It is a disease in epidemic proportions in which excess body fat has accumulated to the extent that it may have a negative effect on health. It is considered when the body mass index ( Weight/Persons square height) is over 30 Kg/m2. From 25 to 30 Kg/m2 it is called overweight! Obesity increases the likelihood of Heart disease, Type2 Diabetes, Obstructive sleep apnea, Stroke, Asthma, Osteoarthritis and certain cancers! One in every three persons in the United States is Obese so extremely common! Non Hispanic Blacks have the highest age adjusted rates for Obesity ( 48.1%), followed by Hispanics ( 42.5 %)followed by non Hispanic whites (34.5 %) It is higher among middle aged adults ( 40-59 y/o)and older adults ( 60 y/o plus) Four states have the highest prevalence (35%or more ) : Alabama, Louisiana, Mississippi and West Virginia! It is mostly caused by excessive food intake, lack of physical activity and genetic suceptibilty. A few cases by Genes, Endocrine disorders, medications and mental illness. It is preventable by social changes and personal choices. Changes to diet and exercise are the main treatments. Diet quality can be improved by reducing consumption of energy dense foods ( high in fat and sugar) and increasing intake of dietary fiber. Medications are taken with diet to reduce appetite or decrease fat absorption. If diet, exercise and medicines don’t work then consider a gastric balloon or gastric bypass surgery. Obesity is a leading preventable cause of death worldwide. More common in women than man.BMI more than 35 with Co morbid condition or BMI 40-49.5 is considered Morbid Obesity..Medicines used in the treatment include: Phentermine with or without Topamax, Contrave, Orlistat & Belviq. Different diets are useful including avoiding carbohydrates as much as possible to develop benign dietary Ketosis or the Atkins Diet. The South Beach Diet, Weight Watchers and the Pritikin Diet are also very useful diets! Regardless of the diet approach the important thing is to try to motivate the person to more daily aerobic activity. These include walking, bicycling, jogging, swimming, kickboxing or rowing! Also isometric exercises three times a week, like weight lifting are useful to maintain muscle strength, endurance and tone! Talk to your doctor about the best ways to lose weight according to your Medical History & Physical.