Incorporating long-term lifestyle changes are needed to increase the chance of successful long-term weight loss. Long-term maintenance of the lost body weight can be described as a success. Weight Loss Plateaus Explained Second Nature Guides Look AHEADs long-term weight loss maintenance intervention which included monthly or twice monthly individual contacts combined with periodic group meetings ie refresher groups and national campaigns was modeled on the DPP 1121 and similar protocols. Long-term weight maintenance after an intensive weight-loss program . Among persons with weight loss of at least 5 after 1 year those originally randomly assigned to metformin had the greatest loss during years 6 to 15. Treatment of obesity requires ongoing attention and support and weight maintenance-specific counseling to improve long-term weight management. Individuals who participated in a VLED program or lost 20 kg had a weight-loss maintenance at 4 or 5 y of 7 kg or. Although meal replacement h...