Over the past five years, there have been literally five expert groups that have come together and looked at the science behind weight loss and for children and for teenagers and offered some opinions. The opinions that make the most sense to me focus on what's called a step care approach to this problem. That means you start with something simple, like education and medical management. Then you add some elements when it's not producing the desired results. Look at an athlete. Look at what an athlete does. If he's not improving, doing better, strong, faster, more skilled. They add stuff. Weight control is the same deal. You are trying to get your body to do something it doesn't want to do and you have to add elements or additional intensities of interventions in order to produce the desired changes. You can start with medical management and educational, but then you look at the environmental changes like adding a piece of equipment at home or move some place that will get you to be more active. Then you look at professional interventions. That would include cognitive behavior therapy, maybe in an outpatient clinic or cognitive behavior therapy in an immersion program like the one we provide in Well Spring. Finally, if you have a child that has a significant weight problem, and hasn't been helped with immersion programs, cognitive therapy, or all the other programs that make sense and are justified by science, look at bariatric surgery. The thing you don't do as an overweight or obese child, you don't accept that. You don't say, "Well, that's the way she was built. Everyone in my family has a weight problem." That I recommend strongly against doing. You look at a problem to be solved and you keep adding interventions in a stepped care approach until you solve the problem.