A 61-year-old with BMI 39, T2D, and HTN asks about weight-loss options after failed lifestyle therapy. Best evidence-based next step?...

Question

A 61-year-old with BMI 39, T2D, and HTN asks about weight-loss options after failed lifestyle therapy. Best evidence-based next step?

Accepted Answer

Start GLP-1 receptor agonist (e.g., semaglutide 2.4 mg weekly) with lifestyle

Answer

Start orlistat only

Answer

Bariatric surgery is contraindicated

Answer

Phentermine long-term monotherapy

Answer

Lifestyle therapy only

us-abfm MCQ (SBA): Obesity Pharmacotherapy