Summary

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For all overweight and obese patients

• To maintain weight

  • The Healing Foods Pyramid^TM

  • Mediterranean Diet

• To lose weight

  • Low-Calorie Diet

  • Low-Fat Diet

  • Low-Carbohydrate Diet

  • Exercise

  • Behavior Therapy

An office-based program with involvement of multiple staff members, including the physician, is more effective.

Some tips to make your office a more supportive environment:

• Obese-friendly office

• Clear goal setting with physician

• Presentation of information in multiple ways over time

• Supportive interactions from staff, other patients

• Follow-up for accountability

Other Options for Weight Loss

• Electro acupuncture (EA)

• Surgery

When to Use Pharmaceuticals or Supplements

• If BMI > 27 with 2 co-morbidities or risk factors or BMI > 30 with no co-morbidities, consider Orlistat or Sibutramine

• Ask ALL patients about supplement use; Green tea may be promising

• Check evolving evidence on all weight loss aids; Maintain patient safety

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