Discussion
Obesity, particularly at its extreme levels such as morbid, super, and super-super obesity, presents significant challenges in management and treatment. Current literature predominantly emphasizes pharmacological and surgical interventions as the principal modalities for weight loss in these severe cases (10).Surgical treatments like the laparoscopic sleeve gastrectomy (LSG) are proven to be effective in greatly reducing weight and handling health problems in people with very high BMI (11)(12). These treatments are essential in cases where the extreme level of obesity can’t be managed by lifestyle changes alone, showing the need for a complete care approach for patients with super-super obesity (13). Despite their efficacy, these interventions are associated with significant risks and potential complications.
In contrast, lifestyle interventions, while essential in obesity management, have been somewhat overlooked in the context of extreme obesity due to their perceived limited effectiveness. However, this case report highlights the critical role of lifestyle interventions as the primary strategy in the comprehensive management of obesity, especially in its most severe forms, such as super-super obesity (BMI ≥ 60 kg/ m2)
Despite the common focus on drug and surgical options, which are associated with significant risks and complications (10). The impressive results from our case study demonstrate the success of well-planned lifestyle Interventions. These interventions have resulted in significant weight loss, even in individuals with a BMI 90.5 kg/m2, proving the effectiveness of lifestyle Interventions as a crucial method for obesity treatment. The vital support from family members and the teamwork of various healthcare professionals underscores the necessity of a comprehensive approach to treatment. Additionally, the gradual integration of medications, combined with fostering the patient’s self-efficacy and independence in managing their health, are key aspects of this case. These findings indicate that lifestyle interventions not only trigger weight loss but also empower patients in their long-term health journey.