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A CASE from Weight Loss Clinic

A CASE from Weight Loss Clinic. Dr Peter Goulden MD, FRCP, PGCE Assistant Professor & Diabetes Program Director Division of Endocrinology & Metabolism UAMS College of Medicine. A Case from the Weight Loss Clinic. 45 year old male.

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A CASE from Weight Loss Clinic

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  1. A CASE from Weight Loss Clinic Dr Peter Goulden MD, FRCP, PGCE Assistant Professor & Diabetes Program Director Division of Endocrinology & Metabolism UAMS College of Medicine

  2. A Case from the Weight Loss Clinic • 45 year old male. • Referred himself to the weight loss clinic as had been getting back pain and had been investigated and had been told weight loss would help • No significant Past Medical History but had not attended doctor for some time • BMI 45.6 kg/m2 • Had been on a weekend “food trip” ahead of entering the program

  3. A Case from the Weight Loss Clinic • Fasting lab glucose of 153 mg/dL • Fasting triglycerides = 121 mg/dL • Alanine Aminotransferase = 50 IU/L • Would prefer to avoid medication

  4. Options • Diet & Lifestyle advice (Weight loss & carbohydrate moderation) • Medication (Metformin if no CI) • Both

  5. What We Did • Enrolled to a 1200kcal diet • Achieved 26.9 pounds weight loss in 12 weeks with close medical supervision

  6. UAMS Weight Loss Program • 16 week program & bespoke diet – daily restriction from 400kcal+ • Endocrinologist led and obesity educator delivered • Caloric restriction tailored to individual • Carbohydrate moderation • Weekly review with nutritionist • 1-2 monthly review with MD depending on case

  7. Question for Discussion • Patient centered decision making key • Weight loss and carbohydrate awareness may have a profound impact • Counseling has to be tailored to the individual • How can weight loss programs be best delivered to the population allowing for variance in health literacy and other factors

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