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My plan for patients to fight obesity

From Dr Simon Fisher

Newcastle upon Tyne

Despite what patients might think, obese people are overweight as a result of eating too much and doing too little exercise.

The latest NICE draft guidelines on obesity management say primary care staff shouldn't suggest self-help or commercial programmes but must implement 'multicomponent interventions' (News Analysis, 23 March).

To save my colleagues much time and effort in setting up their own obesity interventions I would like to share my own finely-honed, patient-centred, multicomponent system with them:

· Component 1: eat less.

· Component 2: do more.

Please let's discourage the medicalised view of obesity and deal with it for what it is: a lifestyle choice over which the patient has 100 per cent control.

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