Obesity Connect
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Obesity treatment resources

A number of organizations recognize obesity as a chronic, relapsing, progressive disease, yet only a small percentage of patients can achieve their goals and maintain weight loss. Comprehensive care for obesity may involve energy deficit meal plans, physical activity, behavioral modification, consideration of circadian rhythms, and anti-obesity medications. However, providers may have limited time to engage in these and many report the need for more training.

What percent of your obese and overweight patients mention efforts to lose weight?
What resources (for patients or providers) have you found particularly useful in helping patients lose weight and maintain weight loss — or what additional ones would you like to see?

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  • 2yr
    This is something that is so incredibly important to medicine and it bleeds over into almost all chronic long term medical conditions that shorten patients lives and lower their quality Show More
  • 2yr
    This is something that is so incredibly important to medicine and it bleeds over into almost all chronic long term medical conditions that shorten patients lives and lower their quality Show More

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Association Between Childhood Obesity and Infertility in Later Life: A Systematic Review of Cohort Studies

Association Between Childhood Obesity and Infertility in Later Life: A Systematic Review of Cohort Studies

Source : https://bmcendocrdisord.biomedcentral.com/articles/10.1186/s12902-023-01490-4

Background The global prevalence of childhood obesity has exhibited a troubling surge in recent years. Due to the raised questions regarding its potential correlation with infertility in adulthood, this systematic...

The evidence suggests a positive association between childhood obesity with infertility indicators in later life. Childhood weight reduction strategies are suggested to be implemented in societies in order to reduce infertility rates in later life.

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Endocrine, Genetic, and Microbiome Nexus of Obesity and Potential Role of Postbiotics: A Narrative Review

Endocrine, Genetic, and Microbiome Nexus of Obesity and Potential Role of Postbiotics: A Narrative Review

Source : https://link.springer.com/article/10.1007/s40519-023-01593-w

Obesity is a public health crisis, presenting a huge burden on health care and the economic system in both developed and developing countries. According to the WHO's latest report on...

Postbiotics such as the SCFAs suppress obesity by regulating metabolic hormones such as GLP-1, and PPY thus reducing feed intake and suppressing appetite. Furthermore, muramyl di-peptides, bacteriocins, and LPS have been tested against obesity and yielded promising results in both human and mice studies.

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A Narrative Review of Approved and Emerging Anti-Obesity Medications

A Narrative Review of Approved and Emerging Anti-Obesity Medications

Source : https://www.sciencedirect.com/science/article/pii/S1319016423002529

Recently, many drugs have been approved for halting overweight and obesity-few types of research shifted to using Anti-obesity medications (AOM) solel...

The use of AOM increased enormously despite its sometimes-dubious safety and ineffectiveness. The public and medical professionals should be vigilant to the real-world benefits of anti-obesity drugs and their achieved effectiveness with an improved safety profile.

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Compared with CG, HVRT protocols elicit greater improvements in metabolic risk and inflammation outcomes than LVRT in overweight/obese postmenopausal and older females.

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Proportion of Participants With Type 2 Diabetes Achieving a Metabolic Composite Endpoint With Once-Weekly Semaglutide Treatment Versus Comparators: Post Hoc Pooled Analysis From SUSTAIN 1-5, 7-10 and SUSTAIN China

Proportion of Participants With Type 2 Diabetes Achieving a Metabolic Composite Endpoint With Once-Weekly Semaglutide Treatment Versus Comparators: Post Hoc Pooled Analysis From SUSTAIN 1-5, 7-10 and SUSTAIN China

Source : https://pubmed.ncbi.nlm.nih.gov/37822270/

Treatment with OW SC semaglutide versus comparators was associated with increased proportions of participants with T2D meeting the composite metabolic endpoint.

Treatment with OW SC semaglutide versus comparators was associated with increased proportions of participants with T2D meeting the composite metabolic endpoint.

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The findings indicate that among the 4 antiobesity drugs currently available for pediatric use, phentermine-topiramate was the most cost-effective option to treat adolescents with severe obesity.

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Switching from 0.75 mg DG to 0.5 mg SG in patients with T2DM improved glycemic variability, mean glycemic index, and daily variability without increasing the hypoglycemic index. The results suggest that switching to SG may be a useful option in patients experiencing inadequate glycemic control with DG.

