To be eligible for the study, subjects must meet all the following criteria:
1. Age ≥ 18 years old
2. Body mass index (BMI) ≥ 35 kg/m2
3. Have being identified as a potential orthopedic surgery candidate by the Total Joint Assessment Clinic (TJAC)
4. Have a referral by their primary care practitioner
5. Ready to participate actively in the program (i.e., readiness to change scale score ≥7)
6. Acquisition of the required technology tools and skills to use the virtual platform (the BLOOM program will be conducted via virtual video conference)
7. English comprehension at a level that allows for active participation in the program
You may not be if
1. Active eating disorder
2. Active substance use disorder
3. Active smoking
4. Currently or past enrollment in another weight loss program in the previous year prior to enrollment in the study
5. Ongoing pregnancy or breastfeeding
Clareo Health | BLOOM Forward: Investigating Weight Loss Impact on TJAC Patients