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Assessment
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Obesity/Overweight/Morbid Obesity
• • •
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Initial BMI
• • •
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Associated co-morbidities
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See Assessment Plan
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Hypertension
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Hyperlipidemia
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Diabetes
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Prediabetes
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Insulin Resistance
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Metabolic Syndrome
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GERD
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OSA
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Hypothyroidism
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PCOS
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Osteoarthritis
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Binge-Eating Disorder
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EOSS Class
• • •
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EOSS Stage
• • •
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BIA changes
• • •
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BIA comments
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Comprehensive lifestyle modification program to address the above medical assessments:
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Underlying Causes
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Underlying causes
• • •
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Underlying causes comment:
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Medications
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Med list
• • •
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Medications comments:
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Nutrition
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Diet plans discussed
• • •
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11-13k Cal F <62in/postmeno
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12-15k Cal F <68 in,<300lbs
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15-18k Cal F >68 in OR >300lbs
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15-18k Cal M >68 in OR<300lbs OR >70yo
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18-21k Cal FM >72 in OR >300lbs
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P10-35,C45-65,F25-35
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Carb goal
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Carb Goal
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Protein Goal (1g/kg): (kg=lbs/2.2)
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Fiber men <50yo - 38g
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Fiber men >50yo - 35g
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Fiber women <50yo - 25g
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Fiber women >50yo - 21g
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Fat goal((tot cal-400 (carb)-protein (gm*4))/9
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Fat goal 1200 cal
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Fat goal 1500 cal
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Fat goal 1800 cal
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Nutrition comments:
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Exercise
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Exercise comment:
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Behaviour change:
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SMART Goal
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Behaviour change comment:
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gap
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Referrals placed
• • •
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Follow up # weeks
• • •
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Follow up # months
• • •
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Follow up reason
• • •
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Follow-up other
• • •
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Follow-up comment
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level 5 est
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level 5 new
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level 5 extra
• • •
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level 5 set extra
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Minutes face-to-face
• • •
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Mins not face-to-face
• • •
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eb
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