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Behavioural Therapies Proved to Reduce Weight

Behavioural tactics like diet changes and control and exercise have proved to help obese adults to reduce weight. This is possible with or without medication.

Researchers came to this conclusion after conducting 58 clinical trials. Researchers found that behavioural programs helped obese people lose an average of 7 pounds more over 12 to 18 months, versus people who received no special therapy- most of whom lost little to no weight. The more intensive the programs did better result.

The "Comprehensive" program offered a range of tactics such as exercise sessions, goal-setting and overcoming day-to-day barriers to keeping up a healthy lifestyle. And adding medication seemed to boost weight loss a bit. In trials that tested intensive behavioral therapy plus the weight-loss drug orlistat (Xenical), people lost an average of 11 to 22 pounds, versus 7 to 13 pounds with behavioral therapy alone.

The extra weight loss with medication, meanwhile, would have to be balanced against the risks: side effects of Xenical include gas and uncontrolled bowel movements, and the drug has been linked to reports of liver, kidney and pancreas damage.

A couple trials have, however, suggested that the programs help curb the risk of diabetes in obese people with elevated blood sugar levels. The studies have to be large and go on for many years before the effects on heart disease and death can be pinned down.

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