"five 2 1 zero" message - ANS->/= five servings end result and vegetables
<2 hours screen time
1 hour PA
0 sugary beverages
Acanthosis nigricans - ANS-risk of insulin resistance (dark color of skin folds)
10% of white ob. Kids
50% of black ob. Kids
associated with high BMI, hyperinsulinemia
AHA/ACC/TOS weight loss guidelines - ANS-3-5% loss is likely to result in clinically meaningful
reductions in TG, BG, A1c, and DM risk
Women- 1200-1500
Men- 1500-1800
High intensity counseling >/=14 sessions in 6 months
weight reduction protection - monthly visits reveal:
1. Two hundred-300 mins/wk hobby
2. Body weight
three. Decreased calorie diet
Appetite meds for CVD - ANS-Orlistat
Lorcaserin
Appetite meds for elderly patient - ANS-use meds with warning
Appetite meds for ESRD - ANS-handiest orlistat or liraglutide
Appetite meds for HTN - ANS-orlistat
lorcaserin
qysemia
liraglutide
Appetite meds for put up-op pts. With 25% weight regain - ANS-Lifestyle intervention +
Liraglutide OR phentermine/topiramate
Appetite meds for pts with melancholy - ANS-Orlistat
lorcaserin
Phen/Topir
Avoid lorcaserin and naltrexone/bupropion if taking SSRI or SNRI
Appetite meds for pts. With dependancy/alcohol abuse hx - ANS-orlistat, liraglutide
, lorcaserin- may purpose euphoria
naltrexone/bupropion-lowers seizure threshold and contraindicated in the course of alcohol
withdrawl
Appetite meds for pts. With anxiety - ANS-use phentermine/topiramate with warning
Appetite meds for pts. With binge consuming - ANS-Cognitive Behavioral Therapy +
orlistat or Topiramate and bupropion
and SSRI
Appetite meds for pts. With glaucoma - ANS-liraglutide, orlistat, lorcaserin
Appetite meds for pts. With hx opiod use - ANS-Phentermine/topiramate
lorcaserin
liraglutide
orlistat
Appetite meds for pts. With Psych issues - ANS-Metformin
Appetite meds for pts. With seizure disorders - ANS-Phentermine/topiramate, lorcaserin,
liraglutide, orlistat
Appetite suppressant to avoid before/all through being pregnant - ANS-Topiramate
Are skinfold thickness and waist circumference suitable for youngsters? - ANS-No, they're not
advocated due to the fact they do now not have cutoffs or information to aid them in teens
AUDIT - ANS-alcohol screening
Avoid those wt loss medicines with CVD - ANS-Sypathomimetics
Avoid those wt loss meds with HTN/HD - ANS-Sympathomimetics (phentermine/diethylproprion)
B12 deficiency s/s - ANS-elevated MVC, RDW, MMA, unconjugated bilirubin
Whole frame: fatigue or lightheadedness
Also not unusual: pallor, sensation of pins and needles, shortness of breath, weight reduction, or
inflamed belly
shortness of breath
muscle weakness
bizarre paleness of the pores and skin
glossitis (swollen tongue)
loss of urge for food/weight reduction
diarrhea
nausea
fast heartbeat
smooth or smooth tongue
tingling in palms and ft
numbness in extremities
Band call: Victoza/Sandexa - ANS-Liraglutide
Bariatric surgery patient pre-op necessities - ANS-Labs (vitamins)
History and Physical
Lab exams (FBS, lipid, kidney, liver, PT/INR, CBC)
OSA screening
ECG/CXR/Echo
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