When reader Vivian asked me what I thought of a piece from Medscape called “New US Obesity Guidelines: Treat the Weight First” I geared myself up to read something terrible. I didn’t imagine just how horrible it would be.
In the article Dr Caroline M Apovian discusses a paper, of which she was the lead author, that suggests guidelines about how to care for fat people who have actual health issues:
The guidelines advise treating the weight first with lifestyle modification and medication and then managing the remaining comorbidities that have not responded to any weight loss, including hyperglycemia, hypertension, and dyslipidemia.
She also recommends that if patients are taking medication that has a side effect of weight gain (including those for depression, epilepsy, and schizophrenia) including “insulin, sulfonylureas, thiazolidinediones, beta-blockers, or certain specific selective serotonin-reuptake inhibitors (SSRIs) like paroxetine” they should be tapered off of them…
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