New Page Journal of the Louisiana State Medical Society Vol. Theodore F. Thurmon, MD Obesity usually results from unwanted variations in metabolism. These are complex, weakly heritable, polygenic traits.
Careful observation can help define the type of obesity.
All forms are associated with excess mortality and require lifelong episodic or continuous management. Management centers around diet, exercise, behavior therapy, and life-style counseling. 5-hydroxytryptophan are worthwhile for neurotransmitter inadequacy, except in children and pregnant women. When thermogenesis is inadequate, intake may be normal and weight reduction may require subnormal intake. Some degree of obesity may be required for optimal health in patients with inadequate acylation.