57 varieties of obesity
Lee Kaplan talk is critiqued in link above.
90% of hypertension is primary. This means we don't know what causes it.
The remaining approximately 5-10% or less is secondary. It has a specific cause. In the office we make the usual blood tests to rule out the obvious secondary causes of high blood pressure and then we usually give a low dose combination ace inhibitor/diuretic to be taken for the patients lifetime.
The same will be true for the reduce obese in the chronic disease of obesity.