I thank Dr Loh for his comments. I agree on the importance of prevention of obesity and on the complex nature of that prevention.1 The importance of problems secondary to obesity is unquestionable. But do not misunderstand me, please! It is not that I do not want to treat obesity, or not want to encourage others to do so, but after many years in practice I have to conclude that success is very limited. There are determined and courageous persons who succeed, but they are few. I reiterate: the treatment of obesity is generally a failure. Also, I am appalled by the multibillion-dollar business surrounding the issue of weight management that exploits people with weight problems. I would very much like to learn how to achieve lasting weight loss for my obese patients, most of whom have associated problems. If anyone knows the answer, he or she should share it with others.
Footnotes
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Competing interests
None declared
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