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Including nutritional counseling, increased physical activity, and adhering to diets that decreases caloric intake have all been found to be the best way to lose weight and manage obesity. Medications can be added when patient’s efforts have failed or when there are health hazards associated to obesity. Pharmacological treatments should only be used as an adjunct treatment. In extreme cases, bariatric surgery is also an option for treatment. Extensive workup and considerations of all other weight loss measures is completed prior to surgical interventions for weight loss. (Valley Medical Center, 2018b)A2a Pharmacological TreatmentsMedical treatments for obesity are never the first line choice for treating or managing obesity. However, they can be used as adjunct treatments to overall management of obesity (Apovian et al., 2015). Pharmocological treatments can be discussed if BMI is greater than or equal to 27 kg/m2 with comorbidities or BMI over 30 kg/m2. The patient’s clinician should takeinto account the severity of obesity and ability for the individual to make the necessary changes to promote weight loss. If there are obesity-related health problems, pharmacological treatments may be added to the plan of care sooner. The pharmacological treatments that are used for management of obesity in Washington state aligns with the national guidelines of care. (Apovianet al., 2015). There are many over the counter medications and supplements that claim to promote weight loss but are not FDA approved (Valley Medical Center, 2018a). Supplements do not haveto be FDA approved and can make claims that the product can burn fat faster and curb hunger. Because there have notbeen any clinical trials, the side effects and risks are not well documented.Some claims sound too good to be true and probably is too good to be true. It is important for
Running Head: OBESITY 9individuals considering taking supplements to look at all the ingredients and see if it is appropriate for them to take it. Some products work as a laxative which can cause a dangerous drop in potassium levels and cause heart and muscle problems. Other supplements have the ingredient of ephedra. Ephedra has been banned by the FDA because of its dangerous side effects. It is most commonly found in Chinese herb, ma-huang. It is a stimulant that constricts blood vessels. It can suppress appetite and that is why it is used for weight loss. However, excessive amounts of this drug can increase blood pressure and cause dangerous heart problems and/or stroke. Supplements should always be taken cautiously. (Valley Medical Center, 2018a). There are some medications that are FDA approved and can provide weight loss benefits safely under a physician’s care (Apovian et al., 2015). The types of medications prescribed either work by blocking fat absorption or suppressing appetite by creating a feeling of fullness.