A staggering 68% of US adults are either overweight or obese.1 Current direct medical costs associated with treating obesity-related illness are roughly 5% to 10% of all US health care spending.2 Effective solutions to this epidemic are scarce, expensive, or both. The mean cost of bariatric surgery is $27 905.3 Few medications are available for weight loss, and despite recent promising developments, obesity drugs are unlikely to become a solution to the problem.4 Many believe significant changes in public policy and the built environment will be necessary to reverse the epidemic.5,6 Such changes require a great deal of political will, which is lacking, and in any case would take many years to have a significant effect. So, what on earth should we do right now or in the near future?
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