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Overweight and Obesity

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Figure 2. Treatment Algorithm—The Chronic Disease Management Model for Primary Care of Patients with Overweight and Obesity a Assess and treat CVD risk factors and obesity-related comorbidities BMI ≥25 Assess weight and lifestyle histories YES YES, ready Assess need to lose weight: BMI ≥30 or BMI 25-29.9 with risk factor(s) Assess readiness to make lifestyle changes to achieve weight loss Insufficient risk NO Not yet ready NO Comprehensive lifestyle intervention alone or with adjunctive therapies (BMI ≥30 or ≥27 with comorbidity) b Determine weight loss and health goals and intervention strategies High intensity comprehensive lifestyle intervention Alternative delivery of lifestyle intervention Weight loss ≥5% and sufficient improvement in health targets BMI ≥40 or BMI ≥35 with comorbidity. Offer referral to an experienced bariatric surgeon for consultation and evaluation as an adjunct to comprehensive lifestyle intervention BMI ≥30 or BMI ≥27 with comorbidity—option for adding pharmacotherapy as an adjunct to comprehensive lifestyle intervention b YES

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