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[Correspondence] Obesity management in primary care – Authors’ reply

We are grateful to the correspondents for their interest in our research. Asaka Higuchi and Masahiro Kami are surprised that 12% of the support group lost 10% of their baseline bodyweight at 1 year and worry that rapid weight loss will lead to rapid weight regain. However, trial evidence suggests it will not.1 No baseline factors predicted 10% loss, but the use of what we termed effective support was strongly associated with weight loss. Effective support meant, in practice, attending a behavioural weight loss programme similar to those that physicians referred patients to in the support group.