 The patient states that she has been overweight for approximately 35 years and has tried multiple weight loss modalities in the past including Weight Watchers, NutriSystem, Jenny Craig, TOPS, cabbage diet, grape fruit diet, Slim-Fast, Richard Simmons, as well as over-the-counter measures without any long-term sustainable weight loss. 
The patient states that she has been overweight for approximately 35 years and has tried multiple weight loss modalities in the past including Weight Watchers , NutriSystem , Jenny Craig , TOPS , cabbage diet , grape fruit diet , Slim - Fast , Richard Simmons , as well as over - the - counter measures without any long - term sustainable weight loss .