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 of life. I do my best to try and spend as much time as I can to really go over lifestyle modifications to include meal planning as well and the types and durations of exercise appropriate for each patients. I also discuss the importance of stress management as well and good sleep. After gaging how "bought in" my patient is I will then recommend or refer to dietitians and well as personal trainers. If my patients are willing to infest time and energy and making life changes then I start to discuss medications. I usually start with phentermine due to cost and coverage but this is not appropriate for all patients. I have had great success with many patients using GPL-1 medications but this is very cost prohibitive in many cases. I also do have a few patients that we have done topiramate combos as well as contrave and plenity. The last thing I use is for binge eating disorder and that would be Vyvanse. I try and encourage close follow up for accountability and safety reasons. I would really like to see insurance covered programs that can integrate both meal planning as well and personal training.

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 of life. I do my best to try and spend as much time as I can to really go over lifestyle modifications to include meal planning as well and the types and durations of exercise appropriate for each patients. I also discuss the importance of stress management as well and good sleep. After gaging how "bought in" my patient is I will then recommend or refer to dietitians and well as personal trainers. If my patients are willing to infest time and energy and making life changes then I start to discuss medications. I usually start with phentermine due to cost and coverage but this is not appropriate for all patients. I have had great success with many patients using GPL-1 medications but this is very cost prohibitive in many cases. I also do have a few patients that we have done topiramate combos as well as contrave and plenity. The last thing I use is for binge eating disorder and that would be Vyvanse. I try and encourage close follow up for accountability and safety reasons. I would really like to see insurance covered programs that can integrate both meal planning as well and personal training.

Encouraging diet, exercise , compliance with medications, I think medications available should be better covered, less authorizations process, less expensive.

60-70% of my patients ask for weight loss and request meds to do it. without diabetes it is quite hard to get the glp 1 and sglt 2 inhibitors covered by insurance. nutrition referrals are hard to come by and lifestyle metabolic program only is covered by insurance.

we have to use a combination approach. regularly scheduled exercise if possible is a vert useful asset. using a semi structured calorie restricted diet is also necessary. patients should be instructed to read nutritional labels and use these as a guide. the third useful item would be use of glp1 meds.

Approximately 70% of my patients wish to lose weight. Phone apps for tracking food intake / activity, such as My Fitness Pal or other exercise apps are helpful. Some people do better with in-person or group education like Weight Watchers. Patients are requesting Saxenda, Wegovy, [Ozempic and Mounjauro-off label use] to help speed up the weight loss process. It is key to provide the education to help maintain and sustain the weight loss by implementing lifestyle changes.

I'm in pediatrics where we see a significant increase in rates of overweight and obesity, up to 20-30%. Both parents and adolescents bring up difficulty losing weight, weight stigma, and disordered eating. Our society and its culture of large, fast and processed foods plays a significant role in our current obesity epidemic. What is most helpful is 360 degree support - from home to school to extracurricular activities to extended family - all must support healthy habits. Additionally, society and our systems need to make systematic changes in the way we make food, market food and sell food. Healthier options should be more abundant and less expensive, allowing anyone in any socioeconomic class to purchase healthy foods.

I think that nutrition counseling and lifestyle modification is extremely important in obesity management. Certainly the addition of a glp-1 medication can augment most treatment programs

I would say that 75% of patients that are overweight or obese want to lose weight. It is heartbreaking that insurance companies will not approve life-saving medication’s like the GLP one agonist. All primary care providers should receive extensive training on management of overweight and obesity. comprehensive plans, including nutritionist, health coach, lifestyle medicine, support groups are critical

Approximately 75-80% of my patients wish to lose weight. The resources that my patient have found to help aid them is using apps for Tracking Food & Activity, such as My Fitness Pal app, as well as using exercise apps. Patients are requesting Saxenda, Wegovy, [Ozempic and Mounjauro-off label use] to help speed up the weight loss process, but education is key to help with maintaining the weight loss and implementing life style changes to sustain their weight loss.

maybe 70-80% of my obese pts bring up the subject of weight loss and weight loss medications. most of them already tried diet and exercise and OTC weight loss meds. Interestingly, there is a large number of my pts who underwent a metabolic surgery and regained over 50% of weight they initially lost. we have limited resources and pt education hand outs at the office. I frequently use non- branded Pharma handouts or refer pts to Weight Watchers and educational websites. I only use prescription medications for weight loss and offer these 100% of my pts who ask about my help with weight loss

About 50% of pts interested in losing weight and they look for social media and their friends experience as a main resource. And many of them request medical treatment such as GLP – 1 as they have heard many successful stories. But the maintenance is difficult to the shortage.

