> Sorry there was some confusion. By long term I meant 3-10 year follow ups. That only happens if the patient relapses into his previous unhealthy lifestyle.

> Sorry there was some confusion. By long term I meant 3-10 year follow ups. That only happens if the patient relapses into his previous unhealthy lifestyle. You can't simply follow a poor high calory diet and a sedentary lifestyle and still expect zero consequences from your actions. If your problem is behavioral then you fix it by fixing the problems in your behavior.