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.