Medscape February 27, 2025
Alicia Gallegos

When the 42-year-old patient came to see Yarickza Lopez, MSN, FNP-C, the 5-ft woman weighed 260 lb and had severe depression and anxiety, type 2 diabetes, high blood pressure, polycystic ovary syndrome, and high cholesterol.

At the time, she was on a plethora of medications, including metformin and Januvia, an atorvastatin, a hypertension drug, and two depression medications, said Lopez, a nurse practitioner who specializes in obesity medicine and is founder and CEO of LB Rejuven8 Aesthetics and Wellness, a med spa based in College Station, Texas. While the patient’s physical conditions were being treated with medication, the root causes of her anxiety and depression had been overlooked for years, Lopez said.

As she treated the patient’s obesity, Lopez dug...

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