The Curbsiders Internal Medicine Podcast

REBOOT #324: Obesity Medicine FAQ with Dr. Fatima Cody Stanford

10 snips
Aug 21, 2023
Guest
Fatima Cody Stanford
Dr. Fatima Cody Stanford, an expert in obesity medicine, reframes our approach to obesity and discusses effective medications for treatment. They explore patient goals, treatment options, including surgery and behavioral support, and the underutilization of evidence-based treatments. The episode also includes an ad for Babble language learning app.
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INSIGHT

Obesity Is A Chronic Disease

  • Obesity is a disease, not a moral failing, and requires chronic treatment like other chronic illnesses.
  • Framing obesity as a medical condition changes treatment urgency and reduces stigma.
ADVICE

Don’t Give Fixed Target Weights

  • Avoid setting fixed target weights; focus on the healthiest, happiest weight for the patient instead.
  • Emphasize clinically meaningful improvements rather than absolute pounds lost to prevent perceived failure.
ADVICE

Match Treatment To Problem Size

  • Match treatment intensity to the problem using her snow analogy: use a plow for heavy snow, not a teaspoon.
  • Discuss surgery, medications, devices, and lifestyle honestly to choose the appropriate tool.
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