The GP Show8 Aug 2017

#2 Weight Lose Case Study

Today we will cover a case on weight with question and answers. Questions include:

Question 1 What further history do you want to obtain for weight loss?

Question 2 What examination do you want to perform?

Question 3 Are there any investigations to perform?

Question 4 How does this change your management when prescribing the pill?

Question 5 She asks you – "what about the low carb high fat diet?"

Question 6 How successful are lifestyle weight loss programs in the long run?

Question 7 What medication options are there and the indications and side effects?

Question 8 When would you refer for a bariatric surgical opinion?

Main references:

http://www.nejm.org/doi/full/10.1056/NEJMoa1614292?rss=searchAndBrowse&

https://www.urmc.rochester.edu/news/story/4217/commonly-prescribed-drug-for-lower-back-pain-not-effective.aspx

http://www.cochrane.org/CD012087/BACK_non-steroidal-anti-inflammatory-drugs-chronic-low-back-pain

NHMRC, Clinical Practice Guidelines for the Management of Overweight and Obesity in Adults, Adolescence and Children in Australia, Aus Gov, 2013, https://www.nhmrc.gov.au/_files_nhmrc/publications/attachments/n57_obesity_guidelines_140630.pdf

Effects of Low-Carbohydrate versus low fat diets on metabolic risk factors: Meta-analysis, 2012, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3530364/

Grima et al, Obesity, RACGP AFP, 2013 http://www.racgp.org.au/afp/2013/august/obesity/

Hamdy et al, Obesity, Medscape, 2017 http://emedicine.medscape.com/article/123702-clinical

Bray et al, Obesity in Adults, UpToDate, 2017

UKMEC criteria, 2016, http://www.fsrh.org/standards-and-guidance/documents/ukmec-2016/

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