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Super morbid obesity increases the risk of cardiovascular disease, gout, osteoarthritis, gallbladder disease and early death, and patients often find that conventional weight loss measures are unsuccessful. BMI, a number calculated from an individual's height and weight, correlates to the person's body fat. BMI does not measure fat directly but it is often a good estimate of the percentage that would be round using direct body fat methods of measurement. Used as a screening tool, BMI serves as an indicator that the individual needs further assessment by a health care provider to determine if he is overweight or obese. More direct methods of body fat measurements, including skin-fold thickness measurement, underwater weighing, dual-energy x-ray absorptiometry and isotope dilution, are more expensive or require special training.

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