Modest diet- reduce your caloric content by 500-1,000 per day 2. Exercise- initially under the supervision of a trained professional 3. Weight reducing medicine with leptitox or without prescription (is over the counter) 4. For extreme cases surgical are available-- or gastric banding. But these should be the last resort, after you have consulted with the physician AND after supervised has failed. This includes exercise, diet, caloric measure, stress suppression and at least six month regimen..