Obesity Feature Archive

Interventions in childhood obesity

Interventions in childhood obesity

Effective use of research-based interventions and recommendations for overweight and obese children begin with initiating a conversation with the family.

Weak and dizzy spells in a patient after gastric bypass surgery

Weak and dizzy spells in a patient after gastric bypass surgery

A patient came to the clinic to discuss her dizzy spells 4 years after her Roux-en-Y gastric bypass surgery.

A tip for encouraging exercise

A tip for encouraging exercise

Patients should be encouraged to incorporate daily exercise into their treatment regimen.

Odorous stools, laboratory abnormalities after gastric bypass surgery

Odorous stools, laboratory abnormalities after gastric bypass surgery

A patient comes to her yearly nutrition check-up 11 years after undergoing gastric bypass surgery with reports of loose stools with significant odor several times per day.

Achieving sustained weight loss in an obese patient

Achieving sustained weight loss in an obese patient

After steadily gaining weight for 10 years, an obese patient seeks help in achieving sustained, long-term weight loss.

Severe insulin resistance in a patient with type 2 diabetes

Severe insulin resistance in a patient with type 2 diabetes

Patients with type 2 diabetes and severe insulin resistance may require large doses of insulin to achieve glycemic control.

Management of the healthy, post Roux-en-Y gastric bypass patient

Management of the healthy, post Roux-en-Y gastric bypass patient

A patient visits her primary care physician for a two-year follow-up after a Roux-en-Y gastric bypass surgery to check for complications.

Slipped capital femoral epiphysis
 in obese adolescents

Slipped capital femoral epiphysis
 in obese adolescents

Obese adolescents have an increased risk of slipped capital femoral epiphysis
 (SCFE).

Dietary fiber: The prebiotic connection

Dietary fiber: The prebiotic connection

Adequate fiber intake is critical for maintaining good health, but only 5% of Americans consume the recommended daily amount.

Consider glucomannan for obesity treatment

Consider glucomannan for obesity treatment

Glucomannan can help treat obesity and comorbid conditions of type 2 diabetes, heart disease, and early mortality.

Type 2 diabetes management in a post-bariatric surgery patient

Type 2 diabetes management in a post-bariatric surgery patient

A patient, aged 57 years, was admitted to the hospital to undergo gastric bypass surgery. He had a history of type 2 diabetes for ten years.

Diabetes program helped beat cancer

Diabetes program helped beat cancer


Encouraging a patient to get an overdue Pap exam resulted in an early discovery of uterine cancer that could have gone undetected.

Pain in a person with hepatitis C and a fatty pancreas

Pain in a person with hepatitis C and a fatty pancreas


An obese patient with chronic hepatitis C, diabetes, advanced cirrhosis, and fatty pancreas presents with chronic right-to-middle upper-abdomen pain.

Identifying obstructive sleep apnea

Identifying obstructive sleep apnea


Airflow disturbances during sleep need to be recognized and evaluated before harm comes to the patients themselves or those around them.

An obese woman ­presents with polyuria and blurred vision

An obese woman ­presents with polyuria and blurred vision

A patient recently diagnosed with diabetes complains of worsening malaise and fatigue as well as bilateral extremity cramps.

The case for vegetarianism in the fight against heart disease

The case for vegetarianism in the fight against heart disease

Multiple studies show that just about any low-meat or no-meat diet reduces almost all controllable risk factors for cardiovascular disease.

BMI as a vital sign

BMI as a vital sign

Assessing BMI regularly can help prevent long-term obesity problems.

Antibiotic failure and weight in obese patients

Antibiotic failure and weight in obese patients

Frequent infections in obese patients lead to more frequent use of antibacterial medications in this population than in those who are not obese.

Garcinia cambogia: An answer to obesity?

Garcinia cambogia: An answer to obesity?

Garcinia cambogia has potential as a weight-loss aid, but has significant associated risks.

Green coffee extract: A weight-loss aid?

Green coffee extract: A weight-loss aid?

Green coffee extract appears to be safe and somewhat effective in increasing the efficacy of regular weight-loss methods.

Bariatric surgery may reduce type 2 diabetes in obese patients

Bariatric surgery may reduce type 2 diabetes in obese patients

Bariatric surgery may induce type 2 diabetes remission in obese patients, but more direct evidence is needed.

