Question

A 48-year-old obese man (BMI 41 kg/m²) with type 2 diabetes and obstructive sleep apnoea has struggled with supervised lifestyle modifications for 18 months, with minimal weight loss. According to NICE obesity guidance, what is the most appropriate next step to consider?

Accepted Answer

Offer bariatric surgery assessment

Answer

No further intervention; lifestyle changes only

Answer

Start Orlistat without other support

Answer

Offer very low calorie diet indefinitely

Answer

Discharge from clinic

Practice question

A 48-year-old obese man (BMI 41 kg/m²) with type 2 diabetes and obstructive sleep apnoea has struggled with supervised lifestyle modifications for 18 months, with minimal weight loss. According to NICE obesity guidance, what is the most appropriate next step to consider?