Nearly two out of three Americans are overweight, and many are more than 100 pounds heavier than normal for their height. When a person has 100 pounds or more to lose, it may be a struggle to get them motivated, but it is possible. You can learn how to work with obese clients and take the steps necessary to help them lose the weight and, in some cases, save their lives.

Here are five success strategies that can spell the difference between a short-term weight loss and lifestyle changes to make the weight loss dramatic and permanent: