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Avoid Fixed Target Weights
- Avoid fixed target weights and instead aim for the healthiest, happiest weight for the patient.
- Emphasize clinically meaningful improvements rather than an arbitrary number on the scale.
Match Treatment To Problem Size
- Use a treatment-size analogy to match therapy intensity to the problem: small tools for small problems, big tools for big problems.
- If lifestyle changes are insufficient, escalate to medication, devices, or surgery as appropriate.
Start One Affordable Medication At A Time
- Start affordable, generic anti-obesity meds before newer costly agents and introduce only one drug at a time.
- Titrate slowly, monitor vitals, and add medications based on specific eating behaviors or symptoms.