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Clinical Crossroads Update
April 25, 2001

A 33-Year-Old Woman With Morbid Obesity, 1 Year Later

Author Affiliations

From the Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, 330 Brookline Ave, LY318, Boston, MA 02215.

JAMA. 2001;285(16):2128. doi:10.1001/jama.285.16.2128

At Medicine Grand Rounds in March 2000, Richard L. Atkinson, MD, discussed a 33-year-old woman with morbid obesity.1 At that time, the patient, Ms C, weighed 289 lb and her goal was to lose 150 lb. After 3 months in a special weight loss program, exercising regularly, following a diet, and taking phentermine, she had lost 14 lb. Dr Atkinson discussed the health consequences of morbid obesity. He also presented the risks and the benefits of various options such as dietary therapy, behavior modification, exercise, drug therapy, and surgery. He suggested that, in Ms C's case, the evidence favored surgical intervention to best achieve and maintain significant weight loss.

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