• Overweight 25–30 kg/m2
• Mild 30–35 kg/m2
• Moderate 35–40 kg/m2
• Severe >40 kg/m2

Pharmacological:

• Orlistat (Xenical)- side effects: inc. freq. of bowels, gas w/ oily dishrag, dec. food absorption, dec. bile flow, dec. absorption of vitamins

Surgical:

• Bariatric surgery- 6 to 18 mo medically supervised diet fails to reach goal
• Roux-en Y- Restrictive + Malabsoprtive
• Sleeve Gastrectomy

Management:

• 6 small feedings (600-800 calories per day)
• Eat smaller but more freq. meals
• Low carb
• Two protein snacks daily
• Eat slow & chew thouroughly
• Low fowlers position 20-30 min- delays stomach emptying
• DO NOT drink fluids w/meals. 30 min before or after.
• Walk @ least 30 min