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In the Northeast, test positivity rates are about 16%

In some cases, appetite, cravings, hormone changes, stress, or a blood sugar imbalance can make weight management more difficult

The key is ensuring competence: Take CME courses in obesity medicine (60+ hours for ABOM certification) Understand when to refer (e.g., suspected Cushings syndrome, complex endocrine issues) Collaborate with primary care when appropriate Document that the intervention is part of comprehensive patient care If youre treating a patients depression and their olanzapine-induced 40-pound weight gain is worsening that depression, prescribing a GLP-1 isnt scope creep its integrated psychiatry

Stage 3A: Hair loss is primarily from the vertex with limited thinning of sides of the hairline

Dietary Reference Intakes for Vitamin C, Vitamin E, Selenium, and Carotenoids (National Academies Press, 2000)