Mercer's discussion paper1 on the usefulness of clinical guidelines for the management of obesity in general practice is commendable and yet raises serious concerns.
It is misleading that the NICE obesity guidelines focus so much attention on drugs and bariatric surgery, neglecting the only true treatment (and prevention) options of lifestyle modification through increased physical activity and improved diet. In the summary NICE clinical guideline 43, these get a single feeble line and this is …