Mixed

Patients with higher comorbidity burdens (cardiovascular risk, respiratory, pain, mental health) and higher BMI are significantly more likely to receive high-intensity interventions (surgery/procedures) rather than lifestyle intervention, while anti-obesity medications (AOMs) are underutilized relative to guidelines.

If you have obesity and comorbidities like diabetes or heart disease, you are more likely to get surgery or procedures than medication or lifestyle programs, even if guidelines suggest medication first. This is because providers often wait for severe BMI or complications before escalating care. You should discuss all options, including AOMs, with your provider rather than waiting for surgery eligibility.