2020-12-15 OMA Agenda - Board of Trustees

contributes to the most common adiposopathic metabolic complications encountered in clinical practice, and whose prognosis is enhanced with clarity of treatment plan (e.g., summary of telehealth visit via text, email, posting in electronic health records), and clinical notification of missed referrals or lack of completed medical procedures Establish baseline existing “sick fat disease” metabolic status and establish baseline existing “fat mass disease” status, with an unbiased and realistic determination of what may or may not improve with heathy weight loss Provide the patient unbiased and realistic expectations of weight loss, metabolic health parameters, and fat mass disease adverse consequences of obesity that may or may not improve with healthy weight loss. Provide an unbiased and realistic overview of the challenges of weight regain, after successful weight loss, accompanied by mitigating strategies Simple, attainable, and agreed upon nutritional prescription; instruct patient to keep a dietary diary (written or via electronic app) Give simple, attainable, and agreed upon physical activity prescription; instruct patient to keep a physical activity diary (written or via electronic app) Prescribe anti-obesity medication treatment in accordance with state and federal laws, and as clinically appropriate for telehealth visit. Instruct and provide educational materials regarding possible side effects. If applicable, arrange for outpatient testing (e.g., laboratory assessment, electrocardiogram, vital sign assessment). Potential referral to bariatric surgeon and/or certified bariatric center

Current status

Realistic assessment of outcomes

T REATMENT Nutrition

Physical Activity

Anti-obesity medications

Bariatric surgery

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