Sometimes it seems like you've tried everything. Counting calories. Bootcamp classes. Intermittent fasting. Personal training.

If nothing seems to be giving you the results you're looking for, a physician-supervised weight loss program might be the answer. But even then, there are different programs to choose from. Here are three different paths to weight loss.

Comprehensive Weight Loss, available at Ochsner Medical Center

Improve weight-related health problems with the help of an American Board of Obesity Medicine-certified physician. This approach combines medication and a comprehensive, individualized diet and exercise plan to improve your health. It's best for patients with a body mass index (BMI) of 30 or greater, or a BMI of 27 to 30 with weight-related health problems. A healthy BMI is defined as falling between 18.5 and 24.9. Here's how to calculate your BMI.

Take the first step: Call 504-842-2701 to set up a consultation with Amanda Fontenot, MD.

Orbera Balloon, available at Ochsner Medical Center and Ochsner Health Center & Urgent Care -- Mid City at Canal

Orbera Balloon patients experience three times more weight loss than those using diet and exercise alone. This temporary, nonsurgical gastric balloon is inserted orally (that means no incisions, stitches or scars) and takes up space in your stomach to help control portions and slow digestion. All the while, you'll meet regularly with your team of Ochsner physicians, dietitians and fitness coaches to develop new habits, such as retraining your brain to know when your stomach is full. After six months, your doctor will remove the balloon, but you'll enjoy continued weight loss, thanks to your efforts and new lifestyle.

Take the first step: Call 504-842-2701 for a consultation.

Surgical Weight Loss, available at Ochsner Medical Center and Ochsner Medical Center -- North Shore

Have you already made a significant attempt at dropping pounds, with limited success? Bariatric surgery may be the best bet to improve your quality of life and support sustained weight loss.

Ochsner offers three bariatric surgical options: laparoscopic gastric bypass, laparoscopic sleeve gastrectomy and weight loss revision surgery. Gastric bypass and sleeve surgeries reduce the size of your stomach, restricting the amount of food you can eat. After the procedure, patients work with a dedicated team to achieve the best results through continued diet and exercise. Surgical weight loss is recommended for patients with a BMI of 40 or greater, or a BMI of 35 to 40 with weight-related medical problems.

Take the first step: Attend a free weight loss seminar (in person or online), where you'll learn more about weight loss surgery options from a physician or physician assistant, RN and dietician.