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fying the diet and increasing physical activity to lose weight and maintain the loss. Pinto's team was testing the hypothesis that the combination approach would produce a bigger weight loss than going to Weight Watchers alone. Starting with the professionally trained leaders, she thought, would be a good jump start to the weight-loss program. The ndings were a surprise. At 48 weeks, the researchers found no evidence that adding brief treatment led by professionals, and then transitioning to the Weight Watchers program, improved results. At 48 weeks, those in the professionally led group lost 11.9 pounds, while those only in Weight Watchers lost more (13.2 pounds). The combination group lost the least 7.9 pounds, on average. "The losses in the Weight Watchers group were greater than the losses in the combined group," she said. "The weight loss in the professionally led group didn't differ statistically from either [of the other two] groups." "The Weight Watchers group produced better weight loss than this novel approach [of combining peer and professional]," she said. "Better meeting attendance is associated with better weight losses." Those in the Weight Watchers group were more likely to lose 10 percent or more of their starting weight than the other groups. Losing 10 percent of excess weight is viewed by experts as enough to make a difference in disease risk. Although more than onethird of those in the Weight Watchers group lost 10 percent