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Key updates include: Annual screening for overweight and obesity Confirmation of excess adiposity beyond BMI when feasible Clear recognition that 57% weight loss improves glycemia and cardiometabolic risk Importantly, pharmacologic obesity treatment now emphasizes: Individualized dose titration Balancing efficacy with tolerability Considering alternative agents when response plateaus GLP-1 receptor agonists and dual GIP/GLP-1 therapies now sit at the center of metabolic care

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