02 / Before we proceed
Before We Proceed
- Obesity is a very complex condition that IS MORE than just calories.
- Obesity is not a character flaw — it's a chronic disease.
- It is a neurohormonal metabolic disease associated with dysregulated secretion of satiety factors.
03 / Your goal
Which among the following do you feel you fit into?
04 / Benefits
Benefits of Weight Loss
Even a 5% weight loss can yield clinical benefits.
| Weight loss | Clinical benefit |
|---|---|
| 0 – 5% | Hypertension Hyperglycemia |
| 5 – 10% | PCOS Prevention T2DM Fatty Liver (NAFLD) |
| 10 – 15% | Cardiovascular Disease Sleep Apnea (OSAS) Osteoarthritis |
| > 15% | T2D Remission Mortality Reduction Hepatic Steatosis |
05 / Approach
The 5A Model: ASK-ASSESS-ADVISE-AGREE-ASSIST
We would like to understand the concerns about your weight and overall health so that we can agree on realistic and healthy weight loss goals.
1
Ask
2
Assess
3
Advise
4
Agree
5
Assist
06 / Medical history
Medical History / Safety Check
Please check if you have any of the following conditions:
07 / Patient information
Patient Information
Anthropometry & Measurements
Note: Body fat percentage above 25.5% in men and above 38% in women is used to define obesity
08 / Weight history
Weight History
Life Trajectory of Weight
09 / Medical conditions
Medical Conditions
| Condition | Present | Absent |
|---|---|---|
| Hypertension | ||
| Type 2 Diabetes | ||
| Prediabetes | ||
| Dyslipidemia | ||
| Obstructive Sleep Apnea | ||
| Cardiovascular Disease | ||
| NAFLD / Fatty Liver | ||
| Osteoarthritis | ||
| PCOS (IF FEMALE) | ||
| Hypothyroid | ||
| Others |
10 / Medications
Medications
| Medication Class | Present | Not Present |
|---|---|---|
| Antipsychotics | ||
| Antidepressants | ||
| Anti-epileptics | ||
| Steroids | ||
| Insulin | ||
| Sulfonylureas | ||
| Progestin OCPs |
11 / Surgeries
Surgeries
Family History
| Condition | Mother | Father | Sibling(s) | Grandparents |
|---|---|---|---|---|
| Obesity | ||||
| Type 2 Diabetes | ||||
| Hypertension | ||||
| Thyroid Problems |
12 / Habits
Habits
13 / Clinical monitoring
Clinical Monitoring Sheet
| Measurement | Baseline | Visit 1 | Visit 2 | Visit 3 |
|---|---|---|---|---|
| Weight (kg) | ||||
| BMI | ||||
| Waist (cm) | ||||
| HbA1c |