Question of the Week:
KC is a 62-year-old individual with type 2 diabetes who presents for follow-up after initiating a weight loss program 3 months ago. They report consuming approximately 1,000–1,100 kcal/day and have lost 12% of their body weight, with a current rate of weight loss averaging 5% in the last month.
Their diet excludes most grains and fruits, and they report occasional fatigue and constipation. Current medications include metformin, tirzepatide, and atorvastatin.
Based on current standards of care, what is the most appropriate response regarding nutrition and weight changes?
What is the BEST response?
A. Continue the current plan, KC is achieving intentional weight loss while enrolled in a weight loss program
B. Titrate GLP-1 receptor agonist to optimize weight loss outcomes
C. KC has achieved weight loss of more than 10%, consider ceasing weight loss efforts to prevent nutrition deficiencies.
D. Initiate screening for micronutrient deficiencies and assess protein and fiber intake
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