Long-term obesity management

In this episode, Dr Nilu Hewapaterana discusses the evolving understanding of obesity, treatment options including GLP-1 medications, and long-term management strategies for patients with obesity and related conditions.

Topics

Intro.
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Limitations of BMI and alternative measures.
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Use of GLP-1 medications and treatment criteria.
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Markers of metabolic health and cardiovascular risk.
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Patient conversations about weight loss options.
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Setting realistic goals and treatment response.
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Cautions and contraindications for GLP-1 therapy.
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Risks of rapid weight loss and muscle loss.
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Weight regain.
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Frequency of medication dosing and real-world practice.
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Holistic approach including diet and exercise.
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Weight loss before fertility treatment.
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GLP-1 medications for diabetes and weight loss.
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Additional considerations.
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Key take-home messages.
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Take home messages

Obesity is a chronic, relapsing medical condition.
GLP-1 medications are a game changer.
Amazing for weight loss before fertility treatment - always consider contraception.
Remember "weight loss but not muscle loss".

Presenter

Nilu Hewapathirana

Endocrinologist

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Nilu is a UK-trained endocrinologist providing diabetes specialist services at Christchurch Hospital and endocrinology & diabetes private services at Dudley Creek Health, Christchurch.

She has extensive experience in managing all aspects of diabetes. Her special interests are technology in diabetes (continuous glucose monitoring sensors and insulin pumps) and diabetes in pregnancy.

Her special interests are technology in diabetes (continuous glucose monitoring sensors and insulin pumps)