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mobieusKnow Non-surgical medical weight management History #846

Revision #846

Approved
All revisions
Author
Patrick Bass
Submitted
Sep 2, 2026 12:05pm
Summary
Bariatric and medical weight management: the procedures, preparing for surgery, the staged diet, protein and fluid, supplements, activity, dumping, alcohol, pregnancy, labs, weight recurrence, the non-surgical routes and the medical-information policy
+ '''A structured programme is its own route, not a consolation.''' Loopa's non-surgical track follows the published obesity guidelines and holds the same tools as the rest of the app.
− '''A structured program is its own route, not a consolation.''' Loopa's non-surgical track follows the published obesity guidelines and holds the same tools as the rest of the app.
== Who it is for ==
+ People who are not surgical candidates. People preparing for surgery who want the habits first. People who considered surgery and chose otherwise. People whose team has put them on a medical weight-management programme.
− People who are not surgical candidates. People preparing for surgery who want the habits first. People who considered surgery and chose otherwise. People whose team has put them on a medical weight-management program.
== What the guidelines put at the base ==
+ "We recommend that diet, exercise, and behavioral modification be included in all obesity management approaches for BMI ≥ 25 kg/m²" (Apovian CM et al., ''The Journal of Clinical Endocrinology & Metabolism'', 2015 — [https://doi.org/10.1210/jc.2014-3415 doi:10.1210/jc.2014-3415]). Obesity is treated as "a complex, adiposity-based chronic disease, where management targets both weight-related complications and adiposity" (Garvey WT et al., ''Endocrine Practice'', 2016 — [https://doi.org/10.4158/EP161365.GL doi:10.4158/EP161365.GL]).
− "We recommend that diet, exercise, and behavioral modification be included in all obesity management approaches for BMI ≥ 25 kg/m²" (Apovian CM et al., ''The Journal of Clinical Endocrinology & Metabolism'', 2015 · [https://doi.org/10.1210/jc.2014-3415 doi:10.1210/jc.2014-3415]). Obesity is treated as "a complex, adiposity-based chronic disease, where management targets both weight-related complications and adiposity" (Garvey WT et al., ''Endocrine Practice'', 2016 · [https://doi.org/10.4158/EP161365.GL doi:10.4158/EP161365.GL]).
== The published intake targets ==
+ The guideline gives two ways of setting one: "Prescribe 1200–1500 kcal/d for women and 1500–1800 kcal/d for men", or "Prescribe a 500-kcal/d or 750-kcal/d energy deficit" (Jensen MD et al., ''Circulation'', 2014 — [https://doi.org/10.1161/01.cir.0000437739.71477.ee doi:10.1161/01.cir.0000437739.71477.ee]).
− The guideline gives two ways of setting one: "Prescribe 1200–1500 kcal/d for women and 1500–1800 kcal/d for men", or "Prescribe a 500-kcal/d or 750-kcal/d energy deficit" (Jensen MD et al., ''Circulation'', 2014 · [https://doi.org/10.1161/01.cir.0000437739.71477.ee doi:10.1161/01.cir.0000437739.71477.ee]).
'''Your own number is set with your clinician, not by this app.'''
+ == The programme shape ==
− == The program shape ==
+ The same guideline recommends a comprehensive lifestyle intervention lasting at least six months, and for intensive intervention at least 14 sessions in six months with a trained interventionist (Jensen MD et al., ''Circulation'', 2014 — [https://doi.org/10.1161/01.cir.0000437739.71477.ee doi:10.1161/01.cir.0000437739.71477.ee]).
− The same guideline recommends a comprehensive lifestyle intervention lasting at least six months, and for intensive intervention at least 14 sessions in six months with a trained interventionist (Jensen MD et al., ''Circulation'', 2014 · [https://doi.org/10.1161/01.cir.0000437739.71477.ee doi:10.1161/01.cir.0000437739.71477.ee]).
== Activity ==
+ 150–300 minutes a week of moderate cardiovascular exercise, accumulated across the week, plus resistance work (Fernández-Alonso M et al., ''Surgery for Obesity and Related Diseases'', 2025 — [https://doi.org/10.1016/j.soard.2024.11.005 doi:10.1016/j.soard.2024.11.005]).
− 150–300 minutes a week of moderate cardiovascular exercise, accumulated across the week, plus resistance work (Fernández-Alonso M et al., ''Surgery for Obesity and Related Diseases'', 2025 · [https://doi.org/10.1016/j.soard.2024.11.005 doi:10.1016/j.soard.2024.11.005]).
== Where medication fits ==
+ The endocrine guideline considers pharmacotherapy alongside diet, exercise and behaviour change at a BMI of 27 with a related condition or over 30 (Apovian CM et al., ''The Journal of Clinical Endocrinology & Metabolism'', 2015 — [https://doi.org/10.1210/jc.2014-3415 doi:10.1210/jc.2014-3415]). It also sets out the review point: continue where there has been at least 5% weight loss at three months, reconsider where there has not (Apovian CM et al., ''The Journal of Clinical Endocrinology & Metabolism'', 2015 — [https://doi.org/10.1210/jc.2014-3415 doi:10.1210/jc.2014-3415]).
− The endocrine guideline considers pharmacotherapy alongside diet, exercise and behavior change at a BMI of 27 with a related condition or over 30 (Apovian CM et al., ''The Journal of Clinical Endocrinology & Metabolism'', 2015 · [https://doi.org/10.1210/jc.2014-3415 doi:10.1210/jc.2014-3415]). It also sets out the review point: continue where there has been at least 5% weight loss at three months, reconsider where there has not (Apovian CM et al., ''The Journal of Clinical Endocrinology & Metabolism'', 2015 · [https://doi.org/10.1210/jc.2014-3415 doi:10.1210/jc.2014-3415]).
If you take one, track it in [[medication-protocols|Medication protocols]]. The non-surgical track links to it and adds no dosing of its own.
== What is in the track ==
Weekly weigh-ins and the trend. Food logging with your own targets. Activity. The sleep and stress modules already in Loopa. The plateau tool. And the same appointment-prep export the surgical tracks have.
−
− In the app, the track carries getting moving, the symptom journal, foods that sit well, the what-to-do-if cards, your weight trend and the education track. Loopa tells you which of these a track includes when you choose it, and the hub lists the ones that apply to you.
−
− == What the track does not include, and why ==
−
− '''Eating stages and a lab reminder calendar belong to the surgical tracks.''' The staged return to food exists because an operation changes what the stomach can take, and the follow-up lab calendar exists because some procedures change what the gut absorbs (Mechanick JI et al., ''Obesity'', 2013 · [https://doi.org/10.1002/oby.20461 doi:10.1002/oby.20461]). Neither applies to somebody who has not had one, so Loopa does not show you a schedule built for a different route.
−
− '''Supplements are the same story.''' The bariatric supplement schedule is written for post-surgical malabsorption (Parrott J et al., ''Surgery for Obesity and Related Diseases'', 2017;13(5):727–741 · [https://pubmed.ncbi.nlm.nih.gov/28392254/ PMID 28392254]). On this track Loopa lists an ordinary adult multivitamin and stops there. Anything beyond that is a conversation with your clinician, who can send a plan straight into Loopa if they want you on one. See [[clinician-protocols-and-coach-support|Clinician protocols]].
== Related ==
* [[weight-recurrence|Weight recurrence]]
* [[who-surgery-is-for|Who surgery is for]]
* [[medication-protocols|Medication protocols]]
== Where this comes from ==
+ Everything on this page is drawn from published clinical guidelines and peer-reviewed research, cited above. '''Loopa does not give medical advice.''' It does not decide whether a procedure is right for you, does not recommend one over another, and never sets a dose. Your care team does all three, and where they give you an instruction, theirs is the one to follow.
− Everything on this page is drawn from published clinical guidelines and peer-reviewed research, cited above. The full list, with a link to every original, is at [https://loopahealth.app/sources/ loopahealth.app/sources]. '''Loopa does not give medical advice.''' It does not decide whether a procedure is right for you, does not recommend one over another, and never sets a dose. Your care team does all three, and where they give you an instruction, theirs is the one to follow.

