By rray, 11 December, 2014 Consider drugs:5 If BMI ≥27 w/ ≥1 obesity-associated comorbidity, motivated to ↓ wt [E], individualize risk/benefit of optional FDA-approved obesity-drug adjunct to comprehensive lifestyle intervention
By rray, 11 December, 2014 Plus comprehensive lifestyle intervention [S/A]:3 high-intensity, on-site4 ≥14 sessions/6 mo (group/individual) on diet/activity/behavior by trained interventionist
By rray, 11 December, 2014 Food type (evidence-based): Restrict foods such as high-carb, low-fiber, or high-fat foods
By rray, 11 December, 2014 Daily calorie limit:2 women: 1,200–1,500 kcal/day, men: 1,500–1,800 kcal/day
By rray, 11 December, 2014 Diet based on pt preference, health status; nutrition professional preferred: [S/A]
By rray, 11 December, 2014 Overweight. Initial goal: 5-10% wt ↓ in 6 mo via lifestyle intervention (+/- adjunctive tx). Manage comorbidities, address/treat CVD risk factors1 (HTN/dyslipidemia/DM/prediabetes) & other obesity-related comorbidities (eg, sleep apnea)