Are climate change and obesity linked?

Are climate change and obesity linked?

Mounting evidence suggests current food production, transport and land use may negatively impact both climate and obesity outcomes.

Examining the prostate of an obese man

Examining the prostate of an obese man

Excess fat around the gluteal region can make performing digital rectal exams in obese patients difficult. How can this challenge be overcome?

Show—don't tell—when it comes to weight loss

Show—don't tell—when it comes to weight loss

Conversations about weight loss can contribute tremendously to behavioral changes, but tangible examples may be even more effective.

Reversing childhood obesity

Reversing childhood obesity

How should a primary care clinician follow-up after performing a lipid profile on an obese pediatric patient?

Offer alternatives to the food diary

Offer alternatives to the food diary

Are you doing everything you can to help your patients lose weight? Read this physician assistants' creative tip for helping patients kick those stubborn pounds to the curb.

Stat Consult: Polycystic ovary syndrome

Stat Consult: Polycystic ovary syndrome

A quick review of polycystic ovary syndrome, a heterogeneous androgen excess syndrome that can cause hirsutism, secondary amenorrhea, obesity, hyperinsulinemia and infertility, providing the latest global evidence for diagnosis and treatment.

Are certain antidiabetes drugs better than others after gastric bypass?

Following gastric bypass surgery, many patients will still need metformin or glipizide (Glucotrol). Is there any evidence that one class of hypoglycemic agents is better absorbed than another?

Exercising to control diabetes

Exercising to control diabetes

Unlike other chronic life-threatening diseases type 2 diabetes can be managed and even reversed. Exercising can help patients reduce the risk of complications, including stroke and heart disease.

Bringing up weight loss with children

What is the best way to tactfully discuss a child's excess weight with his or her parent?

Wound left untreated for 24 years

A nurse makes a surprise discovery when an obese woman visits the office for a tetanus shot.

Holiday weight-loss tips

Rather than accepting our patients' - and, um, our own - seemingly inevitable weight gain, let's consider this a good time to implement positive change.

Patient overcomes homelessness, obesity and mental health issues

Patient overcomes homelessness, obesity and mental health issues

Guidance and support from a nurse practitioner made all the difference for a hard-working, humble man.

Post-bariatric surgery prescription drug use

Post-bariatric patients should not take extended-release medications.

Sucralose fears

Is Splenda processed using a carcinogenic agent?

Post-bariatric surgery prescription drug use

Are there any guidelines or recommendations regarding prescription drug use after bariatric surgery?

Links between obesity and mental health

Links between obesity and mental health

When treating obesity, psychological issues must not be overlooked. Learning why patients eat can help clinicians improve what patients eat.

Treatment options for metabolic syndrome

Treatment options for metabolic syndrome

This common constellation of symptoms places patients at risk for CVD and diabetes. Here's what you can do to prevent further disease progression.

Daily headaches and intermittent vision loss relieved only by sleep

A college student with a history of Bell's palsy and Henoch-Schönlein is concerned about new-onset headaches.

Preventing recurrent boils

Preventing recurrent boils

Is there a way to reduce or eliminate frequent episodes of boils?

Mediterranean diet and low-carb diet more effective than low-fat diet

Mediterranean diet and low-carb diet more effective than low-fat diet

Mean weight loss at two years was 9.7 lb with the Mediterranean diet vs. 10.3 lb with the low-carbohydrate diet vs. 6.4 lb with the low-fat diet.

Correcting common nutritional deficiencies

The typical American diet may not provide all the nutrients needed for good health. You can help patients eat their way to a better life.

Weight-loss benefits survive later weight gain

Type 2 diabetics who lose weight soon after diagnosis are likely to still meet BP and glycemic control targets, even if they fail to keep the pounds off...

Alternative treatment for gout offered

A short course of a corticosteroid could supplant nonsteroidal anti-inflammatory drugs (NSAIDs) as the medication of choice for...

Diet diaries double weight loss

People who kept a written record of everything they ate lost more than twice as much weight as those who kept no records.

Symptoms, diagnosis don't match

Mr. R, age 54, was a diabetic, moderately overweight construction worker. One day he tripped at a job site, falling heavily on his right hip. Despite the pain, he finished his shift, then he went home, took an ibuprofen tablet, and went to bed. When he awoke in agony at...

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