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.