Unfortunately, success rates for long-term weight loss are low. It is estimated that only 20 percent of patients lose 20 pounds and keep them off for more than 2 years. An even smaller percentage maintain higher rates of weight loss.

Your best chance for success is a multi-pronged attack, employing a variety of strategies and emphasizing maintenance of weight loss more than the initial loss of excess fat. A well-rounded treatment program that includes a low calorie diet, counseling to help change eating behavior, regular exercise, and social support is the approach most likely to work. It also helps to have a close, supportive relationship with your therapist or physician. Above all, you must be motivated to attain your goal and keep the pounds off.