An 18-year-old female presents for a physical examination. She is new to your practice but reports she has no chronic

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An 18-year-old female presents for a physical examination. She is new to your practice but reports she has no chronic medical conditions and takes no medications. She denies tobacco or alcohol use. Her menstrual cycles have been irregular for two years. Her blood pressure is 140/88 mm Hg. She weighs 85 kg, and she is 65 inches tall, and her BMI is 31 kg/m2. Examination reveals some lip and chin hair. The patient reports weight gain over two years despite diet and exercise. Which of the following is the best choice in management of this patient? A. Referral to a nutritionist for a very-low-calorie diet B. Laboratory evaluation of possible secondary causes of obesity C. Pharmacologic treatment D. Discussion with patient of risks of obesity and benefits associated with weight loss

An 18-year-old female presents for a physical examination. She is new to your practice but reports she has no chronic medical conditions and takes no medications. She denies tobacco or alcohol use. Her menstrual cycles have been irregular for two years. Her blood pressure is 140/88 mm Hg. She weighs 85 kg, and she is 65 inches tall, and her BMI is 31 kg/m2. Examination reveals some lip and chin hair. The patient reports weight gain over two years despite diet and exercise. Which of the following is the best choice in management of this patient? A. Referral to a nutritionist for a very-low-calorie diet B. Laboratory evaluation of possible secondary causes of obesity C. Pharmacologic treatment D. Discussion with patient of risks of obesity and benefits associated with weight loss

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