'''A structured programme is its own route, not a consolation.''' Loopa's non-surgical track follows the published obesity guidelines and holds the same tools as the rest of the app.

== Who it is for ==

People who are not surgical candidates. People preparing for surgery who want the habits first. People who considered surgery and chose otherwise. People whose team has put them on a medical weight-management programme.

== What the guidelines put at the base ==

"We recommend that diet, exercise, and behavioral modification be included in all obesity management approaches for BMI ≥ 25 kg/m²" (Apovian CM et al., ''The Journal of Clinical Endocrinology & Metabolism'', 2015 — [https://doi.org/10.1210/jc.2014-3415 doi:10.1210/jc.2014-3415]). Obesity is treated as "a complex, adiposity-based chronic disease, where management targets both weight-related complications and adiposity" (Garvey WT et al., ''Endocrine Practice'', 2016 — [https://doi.org/10.4158/EP161365.GL doi:10.4158/EP161365.GL]).

== The published intake targets ==

The guideline gives two ways of setting one: "Prescribe 1200–1500 kcal/d for women and 1500–1800 kcal/d for men", or "Prescribe a 500-kcal/d or 750-kcal/d energy deficit" (Jensen MD et al., ''Circulation'', 2014 — [https://doi.org/10.1161/01.cir.0000437739.71477.ee doi:10.1161/01.cir.0000437739.71477.ee]).

'''Your own number is set with your clinician, not by this app.'''

== The programme shape ==

The same guideline recommends a comprehensive lifestyle intervention lasting at least six months, and for intensive intervention at least 14 sessions in six months with a trained interventionist (Jensen MD et al., ''Circulation'', 2014 — [https://doi.org/10.1161/01.cir.0000437739.71477.ee doi:10.1161/01.cir.0000437739.71477.ee]).

== Activity ==

150–300 minutes a week of moderate cardiovascular exercise, accumulated across the week, plus resistance work (Fernández-Alonso M et al., ''Surgery for Obesity and Related Diseases'', 2025 — [https://doi.org/10.1016/j.soard.2024.11.005 doi:10.1016/j.soard.2024.11.005]).

