The Curbsiders Internal Medicine Podcast

#405 Obesity Medicine, GLP1 agonists, Weight Loss Management Tools and Tips

12 snips
Jul 24, 2023
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INSIGHT

Training Gap Causes Clinical Avoidance

  • Primary care clinicians often avoid obesity care because training gave them little practical guidance.
  • Treating obesity feels overwhelming until you pick one manageable place to start.
ADVICE

Ask Permission Before Raising Weight

  • Ask permission before discussing weight to give patients control and reduce stigma.
  • If a patient says no, respect it and revisit later in the longitudinal relationship.
INSIGHT

Body Defends Its Weight Set Point

  • Weight regulation is physiologically defended; 'eat less, move more' oversimplifies most patients' struggles.
  • Hormonal changes and reduced metabolic rate push people back toward their prior set point.
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