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	Institution: STANFORD Univ Med Center  | My Account | E-mail Alerts | Access Rights | Sign In Vol. 2 No. 3, March 1993   Archives  •  Online Features Clinical Reviews  This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal A Practical Approach to Treatment of the Obese Patient Susan Zelitch Yanovski, MD Arch Fam Med. 1993;2(3):309-316. Abstract Obesity is one of the most common conditions encountered by primary care physicians, yet both physicians and patients are often frustrated by current approaches to its management. Recent advances in our understanding of obesity enable the physician to evaluate the contributions of biologic and environmental factors to the patient's obesity, to determine the degree of medical risk posed by the obesity, and to establish realistic goals for treatment. The chronic and relapsing nature of obesity requires ongoing support and vigilance. An individualized approach to obesity management, based on careful evaluation of biologic, psychologic, and social factors, can be successfully developed and implemented by the office-based primary care physician. Author Affiliations From the Division of Digestive Diseases and Nutrition, National Institute of Diabetes and Digestive and Kidney Diseases, and the Clinical Neuroendocrinology Branch, National Institute of Mental Health, Bethesda, Md. THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES An RCT of metformin versus orlistat for the management of obese anovulatory women Metwally et al. Hum Reprod 2009;24:966-975. ABSTRACT | FULL TEXT   Structured exercise training programme versus hypocaloric hyperproteic diet in obese polycystic ovary syndrome patients with anovulatory infertility: a 24-week pilot study Palomba et al. Hum Reprod 2008;23:642-650. ABSTRACT | FULL TEXT   Diagnostic potential of serum N-terminal pro-B-type brain natriuretic peptide level in detection of cardiac wall stress in women with polycystic ovary syndrome: a cross-sectional comparison study Celik et al. Hum Reprod 2007;22:2992-2998. ABSTRACT | FULL TEXT   Clomiphene Citrate Versus Metformin as First-Line Approach for the Treatment of Anovulation in Infertile Patients with Polycystic Ovary Syndrome Palomba et al. J. Clin. Endocrinol. Metab. 2007;92:3498-3503. ABSTRACT | FULL TEXT   Insulin Sensitivity after Metformin Suspension in Normal-Weight Women with Polycystic Ovary Syndrome Palomba et al. J. Clin. Endocrinol. Metab. 2007;92:3128-3135. ABSTRACT | FULL TEXT   The Cardiovascular Risk of Young Women with Polycystic Ovary Syndrome: An Observational, Analytical, Prospective Case-Control Study Orio et al. J. Clin. Endocrinol. Metab. 2004;89:3696-3701. ABSTRACT | FULL TEXT   Cardiovascular Risk Factors and Common Carotid Artery Caliber and Stiffness in Patients with Cushing's Disease during Active Disease and 1 Year after Disease Remission Faggiano et al. J. Clin. Endocrinol. Metab. 2003;88:2527-2533. ABSTRACT | FULL TEXT   Weight Loss Counseling Revisited Serdula et al. JAMA 2003;289:1747-1750. FULL TEXT   Persistence of Increased Cardiovascular Risk in Patients with Cushing's Disease after Five Years of Successful Cure Colao et al. J. Clin. Endocrinol. Metab. 1999;84:2664-2672. ABSTRACT | FULL TEXT   Weight Cycling National Task Force on the Prevention and Treatmen et al. JAMA 1994;272:1196-1202. ABSTRACT   Futility and Avoidance: Medical Professionals in the Treatment of Obesity Roman-Diaz JAMA 1993;270:1422-1422. ABSTRACT   Very Low-Calorie Diets National Task Force on the Prevention and Treatmen et al. JAMA 1993;270:967-974. ABSTRACT   Compulsive Eating Disorders Barnes Arch Fam Med 1993;2:813-813. ABSTRACT   HOME | CURRENT ISSUE | PAST ISSUES | TOPIC COLLECTIONS | CME | PHYSICIAN JOBS | HELP CONDITIONS OF USE | PRIVACY POLICY | CONTACT US | SITE MAP   © 1993 American Medical Association. All Rights Reserved.