== Where medication fits ==

The endocrine guideline considers pharmacotherapy alongside diet, exercise and behaviour change at a BMI of 27 with a related condition or over 30 (Apovian CM et al., ''The Journal of Clinical Endocrinology & Metabolism'', 2015 — [https://doi.org/10.1210/jc.2014-3415 doi:10.1210/jc.2014-3415]). It also sets out the review point: continue where there has been at least 5% weight loss at three months, reconsider where there has not (Apovian CM et al., ''The Journal of Clinical Endocrinology & Metabolism'', 2015 — [https://doi.org/10.1210/jc.2014-3415 doi:10.1210/jc.2014-3415]).

If you take one, track it in [[medication-protocols|Medication protocols]]. The non-surgical track links to it and adds no dosing of its own.

== What is in the track ==

Weekly weigh-ins and the trend. Food logging with your own targets. Activity. The sleep and stress modules already in Loopa. The plateau tool. And the same appointment-prep export the surgical tracks have.

== Related ==

  • [[weight-recurrence|Weight recurrence]]
  • [[who-surgery-is-for|Who surgery is for]]
  • [[medication-protocols|Medication protocols]]

== Where this comes from ==

Everything on this page is drawn from published clinical guidelines and peer-reviewed research, cited above. '''Loopa does not give medical advice.''' It does not decide whether a procedure is right for you, does not recommend one over another, and never sets a dose. Your care team does all three, and where they give you an instruction, theirs is the one to follow.

'''A structured programme is its own route, not a consolation.''' Loopa's non-surgical track follows the published obesity guidelines and holds the same tools as the rest of the app.

== Who it is for ==

People who are not surgical candidates. People preparing for surgery who want the habits first. People who considered surgery and chose otherwise. People whose team has put them on a medical weight-management programme.

== What the guidelines put at the base ==

"We recommend that diet, exercise, and behavioral modification be included in all obesity management approaches for BMI ≥ 25 kg/m²" (Apovian CM et al., ''The Journal of Clinical Endocrinology & Metabolism'', 2015 — [https://doi.org/10.1210/jc.2014-3415 doi:10.1210/jc.2014-3415]). Obesity is treated as "a complex, adiposity-based chronic disease, where management targets both weight-related complications and adiposity" (Garvey WT et al., ''Endocrine Practice'', 2016 — [https://doi.org/10.4158/EP161365.GL doi:10.4158/EP161365.GL]).

== The published intake targets ==

The guideline gives two ways of setting one: "Prescribe 1200–1500 kcal/d for women and 1500–1800 kcal/d for men", or "Prescribe a 500-kcal/d or 750-kcal/d energy deficit" (Jensen MD et al., ''Circulation'', 2014 — [https://doi.org/10.1161/01.cir.0000437739.71477.ee doi:10.1161/01.cir.0000437739.71477.ee]).

'''Your own number is set with your clinician, not by this app.'''

== The programme shape ==

The same guideline recommends a comprehensive lifestyle intervention lasting at least six months, and for intensive intervention at least 14 sessions in six months with a trained interventionist (Jensen MD et al., ''Circulation'', 2014 — [https://doi.org/10.1161/01.cir.0000437739.71477.ee doi:10.1161/01.cir.0000437739.71477.ee]).

== Activity ==

150–300 minutes a week of moderate cardiovascular exercise, accumulated across the week, plus resistance work (Fernández-Alonso M et al., ''Surgery for Obesity and Related Diseases'', 2025 — [https://doi.org/10.1016/j.soard.2024.11.005 doi:10.1016/j.soard.2024.11.005]).

== Where medication fits ==

The endocrine guideline considers pharmacotherapy alongside diet, exercise and behaviour change at a BMI of 27 with a related condition or over 30 (Apovian CM et al., ''The Journal of Clinical Endocrinology & Metabolism'', 2015 — [https://doi.org/10.1210/jc.2014-3415 doi:10.1210/jc.2014-3415]). It also sets out the review point: continue where there has been at least 5% weight loss at three months, reconsider where there has not (Apovian CM et al., ''The Journal of Clinical Endocrinology & Metabolism'', 2015 — [https://doi.org/10.1210/jc.2014-3415 doi:10.1210/jc.2014-3415]).

If you take one, track it in [[medication-protocols|Medication protocols]]. The non-surgical track links to it and adds no dosing of its own.

== What is in the track ==

Weekly weigh-ins and the trend. Food logging with your own targets. Activity. The sleep and stress modules already in Loopa. The plateau tool. And the same appointment-prep export the surgical tracks have.

== Related ==

* [[weight-recurrence|Weight recurrence]]
* [[who-surgery-is-for|Who surgery is for]]
* [[medication-protocols|Medication protocols]]

== Where this comes from ==

Everything on this page is drawn from published clinical guidelines and peer-reviewed research, cited above. '''Loopa does not give medical advice.''' It does not decide whether a procedure is right for you, does not recommend one over another, and never sets a dose. Your care team does all three, and where they give you an instruction, theirs is the one to follow.