A 38 year old woman with hypertension, gallstones and class II obesity is in your office to discuss weight loss options. She has been obese from childhood and has tried several diet and exercise programs.
She reports past weight loss of 10-15 pounds while on a structured diet program, but gained the weight back within a few months.
She also mentions she and her husband are trying to conceive and she wants to lose weight before she gets pregnant.
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