Review of multimodal therapies for obesity treatment: Including dietary, counseling strategies, and pharmacologic interventions

There have been several recent advances in the field of obesity medicine in the areas of structured behavioral therapies, medically supervised diet programs, pharmacotherapy, and new interactive technologies. Patients with obesity now have several options for treatment beyond the standard lifestyle modifications of reducing calories and increasing exercise. Although bariatric surgery is the gold standard of treatment for patients with severe obesity, the problem of recidivism despite surgical intervention has lead obesity medicine specialists to develop multiple treatment modalities. The addition of tailored dietary intervention, targeted behavioral therapies, and the use of Food and Drug Administration approved antiobesity pharmacotherapy can allow patients to augment weight loss or to treat weight regain after bariatric surgery and endoscopic bariatric procedures. New technologies and web-based weight loss applications can allow patients to self-monitor in between office visits.