View article

What issues you should cover Optimal management of obesity combines diet, exer cise, lifestyle advice, and, where necessary, pharma cotherapy and surgery. Current drugs used in weight management are not the" slimming pills" used many years ago. However, they are all expensive and should be used rationally within structured management pro grammes. Shared care between the GP and a practice nurse trained in weight management may make the management of obesity in primary care more feasible.

Explore the request in a non-judgmental way Whether the patient looks overweight or not, find out why she is requesting the pills. Often patients will pre sent because of an impending social or personal event (a wedding or holiday). What exactly does she know about slimming tablets? Where did the information come from? What does she expect from them? Has she ever taken them in the past and, if so, who …