A 45-year-old woman has BMI 38 kg/m2, prediabetes, obstructive sleep apnea, and unsuccessful lifestyle-only weight loss. She has no personal or

Question

A 45-year-old woman has BMI 38 kg/m2, prediabetes, obstructive sleep apnea, and unsuccessful lifestyle-only weight loss. She has no personal or family history of medullary thyroid carcinoma or MEN2 and is not pregnant. Which of the following would you recommend?

Accepted Answer

Metabolic-bariatric surgery discussion and anti-obesity pharmacotherapy options such as GLP-1 or dual incretin therapy

Answer

Avoid pharmacotherapy unless BMI exceeds 45 kg/m2

Answer

Use phentermine indefinitely without monitoring

Answer

Prescribe levothyroxine despite normal TSH

Answer

Recommend bed rest to reduce appetite

Obesity with metabolic comorbidity — ABIM Board MCQ

A 45-year-old woman has BMI 38 kg/m2, prediabetes, obstructive sleep apnea, and unsuccessful lifestyle-only weight loss. She has no personal or family history of medullary thyroid carcinoma or MEN2 and is not pregnant. Which of the following would you recommend?