Obesity Medicine

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A healthy 56-year-old woman, who is seeing you for her annual checkup, asks if she still needs to continue the calcium supplements she has been taking. She has heard reports on the evening news that calcium and vitamin D were of negligible value in women her age--and could even cause kidney stones. How would you respond? What is the latest thinking about calcium and vitamin D supplements for postmenopausal women?

Hepatomegaly is detected during the routine physical examination of a healthy 40-year-old woman who is employed as a secretary. She has noticed some fullness in the right upper abdomen for many years, but it has not been accompanied by pain or GI symptoms.

The optimal approach to subclinical hypothyroidism continues to be debated. Experts disagree over screening for thyroid dysfunction, the threshold TSH level for treatment, and the upper limit of normal of the TSH reference range.

A 44-year-old African American woman presented to the emergency department with constipation of 4 days' duration. She also complained of a sticking sensation in her throat over the past year and dysphagia to solids but not liquids. Over the past 2 years, she had an unintentional 40-lb weight loss, which she attributed to decreased appetite.

WASHINGTON -- Plates groaning with food, a society that discourages walking, and long hours of working and commuting are all conspiring to make Americans obese, according to a report released by a non-profit group.

LEIDEN, The Netherlands -- Whether by road, rail, or air, travel for more than four hours caused a two-fold increase in the risk of deep-vein thrombosis, researchers here reported.

CHAPEL HILL, N.C. -- Patients can lose weight over the short term by following the dictates of their terminals, with automatically generated computer feedback reinforcing adherence to a healthy diet and activity regimen.

MINNEAPOLIS -- Teens with a poor body image tend to behave in ways that are self-perpetuating, researchers here said, and may react better to positive encouragement rather than to criticism.

BOSTON -- There are a lot more chubby babies than there used to be, reported investigators here. That goes for chubby preschoolers, too.

WASHINGTON -- The Physicians Committee for Responsible Medicine, a crusading group that has long ranked vegetarianism high on its agenda, has made a compelling case for a low-fat vegan diet to improve glycemic control.

ROYAL OAK, Mich. -- Morbidly obese patients with poor cardiorespiratory fitness are more likely to suffer major complications after bariatric surgery, according to researchers here.