Additional Resources for Providers

De-prescribing meds that cause weight gain

De-prescribing meds that cause weight gain

Screening for co-morbidities

Recommended Screening for Patients with Obesity

* Even if the decision is to not screen for any of the co-morbidities listed, please consider additional supplements that potentially is needed for your patients (i.e iron, vitamin D, etc.)

Do I need to do a workup for secondary causes of obesity in my patient?

  • Endocrinopathy: Recommend lab workup only if patient has other symptoms characteristic of the disease
  • Cushing
    - 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
    - Diagnostic testing: IGF1
  • Hypothyroidism
    - Symptoms: cold intolerance, constipation, new depression
    - Diagnostic testing: TSH
  • Behavioral (Binge Eating Disorder, Depression)
  • Genetic testing for people who have had obesity since 5 years of old
  • History of stroke or structural brain disorder preceding weight gain, Hypothalamic obesity is likely 

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