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Glucagon-Like Peptide-1/Glucose-Dependent Insulinotropic Polypeptide Receptor Co-Agonists for Cardioprotection, Type 2 Diabetes and Obesity: a Review of Mechanisms and Clinical Data

Glucagon-Like Peptide-1/Glucose-Dependent Insulinotropic Polypeptide Receptor Co-Agonists for Cardioprotection, Type 2 Diabetes and Obesity: a Review of Mechanisms and Clinical Data

Source : https://journals.lww.com/co-cardiology/abstract/2023/11000/glucagon_like_peptide_1_glucose_dependent.15.aspx

GIP receptor co-agonists are in development to capitalize on the synergism of GLP-1 and GIP agonism. We review the mechanisms of action and clinical data for GLP-1/GIP receptor co-agonists in...

GLP-1/GIP receptor co-agonists are a novel addition to the diabetes and obesity armamentarium. The cardiorenal-metabolic benefits position them as promising multiprong tools for metabolically complex individuals with chronic vascular complications.

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Early Use of Oral Semaglutide in the UK: a Cost-Effectiveness Analysis Versus Continuing Metformin and SGLT-2 Inhibitor Therapy

Early Use of Oral Semaglutide in the UK: a Cost-Effectiveness Analysis Versus Continuing Metformin and SGLT-2 Inhibitor Therapy

Source : https://bmjopen.bmj.com/content/13/9/e070473

Objectives Many people with type 2 diabetes experience clinical inertia, remaining in poor glycaemic control on oral glucose-lowering medications rather than intensifying treatment with a glucagon-like peptide-1 receptor agonist, despite...

Many people with type 2 diabetes experience clinical inertia, remaining in poor glycaemic control on oral glucose-lowering medications rather than intensifying treatment with a glucagon-like peptide-1 receptor agonist, despite an efficacious, orally administered option, oral semaglutide, being available. The present study evaluated the...

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Semaglutide Treatment of Excessive Body Weight in Obese PCOS Patients Unresponsive to Lifestyle Programs

Semaglutide Treatment of Excessive Body Weight in Obese PCOS Patients Unresponsive to Lifestyle Programs

Source : https://pubmed.ncbi.nlm.nih.gov/37762862/

In spite of the widespread use of lifestyle modifications programs, many patients with PCOS are obese and prevalence of obesity in PCOS remains high. In this study, we present the...

In conclusion, treatment with semaglutide, at low doses, significantly reduces body weight in almost 80% of obese PCOS patients who were unresponsive to a previous lifestyle plan. It is often associated with the normalization of menstrual cycles, and these important results are obtained with very few side effects.

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Positive additive interaction effects of age, sex, obesity, and metabolic syndrome on left ventricular dysfunction - PubMed

Positive additive interaction effects of age, sex, obesity, and metabolic syndrome on left ventricular dysfunction - PubMed

Source : https://pubmed.ncbi.nlm.nih.gov/37743094/

The MetS is independently associated with LVDD and impaired GLS. From the public health implications, prevention of MetS in women, elderly, and obese individuals might result in a greater reduction...

The MetS is independently associated with LVDD and impaired GLS. From the public health implications, prevention of MetS in women, elderly, and obese individuals might result in a greater reduction of LVDD and LVSD risk in cardiovascular high-risk population.

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Weight loss response in patients with obesity treated with injectable semaglutide in a real-world setting - Endocrine

Weight loss response in patients with obesity treated with injectable semaglutide in a real-world setting - Endocrine

Source : https://link.springer.com/article/10.1007/s12020-023-03534-0

Background Obesity is defined as excess adipose tissue causing a deterioration in health, but diagnosing the causes and deciding on treatment can be challenging. Several randomized controlled clinical trials (RCT)...

Injectable semaglutide in a real-world setting resulted in similar weight loss and had a similar side effect profile as was observed in randomized controlled trials.

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Case Report: Semaglutide-associated depression: a report of two cases

Case Report: Semaglutide-associated depression: a report of two cases

Source : https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1238353/full

Semaglutide, as a glucagon-like peptide-1 receptor agonist (GLP-1 RA), was approved for glucose control in type 2 diabetes mellitus in 2017 and approved for weight loss in 2021 by the...

Conclusions/Relevance: Depression was improved or relieved after discontinuation of semaglutide in both cases. Possible psychiatric adverse effects of depression should be taken into consideration when semaglutide is administered to patients.

