Additional Resources for Providers

Recommended Screening for Patients with Obesity

• Endocrinopathy: Recommend lab workup only if patient has other symptoms characteristic of the disease
• Cushing's
  - Symptoms: central adiposity, plethora, proximal muscle weakness, impaired glucose tolerance, skin thinning, easy bruising)
  - Diagnostic testing: Dexamethasone suppression test, Midnight Salivary Cortisol x 3, or 24 hr urine cortisol
• Acromegaly 
  - Symptoms: sweating episodes, sleep apnea, growth of nose, hands, feet, changes in spacing of teeth, new skin tags, multiple colon polyps, carpal tunnel syndrome, Type 2 Diabetes
  - Diagnostic testing: IGF1
• Hypothyroidism
  - Symptoms: cold intolerance, constipation, new depression
  - Diagnostic testing: TSH
• Behavioral
  - Depression (screen: PHQ9)
  - Binge Eating Disorder (screen w/BED7)
• Genetic testing for people who have had obesity since 5 years old [Visit Website >>]
• History of stroke or structural brain disorder preceding weight gain: hypothalamic obesity is likely, though no formal workup has been validated.

An interactive tool to share with patients [View Website >>]

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