The Curbsiders Internal Medicine Podcast

REBOOT #324: Obesity Medicine FAQ with Dr. Fatima Cody Stanford

10 snips
Aug 21, 2023
Guest
Fatima Cody Stanford
Dr. Fatima Cody Stanford, an expert in obesity medicine, reframes our approach to obesity and discusses effective medications for treatment. They explore patient goals, treatment options, including surgery and behavioral support, and the underutilization of evidence-based treatments. The episode also includes an ad for Babble language learning app.
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ADVICE

Match Treatment To Problem Size

  • Match treatment intensity to the problem using her snow analogy: use a plow for heavy snow, not a teaspoon.
  • Discuss surgery, medications, devices, and lifestyle honestly to choose the appropriate tool.
ADVICE

Use Medications Like Other Chronic Therapies

  • Consider pharmacotherapy for obesity as you would for other chronic diseases; it's underused.
  • Start one medication at a time and titrate before adding another.
ADVICE

How To Safely Prescribe Phentermine

  • Prescribe phentermine first thing in the morning and monitor BP and pulse weekly during dose changes.
  • Check state licensing limits (some states restrict long-term phentermine use) before long-term prescribing.
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