Table 1.
Inclusion Criteria | Exclusion Criteria |
---|---|
Age ≥ 18 years | Previous brain surgery |
BMI ≥ 40 kg/m2 or ≥ 35 kg/m2 with a comorbid condition (hypertension, cardiovascular disease, type 2 diabetes, dyslipidemia) |
Dementia or Mini-Mental State Examination score <25 |
Failure of bariatric surgery (banding or bypass) determined by modified Reinhold classification because patients who are still >50% over an ideal body weight after technically successful surgery |
Unable to fit into MRI or CT scanner (400-lb upper weight limit for CT scanner) |
Chronic obesity diagnosed by an eating disorder specialist with expertise in treatment of obesity | Psychiatric disorder, including poorly controlled anxiety disorders, psychosis, bipolar disorder, active substance abuse, somatoform disorders, factious disorders, dissociative disorders, and severe personality disorders, excluding depression and binge eating |
Stable at present body weight for 6-month period | Obesity as part of another medical condition, neurological injury, or lesions related to medication side effect or as part of a genetic syndrome |
Psychiatric evaluation | Unable to schedule follow-up clinic visits |
Karnofsky performance scale score >60 | Karnofsky performance scale score <60 |
BMI, body mass index; MRI, magnetic resonance imaging; CT, computed tomography.