Primary Care Referrals to Community-based Lifestyle Programs for Management of Obesity

Inclusion Criteria: * Patients who are between 18-65 years of age * Patients who have a BMI between 25-39.9 kg/m2 * Ability to provide informed consent * Ability to complete the Diabetes Prevention Program including dietary and physical activity recommendations * Motivated to lose weight (assessed to be in the preparation or action stage) Exclusion Criteria: * Have used weight loss medications or participated in a weight loss program within the past 30 days. * Are currently enrolled in DPP or other ExercisAbilities weight loss programs * Are currently taking supplements known to affect weight. * Have had weight fluctuations of 20 pounds or more in the past 6 months (EMR check and self-report) * Have an active untreated clinically significant psychiatric condition (psychosis, bipolar disorder, or depression) * Are currently pregnant or breastfeeding, or are of child-bearing potential and are likely to become pregnant during the study (within the next 4 months following enrollment) * Have a history in the past 4 months of any major cardiovascular events including heart valve disease, cardiac arrhythmias, congestive heart failure, acute coronary syndrome, stroke, transient ischemic attack, or peripheral vascular disease * Have current uncontrolled hypertension (systolic \> 160 mm Hg or diastolic \> 95 mm Hg) documented on 2 separate occasions * Have clinically significant acute or chronic progressive or unstable neurologic, hepatic, renal, cardiovascular, lymphatic, respiratory, or metabolic disease (such as diabetes) or active cancer or are within 1 year of cancer remission * Have a known history of any condition or factor judged by the investigator/study team to preclude participation in the study or which might hinder adherence * Have any co-morbidity that is deemed exclusionary at the discretion of the provider.