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Comparison of the efficacy and safety of 10 glucagon-like peptide-1 receptor agonists as add-on to metformin in patients with type 2 diabetes: a systematic review

Source : https://www.frontiersin.org/articles/10.3389/fendo.2023.1244432/full

PurposeThis study aimed to perform a network meta-analysis to objectively evaluate the efficacy and safety of 10 Glucagon-like peptide-1 receptor agonists (GLP-1RAs) in combination with metformin that is approved for...

Conclusion: This study’s results showed that GLP-1RAs were effective in lowering HbA1c and reducing body weight without increased incidence of hypoglycemic reactions. In addition, this study may provide reference and evidence-based medical evidence for clinicians to select GLP-1RAs in patients with T2D and high body mass index (BMI). Based...

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Knowledge and Attitude of the General Population in Saudi Arabia Toward Weight Management Medications (WMMs): A Cross-Sectional Study

Knowledge and Attitude of the General Population in Saudi Arabia Toward Weight Management Medications (WMMs): A Cross-Sectional Study

Source : https://www.cureus.com/articles/171560-knowledge-and-attitude-of-the-general-population-in-saudi-arabia-toward-weight-management-medications-wmms-a-cross-sectional-study

Background: Over the past decades, the global prevalence of obesity has tripled, with the Kingdom of Saudi Arabia experiencing a notably higher rate of increase. While lifestyle modifications remain the...

Conclusion: This study reveals a limited knowledge and cautious attitude regarding WMMs in the Saudi population, despite the high prevalence of obesity. With prior use of WMMs correlating with better knowledge and more favorable attitudes, these findings emphasize the need for targeted interventions to enhance public awareness and safe usage...

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Conclusions/Relevance: Novo Nordisk, the drug’s manufacturer, also recently announced topline results from a trial investigating semaglutide’s effects on cardiovascular outcomes. The drug alongside standard of care treatment reduced major adverse cardiovascular events by 20% in the study, which involved 17 604 adult participants with...

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Conclusions/Relevance: The first study addressed specifically a high-risk population with diabetes and, the second, low or intermediary-risk individuals without diabetes. Tirzepatide, a novel dual GIP/GLP-1 agonist, although not yet tested in specific cardiovascular outcomes trials, could be an alternative since it induces loss in weight...

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High price and demand for semaglutide means lack of access for US patients

High price and demand for semaglutide means lack of access for US patients

Source : https://www.bmj.com/content/382/bmj.p1863

The popularity of semaglutide (Ozempic, Wegovy) and its new rival tirzepatide has led to aggressive marketing, shortages, and counterfeits. High drug prices in the United States limit access to these...

Relevance: The popularity of semaglutide (Ozempic, Wegovy) and its new rival tirzepatide has led to aggressive marketing, shortages, and counterfeits. High drug prices in the United States limit access to these drugs to those who can afford them, denying them from many who could benefit. Carolyn Brown reports

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Diagnosing obesity in your patients

Despite its increasing prevalence, obesity is one of the most misunderstood conditions in medicine. In fact, the AMA didn’t recognize it as a disease until 2013! In the United States, there are an estimated 30 million adults with diabetes, and 100 million adults with obesity. Obesity increases health risks and is associated with more than 60 comorbidities.

Physicians are key to the diagnosis of obesity, nevertheless studies show that only 55% of patients with obesity who seek treatment are diagnosed with this condition. Two key criteria for diagnosis include BMI ≥ 30 and sex-specific waist circumference (>40 inches in men; >35 inches in women).

When assessing waist circumference, be sure to take the following steps:

  1. Place the tape measure horizontally around the patient’s waist (i.e., between the lowest rib and the top of the hip bone); the umbilicus (i.e., belly button); or at the narrowest point of the midsection.
  2. Maintain a snug fit around the patient’s waist without pressing the skin and have the patient take a deep breath and exhale.
  3. Measure the waist circumference on exhalation.

Which of your patients do you evaluate for obesity? What measures do you use to diagnose obesity, and who takes these measures?

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  • 3yr
    All patients get weight checked at each clinic appointment. BMI is automatically calculated in the EMR. Nutrition or dietary consultations are available.
  • 3yr
    I weight patient with all visits. Must of my patients are Spanish so obesity is a big issueI reinforce diet, exercise. If morbid obesity I refer patients for bariatric surgery Show More

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