II. Contraindications: Weight Reduction
- Temporary Exclusions
- Pregnancy (Lactation allowed if milk established)
- Unstable mental or medical illness
- Possible Exclusions
- Permanent Exclusions
- Anorexia Nervosa
- Terminal illness
III. Approach
- Determine Obesity Measurements
- Evaluate Comorbid Obesity Risk
- Is Patient Ready and Able to lose weight?
- Yes: Weight Reduction Protocol
- No: Prevention of Weight Gain Protocol
IV. Labs
- Fasting Lipid profile
- Chemistry panel (including Fasting Serum Glucose)
-
Thyroid Stimulating Hormone (TSH)
- Rarely the cause for weight gain
V. Resources
- Frank (1998) J Am Diet Assoc 98:S44-48 [PubMed]
- Lyznicki (2001) Am Fam Physician 63(11):2185-96 [PubMed]
- Rippe (1998) J Am Diet Assoc 98:S9-15 [PubMed]
- Speer (1997) Phys Sportsmed 25:94-107 [PubMed]
- (1998) AOA Treatment Adult Obesity, 2nd edition
- (1998) Obesity Res 6(suppl 2):51S-209S