I think this is because doctors don't really believe they can treat obesity. That medication used in conjunction with exercise and low fat nutrition and is very effective. We need people to get their BMI in order to begin the dialogue with their doctor, because we now have good treatments available if your BMI is too high. It's a partnership between you and your doctor. So regular exercise and proper nutrition are key components, but medication can be very helpful, particularly if you have a BMI of 27 or greater.
Liposuction is totally ineffective in the long term.
In those cases, gastric stapling, et cetera, can be highly effective, but those are reserved for those extremely obese, and should only be done by surgeons highly experienced and skilled in this type of procedure. For example, a BMI in an NFL football player would be highly inaccurate in terms of estimating body fat, because typically high level athletes are very muscular, so their weight does not reflect how much fat they have. But a lot of people delude themselves into thinking their BMI reflects increased muscle mass when there are a thousand of people who are truly fat with a high BMI for every one person who is muscular. Dr. Rippe, it's certainly been a pleasure having you by today. There is a web site telling people where the nearest location is to them.