II. 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

III. 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

IV. Labs

  1. Fasting Lipid profile
  2. Chemistry panel (including Fasting Serum Glucose)
  3. Thyroid Stimulating Hormone (TSH)
    1. Rarely the cause for weight gain

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