KevinMD June 15, 2024
I was in rheumatology private practice for just under four years as my first few years out of fellowship. During that time, too many of my patients were coming with obesity complicating a facet of their rheumatic disease. The most common example might be osteoarthritis, where excess weight directly applies force to joints like the lower back, hips, and knees, accelerating the disease and worsening outcomes. A less obvious example is when obesity is associated with sleep apnea, in turn exacerbating fibromyalgia. We found that weight loss in these scenarios helped these individuals gain control over their disease when few other interventions had the power to do so.
When I would ask my patients empathetically, “Hey, what have you tried...
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