She envisions positive change: "I hope that over time, in the next five years, I really hope we see a huge shift in how not only the accessibility, but also the stigma towards people who struggle with obesity and who live in larger bodies and who want help and who want to lose weight or want to be healthier." This includes changing perceptions: "That that stigma changes from, well, they're just lazy and fat to, no, they have an illness, they have a disease that's preventing them from being compliant with the diet and exercise." Her enthusiasm for these medications is evident: "I'm a huge, huge advocate for these medications." The Reality Check: GLP-1 Is a Tool, Not Magic "It's not, you take this medication and the weight magically falls off, quite the, you have to put in the work," Carolyn emphasizes
IHC, immunohistochemistry
NICE clinical guideline CG189 sets out the full care pathway, including criteria for referral to specialist services
Use it to stabilize the patient and then work hard on behaviors and nutrition education
