Today, I reviewed, link to and excerpt from The Curbsiders #405 Obesity Medicine, GLP1 agonists, Weight Loss Management Tools and Tips*, July 24, 2023 | By Matthew Watto, MD.
This podcast is full of outstanding practical tips and should be reviewed over and over.
*Watto MF, Gudzune KA, Williams PN, Witt L. "#406 Obesity Medicine, GLP1 agonists, Weight Loss Management Tools and Tips". The Curbsiders Internal Medicine Podcast. thecurbsiders.com/category/curbsiders-podcast Final publishing date July 24, 2023.
All that follows is from the above outstanding podcast show notes.
Download The Transcript
Hone your obesity medicine skills in primary care! We discuss overcoming barriers, patient counseling, obesity pathophysiology, motivational interviewing, tools and tips from a weight loss program, and how to discuss medications for weight loss including phentermine/topiramate, bupropion/naltrexone, orlistat, oral superabsorbent hydrogel, and GLP1 agonists. We're joined by obesity medicine expert, Dr. Kimberly Anne Gudzune of @HopkinsMedicine, recorded @SocietyGIM #SGIM23 in Denver, Colorado
Show Segments
- Intro
- Barriers to treating medicine in primary care
- Patient counseling and obesity pathophysiology
- Motivational Interviewing
- Telemedicine for obesity
- Tools and tips for a weight loss program
- Medications for Obesity
- GLP1 agonist prescribing tips
- Outro
Obesity Medicine Pearls
- Obesity is a chronic disease! It requires chronic management.
- Be sure to mention the diagnosis of obesity to patients because they may read it in their chart.
- Ask about functional limitations (inability to play with their kids) and the psychological impacts of obesity as potential motivating factors for patients instead of solely focusing on the metabolic impacts of obesity.
- Weight regain is common because weight loss triggers the body to increase appetite (hunger), and slow the metabolic rate to get back to the previous "set point". Thus, prevention of obesity is key!
- Telemedicine can be used to achieve the frequent patient contact crucial to weight management.
- Tracking food intake can be helpful for patients with obesity, but is contraindicated in patients with an eating disorder! Screen with the SCOFF questionnaire.
- Patients taking a GLP1 agonist should cut portion sizes in half to reduce nausea and increase fiber intake to avoid constipation.
- Recommend adequate protein intake and resistance training to patients on a GLP1 agonist to mitigate muscle loss.
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