Endocrinology Book

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Obesity Evaluation

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  1. See Also
    1. Obesity
  2. Contraindications: Weight Reduction
    1. Temporary Exclusions
      1. Pregnancy (Lactation allowed if milk established)
      2. Unstable mental or medical illness
    2. Possible Exclusions
      1. Cholelithiasis
      2. Osteoporosis
    3. Permanent Exclusions
      1. Anorexia Nervosa
      2. Terminal illness
  3. Approach
    1. Determine Obesity Measurements
      1. Body Mass Index (BMI)
      2. Waist-to-Hip Ratio
      3. Waist Circumference
    2. Evaluate Comorbid Obesity Risk
    3. Is Patient Ready and Able to lose weight?
      1. Yes: Weight Reduction Protocol
      2. No: Prevention of Weight Gain Protocol
  4. Labs
    1. Fasting Lipid profile
    2. Chemistry panel (including fasting Serum Glucose)
    3. Thyroid Stimulating Hormone (TSH)
      1. Rarely the cause for weight gain
  5. Resources
    1. Frank (1998) J Am Diet Assoc 98:S44
    2. Lyznicki (2001) Am Fam Physician 63(11):2185
    3. Rippe (1998) J Am Diet Assoc 98:S9
    4. Speer (1997) Phys Sportsmed 25:94
    5. (1998) AOA Treatment Adult Obesity, 2nd edition
    6. (1998) Obesity Res 6(suppl 2):51S-209S

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