Result and Conclusion
The patient lost 23 kg (11.9%) during the first 6 months of follow-up
with lifestyle change.
Then the patient started to come alone to the clinic with high
self-esteem, willing to continue weight management, and trusting her
ability to lose weight. When Liraglutide ‘’Saxenda” was added she lost
5 kg more during the next 6 months.
This case report challenges the existing paradigm that lifestyle
interventions are less effective in super obese individuals. It
demonstrates that with a comprehensive, personalized, and
multidisciplinary approach, significant weight loss and health
improvement can be achieved without primary reliance on pharmacological
or surgical interventions. This case should encourage healthcare
providers to consider intensive lifestyle modifications as a viable
first-line treatment option in managing extreme obesity. It also calls
for more research to explore the full potential and long-term
effectiveness of lifestyle interventions in super obese patients.