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Overweight and Obesity: Validation as a Chronic Disease
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Overweight and Obesity Is Currently Defined Based Upon BMI
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BMI: Advantages
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BMI: Disadvantages
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Definition of “Disease”
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Adiposopathy: Summary
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Adiposopathy: Summary (cont)
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Adiposopathy: Summary (cont)
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Obesity Treatment Recommendations
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Patient-centered Approaches to the Management of Obesity
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Historical View of Obesity
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Current Perspective of Obesity
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Obesity: A Failure of Weight Regulation
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Macroenvironmental Influences*
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Microenvironmental Influences*
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Composition of Popular Diets
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Physical Activity Extends Weight Loss: Look AHEAD Trial
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Effects of Chronic Exercise
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Practical Guidance: Embrace Modest Weight Loss
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Practical Guidance: Go Slow and Try Different Approaches
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The 5As for Obesity Management
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The 5As of Obesity Management
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Ask
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Assess
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The 4Ms of Obesity
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Advise
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Advise (cont)
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Agree
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Assist
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Putting It All Together
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Managing Patients Who Are Obese: Using a Multidisciplinary Team and Multifaceted Approach
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Strategies to Improve a Multidisciplinary Team Approach
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What to Assess?
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Multifaceted Approach to a Multifaceted Problem
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Approaches to Weight Management
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Macronutrient Proportion and Body Weight in Adults
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Taking the Next Step
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Pharmacotherapy for the Management of Obesity
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Hormonal and Neural Pathways Regulate Food Intake and Body-Fat Mass
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Hypothetical “Feed-forward” Positive Feedback Mechanism to Drive Weight Up
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Anti-Obesity Drugs and Their Complex Pathways
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The Problem
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Newly Approved and Investigational Anti-Obesity Medications
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Safety Information
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Safety Information (cont)
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Bringing it All Together: Recipe for an Effective Weight Loss Plan
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Obesity Is a Complex Disease With Multiple Determinants
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There Are Multiple Options for Obesity Treatment
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Current Hierarchical Provision of Obesity Care by Physicians
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Applying the Modified 5As for Obesity Management
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Alternative Strategy Ask. Advise. Refer. = 5As
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New Hierarchical Provision of Obesity Care by Physicians
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Patient Encounter
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Intensification of Therapies to Achieve Weight Loss Goals
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Take Home Tips
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Abbreviations
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Abbreviations (cont)
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References
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References (cont)
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References (cont)
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References (cont)
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References (cont)
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