**2. Goals of treatment**

Management targets should be realistic and individualized according to the person's experience, ability, and risks [9]. This is specially important as the long-term treatment success is subject to the person agreement to change the daily lifestyle and to follow the suggested recommendations. Although improvements in cardiovascular (CV) risk factors are observed with as little as 2–3% WL, the existing guidelines propose ≥5–10% (clinically significant WL) during a range of 6 months such WL leads to greater improvement in CV risk [12]. Therefore, the aim is long-term weight reduction is to achieve WL target of >5% of baseline weight for BMI 25–35 kg/m2 , WL target of >10% of baseline weight for BMI > 35 kg/m2 ; improvement in obesity-associated risk factors; eduction in obesityrelated comorbidities; lowering early mortality risk; prevention of work disability and early retirement; as well as improving the quality of life improved quality of life [9].
