In a series of articles by Andy Oram about obesity and how digital tools can help in managing this condition. In this article, Dr. Razmi weighs in on the history of weight loss programs, with or without digital tools, and how it has been difficult for patients to stay motivated and engaged long-term. Though it has been the hope of many of us in this field that digital tools such as wearables and apps can provide ongoing engagement for these patients, the reality has been that most lose their novelty after a period of time and patients stop using them. This tracks with their overall engagement with their diet and exercise programs and thus the search continues to find ways to continue to keep these patients engaged long-term and make the impact of these programs long-lasting