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2002 Apr;318(1-2):51-61
Real-world perspective Among my outpatient population with severe obesity, ~70% are referred by orthopedic surgeons for pre-operative weight loss before joint replacement or other orthopedic procedures
Starting weight loss therapy with uncontrolled hypothyroidism may: Confound assessment of treatment efficacy Complicate symptom attribution (fatigue, constipation overlap) Necessitate multiple medication adjustments simultaneously Practically speaking, patients may benefit from demonstrating stable thyroid function on consistent levothyroxine dosing before adding weight loss medications, though this is not a strict requirement
Hoover, AL 246 lbs 211 lbs -35 lbs 6 mo I put off dealing with my weight for years
& Schmittgen, T
