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The GP Show


Welcome to The Gp Show podcast "libsyn directory" page!  Please visit my full website; www.thegpshow.com that includes podcasts, the podcast notes with resources, a clinicians bookshelf split into the lifestyle and medical domains with a growing library of online resources (for patients and health professionals) including handouts, courses, apps, books, podcasts and more.

Join me, Dr Sam Manger MD, for real and in-depth conversations with guests, experts and advocates from around the world sharing knowledge, stories, insight and experience on a variety of health-related topics.  This podcast is specifically designed-with-love for health professionals and anybody else interested in health, science and medicine.

Please note: the Information on this site and in these podcasts is designed for informational purposes only and does not replace the relationship between a patient and his/her own physician and is not intended as medical advice. This information is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health providers with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you saw or read on The GP Show Podcast and related pages. Always practice within your level of professional capabilities and scope of practice. This podcast does not give you the right to practice beyond your training.

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Aug 8, 2017

Today we will cover a case on weight with question and answers.  Questions include:

 

 

Question 1 What further history do you want to obtain for weight loss?

Question 2 What examination do you want to perform?

Question 3 Are there any investigations to perform?

Question 4 How does this change your management when prescribing the pill?

Question 5 She asks you – “what about the low carb high fat diet?”

Question 6 How successful are lifestyle weight loss programs in the long run?

Question 7 What medication options are there and the indications and side effects?

Question 8 When would you refer for a bariatric surgical opinion?

 

Main references:

http://www.nejm.org/doi/full/10.1056/NEJMoa1614292?rss=searchAndBrowse&

https://www.urmc.rochester.edu/news/story/4217/commonly-prescribed-drug-for-lower-back-pain-not-effective.aspx

http://www.cochrane.org/CD012087/BACK_non-steroidal-anti-inflammatory-drugs-chronic-low-back-pain

NHMRC, Clinical Practice Guidelines for the Management of Overweight and Obesity in Adults, Adolescence and Children in Australia, Aus Gov, 2013, https://www.nhmrc.gov.au/_files_nhmrc/publications/attachments/n57_obesity_guidelines_140630.pdf

Effects of Low-Carbohydrate versus low fat diets on metabolic risk factors: Meta-analysis, 2012, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3530364/ 

 

Grima et al, Obesity, RACGP AFP, 2013 http://www.racgp.org.au/afp/2013/august/obesity/

Hamdy et al, Obesity, Medscape, 2017 http://emedicine.medscape.com/article/123702-clinical

Bray et al, Obesity in Adults, UpToDate, 2017

UKMEC criteria, 2016, http://www.fsrh.org/standards-and-guidance/documents/ukmec-2016/