Question

A 44-year-old man with BMI 36 kg/m² and hypertension asks for help with weight management. He has tried multiple diets without long-term success and expresses shame and guilt about his weight. According to the Canadian Adult Obesity Clinical Practice Guideline, which initial approach best reflects recommended practice?

Accepted Answer

Use the 5As framework (Ask, Assess, Advise, Agree, Assist) to explore drivers of weight and collaboratively develop a long-term management plan

Answer

Advise him to eat less and exercise more and return if motivated

Answer

Prescribe appetite suppressants immediately

Answer

Refer directly for bariatric surgery without further discussion

Answer

Recommend a very-low-calorie diet without follow-up

Practice question