Obesity

Question 1

Obesity Medications (5)

Answer 1

1. Steroids
2. Insulin, SU, TZD
3. Anti-psychotic (atypical) - risperidone, clozapine
4. AED - carbamazapine, valproate
5. TCA

Question 2

Insight (1)

Answer 2

• Are they willing to address it?

Question 3

Complications (8)

Answer 3

• Arthritis
• T2DM
• CVD
• OSA
• Fatty liver
• Mobility
• Ability to work
• Social life

Question 4

Secondary causes (2)

Answer 4

• Hypothyroidism
• Cushing’s disease

Question 5

Management (6)

Answer 5

• Food diary
• Exercise program - gym, pedometer, fit-bit - *maintains LOW but has minimal effects on LOW
• Decrease food intake, Very low calorie diet
• Diet advice + CBT
• Sympathomimetic appetite suppressants - SE’s: HTN, arrhythmias
• Surgery if BMI >40 or >35 w Cx of obesity

Question 6

Realistic management (3)

Answer 6

• Bariatric surgery
• Medically supervised VLED
• Pharmacotherapy (better used as a maintenance tool)