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Adult Obesity

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Key Points ➤ The prevalence of obesity in the United States has increased dramatically over the past few decades from 30.5% in 1999–2000 to 41.9% in 2019–2020. ➤ In adults, obesity-related complications such as cardiovascular disease, stroke, type 2 diabetes mellitus (T2DM), nonalcoholic steatohepatitis, obstructive sleep apnea, osteoarthritis, and certain types of cancer (e.g., colorectal cancer) have also increased, contributing to high morbidity and mortality. ➤ Lifestyle intervention(s) has limited effectiveness and durability for most individuals. ➤ Pharmacological therapies with high efficacy in achieving weight loss have seen limited use, partly due to lack of familiarity and limited insurance coverage. ➤ A small number of providers are responsible for >90% of the anti-obesity medication prescriptions.

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