It is true that obesity is a complex and multifactorial condition, and treatment requires a comprehensive approach that addresses the underlying causes. While energy deficit meal plans, physical activity, and behavioral modification are essential components of weight loss, anti-obesity medications can also be helpful in certain cases.

One promising resource for patients is digital health technology, such as mobile apps and wearable devices, that can assist with tracking food intake and physical activity. For providers, continuing education and training on obesity management can be beneficial in developing the skills and knowledge necessary to provide comprehensive care. In addition, collaboration with other healthcare professionals, such as registered dietitians and exercise specialists, can help provide a multidisciplinary approach to obesity management.

It is important to recognize that weight loss can be challenging, and relapse is common. Therefore, ongoing support and monitoring are crucial to achieving and maintaining weight loss success.

losing weight is so difficult without exercise component. a health coacching program is the best way to ensure accountability, also intermittent fasting and noom program has been pretty common in my clinic.
we have lifestyle metabolic group at our clinic that involves nutritionists, psychologists, md for med options, phentermine, sglt 1,2 medications however the injectables approved for weight loss have been hard to get due to supply shortages. this supply issue has been the biggest barrier for these patients of late. sometimes canadian pharmacies have been a good approach to getting them (ozempic).

At least 70% of my patients have mention their weight and a desire to reduce it. There is usually a discussion on diets and exercise and medication. Most patients have mentioned unsuccessful diets and inability to exercise and desire medication. There is usually mention of advertisement or friend success on a prescription. I usually discuss that medication can assist with weight loss but this weight loss can not be maintained without change in diet and inclusion of light exercise.

When obese patients come in for an office visit, their weight problem always comes up. We discuss lifestyle (eating habits, exercise, sleep, family influences, work influences), and go from there. Invariably, the subject ends up with medication, and even sometimes surgery. But with medication, these days we have some very good meds, like Saxenda and Wegovy. Patients lose a ton of weight with those meds, and I prescribe them very often

I would say about 75 to 80% of my obese patients are interested in weight loss options, but probably only about 50% actually bring it up to me. We have a lifestyle clinic within our organization, and I have found it particularly effective. It is a multidisciplinary approach to weight loss, which includes dietary education, lifestyle coaching, medical intervention, and possibly surgical intervention. I’ve had numerous patients lose drastic amounts of weight. I’ve also been able to take it advantage of the boom in weight loss medications over the last decade. I have lots of success with Contrave, and some with Qsymia. The GLP1 agonists have been amazingly helpful for many of my patients. I have a large population of obese diabetics, which has made it easier to get them on this class of medication. Mounjaro has been an amazing help for my diabetic obese patients as well. I have largely eschewed the fad diet crazes throughout my career. I try to convince patients to switch to healthier alternatives to their current diet practices, then work hard on calorie reduction. Yes, many patients have lost weight using keto and intermittent fasting, but it almost always comes back. I’ve had more success with getting people to lose weight on what I call the “eat less diet“, since most of the issue is with portion control. I myself have lost over 40 pounds with this strategy in the last year.

Losing weight with diet and exercise is variable and all patients have their own protocol and know how to lose weight acquired through friends and family and their own information pursuit and these patients come and see us when these resources are not working ! weight loss adventure is simply : different strokes for different folks " there is no one cure all in this case . Work with the patients what has worked for them some what and what has not worked at all , and the diet and exercise plan is all tailored to their food group likes and dislikes , life style , economic and socical discretions when all these considered construct a plan and what ever route you take it does involve always Low Simple carb intake and depending upon their medical conditions finally make a plan ! Frankly speaking that this time and age they come seeking the popular GLP-1 agonist meds with all the hype around this class of medicine and do have low threshold to start on these medicine insurance and afforability permitting other options like Contrave , Qsymia and Phenterimines are fizzling out in the popularity , with the Coexisting diabetes GLP-1s are an automatice choice given the almost universal coverage . The biggest challenge is to make them realize that Obesity is a chronic disease and needs life long management and needs behavioral modfications and conditioning with caloric intake and making right food choices and differentiating between hunger and appetitie ! I have found GLP-1s great in inducing and sustaining in this objective and have seen weight loss and maintaining it even after they stop this class of med !