BMl over 40 is called morbid obesity, in this case the burden of all systems is very heavy, may have or not yet appeared some disease, this situation is not changed, is a great threat to health. The frustrating thing is that for morbidly obese people, less than 10% of them can successfully lose weight and maintain it for more than 5 years only by the basic measures of diet management, exercise and behavioral awareness, although these measures are important and basic, but they are not enough. To tell you these figures is not to discourage you, because weight loss is not about confidence or willpower, you can achieve great success in your career in school with willpower, but weight loss you have to face is not a complex and difficult task, but to fight against the laws of natural survival and laws, just like the human body temperature is regulated by the hypothalamus set at 37 degrees, you can just change it, even if for some reason this point is adjusted upward (cold Even if for some reason this point is adjusted upward (fever) or downward, it still has a strong will to return to 37 degrees, which is a homeostasis, weight and energy regulation center is also in the hypothalamus, to use this analogy is not to say that weight regulation and body temperature regulation is the same mechanism, just so you can understand the human body has a strong ability to maintain homeostasis. The fact is that little is known about obesity in science and medicine, and it can even be said that there are no effective weight loss drugs in the clinic until now. We have good theories about the basal metabolic rate, what is a reasonable dietary structure, and the difference between aerobic and anaerobic exercise, and it is good health guidance to prevent normal weight or overweight slightly fat people from developing into obesity morbid obesity. But for morbid obesity currently medically recognized effective is weight reduction surgery bariatric
surgery, 200,000 cases per year in the United States, several thousand cases per year in China, there is a very large amount of literature data. For morbid obesity, the first thing to do is to check whether the secondary obesity. If not, you can use the basic measures mentioned above to reduce first, if you can successfully enter the 10%, then congratulations, but if not, weight loss surgery may be the ultimate solution. No one wants to be operated on, and surgery is not very easy, but surgery can help you solve the most insurmountable physical part of weight loss, and the rest of the difficulties I think you can easily deal with with your willpower.