RT Journal Article SR Electronic T1 Lifestyle medicine consulting walking meetings for sustained weight loss JF BMJ Case Reports FD BMJ Publishing Group Ltd SP bcr2015213218 DO 10.1136/bcr-2015-213218 VO 2016 A1 Elizabeth Pegg Frates A1 Margaret E Crane YR 2016 UL http://casereports.bmj.com/content/2016/bcr-2015-213218.abstract AB With rates of obesity and diabetes rising worldwide, effective ways of managing weight are becoming more important. We present the case study of a middle-aged Caucasian-American woman (body mass index (BMI) 27.8, overweight category) who wanted to lose weight. The patient participated in a behaviour modification programme with a physician trained in lifestyle medicine as well as health and wellness coaching. After the 14-week programme, which included 9, 1 h long walking sessions with the clinician, the patient lost 11 Ibs (BMI 24.7, normal category). The programme included a combination of increasing physical activity, eating appropriate quantities of healthy foods, goal setting and a positive attitude. The patient has kept her BMI at or below 24.1 for over 2 years. This case demonstrates a novel approach to weight loss management—walking therapeutic sessions—and also outlines critical components of lifestyle medicine counselling that facilitate the process of sustainable weight loss and lasting change.