Obesity

Question 1

What are classifications of obesity

Answer 1

Normal: 19-24.9
Overweight: 25-29.9
Obese
- Class 1: 30
- Class 2: >35
- Class 3: > 40

Question 2

What are goals of weight loss

Answer 2

5-10% of initial body weight
- increases life expectancy
- improves blood sugar control in DM
- lowers BP and cholesterol
- Improves chronic Gerd, OSA
- Can decrease number of meds

Initial goal is not ideal body weight but to lose 5-10% of body weight with 1-2lbs/week

Question 3

What medications can be given for weight loss

Answer 3

BMI >30 or >27 with medical risks

GLP-1 receptor agonists
- semaglutide
- tirzepatide

Sympathomimetic drugs
- phentermine

Drugs altering fat digestion
- orlistat

Question 4

What are the types of bariatric surgery

Answer 4

BMI >40 or >35 with medical risks

Restrictive
- Adjustable gastric banding
- sleeve gastrectomy

Combo restrictive + malabsorption
- Roux-en-Y

Question 5

What vitamins are recommended after bariatric surgery

Answer 5

Prenatals/daily Multivitamin
Folic acid 0.8 to 1mg
Calcium citrate 1200mg
Vit D 3000 IU/D
Elemental iron 40-65mg
Vitamine B12 350-500mcg

Question 6

When can you conceive after bariatric surgery

Answer 6

12-24 months

Screen for ferritin, Fe, CBC, B12, thiamine, folate, Ca, and vitamin D