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Although the most recent pediatric obesity guidelines by the American Academy of Pediatrics (AAP) do not recommend specific weekly or monthly weight reduction goals, the AAP Institute for Healthy Childhood Weight recommends slow, consistent weight reduction, so children with obesity aged 25 years should not lose more than 1 lb per month, whereas older children and adolescents with obesity should not lose more than 2 lbs per week on average [1,42]

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doi: 10.1002/(ISSN)1096-9861 183 RossCARuggieroDAJohTHParkDHReisDJ