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Non-surgical treatment mainly comprises nutritional counseling with or without practice of supplements to improve the weight loss program. Management by supplements and nutrition being the pillars of weight loss and is extremely individualistic. A sensible goal for weight-loss in the setting of a nutrition-based treatment program is almost 1.0 -1.5 kg/wk. The concept that the weight-loss goal for each subject must be personalized and cannot be unilaterally based on usual weight-for-height diet norms is fetching progressively deceptive. One must reflect the family's weight, as well as the patient's weight and cultural, ethnical and racial context in setting personalized nutritional goals of weight loss. Lifestyle changes and regular exercise makes successful and lasting weight loss.
