Obesity

Obesity

Defined as having a BMI equal to or greater than 30 kg/m^2.

Appropriate question for precontemplation stage

"How do you feel about your weight?"

Appropriate question for contemplation stage

"What are barriers you see to losing weight?"

Orlistat (Xenical, Alli) administration advice

Take within an hour of each meal that contains fat.

Contrave's effect on the brain

Believed to affect the hypothalamus, which regulates food intake.

Calories in a pound of fat

A pound of fat contains approximately 3,500 stored calories.

10,000 steps per day

Roughly equivalent to walking 4 to 5 miles.

Weight loss medication therapy discontinuation

If 5% weight loss is not achieved by week 12, therapy should be discontinued.

Weight loss impact on death rates

A weight loss of 10% or more yields an immediate reduction in death rates from cardiovascular and cerebrovascular disease.

Malabsorptive bariatric surgery advice

The most dramatic weight losses are seen in the first few postoperative months.

Medication associated with weight gain

Risperidone (Risperdal) is often associated with weight gain.

Consequences of rapid weight loss after surgery

Can contribute to the development of gallstones.

True or False: Liraglutide dose comparison

False - the same liraglutide dose is not used for chronic weight loss management and for management of type 2 diabetes.

True or False: Phentermine/topiramate warnings

True - it carries a warning about potential teratogenic effects.

True or False: Phentermine's mechanism of action

False - Phentermine's mechanism does not primarily reduce GI motility.

Weight loss post-gastric bypass

True - significantly more weight is lost after gastric bypass compared to restrictive procedures.

True or False: Naltrexone/bupropion use risks

True - associated with an increased risk of suicidal ideation.

Possible consequences of obesity

Obstructive apnea, steatohepatitis, female infertility, endometrial cancer.