We would agree