Clinical recommendationEvidence ratingReferencesComments
Weight loss strategies using dietary modification, physical activity, or behavioral interventions can produce and maintain weight loss for longer than one year.B4, 25 RCT and retrospective reviews
Sibutramine (Meridia) and orlistat (Xenical) were only modestly effective in reducing weight and maintaining weight loss in trials of one year or longer.A32 Cochrane review of RCTs
Successful long-term weight loss maintenance can be achieved with gastric bypass surgery in patients who are morbidly obese.A33, 36 Cochrane review of RCTs and retrospective reviews