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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

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pylori infection Individuals with type 2 diabetes in addition to autonomic neuropathy, which can independently affect gastric motility Those who follow a high-sulfur diet Patients who escalate their dose rapidly rather than gradually Patients on higher-potency GLP-1 therapies GLP-1 burps and SIBO: A connection worth knowing One of the lesser-discussed risk factors is small intestinal bacterial overgrowth (SIBO), a condition where bacteria grow in excessive amounts in the small intestine