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In 2023, the American Academy of Pediatrics released its first-ever guideline to aid in evaluating and managing pediatric obesity. It highlighted intensive health behavior and lifestyle changes as the preferred treatment, complemented by adjunctive pharmacotherapy and evaluation for bariatric surgery in select situations (NEJM JW Gen Med Mar 1 2023 and Pediatrics 2023; 151:e2022060640). Now, the USPSTF has made a similar recommendation for intensive behavioral interventions for the ≈20% of children and adolescents in the U.S. with body-mass indexes (BMIs) ≥95th percentile. (Note: If you're wondering how 20% of the pediatric population can be in the top 5%, it's b…